Page 1 of 51

DATA STOK OPNAME 31 OKTOBER 2023

TABLET

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

1 Acifar (Asiklovir) 200 mg 130 Jan-24 100 Jan-24 200 Jan-24

2 Acifar (Asiklovir) 400 mg 167 Mar-25 120 Mar-25 390 Mar-25

3 Akarbose tab 100mg 10/2024 ;

901 03/2025

4 Akarbose tab 50mg 04/2025 ;

586 03/2025

5 Alopurinol tablet 100 mg

448 Feb-24 200 Feb-24 1000 Feb-24

6 Alopurinol tablet 300 mg

145 Oct-24 100 Oct-24 200 Oct-24

7 Alpara tablet
1186 May-25 600 May-25 1050 May-25

8 Ambeven kapsul
500 Oct-24

9 Ambroxol tablet 30 mg
373 Dec-24 400 Dec-24

10 Amlodipin tablet 10 mg
336 Feb-24 20000 Feb-24

11 Amlodipin tablet 5 mg
227 Jun-27 6900 Jun-27

12 Amoksisilin kapsul/kaplet 500 mg

13 Antasida Doen 11/2024 ;

253 09/2025 170 Sep-25

14 Asam Asetilsalisilat 80 mg

15 Asam Folat tablet 1 mg

560 May-25 1700 May-25
Asam Mefenamat kapsul/kaplet
16
500 mg 676 Jan-24 4900 Jun-25

17 Asam Traneksamat 500mg

90 Jun-25 100 Jun-25

18 Aspilet tablet

19 Atorvastatin 10 mg

20 Atorvastatin 20 mg
398 Mar-25

21 Azitromycin tab 500 mg

198 May-26 300 Dec-26

22 Betahistin tab 6 mg

23 Biocombin tablet (Vit. B-Komplek)

24 Bisoprolol 5 mg
384 Apr-24 390 Apr-24 4500 Dec-24

25 Bledstop (Metil ergometrin) tab

76 May-24 500 Sep-24
 Page 2 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

26 Captopril 12,5 mg
60 Dec-23 200 Dec-23

27 Caviplex tab
400 Aug-24 7500 Aug-24

28 Ciflon
120 Apr-25

29 CTM 4mg
72 Jan-28 90 Jan-28

30 Co-amoxiclav tablet
1 Oct-24 90 Oct-24 150 Oct-24

31 Cobazim (Cobamamide)1000mg
44 Dec-24 100 Dec-24 500 Feb-25

32 Curcuma force tab

33 Curcuma (Sanbe)
158 8/25/2024 800 Aug-24

34 Deferiperone 500mg tab

400 Aug-24

35 Deksametason tab 0,5 mg

420 Dec-25 6000 Dec-25

36 Demacolin tab
161 Apr-26 600 Apr-26

37 Dexketoprofen tab
100 Dec-24 100 Dec-24

38 Dexteem Plus tablet

77 Dec-25 200 Dec-25

39 Digoksin tab 0,25 mg

56 Apr-25 80 Jul-26 900 Apr-25

40 Diltiazem tab 30 mg
55 May-25 4300 May-25 5000 Nov-25

41 Dimenhidrinat tab 50 mg
18 Dec-23 200 Dec-23 900 Dec-23

42 Doksisiklin kaps 100 mg

43 Domperidon tab 10 mg
268 Feb-25 900 Dec-25 7500 Jun-24
Dopamet (Metildopa) tablet 250
44
mg 81 Nov-24 400 Nov-24

45 Dulcolax tab

46 Eperisone HCL
2 May-25 1300 May-25

47 Eritromisin kapsul/kaplet 500 mg

70 Feb-25 100 Feb-25 800 Feb-25

48 Euthyrox (Levothyroxine) 50mcg

96 Mar-24 1100 Mar-24

49 Formalin
80 2024

50 Favipiravir (FAVIMOL) tab 200 mg

51 Fenofibrat kaps 100 mg

52 Fibumin
600 Jul-24

53 Fitbes Force tab

54 Flukonazol kaps 150 mg

17 Feb-25 20 Feb-25 110 Feb-25
 Page 3 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

55 Flunarizin tab 10 mg
400 Dec-23

56 Flunarizin tab 5 mg
61 Dec-23

57 FOLAVIT (asam folat) tab

50 Oct-24 100 Oct-24

58 Furosemid tablet 40 mg
50 Sep-26 600 Sep-26

59 Gabapentin 100 mg
100 Apr-24

60 Gabapentin 300 mg
34 May-25 500 May-25

61 GCM tablet
147 Feb-26 180 Feb-26

62 Gemfibrozil
413 Nov-25

63 Glibenklamid tablet 5 mg
275 Jun-26 2700 Jun-26

64 Gliklazid tab 80mg

65 Glikuidon 30mg
290 Apr-25 5000 Apr-25

66 Glimepirid tablet 1 mg
200 May-24 1700 May-24 5000 Oct-24

67 Glimepirid tablet 2 mg
710 May-25 8300 May-25

68 Glimepiride tablet 3 mg
89 Feb-24 1400 Feb-24 2000 Sep-24

69 Glimepiride tablet 4 mg
95 Apr-24 2900 Apr-24 6200 Sep-24

70 Gliseril Guaiakolat tab 100 mg

295 Jan-24 11700 Dec-23

71 GRADILEX (Loperamide 2 mg)

10 Apr-25

72 Haloperidol tab 5 mg
100 Sep-24

73 Heptasan tab
687 Jul-24 2200 Jul-24

74 HERBESSER CD 100
23 Sep-24 100 Sep-24

75 HERBESSER CD 200
236 Mar-24 100 Oct-24

76 Hydrochlortiazide 25 mg
80 Mar-25 900 Mar-25

77 Hydroxyurea kapsul 500 mg

300 Aug-25

78 Hyoscine butylbromide
15 Aug-24

79 Ibuprofen 200mg
42 Jul-24 900 Jul-24

80 Ibuprofen 400mg
81 Aug-24 200 Aug-24 2000 Aug-24

81 Icobal (Mecobalamin)
21 Jun-25 150 May-25 1250 Jun-25

82 Irbesartan 150 mg
22 Dec-23 540 Dec-23

83 Irbesartan 300 mg
24 Feb-24 540 Feb-24
 Page 4 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

84 ISDN tablet sublingual 5 mg

814 Nov-25 300 Nov-25

85 Kalsirox 500mg tab

1120 Oct-24

86 Kalipar (Potasium L-aspartate)

41 Mar-24

87 Kalium diklofenak 50 mg
Kalsium Laktat (Kalk) tablet 500
88
mg 29 Aug-24 700 Aug-24 3800 Mar-24

89 Kalsium polistiren sulfonat

34 Apr-25 760 May-25

90 Kandesartan tablet 16 mg
15 Nov-24 210 Nov-24 1650 Nov-24

91 Kandesartan tablet 8 mg
257 Nov-24 810 Nov-24

92 Kaptopril tablet 25 mg
150 Jul-24 700 Jul-24 200 Jul-24

93 Karbamazepin 200 mg
1000 Jun-24

94 Ketokonazol tab 200 mg

40 Jun-25
 Page 5 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

95 Ketorolac 10 mg
80 Jun-24 870 Jun-24

96 Klindamisin kaps 150 mg

38 Sep-25 1100 Sep-25

97 Klindamisin kaps 300 mg

52 Feb-24 1500 Feb-24

98 Klopidogrel tab 75 mg 08/2025 ;

61 02/2025 360 May-25

99 Klorpromazin tab 25 mg
47 Nov-24 200 Nov-24
Kotrimoksazol Doen I (dewasa)
100
tablet 97 Jul-24 1500 Jul-24

101 KSR 600 mg

84 Nov-24 400 Nov-24

102 L- Vit D 5000IU

103 Lansoprazol 30 mg tab

489 Feb-24 1100 Feb-24

104 Lasmalin tab 2,5 mg

161 Feb-26 800 Feb-26

105 L-Bio

106 Levofloksasin tab 500 mg

150 Dec-25 100 Dec-25 5100 Feb-27

107 Licocalk tab

80 Jan-25 390 Jan-25

108 Lisinopril 10 mg tab

70 Jun-24 4000 Jun-24 4000 Nov-24

109 Lisinopril 5 mg tab

1335 Mar-24 2200 Mar-24 6000 Nov-24

110 Loratadin tablet 10 mg

298 Apr-25 100 Dec-25 700 Dec-25

111 Maxprinol tab

40 May-25 184 May-25

112 Maxbiotik
316 Jan-25 1560 Jan-25

113 MAX-D (Vit D 1000 iu)

114 Meloxicam tablet 15 mg

110 Feb-28 500 Feb-28

115 Meloxicam tablet 7,5 mg

18 Jan-24 100 Jan-24 400 Jan-24
Meprolut (Norethisterone) tablet 5
116
mg 8 Nov-27 60 Nov-27 120 Nov-27

117 Metformin tablet 500 mg

505 May-25 5300 Aug-26

118 Metformin tablet 850 mg

52 Feb-25 3800 Feb-25

119 Metilprednisolon 4 mg Tab

17 Feb-24 2700 Feb-24

120 Metilprednisolon 8 mg

121 Metilprednisolon 16 mg
448 Aug-24 1100 Aug-24

122 Metoklopramid 10 mg
54 Mar-24 2100 Mar-24

123 Metoklopramid 5 mg tablet

1000 Jan-26
 Page 6 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

124 Metronidazole 500 mg tab

25 Sep-24 100 Oct-24 100 Sep-24 2400 Oct-24

125 Microginon
1 Jun-24
 Page 7 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

126 Miniaspi
181 Dec-24 1600 Dec-24
Mirasic (Parasetamol) tablet 500
127
mg 2500 Dec-24

128 Misoprostol tab

300 Jan-25

129 Molagit
470 Aug-26 3450 Dec-25

130 Mucosta
104 Sep-25 100 Sep-25

131 N-asetil sistein kaps 200 mg

80 Apr-25 900 Apr-25

132 Natrium Bikarbonat 500 mg

125 May-26 500 May-26 200 May-26

133 Natrium Diklofenak50 mg 05/2024 ;

589 May-24 900 04/2025 12800 Sep-24

134 New antides

135 New Diatab

136 Nifedipin tablet 10 mg

662 Mar-25 1800 Mar-25 4000 Mar-25

137 Nitrokaf Retard Kaps

440 Apr-25

138 Nugalmin kaps (albumin)

34 Nov-24

139 Nystatin
9 Sep-25

140 OAT FDC Dewasa Kat I

3

141 OAT FDC Anak Kat I

142 Omeprazol kapsul20 mg

930 Feb-24 600 Feb-24 4800 Feb-24

143 Ondansetron tab 4 mg

81 Nov-24 210 Nov-24

144 Oralit
22 Oct-25 100 Oct-25

145 Oseltamivir kaps 75 mg

30 Aug-25 900 Aug-25 12200 Aug-25

146 Osteocal tab

57 Jun-25 288 Jun-25

147 Paedilac sachet

148 Paracetamol 500 mg

228 Jan-27 2200 Jan-27

149 Pedilax

150 Phytomenadion 10 mg
59 Feb-24 800 Feb-24

151 Pioglitazone tablet 30 mg

30 Mar-25 150 Mar-25 930 Mar-25

152 Pioglitazone tablet 15 mg

120 Feb-25 120 Feb-25 1530 Feb-25

153 Preabor tab

22 Oct-24 360 Oct-24

154 Prednison 5mg

85 Jul-24 900 Jul-24 2000 Jul-24
 Page 8 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

155 Proceles tab

19 Dec-25 950 Dec-25
 Page 9 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

156 Propiltiourasil tablet 100 mg

500 Dec-25

157 Propranolol tablet 10 mg

36 Jun-26 300 Jun-26

158 Pyfaton tab

173 Aug-25 3500 Aug-25

159 Ramipril tab

160 Ranitidin tablet 150 mg

515 Dec-24 9600 Nov-24

161 Rebamax tab

300 Nov-24

162 Renovit Gold tab

163 Salbutamol tablet 2 mg 12/2023 ;

325 Dec-23 1600 01/2026 1000 Mar-26

164 Salbutamol tablet 4 mg

336 Jan-24 5700 Jan-24
Sanmol 500 mg Tab
165
(Paracetamol)
166 Scopma 10 mg
90 May-27 100 May-27 800 May-27

167 Scopma plus

121 May-27 2800 May-27

168 Sefadroksil kaps 500 mg

393 Jun-24 4400 Jun-24 7000 Jun-26

169 Sefiksim 100 MG

73 Jan-24 200 Sep-25 2500 Jan-24

170 Setirizine tablet 10 mg

175 Jul-24 4100 Jul-24

171 Simarc (Warfarin) 2 mg

100 Jan-24

172 Simvastatin tablet 10 mg

104 Feb-24 500 Feb-24 1300 Feb-24

173 Simvastatin tablet 20 mg

90 May-24 200 May-24 2000 May-24
Siprofloksasin tablet 500 mg
174
(sebagai HCL) 144 Mar-26 5600 Mar-26

175 SOLVITA D1000 tab

2400 Jun-25

176 Spasminal tab

177 Spironolakton Tab 100 Mg

81 Dec-23 100 Dec-23 2000 Mar-25

178 Spironolakton TAB 25 MG

66 Mar-25 400 Mar-25

179 Sukralfat tablet 500 mg

167 Mar-25

180 SULCOLON tab

20 Oct-24 400 Oct-24
Tablet Tambah Darah Kombinasi
181
(program) 160 Feb-25 200 Feb-25

182 Tamsulosin tablet 0,4 mg

25 Jan-24 90 Jan-24 330 Jan-24

183 TANAPRESS 10 JKN

58 Dec-24

184 TANAPRESS 5 JKN

264 Nov-24 100 Nov-24
 Page 10 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

185 Telmisartan tablet 80 mg

186 Thiamphenicol 500mg

78 Oct-24

187 Thrombo Aspilet tablet 80 mg

188 Thiamazole 5 mg
74 Aug-24 800 Aug-24
 Page 11 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

189 Thiamazole 10 mg
147 Jan-24 500 Jan-24 600 Aug-24

190 Tonotan (Isoxsuprine) tab

36 Aug-24 200 Jul-25

191 Tremenza tabet

393 2/22/2026 1100 Feb-26

192 Trifluoperazine 5mg

95 Mar-26 900 Mar-26

193 Triheksifenidil
2000 Aug-24

194 Ursodeoxycholic acid

164 Jun-25 1400 Jun-25

195 Valsartan 160 mg

24 May-25 990 Aug-25 1080 May-25

196 Valsartan 80 mg
629 Mar-25 1260 May-25 480 May-25

197 Vestein 300mg (Erdostein)

157 Jul-25 440 Jul-25

198 Veridin tablet

18 Jan-24 180 Jan-24

199 Vitamin B komplek tab

75 May-25 1700 May-25 5000 May-25

200 Vitamin B1 50 mg
300 May-25 3500 May-25

201 Vitamin B12 50 mcg

191 Nov-24 500 Aug-24 500 Aug-24

202 Vitamin B6
313 Feb-24 4400 Feb-24

203 Vitamin C 250 mg

60 Jan-24 1400 Jan-24

204 Vitamin C 50 mg

205 Vitamin C 500 mg

206 Warfarin tablet 2 mg

500 Dec-23

207 Xepaneuron tab

183 Jan-25 800 Jan-25

208 Xepabion kaplet

419 Dec-23 800 Dec-23 500 Dec-23
Xepazym (Pancreatin +
209
Simethicone) 46 Sep-24 900 Dec-24 600 Mar-25

210 YES C (Vit C 500 mg)

211 Zinc tablet 20 mg

73 Dec-24 1700 Jul-25

212 Rymont
23 Feb-25
Petugas Stok Petugas Input

( ) ( )
 Page 12 of 51

DATA STOK OPNAME 31 OKTOBER 2023

SIRUP DROP SUSPENSI

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

1 Ambroxol elixir
18 Dec-24 21 Dec-23

2 Amoksisilin DROP
8 Sep-24

3 Amoksisilin sirup kering 125 mg/5 ml

11 Dec-25 100 Dec-24 1 Dec-24 846 Dec-24

4 Antasida Doen II Suspensi

5 Asam Valproat 250mg/5mL syrup

7 Jun-24 44 Mar-25

6 Asterol syrup
38 Dec-24

7 Apialys Syr 01/2025 ;

15 Jan-25 42 Jan-25 110 05/2025

8 Azitromisin Sirup

9 Demacolin syr
4 Jan-25 44 Jan-25 50 Feb-25

10 Domperidon drop 10 mL
4 Mar-25

11 Domperidon suspensi 5mg/5ml

12 Eritromisin sirup 200 mg/5 ml

5 Sep-24 10 Sep-24 85 Nov-24

13 Ferriz drop
4 Jan-24 25 Jan-24

14 Ferriz syrup
6 Mar-25 30 Mar-25

15 Guanistrep sirup

16 Ibuprofen sirup 100mg/ml

17 Kandistatin Drop
3 03/025 3 Mar-25 35 Mar-25

18 Kotrimoksazol suspensi kombinasi 11/2024 ;

9 May-24 160 05/2024

19 Lacoldin syrup
2 Feb-24 19 Feb-24 70 Feb-24

20 Lactulosa (LACONS) syr 04/2024 ;

2 Apr-24 2 Apr-24 13 Apr-24 52 08/2024

21 Lagesil syr 08/205 ;

07/2025 ;
6 May-25 399 06/2025

22 Lactulosa syr
1 Aug-24 447 Aug-24

23 Maxprinol Syr
1 May-25 100 Jul-25
 Page 13 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

24 Metronidazole Syr

25 Neo Flukid Syrup

4 Mar-25 4 Mar-25

26 Nichofed syr
7 Jun-24 2 Jun-24 89 02/2025 ; 03/2025

27 Nistatin 100.000 ui/ml drop

28 OBH molex syrup 60 ml

4 Mar-24 72 Mar-24 360 Mar-24

29 OBH Surya (Itrasal)

15 Nov-25 300 Sep-25

30 Paracetamol syrup AFI

31 Parasetamol drop 100 mg/ml

3 Jul-26 100 Jul-26 90 Jul-26

32 Parasetamol sirup 120 mg/ 5 ml Mersi

15 Apr-24 100 Jul-24 3000 Dec-24

33 Pedilis syrup

34 Pedimin drop
8 Dec-23

35 Ranicho (Ranitidin) Syr

1 Apr-24 42 Apr-24

36 Sanmag syrup

37 Sefadroksil 125 mg syrup

60 Feb-24

38 Sefiksim sirup kering

16 Sep-24 10 Sep-24 75 Sep-24

39 Setirizin drop
5 Dec-23

40 Setirizine sirup 5 mg/5ml

9 Sep-25 12 Dec-23 130 Sep-25

41 Sucralfate syr
54 Jun-25 404 Jun-25

42 Thiampenicol syrup
1 Dec-23 55 Dec-23 1 Dec-23

43 Vesperum drop 03/2025 ;

5 Mar-25 377 08/2025

44 Zinc sirup 20 mg/5 ml

45 Vesperum syr
3 Aug-25

46 Lerzin drop
200 Jun-27

47 L-Vit D drop
1 Mar-25 20 Aug-25

48 Novagyl syr

49 Zinc Drop
2 Jul-25 360 Sep-24
Petugas Stok Petugas Input
 Page 14 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

( ) ( )
 Page 15 of 51

DATA STOK OPNAME 31 OKTOBER 2023

INJEKSI - INHALASI/NEBUL

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total
Emergensi
1 Aminophylline inj 24mg/mL 16 Oct-24 25 Oct-24

2 Amiodaron Inj 150 mg

3 Ampicillin Inj 1000 mg 8 Apr-26 110 Apr-26

Aqua Pro Injeksi steril, bebas

4
pirogen (BERNOFARM)
272 Jun-25

5 Asam Traneksamat INJ 250Mg

56 Feb-24 30 Feb-24 360 Feb-24
6 Asam Traneksamat INJ 500Mg
14 Feb-24 285 Feb-24
Atropin Sulfat injeksi 0,25
7
mg/ml-1 ml 55 Sep-24
8 Bisolvon Solution 2 Jun-25 48 Jun-25
9 BRICASMA RESP IHL

10 Bucain spinal inj 35 Nov-26 150 Nov-26

11 Citicolin Inj 125 mg/ml 03/2025 ;

9 Jan-24 10 Mar-25 150 01/2024
12 Cyanocobalamin Inj 200 Mar-24
25/10/2023 ;
13 D40 23 21/12/2023 28 Dec-23 120 Dec-23

14 dexketoprofen inj 10 Mar-25 10 Mar-25

Deksametason injeksi i.v 5
15 104 Mar-25 100 Jul-25
mg/ml- 1 ml
Difenhidramin HCL injeksi 10
16 99 Feb-25 200 Feb-25
mg/ml- 1 ml
17 Dobutamin inj 50mg 29 May-24 60 Aug-25
18 Dopamin inj 24 Sep-24
19 Epinefrin inj 1mg/ml 75 Jun-25 100 Jun-25
Fitomenadion (Vit K) inj 10
20 15 Mar-25 210 Mar-25
mg/ml
Fitomenadion (Vit K) inj 2
21 68 Dec-23 400 Dec-23
mg/ml
22 Furosemid Inj 10 mg/ml 14 Aug-24 25 Aug-24 50 Aug-24 1200 Aug-24
23 Gentamisin 40 mg injeksi 18 Jan-24 2110 Jan-24
HERBESSER POWDER INJ
24 20 Feb-25
50MG
25 Hiosin-N-butilbromida inj 7 Dec-24 15 Nov-24 60 Jan-25
26 Inviclot (Heparin) 2 Dec-24
27 ISDN inj 5 Feb-24 5 Feb-24
28 Kalsium Glukonat injeksi 24 Apr-25 48 Apr-25
29 KCL inj 3 7/5/2025
 Page 16 of 51
Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total
Emergensi
30 KCl inj (Satoria) 12 Jul-25
31 Ketamin 100mg/ml 7 Mar-24 10 Mar-24

32 Ketorolak inj 30 mg/ml 02/2025 ;

10 Feb-25 50 Feb-25 1200 10/2025 1000 Sep-24
33 Lidodex inj 3 Aug-25 220 Aug-25

34 Lidokain inj 12/2024 ;

3 Dec-24 200 Dec-24 1200 02/2027
35 Mecobalamin Inj 500µg/ml

36 Meprovent cairan inhalasi 03/2024 ;

1 Oct-24 20 Oct-24 750 10/2024
37 Meropenem Inj 0.5 G 20 Nov-24 30 Nov-24
38 Meropenem Inj 1 G 6 12/024 70 Dec-24

39 Methylon (Metilprednisolon)
4 Apr-24 153 Apr-24
40 Metilprednisolon 125mg INJ 3 Apr-24 16 Sep-24 140 Sep-24 144 Jul-25
41 Metoklopramid 10mg/2ml inj 57 Feb-24 30 Feb-24 260 Feb-24
42 Meylon inj 14 11/10/2023
43 MgSO4 injeksi 20%-25 ml 2 7/20/2024
44 MgSO4 injeksi 40% 2 9/5/2024
45 Nairet inj 2 Sep-24 15 Sep-24 60 Sep-24
46 Neostigmine Inj 27 Nov-24 200 Nov-24
47 Neurosanbe inj 18 Feb-25 40 2/8/2025 300 Jun-25
48 Nicardipine inj 10 Dec-24 40 Dec-24
49 Norepinefrin inj 55 May-25
50 Omeprazol inj 35 Jun-25 150 Jun-25
51 Ondansentron inj 58 Aug-25 350 Sep-24
52 Pantoprazole Inj 7 Aug-24 100 Aug-24
53 Pehacain Inj 8 Feb-26 560 May-26
54 Phenytoin (Ikaphen) inj 11 Jul-24 30 Jul-24
55 Picyn Inj 5 Jan-24 221 Aug-24 48 Jan-24
56 Pulmicort 0,5mg/ml Resp 18 Apr-25 100 Apr-25
57 Ranitidin inj 147 Jun-25 9360 Jun-25
Salbutamol Sol
58
1mg/ml(Box/100Amp) 24 Mar-25 20 Mar-25 270 Mar-25
59 Santagesik inj 67 Oct-24 170 10/15/2024 1870 Oct-24
60 Sefoperazone sulbactam Inj

61 Sefotaksim Inj 23 May-25 460 May-25 524 Jan-24

62 Seftazidim inj 1.000 mg 03/2024 ;

5 Mar-24 80 01/2026 100 Aug-24
 Page 17 of 51
Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total
Emergensi
63 Seftriakson inj 101 Jun-28 4350 Sep-26
64 Trilac inj 4 Aug-26
65 Tramadol Inj 50mg/ml 49 May-24 470 May-24
66 Vasodrin Inj 33 Jan-25 40 Jan-25
67 water for injeksi (SATORIA)

68 ZISTIC injeksi
69 Cefuroxime 750 mg 11 May-25 60 May-25

Petugas Stok Petugas Input

( ) ( )
 Page 18 of 51

DATA STOK OPNAME 31 OKTOBER 2023

INFUS

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

1 amino L600
3 Dec-23 7 Dec-23

2 Aminofusin Hepar

3 Aminofusin Paed
2 Dec-23

4 Aminoleban
3 3/1/2024 24 Mar-24 67 Jul-25

5 Asering

6 B fluid infus
1 2/18/2024 40 Feb-24
Cairan Infus Dextrose 5%/0,225% Nacl (D5 1/4
7
NS) 20 Nov-23
Cairan Infus Dextrose 5%/0.450% NaCl (D5
8
1/2 NS)

9 Comafusin Hepar Inf

10 D5 1/2 NS (Sanbe)
7 3/30/2026

11 D5 1/4 NS (Sanbe)
86 2/22/2026 96 Feb-26

12 Dextrose 5% (Satoria)
2 Aug-24 1840 Nov-24

13 Dextrose 10% (Satoria)

15 Nov-24 10 Nov-24 60 Nov-24

14 Flukonazol INF 2 mg/ml

110 Sep-25

15 Futrolit INF
5 1/12/2025 36 Jan-25

16 Gelafusal INF
5 Jan-25

17 Glukose larutan infus 10% steril (D10%)

18 Glukose larutan infus 5% steril (D5%)

19 KA-EN 1B

20 KA-EN 3B
46 12/30/2023 720 Dec-23

21 KA-EN 4B
10 3/3/2024 10 Mar-24

22 KA-EN MG3
14 Dec-24 260 Dec-23

23 Levofloksasin 500 mg INF

10 Dec-24 72 Dec-24 8 Dec-24

24 Mannitol 20% 250 ml

25 Mannitol 20% 500ml

8 Feb-25 90 Feb-24

26 Martos INF

27 Metronidazole infus
17 Jul-25 250 Jan-24

28 NaCl 0,9% 1 Liter infus

5 Dec-25 190 Dec-25

29 NaCl 0,9% 1 Liter infus (SANBE)

50 Jan-26

30 NaCl 0,9% 100 ml (SATORIA)

135 Nov-24 160 Nov-24

31 NaCl larutan infus 0,9% 500 ml (SATORIA)

32 NaCl larutan infus 0,9% 500 ml

42 Jun-26 7180 Jun-26
 Page 19 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

33 Nacl 3% 500 ml
1 12/21/2024

34 Octalbin 25%
9 Oct-25 15 Dec-25

35 Paracetamol 1000 mg INF 100ML

200 Jul-25

36 Ringer Asetat (Ring-As) INF

9 2/17/2023 660 Dec-23

37 Ringer Dextrose Inf

3 Jun-24

38 Ringer Laktat
45 Jun-25 6520 Jun-25

39 Sanmol INF
5 11/25/2023

40 Siprofloksasin INF
3 Apr-24 50 Jun-25

41 Wida Water Irigation 1000 mL unicap

7 Jan-27 30 Jan-27

42 m350 diluent 20 L

43 RD Sanbe
8 6/23/2024 24 Jun-24
44 Widabes 210 Jul-25
Petugas Stok Petugas Input

( ) ( )
 Page 20 of 51

DATA STOK OPNAME 31 OKTOBER 2023

OBAT LUAR (SALEP, KRIM, TETES, BEDAK, GARGLE)

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

1 Asiklovir krim 5 % 4 Jan-25 30 Jan-25 30 Jan-25

2 Bedak salisil 2 % botol 3 Jul-24 4 Jul-24 100 Nov-24

3 Bedak Salisil sachet

4 Berotec spray

5 Betadine Gargle 100 ml 3 Mar-26

6 Betadine Gargle 190 cc

7 Betadine sol 5 ml 8 Nov-24 55 Nov-24

8 Betamethasone Krim 0,1% 25 Jun-24 50 Jun-24

9 Cendo Lyteers tetes mata 4 Nov-25 16 Nov-25

10 Cendo Pantocain 0,5 mg tetes mata 5 Dec-23

11 Cendo Xitrol

12 Chloretyl Spray 5 Feb-26 1 Sep-25 50 Feb-26

13 Daryant-tulle 7 Mar-25 30 Mar-25 350 Mar-25

14 Desoximetasone 0,25 Cream 156 Nov-23

15 Fusycom cream 154 Jul-25

16 Fucilex Cream 9 Mar-25

17 Gentamisin Krim 65 May-24 40 May-24

18 Gentamisin Salep Mata 0,3% 9 Jan-25 192 Jul-25

19 Gentamisin tetes mata 0,3%

20 Hidrokortison 1% 5gr 6 May-26 72 May-26 96 Jan-27

21 Hidrokortison krim 2,5% 14 Jun-24 24 Jun-24 216 Jun-24

 Page 21 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

22 Isofluran 4 Feb-25

23 Kalium Permanganat 6 Feb-26 35 Feb-26

24 Kenalog (Triamsinolon) 2 Jan-25 75 Jan-25

25 Ketokonazazole cr 20 g

26 Ketokonazazole cr 10 g 10 Nov-25 88 Nov-25

03/2026 ;
27 Microlax enema 17 Mar-26 37
01/2026

28 Mikonazol krim/salep 2% (nitrat) 27 May-24 48 May-24 192 Jun-25

29 Momethasone Cream 9 Mar-24 12 Mar-24 268 Mar-24

30 Nebacetin serbuk

31 Octadine spray 1 Jul-24 7 Jul-24 14 Jul-24 50 Jul-24

32 Octadine gel 1 Jul-24 6 Dec-24 54 Jul-24

33 Permethrin 5% 5 Sep-25 86 Sep-25

34 Povidon 10% 60ml (ONEMED) 100 Aug-25

35 Povidon 10% 60ml (Kimia Farma)

36 Povidon Iodida Larutan 10% 1000 ml 9 Jan-25 10 Jan-25

37 Purgatix Enema 21 Jun-25 25 Jul-25

38 Reco (Kloramfenikol) Tetes Mata 25 Mar-25

39 Reco (Kloramfenikol) Tetes Telinga 20 Mar-25

40 Seretide 250 mcg 7 Sep-24 90 Jan-25

41 Sulfadiazine silver 1 Oct-24 113 Oct-24

42 Symbicort 160 5 Apr-24 35 Apr-24

43 Combantrin syr 1 Oct-25

44 Genoint SM 100 Mar-25

 Page 22 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

Petugas Stok Petugas Input

( ) ( )
 Page 23 of 51

DATA STOK OPNAME 31 OKTOBER 2023

KULKAS

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

08/2024 ;
1 Antihemoroid Doen supp 42 Aug-24 387
02/2025

29/02/2024;
2 Apidra Solostar 95
31/05/2024

3 Ascorbic Acid 200mg/2ml

4 Atracurium Inj 5 Feb-25

5 BIOSAT (Serum Anti Tetanus) 95 May-25

6 Bisakodil 10 mg supp (dulcolax) 3 May-24 196 Mar-25

7 Bisakodil 5 mg supp (dulcolax) 18 Dec-23 17 Dec-23

8 Bledstop inj 53 9/21/2024 20 Sep-24

9 Ezelin (Insulin Glargine) 25 Jun-24

10 Humalog

11 HUMALOG MIX 25 KWIKPEN 98 Aug-25

12 HUMALOG MIX 50

13 Levemir Flex Pen 5 Jul-24 30 Jul-24

14 MeproCe 7 Aug-24 170 May-24

15 Metilergometrin maleat 0,200 mg 200 Apr-26

16 Notrixum (Atracurium) Inj 25

17 Novomix flexpen 3 Jun-24

18 Novorapid FlexPen 29 Apr-24 125 Apr-24

19 Nupovel (Propofol) Inj 10mg/ml

20 Oksitosin inj 1742 Nov-24 118 Nov-24

21 Propofol Inj 10mg/ml 4 Jan-24 295 Jan-24

22 Pyrexin160 mg supp 16 Jan-24 20 Jan-24

23 Pyrexin 80 mg supp 3 Jan-24 20 Jan-24

24 Ryzodeg 4 Jan-25

25 SABU inj (BIOSAVE) 1 Aug-24

 Page 24 of 51

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

26 Sansulin (Insulin Glargine) 6 248/04/2025 81 Apr-25

27 Suprafenid 10 Sep-25

01/2025 ;
28 Tetagam 15 86 Jan-25
02/2026

29 Vaksin Hb-0 15 Jan-25

30 Proris 125mg suppositoria 197 Jun-25

Petugas Stok Petugas Input

( ) ( )
 Page 25 of 51
DATA STOK OPNAME 31 OKTOBER 2023
NARKOTIKA PSIKOTROPIKA PREKURSOR

No Nama Item Pelayanan ED Buffer ED Gudang ED Total

1 Alprazolam 0,5 mg 879 Nov-24

2 Besanmag tab 403 12/7/2023
3 Braxidin tab 989 3/1/2025
Diazepam 10 mg/2,5 ml
4
(Stesolid) 6 Mar-24
Diazepam 5 mg/2,5 ml
5
(Stesolid) 19 Jan-24
6 Diazepam Injeksi 110 11/2023 ; 10/2024
7 Diazepam tab 5 mg 94 Dec-24
8 Fentanil INJ 2 ml 25 11/24 ; 07/25
9 Klobazam 10 mg 1913 06/2024 ; 01/2025
10 Kodein tab 10 mg 2142 Jun-26
11 Kodein tab 20 mg 2485 7/2025 ; 06/2026
12 MILOZ (Midazolam) inj 5 mg 146 Mar-25
13 Morfin 10mg/ml inj 82 8/21/2024

14 MST (Morfin sulfat) tablet 10

mg 693 Feb-25
15 Pethidin 50mg/ml inj 94 Jun-24
16 Proneuron tab 232 Mar-25
17 Morphin tab 10mg 450 Nov-25
Petugas Stok Petugas Input

(
( )
)
 Page 26 of 51

DATA STOK OPNAME 31 OKTOBER 2023

ALKES & BMHP

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

1 Alat suntik sekali pakai 1 ml 100 Oct-26 300 Nov-27

73 Sep-26
2 Alat suntik sekali pakai 10 ml 600 Jun-28 6000 Jun-28
87 Jun-28
08/2026 ;
3 Alat suntik sekali pakai 20 ml 44 Jul-26 2350
39 Jun-28 03/2028

4 Alat suntik sekali pakai 2,5 ml 1800 Aug-27

5 Alat suntik sekali pakai 3 ml 2400 Mar-28

24 Mar-28
6 Alat suntik sekali pakai 5 ml 1300 Apr-28 1700 Apr-28
92 Apr-28
Alat suntik sekali pakai 50 ml (lubang
7 96 Aug-26 150 Mar-28
pinggir) 14 Aug-26
Alat suntik sekali pakai 50 ml (cath
8 48 Oct-26 360
tip)

9 Alkohol 70% 1 liter 30 Jul-25 902 Jul-25

10 Alkohol 95% 1 liter 40 Apr-25

11 Alkohol Swab
80
12 Alkohol Swab (Baymed) 5400 Aug-26 34700 Aug-26

13 Andalan Tes Hamil

14 Apron (Biga Medical) 33 200 3000

15 Apron (N3) 600

16 Apron plastik

17 Apron plastik @50 pcs rania/medical

18 Apron plastik nonwoven 250 1700

19 Aquadest Water one

20 Aquasonic gel 5 L 3

21 ARMSLING uk. L 31

22 ARMSLING uk. M 1 35

23 ARMSLING uk. S 3 35

24 Aseptan
 Page 27 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

Aseptic Gel 500 ml + disps

25 15 Oct-25 336 Feb-25
(ONEMED)

26 Bacterial filter 11 Dec-26 25 Dec-26

27 Baju APD L

28 Baju APD L (BESS) 17

29 Baju APD L (SOLIDA) 15

30 Baju APD XL (BESS) 22

31 Baju APD XL (SOLIDA) 10

32 Baju APD coverall L

33 Baju APD coverall XL

34 Baju APD XXL (BESS) 2

35 bak instrumen 2

36 BANTAL 1

37 Blender (Pulverizer) 2

38 Blood Lancet (N3) 3100 May-26 5000 May-26

39 Blood glucose monitoring (nipro)

40 Bloods pressure 2

41 Blood set (NIPRO) 15 Feb-28 200 Feb-28

1 Feb-27
42 Blood set (Terumo)

43 Blue Tip

44 Bonnet 15 Oct-25

45 Braket bed pasien

46 Braket handwash 30 288

47 Buku Ishihara tes butawarna 1

48 Cervical collar L 2 Jun-24 1 Jun-24 6

49 Cervical collar M 2 Jan-24 9

50 Cervical collar S 6

51 Chlodine 0,5% 500ml Handrub

 Page 28 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

52 Chlodine 4% 500ml Handrub

53 Cleansing Enema Set

54 COVID-19 APRON

55 COVID-19 Plesterin

56 COVID-19 APD SET

57 COVID-19 Hand Wash

58 COVID-19 Handrub gel/sol 500ml

59 COVID-19 Masker N95

60 Cover glass 20x20

CROMA BALLON CATHETER 2

61
WAY FR 10
CROMA BALLON CATHETER 2
62
WAY FR 12
CROMA BALLON CATHETER 2
63
WAY FR 14
CROMA BALLON CATHETER 2
64
WAY FR 18
CROMA BALLON CATHETER 3
65
WAY FR 22
CROMA BALLON CATHETER 3
66
WAY FR 24

67 Cutimed sorbact 7x9 cm 66 Apr-25

68 Cuvvete mindray BS 120

69 Dental surgical stik

70 Dental needle 30G 300 Jul-26

71 Dental surgical kotak

72 Dermafix 10 x 15 cm

Dermafix S IV advance 7 x 9cm

73 40 Feb-26
box/25 43 Feb-26
74 Dermafix T 10 x 25cm 20 Oct-26 80 Oct-26
9 Oct-26
75 Desc regulator

76 Diagnostic set 1

77 Duromad

ECG besar (INNOQ ECG Z-FOLD

78 15 98
PAPER 110x140)
 Page 29 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

79 Paper pack 210x140

ECG kecil (INNOQ ECG Z-FOLD

80 19
PAPER 80x90X2)

81 Ekaplast

82 Electrode Anak 30 Aug-24

45 Aug-24
83 Electrode Bayi 25 Aug-24 3000 Aug-24
25 Aug-24
84 Electrode Dewasa 100 May-25 1000 Aug-24
31 May-25
85 Endotracheal tube w/ cuff no.5,5

86 ENDO portable suction pump

87 Enema Set

88 ENDO Electrocardiograph

89 Equispon Equimedical (Tampon) 6 Jun-24

90 Erbe Einmel Elektrodengriff 7 Jun-24

91 Erbe Plate Besar 150

92 Erbe Plate Kecil 50

93 ERBE NESSY Plate 70, Split, VIO 10 Jul-24

94 ERBE NESSY, Split, Vio 2 Jan-24

95 Electrosurgical pencil with 2 buttons

96 ETT 3 cuff 2 Jul-25

97 ETT 3 non cuff

98 ETT 3,0 Cuff BICAKCILAR 2 Feb-27 10 Jun-27

99 ETT 3,5 cuff 1 Jul-24

100 ETT 3,5 Cuff BICAKCILAR 2 Apr-27 10 Jun-27

101 ETT 4 cuff 1 Jul-24

102 ETT 4,0 Cuff BICAKCILAR 1 Feb-27 10 Jun-27

103 ETT 4,5 cuff 3 Sep-24

104 ETT 4,5 Cuff BICAKCILAR 2 Jun-27 10 Jun-27

105 ETT 4,5 non cuff

 Page 30 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

09/2026 ;
106 ETT 5 cuff 3
08/2025

10/2026 ;
107 ETT 5,5 cuff 3
12/2024

108 ETT 6 cuff 8 Sep-25

109 ETT 6,5 cuff 3 Aug-26

110 ETT 7 cuff 7 102/026

10/2026 ;
111 ETT 7,5 cuff 3
08/2026

112 Extention tube HOSPITECH

113 Extension tube 150 cm 9 Dec-25 200 Jul-28

114 Extension tube 200 cm 200 Jan-28

115 Feeding tube 10 fr 199 Jul-24

116 Feeding tube 3,5 fr TERUMO 48 Sep-24

117 Feeding tube 5 fr TERUMO 37 Jan-25 50 Jan-25

1 Jan-25
118 Feeding tube 8 fr TERUMO 9 Oct-24 50 Oct-24
11 Oct-24
119 Formalin 37% 1

120 FM crepe 10 cm x 4,55 m 2 Jun-27

121 FM crepe 15 cm x 4,55 m 4 Mar-27

122 Foley Cath No.6 3 Nov-26

1 Nov-23
123 Foley Cath No.8 chroma 50 Nov-26
10 Nov-26
124 Foley Cath No. 10 (BARDEX)

125 Foley Cath No. 10 2 way (chroma) 20 Nov-26 20 Nov-26

126 Foley Cath No. 12 2 way (chroma) 12 Jul-26 80 Jul-26

127 Foley Cath No.12 (gradia)

128 Foley Cath No. 14 2 way (chroma) 100 Oct-26

129 Folley Cath No.14 (bardia) 18 Nov-24

4 Nov-24
130 Foley Cath No.16 (Rusch) 21 May-25 1710 May-25

Foley Cath No. 18 2 way

131 11 Oct-26 60 Nov-26
(chroma)/rush 12 Oct-26
132 Foley Cath No. 20 (gradia) 10 Mar-24
 Page 31 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

133 Foley Cath No. 22 3 way (chroma) 10 Nov-26 110 Nov-26

134 Foley Cath No. 24 (gradia) 190 Sep-24

Foley Cath No. 24 3 way

135 (chroma)/Foley Cath No. 24 2 way 10 Jan-26
(chroma)

136 GDA one call plus

137 GDA sinocare monitoring sistem

02/2026 ;
138 Glove obgyn/Handscoon Panjang' 8 Sep-25 110
07/2025

139 Glove obgyn (YUTAKA)

140 Guedel Airways Size 0 13 Jan-25

141 Guedel Airways Size 00 15 May-25

142 Guedel Airways Size 1

143 Guedel Airways Size 2 (Intersurgical) 10 Dec-24

144 Guedel Airways Size 3 (Intersurgical) 100

145 Guedel Airways Size 4 (Intersurgical) 7 Apr-25

146 H2O2 (Hidrogen Peroksida) 3% 3 Jan-25 17 Jan-25

2 Jan-25
147 Handsanitizer (Sasklin) 192 Oct-27

148 Handscoon Cuci ( M )

149 Handscoon Cuci ( L )

150 Handscoon steril 7,5 Ambumax

01/07/2025 ;
151 Handscoon steril uk M Master 19
09/2025

152 Handscoon steril uk M SPMed 75 Feb-26

153 Handscun non steril L

154 Handscun non steril L GOLDEN

1600 Oct-26
155 Handscun non steril L ChronaCare 1000 Mar-27

156 Handscun non steril M 5000 Jul-28

157 Handscun non steril M GOLDEN

158 Handscun non steril M ChronaCare 1400 Nov-27

159 Handscun non steril S spmed 5000 May-28

 Page 32 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

160 Handscun non steril S GOLDEN

2800 Oct-26
161 Handscun steril 6,5 ambumax 54 Apr-24 250 Apr-24

162 Handscun steril 7 ambumax

163 Handscun steril 7 GOLDEN

164 Handscun steril 7 (E Care) 95 Mar-27 800 Mar-27

165 Handscun steril 7,5 600 Apr-24

166 Handscun steril 7,5 GOLDEN 100 Sep-25

100 Sep-25
167 Handscun steril 7,5 SPMed 194 Jun-25 100 Jun-25

168 Handscun steril 8

169 Handscun steril 7,5 (E Care)

2000 Mar-27
170 Handscun steril 8 GOLDEN 27 Feb-24 150 Feb-24

171 Handscun steril 8 (E Care) 1000 Mar-27

172 Handscun steril 8,5 MAXTER 38 Sep-26 300 Sep-26 200 Sep-26

173 Handscun steril uk. M AMBUMAX

174 Hansaplast 400 Jun-26 22935 Jun-26

100
175 Head Lamp 6

176 iNFLOW Generator 3 Mar-27

177 Infus Set OI Microdrip OTSUKA 52 Oct-26 3600 Oct-26

12/2024 ;
178 Infusionset (nipro) 100 Dec-24 3850
27 Dec-24 02/2025
12/2024 ;
179 Infusionset pump (TERUMO) 10 300
10 Feb-24 02/2024

180 Injection Plug ONEMED box/100 's 100 Apr-27 3000 Jul-28
40 Jul-28
INNOQ ECG Z-FOLD PAPER
181
110x140
INNOQ ECG Z-FOLD PAPER
182
80x90X2

183 Intubating stylet no 4,7 (14 FR) 50 Aug-27

184 Intubating stylet no 3,3 (10 FR) 50 Aug-27

185 Intubating stylet no 2,2 (6 FR) 50 Aug-27

186 Instrumen set

 Page 33 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

187 IV Catheter 18 50 May-26 450

11 Mar-26
07/2027 ;
188 IV Catheter 20 100 Jul-27 1900
4 Apr-26 08/2027

189 IV Catheter 22 350 Aug-27 200 Jun-27

49 Aug-27
190 IV Catheter 24 (Strip kuning) 1000 Apr-28

191 IV Catheter 24 (tanpa venflon) 800 Aug-27

192 IV Catheter 26 (STERACATH) 100 Sep-25

31 Sep-25
193 IV Catheter 26 (Easy - Vein) 500 Jul-27

194 IV dressing 4,5 x 6

01/08/2024 ;
195 IV Dressing 6 x 7 8000
10/2024

196 Jackson Rees Dewasa 2L 2

197 JACKSOON REES 0,5L 1 Apr-27 10 Feb-28

198 JACKSOON REES 1L 2 May-24

199 Jarum 24 400 Jul-25

28 Jul-25
200 Jarum 26G ONEMED 100 BH 200 Nov-25
35 Nov-25
201 Kacamata google 22

202 Kapas Pembalut/Adsorben 250 G 3

203 Kapas Pembalut/Adsorben 500 G 4 Nov-26 118 Nov-26

204 Kapsul No. 0 9000

205 Kapsul No. 1 8000

206 Kasa hidrofil 4x15 50 Mar-27 200

207 Kasa pembalut 40x80 (Hidrofil) 1 Jun-24 17 Jun-24

04/2025 ;
208 Kasa Pembalut Hidrofil 40x40 2 Sep-24 3000
04/2028

209 Kasa steril DRC 129 Feb-28 309

210 Kasa steril (nasaco) 16x16 50

211 Kertas Lakmus Merah

212 Kertas puyer Medicine packet SI-20 13200

213 Kertas USG 110mm x 18m 4 40

 Page 34 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

214 Kondom catheter L 9 Feb-25 50 Jun-27

215 Kondom catheter M 8 Feb-25 50 Jun-27

216 Leukoplast 2X5CM

217 Leukoplast 5cm x 4,5m 10 Nov-26 20 Nov-26 40

218 Manset Bayi 10

219 Manset Anak 10

220 Manual Resusiscator (BESMED) 8

221 Masker earloop ZILMASK 2300 Feb-25 8000

222 Masker headloop ZILMASK 250 Mar-25 21000

223 Masker JSN earloop 1500 400 Nov-26

224 Masker JSN headloop Nov-26

225 Masker N95 SAFELOCK 180 Feb-27 5400 Feb-27

226 Masker nebul dewasa (Hospitech) 28 Feb-25 50 Nov-24

5 Nov-25
Masker Nebul dewasa (Chrona
227 800 Sep-27
Care)

228 Masker Nebulizer Anak (AXELL) 6 May-27 300 Sep-27

4 May-27
229 Masker O2 bayi (Maxiflow/Besmed)

230 Masker O2 bayi (Axeel)

231 Masker O2 anak HOSPITECH

232 Masker O2 Anak NOUSMED 20 Jun-25 50 Jun-25 200 Jun-25

3 Jun-25
233 Masker O2 Anak (N3) 100 Jun-25

234 Masker O2 dewasa ( Mass ) 400 Aug-26

235 Masker O2 dewasa (hospitech) 480 Nov-25

22
236 Masker O2 dewasa (N3) 10 Sep-26 250 Jul-25
6 Jan-26
237 Masker reservoir anak (delvican) L 100 Jun-24

Masker reservoir dewasa (delvican)

238 45 Sep-24
L 5 Sep-24
239 Masker reservoir dewasa (Hi-OXY)

240 Mayo 10
 Page 35 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

241 Mayo 7
1 Dec-24
242 Mayo 8

243 Mayo 9
1 Jan-26
244 Medical lab supply

245 Medical Record

246 Medical regulator 7

MEDICAL REGULATOR /
247
OXYMETER

248 Medical regulator cosmo

249 Medical regulator inezc

250 Mess 10 100

27 Mar-26
251 Mess 11
68 Apr-25
252 Mess 15
17 Nov-25
253 Mess 15 (Glass Van)

254 Mess 21 (Glass Van)

255 Mess 22 400

98 Aug-27
256 Micacura 50 mg (etana)

257 Mirror Hadle Solid

258 Mission Ultra kolesterol meter 1

259 Mucus Extractor

1 Jan-27
260 MY JELLY 82 gr onemed 7 Dec-24 94 Dec-24

261 Nasal bayi (besmed) 10 Mar-27

262 Nasal O2 bayi (PRIMED) 20 Mar-26

263 Nasal O2 anak (MAS) 220 Mar-25

264 Nasal O2 anak (besmed) 49 Jan-26 95 Jan-26

265 Nasal anak (PRIMED) 100 May-26

14 May-26
266 Nasal O2 dewasa (besmed) 14 Jan-25 200 Dec-25
10 Dec-25
267 Nasal O2 dewasa (hospitech)
 Page 36 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

268 Nasal O2 Mass Child

269 Nasal O2 ukuran L (anak)

270 Nasal O2 ukuran M (bayi)

271 Neurogical reflex

272 Nasal Prong Infant

4 Jul-26
273 Nasal Mask

274 Nipro premier S 1500

NONIN FINGGERTIP PULSE

275 1
OXYMETER

276 Novofine 100 Aug-26 100 Aug-26

60 Aug-26
277 NTT 5

278 NTT 5,5

279 NTT 6

280 NTT 6,5

281 NTT 7

282 NTT 7,5

283 Nurse Cap (BIGA) 250 200 3400

284 NURSE CAP (GOLDEN)

35
285 N95 Dreamcan 15

286 N95 One Med 18 1450 Dec-26

10/2025 ;
287 One Scrub 4% galon 5 Liter 1 Jan-25 12
01/2025

288 Oxigen contractor

289 Oral sponge 900

76
290 Oxymeter (Rossmax)

291 Palet

292 Papsmear 880 Jan-27

293 Pen lanset

294 Penlight 7
 Page 37 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

295 Plate 8 hole

296 Percusion Hammer

297 Perlak bantal hijau 4

298 Pipet drop plastik merah 100 400

299 Plate anak kabel (ERBE)

300 Plate dewasa tanpa kabel (ERBE)

301 Plate dewasa dengan kabel (ERBE)

302 Plesterin Bulat 1400 Oct-25 6000 Oct-25 60000 Nov-26

32 Oct-25
303 PLESTERIN ELASTIS

304 Plesterin Roll 15 cm x 5 m (potong)

305 Plesterin Roll 15 cm x 5 m (ROLL) 8 box Oct-26 304

1 box Oct-26
306 Poliban NAT 10 cm x 2,7 m 2 Apr-27 6 Apr-27 40

307 Poliban NAT 15 cm x 2,7 m 2 Apr-27 7 Apr-27

308 Poligyp 10 cm x 2,7 m 3 Apr-25 7 Apr-25 40 Sep-25

309 Poligyp 15 cm x 2,7 m 2 Apr-25 7 Apr-25 40 Sep-25

310 Reflex hummer

311 SAE care handsanitizer

312 Safety Box 12,5 L

313 Safety Box 5 L 53 125

314 Saliva Ejector 400 Apr-27 2000

315 Sendok Obat 950 8500

316 Sepatu Boot PLCCO

317 Snellen Card 1

318 Spalk 15x5 60 60 160

17
319 Spalk 20x5 60 100 200
21
320 Spalk 60x10x8 1 80

321 Spalk 70x10x8 9 20

 Page 38 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

322 Spalk 80x10x8 30 50

323 Spalk 90x10x8 3 10 50

Spatel Lidah (Tounge Spatel)

324
ONEMED 20 Oct-26
325 Sphygnomanometer 5

326 Spinocan 25 25 Aug-26 400 Aug-26

10 Aug-24
327 Spinocan 26 50 Jul-26

328 Spinocan 27 40 Aug-26

329 Spike 43 Aug-28

330 Stagen 5

331 Stek Pan 2 52

332 Stomach tube fr 12 TERUMO 1 Aug-26 5 Aug-26

3 Aug-26
333 Stomach tube fr 14 TERUMO 2 Aug-26

334 Stomach tube 16 onemed 36 Sep-26

335 Stomach tube fr 16 TERUMO 2 Mar-24

336 Stomach tube fr 18 TERUMO 4 Aug-26

337 Strip gula darah (Nipro) 1400 May-24

338
Surgical blades 22 B Braun

339
Surgical blades 10 B Braun

340 Suction Cath No. 6 8 Aug-24

341 Suction Cath No. 8 (MAS) 7 May-26 10 Sep-26

342 Suction With Control 46 cm No.8 3 Sep-26

343 Suction Cath No. 10 (hospitech) 27 Mar-25

344 Suction Cath No. 12 (hospitech) 27 Dec-25 100 Sep-26

345 Suction Cath No. 12 (MAS) 6 Sep-26 14 Sep-26

 Page 39 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

346 Suction Cath No. 14 (MAS) 5 Sep-26

347 Suction Connecting Tube

348 Suction Ball 30 ml 9

349 Suction Ball 60 ml 9

350 Surgical instrument

351 Surgical scrub

352 Tabung oksigen

353 Tabung Biru

354 Tabung Kuning

355 TERMOMETER (Baymedika) 50

356 TERMOMETER (ThermoONE) 8 82

357 TERMOMETER (OMRON MC-246)

358 Three Way stop cock (Hospitech)

359 Three Way stop cock (Polymed) 200 Nov-26

360 Traceofix FFP set

361 Tuoren laryngeal airway 1,5

362 Tuoren laryngeal airway 2

363 Tuoren laryngeal airway 3

364 Tuoren laryngeal airway 4

365 Umbilical cord clam 600

43 Nov-26
366 Underpad DIAPRO 110 3060
4
367 Underpad 60x90 SENSIPAD

368 Underpad Steril U-PAD

369 Urinal lubang bulat 20

370 Urinal lubang besar 7

371 Urinal plastik + tutup 49

372 Urinbag (forsh) 200 Dec-25

9 Oct-25
 Page 40 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

373 Urine Bag (MAS) 700 Jul-28

 Page 41 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

374 Urinbag (uroplast) 20 Oct-25

375 Urine Container / Pot 10 Apr-25

376 Vacum ungu

377 White tip

378 Yellow Tip

379 M 53 Diluent 20 L

380 IB + OB Safety

381 Handscun Industrial M

382 Handscun Industrial L

383 Jackson Rees Bayi

384 Press Puyer 1

385 Sarung Bantal Coklat 1

386 Tp Spike 750

387 Suction With Control 46 cm No.5

Suction With Thumb Control no.12

388
Mass

389 Oral/Nasal Traceal tube no.7,5 10 Sep-26

390 Oral/Nasal Traceal tube no.7 10 Aug-25

391 Oral/Nasal Traceal tube no.6 10 Sep-26

392 Oral/Nasal Traceal tube no.5,5 10 Aug-25

393 Endotracheal hongan 4/0 FR.16

394 Endotracheal hongan 3/0 FR.12

395 Endotracheal hongan 3,5 FR.14

Oral/Nasal Traceal tube Cuffed

396
No.6,5

397 Oral/Nasal Traceal tube Cuffed No.5

398 Pispot

Endotracheal tube hongan no.4,5

399
FR.18

400 Endotracheal balon no.4

 Page 42 of 51

Troli
No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Emergensi Total

401 Cup Nebul 2

402 Guedel Airway 40 mm besmed 8 Jun-28

403 Handscoon Non Steril Uk L E care 1000 Mar-27

404 Masker Nebul Anak Besmed 5 Aug-27

405 Masker Reservoir Care 300 Sep-24

Masker Nebul Dewasa Axel with

406 100 May-27
Tubbing

407 Resusitasi Anak 1

408 Resusitasi Bayi 1

409 Resusitasi Dewasa 3

410 Three Way Stopcook Tp 100 Aug-28

15 Nov-26
411 Ultar onemed 1000 Mar-26

412 Laryungeal 4 49 Aug-28

413 Laryungeal 3 55 Jul-27

414 Laryungeal 2 29 Jul-27

415 Laryungeal 1,5 9 Jul-27

416

417

418

419

420

421

422

423

Petugas Stok Petugas Input

( )
 Page 43 of 51

DATA STOK OPNAME 31 OKTOBER 2023

BENANG & JARUM

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

1 Assut Suture Plain 2/0 TS-24 12 Oct-26 84 Oct-26

2 Assut Suture Plain 2/0 HR 27 12 Aug-27 84 Aug-27

3 17 Oct-27
CHROMIC 2/0 TAPPER TRITON

4
CHROMIC 2/0 ROUND TRITON
Ecolene 0 USP, 75 cm, reserve
5 12 Feb-28 36 ; 12 02/2028 ; 10/2025
cutting, 3/8 circle, 39 mm
Ecolene 2/0 USP, 75 cm, reserve
6 10 Dec-26 36 Dec-26
cutting, 3/8 circle, 24 mm
Ecolene 2/0 USP, 75 cm, round body
7 10 Jul-25 12 Jul-25 36 Jul-25
taper point, 1/2 circle, 30 mm
Ecolene 4/0 USP, 75 cm, reserve
8 12 Apr-26 72 Apr-26
cutting, 3/8 circle, 19 mm
Ecolene 4/0 USP, 90 cm, round body
9 taper point, 1/2 circle, 17 mm, double 8 Jan-26 12 Jan-26
arm
Ecosorb 0 USP, 90 cm, reserve
10 36 Jan-28
cutting, 1/2 circle, 40 mm
Ecosorb 0 USP, 90 cm, roundy body
11 12 Jan-26 72 Jan-26
taper point, 1/2 circle, 40 mm
Ecosorb 1 USP, 100 cm, roundy body
12 15 Nov-26 60 Nov-26
taper point, 1/2 circle, 48 mm
Ecosorb 1 USP, 150 cm, roundy body
13 10 Jul-26 36 Jul-26
taper point, 1/2 circle, 48 mm
Ecosorb 2/0 USP, 75 cm, reserve
14 5 Nov-26 24 Dec-26 72 Sep-27
cutting, 3/8 circle, 24 mm, undyed
Ecosorb 2/0 USP, 90 cm, round body,
15 1 Dec-26 60 Dec-26
1/2 circle, 26 mm
Ecosorb 3/0 USP, 75 cm, reserve
16 3 Aug-26 84 Apr-27
cutting, 3/9 circle, 19 mm, undyed
Ecosorb 3/0 USP, 75 cm, round body,
17 24 Dec-26
3/9 circle, 19 mm, undyed
Ecosorb 4/0 USP, 75 cm, reserve
18 14 Nov-26 12 Nov-26 36 Nov-26
cutting, 3/8 circle, 19 mm, undyed
Ecosyn 3/0 USP, 75 cm, reserve
19 24 Dec-24
cutting, 3/8 circle, 19 mm, undyed
20 Elvaplain 1 75 cm 96 Jul-25

21 Elvaplain 1 75 cm

22 Plain 0 SMI HR 37 17 Jun-26

Plain 1 USP, 75 mm, round body
23 2 Oct-26
taper point, 1/2 circle, 43 mm
24 REMEDI Jarum Jahit OTOT No. 14 96

25 REMEDI Jarum Jahit OTOT No. 7 24

26 REMEDI Jarum Jahit OTOT No. 9

27 REMEDI Jarum Jahit SKIN No. 10 48

28 REMEDI Jarum Jahit SKIN No. 12 36

29 REMEDI Jarum Jahit SKIN No. 14 60

30 REMEDI Jarum Jahit SKIN No. 15 60

31 REMEDI Jarum Jahit SKIN No. 6 12

32 REMEDI Jarum Jahit SKIN No. 7 12

 Page 44 of 51

DATA STOK OPNAME 31 OKTOBER 2023

BENANG & JARUM

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

SERENITY Chromic catgut with

33 11 Jun-25 12 Jun-25 36 Jun-25
needle USP 2/0 75 cm
SERENITY Chromic catgut with
34 4 Jan-27 24 Jan-27 206 Mar-28
needle USP 3/0
SERENITY Plain catgut with needle
35 5 Jan-27 24 Jan-27
USP 2/0
SERENITY Plain catgut with needle
36 1 Jan-27 12 Jan-27
USP 3/0
SERENITY Silk braided without
37 17 Apr-24 24 Jun-25 36 Apr-24
needle 2/0
SERENITY Silk braided without
38 6 Jun-25 24 Jun-25 60 Jun-25
needle 3/0
39
SILK 3/0 ROUND

40
SILK 3/0 CUTTING

41
SILK 2/0 CUTTING
Silk 2-0 76 cm triton round bodied 1/2
42
circle 25 mm
43 SMI Chromic 1 without needle 16 Nov-25

44 SMI Chromic 2/0

45 SMI Chromic 3/0 19 Aug-24

46 SMI Chromic 3/0 without needle 18 May-25

47 SMI Plain 2 without needle 8 Aug-25 12 Aug-25 72 Aug-25

48 SMI Plain 2/0

49 SMI side 0 without needle

50 SMI side 1 without needle 43 Aug-24

51 SMI side 2 without needle 16 Mar-24

52 SMI Surgicryl 1

53 T-Hernia Mesh 8 Sep-26 36 Sep-26

54 TRITON chromic 2 24 Jul-26 60 Jul-26

55 TRITON chromic 2/0 Without Needle 3 Dec-25 12 Dec-25 12 Dec-25

56 TRITON chromic 3/0 Without Needle 9 Aug-24 24 08/2024 ; 06/20 36 Jun-26

57 TRITON plain 2/0 Without Needle 11 Dec-24 24 Jul-26 24 Jul-26

58 TRITON plain 3/0 Without Needle 4 Jun-26 24 Jun-26 36 Jun-26

59 TRITON side 2/0 Without Needle 1 May-26 24 May-26 36 May-26

60 TRITON side 3/0 Without Needle 9 Apr-26 24 Apr-26 36 Apr-26

61 SMI Catgut 2

62 Vigilenz Catgut 1 75 cm 21 Oct-26 48 Oct-26

63 Vigilenz Catgut 2/0

64 Ecolene 0 175 cm round body

 Page 45 of 51

DATA STOK OPNAME 31 OKTOBER 2023

BENANG & JARUM

No Nama Item Pelayanan ED Buffer ED Graha ED Gudang ED Total

65 Triton Side 2/0 76cm round S.25 9 Aug-28 24 Aug-28

66 Vigilenz Ecosyn 3/0 12 Dec-24

Triton Side 2/0 76 cm S24 reserve
67 36 Jun-28
cutting
Triton Side 3/0 76 cm S21 reserve
68 20 Jul-28
cutting
Triton Side 3/0 76 cm S22 round
69
bodied 20 Jul-28
Petugas Stok Petugas Input

( ) ( )
 Page 46 of 51
DATA STOK OPNAME 31 OKTOBER 2023
ALKES IBS

No Nama Item Pelayanan ED IBS ED Gudang ED Total

3,5 mm Cortex Screws (Self Tapping) 0
1 Cortex Screws 12 mm 10 10
2 Cortex Screws 14 mm 15 15
3 Cortex Screws 16 mm 16 16
4 Cortex Screws 18 mm 20 20
5 Cortex Screws 20 mm 20 20
6 Cortex Screws 22 mm 20 20
7 Cortex Screws 24 mm 10 10
8 Cortex Screws 26 mm 10 10
9 Cortex Screws 28 mm 10 10
10 Cortex Screws 30 mm 10 10
11 Cortex Screws 32 mm 10 10
12 Cortex Screws 34 mm 5 5
13 Cortex Screws 36 mm 5 5
14 Cortex Screws 38 mm 5 5
15 Cortex Screws 40 mm 5 5
3,5 mm Cancellous Screws 0 0
16 Cancelllous Screws 14 mm 4 4
17 Cancelllous Screws 16 mm 3 3
18 Cancelllous Screws 18 mm 4 4
19 Cancelllous Screws 20 mm 4 4
20 Cancelllous Screws 22 mm 4 4
21 Cancelllous Screws 24 mm 4 4
22 Cancelllous Screws 26 mm 4 4
23 Cancelllous Screws 28 mm 4 4
24 Cancelllous Screws 30 mm 4 4
25 Cancelllous Screws 32 mm 4 4
26 Cancelllous Screws 34 mm 4 4
27 Cancelllous Screws 36 mm 4 4
28 Cancelllous Screws 38 mm 4 4
29 Cancelllous Screws 40 mm 3 3
30 Cancelllous Screws 45 mm 4 4
31 Cancelllous Screws 50 mm 4 4
3,5 mm Cancellous Screws (Full Thread) 0 0
32 Cancelllous Screws 14 mm 4 4
33 Cancelllous Screws 16 mm 4 4
34 Cancelllous Screws 18 mm 4 4
35 Cancelllous Screws 20 mm 4 4
36 Cancelllous Screws 22 mm 4 4
37 Cancelllous Screws 24 mm 4 4
38 Cancelllous Screws 26 mm 4 4
39 Cancelllous Screws 28 mm 4 4
40 Cancelllous Screws 30 mm 4 4
41 Cancelllous Screws 32 mm 4 4
42 Cancelllous Screws 34 mm 4 4
43 Cancelllous Screws 36 mm 4 4
44 Cancelllous Screws 38 mm 4 4
45 Cancelllous Screws 40 mm 4 4
46 Cancelllous Screws 45 mm 4 4
47 Cancelllous Screws 50 mm 4 4
Small Plate 0 0
 Page 47 of 51
DATA STOK OPNAME 31 OKTOBER 2023
ALKES IBS

No Nama Item Pelayanan ED IBS ED Gudang ED Total

48 Clavicula S Plate 04 Holes (Right) 1 1
49 Clavicula S Plate 05 Holes (Right) 1 1
50 Clavicula S Plate 06 Holes (Right) 1 1
51 Clavicula S Plate 07 Holes (Right) 1 1
52 Clavicula S Plate 08 Holes (Right) 1 1
53 Clavicula S Plate 09 Holes (Right) 1 1
54 Clavicula S Plate 04 Holes (Left) 1 1
55 Clavicula S Plate 05 Holes (Left 1 1
56 Clavicula S Plate 06 Holes (Left) 1 1
57 Clavicula S Plate 07 Holes (Left) 1 1
58 Clavicula S Plate 08 Holes (Left) 1 1
59 Clavicula S Plate 09 Holes (Left) 1 1
60 Small DCP 3,5 MM 04 Holes 1 1
61 Small DCP 3,5 MM 05 Holes 0 0
62 Small DCP 3,5 MM 06 Holes 1 1
63 Small DCP 3,5 MM 08 Holes 1 1
64 Small DCP 3,5 MM 10 Holes 1 1
65 T-Plate 3,5 MM 03 Holes 1 1
66 T-Plate 3,5 MM 04 Holes 1 1
67 T-Plate 3,5 MM 05 Holes 1 1
68 T-Plate 3,5 MM 06 Holes 1 1
69 T-Plate 3,5 MM 08 Holes 1 1
70 T-Plate 3,5 MM 10 Holes 1 1
71 1/3 Tubular 04 Holes 1 1
72 1/3 Tubular 05 Holes 0 0
73 1/3 Tubular 06 Holes 1 1
74 1/3 Tubular 07 Holes 1 1
75 1/3 Tubular 08 Holes 1 1
76 1/3 Tubular 09 Holes 1 1
77 1/3 Tubular 10 Holes 1 1
78 Reconstruction Plate 3,5 MM 05 Holes 1 1
79 Reconstruction Plate 3,5 MM 06 Holes 1 1
80 Reconstruction Plate 3,5 MM 07 Holes 1 1
81 Reconstruction Plate 3,5 MM 08 Holes 1 1
82 Reconstruction Plate 3,5 MM 09 Holes 1 1
83 Reconstruction Plate 3,5 MM 10 Holes 1 1
84 Proximal Humerus 3,5 MM 03 Holes Right 1 1
85 Proximal Humerus 3,5 MM 04 Holes Right 1 1
86 Proximal Humerus 3,5 MM 05 Holes Right 1 1
87 Proximal Humerus 3,5 MM 06 Holes Right 1 1
88 Proximal Humerus 3,5 MM 08 Holes Right 1 1
89 Proximal Humerus 3,5 MM 03 Holes Left 1 1
90 Proximal Humerus 3,5 MM 04 Holes Left 1 1
91 Proximal Humerus 3,5 MM 05 Holes Left 1 1
92 Proximal Humerus 3,5 MM 06 Holes Left 1 1
93 Proximal Humerus 3,5 MM 08 Holes Left 1 1
94 Box Container Plate Screw 3,5 MM By: Y 1 1
4,5 mm Cortex Screw (Self Tapping) 0 0
95 Cortex Screws 14 mm 10 10
96 Cortex Screws 16 mm 10 10
97 Cortex Screws 18 mm 10 10
 Page 48 of 51
DATA STOK OPNAME 31 OKTOBER 2023
ALKES IBS

No Nama Item Pelayanan ED IBS ED Gudang ED Total

98 Cortex Screws 20 mm 10 10
99 Cortex Screws 22 mm 10 10
100 Cortex Screws 24 mm 10 10
101 Cortex Screws 26 mm 10 10
102 Cortex Screws 28 mm 20 20
103 Cortex Screws 30 mm 20 20
104 Cortex Screws 32 mm 20 20
105 Cortex Screws 34 mm 20 20
106 Cortex Screws 36 mm 20 20
107 Cortex Screws 38 mm 20 20
108 Cortex Screws 40 mm 20 20
109 Cortex Screws 42 mm 20 20
110 Cortex Screws 44 mm 5 5
111 Cortex Screws 46 mm 5 5
112 Cortex Screws 48 mm 5 5
113 Cortex Screws 50 mm 5 5
114 Cortex Screws 52 mm 5 5
115 Cortex Screws 54 mm 5 5
116 Cortex Screws 56 mm 5 5
117 Cortex Screws 58 mm 5 5
118 Cortex Screws 60 mm 5 5
119 Malleolar Screw 4,5 mm L=25 mm 2 2
120 Malleolar Screw 4,5 mm L=30 mm 2 2
121 Malleolar Screw 4,5 mm L=35 mm 2 2
122 Malleolar Screw 4,5 mm L=40 mm 2 2
123 Malleolar Screw 4,5 mm L=45 mm 2 2
124 Malleolar Screw 4,5 mm L=50 mm 2 2
125 Malleolar Screw 4,5 mm L=55 mm 2 2
126 Malleolar Screw 4,5 mm L=60 mm 2 2
127 Malleolar Screw 4,5 mm L=65 mm 2 2
128 Malleolar Screw 4,5 mm L=70 mm 2 2
129 Malleolar Screw 4,5 mm L=75 mm 2 2
130 Malleolar Screw 4,5 mm L=80 mm 2 2
131 Malleolar Screw 4,5 mm L=85 mm 2 2
132 Malleolar Screw 4,5 mm L=90 mm 2 2
133 Cancellous Screw 6,5 mm L=30 mm (16MM) 2 2
134 Cancellous Screw 6,5 mm L=35 mm (16MM) 2 2
135 Cancellous Screw 6,5 mm L=40 mm (16MM) 2 2
136 Cancellous Screw 6,5 mm L=45 mm (16MM) 2 2
137 Cancellous Screw 6,5 mm L=50 mm (16MM) 2 2
138 Cancellous Screw 6,5 mm L=55 mm (16MM) 2 2
139 Cancellous Screw 6,5 mm L=60 mm (16MM) 2 2
140 Cancellous Screw 6,5 mm L=65 mm (16MM) 2 2
141 Cancellous Screw 6,5 mm L=70 mm (16MM) 2 2
142 Cancellous Screw 6,5 mm L=75 mm (16MM) 2 2
143 Cancellous Screw 6,5 mm L=80 mm (16MM) 2 2
144 Cancellous Screw 6,5 mm L=85 mm (16MM) 2 2
145 Cancellous Screw 6,5 mm L=90 mm (16MM) 2 2
146 Cancellous Screw 6,5 mm L=95 mm (16MM) 2 2
147 Cancellous Screw 6,5 mm L=100 mm (16MM) 2 2
148 Cancellous Screw 6,5 mm L=30 mm ( 32 MM) 2 2
 Page 49 of 51
DATA STOK OPNAME 31 OKTOBER 2023
ALKES IBS

No Nama Item Pelayanan ED IBS ED Gudang ED Total

149 Cancellous Screw 6,5 mm L=35 mm (32 MM) 2 2
150 Cancellous Screw 6,5 mm L=40 mm (32 MM) 2 2
151 Cancellous Screw 6,5 mm L=45 mm (32 MM) 2 2
152 Cancellous Screw 6,5 mm L=50 mm (32 MM) 2 2
153 Cancellous Screw 6,5 mm L=55 mm (32 MM) 2 2
154 Cancellous Screw 6,5 mm L=60 mm (32 MM) 2 2
155 Cancellous Screw 6,5 mm L=65 mm (32 MM) 2 2
156 Cancellous Screw 6,5 mm L=70 mm (32 MM) 2 2
157 Cancellous Screw 6,5 mm L=75 mm (32 MM) 2 2
158 Cancellous Screw 6,5 mm L=80 mm (32 MM) 2 2
159 Cancellous Screw 6,5 mm L=85 mm (32 MM) 2 2
160 Cancellous Screw 6,5 mm L=90 mm (32 MM) 2 2
161 Cancellous Screw 6,5 mm L=95 mm (32 MM) 2 2
162 Cancellous Screw 6,5 mm L=100 mm (32 MM) 2 2
163 Cancellous Screw 6,5 mm L=30 mm (FULL) 3 3
164 Cancellous Screw 6,5 mm L=35 mm (FULL) 3 3
165 Cancellous Screw 6,5 mm L=40 mm (FULL) 3 3
166 Cancellous Screw 6,5 mm L=45 mm (FULL) 3 3
167 Cancellous Screw 6,5 mm L=50 mm (FULL) 3 3
168 Cancellous Screw 6,5 mm L=55 mm (FULL) 3 3
169 Cancellous Screw 6,5 mm L=60 mm (FULL) 3 3
170 Cancellous Screw 6,5 mm L=65 mm (FULL) 3 3
171 Cancellous Screw 6,5 mm L=70 mm (FULL) 3 3
172 Cancellous Screw 6,5 mm L=75 mm (FULL) 3 3
173 Cancellous Screw 6,5 mm L=80 mm (FULL) 3 3
174 Cancellous Screw 6,5 mm L=85 mm (FULL) 3 3
175 Cancellous Screw 6,5 mm L=90 mm (FULL) 3 3
176 Cancellous Screw 6,5 mm L=95 mm (FULL) 3 3
177 Cancellous Screw 6,5 mm L=100 mm (FULL) 3 3
LARGE PLATE 0 0
178 Narrow Plate 06 Holes 1 1
179 Narrow Plate 07 Holes 1 1
180 Narrow Plate 08 Holes 1 1
181 Narrow Plate 09 Holes 1 1
182 Narrow Plate 10 Holes 1 1
183 Narrow Plate 11 Holes 1 1
184 Narrow Plate 12 Holes 1 1
185 Broad Plate 08 Holes 1 1
186 Broad Plate 09 Holes 1 1
187 Broad Plate 10 Holes 1 1
188 Broad Plate 11 Holes 1 1
189 Broad Plate 12 Holes 1 1
190 Broad Plate 13 Holes 1 1
191 Broad Plate 14 Holes 1 1
192 T-Plate 4,5 MM 03 Holes 1 1
193 T-Plate 4,5 MM 04 Holes 1 1
194 T-Plate 4,5 MM 05 Holes 1 1
195 T-Plate 4,5 MM 06 Holes 1 1
196 T-Plate 4,5 MM 07 Holes 1 1
197 T-Plate 4,5 MM 08 Holes 1 1
198 Semitubular Plate 4,5 MM 04 Holes 1 1
 Page 50 of 51
DATA STOK OPNAME 31 OKTOBER 2023
ALKES IBS

No Nama Item Pelayanan ED IBS ED Gudang ED Total

199 Semitubular Plate 4,5 MM 05 Holes 1 1
200 Semitubular Plate 4,5 MM 06 Holes 1 1
201 Semitubular Plate 4,5 MM 07 Holes 1 1
202 Semitubular Plate 4,5 MM 08 Holes 1 1
203 L-Butress 04 Holes (Right) 1 1
204 L-Butress 05 Holes (Right) 1 1
205 L-Butress 06 Holes (Right) 1 1
206 L-Butress 07 Holes (Right) 1 1
207 L-Butress 08 Holes (Right) 1 1
208 L-Butress 04 Holes (Left) 1 1
209 L-Butress 05 Holes (Left) 1 1
210 L-Butress 06 Holes (Left) 1 1
211 L-Butress 07 Holes (Left) 1 1
212 L-Butress 08 Holes (Left) 1 1
213 Lateral Tibia Plate 4,5 MM 05 Holes (Right) 1 1
214 Lateral Tibia Plate 4,5 MM 07 Holes (Right) 1 1
215 Lateral Tibia Plate 4,5 MM 09 Holes (Right) 1 1
216 Lateral Tibia Plate 4,5 MM 05 Holes (Left) 1 1
217 Lateral Tibia Plate 4,5 MM 07 Holes (Left) 1 1
218 Lateral Tibia Plate 4,5 MM 09 Holes (Left) 1 1
219 Distal Femur DCP 05 Holes Right 1 1
220 Distal Femur DCP 07 Holes Right 1 1
221 Distal Femur DCP 09 Holes Right 1 1
222 Distal Femur DCP 05 Holes left 1 1
223 Distal Femur DCP 07 Holes left 1 1
224 Distal Femur DCP 09 Holes left 1 1
225 Trochanter DCP 05 Holes 1 1
226 Trochanter DCP 06 Holes 1 1
227 Trochanter DCP 07 Holes 1 1
228 Trochanter DCP 08 Holes 1 1
229 Trochanter DCP 09 Holes 1 1
230 Trochanter DCP 10 Holes 1 1
K. WIRE 0 0
231 K. WIRE Diam : 0,8mm 5 #REF!
232 K. WIRE Diam : 1mm 5 5
233 K. WIRE Diam : 1,2mm 5 5
234 K. WIRE Diam : 1,4mm 5 5
235 K. WIRE Diam : 1,6mm 5 5
236 K. WIRE Diam : 1,8mm 5 5
237 K. WIRE Diam : 2mm 5 5
238 Tabung K. Wire 1 5
239 Hex. Screw Driver 3,5mm Tip (Flat Fibre Handle) 1 1
240 Hex. Screw Driver 4,5mm Tip (Flat Fibre Handle) 1 1
241 Depth Gauge for 2,7 / 4,0mm Screws 1 1
242 Depth Gauge for 4,5 / 6,5mm Screws 1 1
243 Drill Bits ( Non Coupling) 2,7 mm 2 1
244 Drill Bits ( Non Coupling) 3,2 mm 2 2

Petugas Stok Petugas IBS Petugas Input

 Page 51 of 51
DATA STOK OPNAME 31 OKTOBER 2023
ALKES IBS

No Nama Item Pelayanan ED IBS ED Gudang ED Total

( ) ( ) ( )