LAPORAN PERSEDIAAN PUSKESMAS CICALENGKA DTP PER 30 SEPTEMBER 2015

NO NAMA OBAT JUMLAH BARANG JUMLAH HARGA

1 2 3 4 5 61 Albendazole tablet 400 mg2 Allopurinol tablet 100 mg tablet 86 302 25,972 3 Ambroxol sirup 15 mg/ 5 ml botol - 4 Ambroxol tablet 30 mg tablet 123 6,401 787,323 5 Aminofilin tablet 200 mg tablet - 6 Amitriptilin Tablet 25 mg tablet 102 - 7 Amlodipin Tablet 10 mg tablet 1,395 - 8 Amoxicillin kaplet 500 mg kaplet 272 2,760 750,720 9 Amoxicillin kapsul 250 mg kapsul 211 2,262 477,282

10 Amoxicillin sirup kering 125 mg/ 5 ml botol 2,300 593 1,363,900 11 Antalgin (Metampiron) tablet 500 mg tablet 19,060 - 12 Antasida DOEN suspensi botol 2,100 1,434 3,011,400 13 Antasida DOEN tablet tablet 75 14,268 1,070,100 14 Antidiare Nonspesifik Sirup (Neo Kaominal) botol - 15 Antidiare Nonspesifik tablet (Molagit) tablet 190 - 16

tube 24 -

17 Antihaemorroid (Superhoid) supp - 18 Antihemoroid DOEN Suppositoria tablet 3,300 - 19 Aqua Pro Injeksi Steril bebas Pirogen vial 5,000 77 385,000 20 Asam Askorbat (Vit. C) tablet 50 mg tablet 95 2,895 275,025 21 Asam Folat tablet 1 mg tablet - 22 Asam Mefenamat tablet 500 mg tablet 141 62 8,742 23 Asiklovir krim 5% tube 3,374 33 111,332 24 Asiklovir tablet 400 mg tablet 345 96 33,120 25 Besi (Fe) tablet tablet 57 10,257 587,829 26 Betametason krim 0.1 % tube 1,520 51 77,520 27 Brush - 28 DESINFEKTAN Lisol Wangi ( Protektor ) botol - 29 Dexametasone injeksi 5mg ampul -

SATUAN BARANG

HARGA SATUAN (RP)

Antifungi DOEN salep kombinasi Asam Benzoat 6% + Asam Salisilat 3%)

30 Dexametasone tablet 0,5 mg tablet 53 128 6,730 31 Dextrometorphan HBr Sirup 10 mg/ 5 ml - 32 Dextrometorphan tablet 15 mg - 33 Diazepam Rectal 5 mg tube 11,525 6 69,150 34 Diazepam Tablet 2 mg tablet 32 1,950 62,205 35 Difenhidramin HCl Injeksi 10 mg/ ml ampul 960 60 57,601 36 Digoxin tablet 0,25 mg tablet - 37 Dimenhydrinate 50 mg tablet - 38 Efedrin HCl tablet 25 mg - 39 Epinefrin HCl Injeksi 0,1% - 1 ml ampul 1,500 - 40 Eritromicin kapsul 250mg capsul 1,590 - 41 Eritromisin sirup 200 mg/ 5 ml botol 920 77 70,840 42 Etakridin (Rivanol) 0,1% botol 2,212 28 61,940 43 Etambutol tablet 500 mg tablet 410 319 130,790 44 Etanol (alkohol) 70 % - 100 ml botol 2,500 13 32,500 45 Etil Klorida Cairan Semprot 100 ml botol 104,500 - 46 Eugenol cair - 47 Extrak Beladonna tablet 10 mg tablet 32 2,085 66,720 48 Fenitoin Natrium 30 mg Kapsul tablet - 49 Fenobarbital (Luminal) tablet 30 mg tablet 144 - 50 Fenoksimetil phenisilin tablet 250 mg tablet 272 - 51 Fenoksimetil phenisilin tablet 500 mg tablet 510 80 40,800 52 Fenol Gliserol Tetes Telinga 10% botol 2,042 36 73,512 53 Fitomenadion ( Vit K) inj 2 mg (Vitka Infant) ampul 7,150 - 54 Fitomenadion (Vit K) Injeksi 10 mg/ ml ampul 10 - 55 Fitomenadion (Vit. K) tablet 10 mg tablet 634 94 59,596 56 Furosemida tablet 40 mg tablet - 57 Garam Oralit II (200ml) Serbuk sace 292 375 109,500 58 Gentamisin Salep Kulit 0,1 % - 59 Glibenclamide tablet 5 mg tablet 54 490 26,460 60 Gliserin Cairan 100ml botol 5,333 - 61 Glukosa Lar. Steril Cairan Infus 5% botol 5,313 60 318,780 62 Griseofulvin tablet 125 mg tablet 228 - 63 Griseril Guaiakolat tablet 100 mg 44,698 - 64 Haloperidol tablet 0.5 mg tablet 59 - 65 Haloperidol tablet 1.5 mg tablet 69 - 66 Hidrochlortiazid (HCT) tablet 25 mg tablet 33 1,464 48,312 67 Hidrokortison Krim 2,5% tube 2,798 7 19,586 68 Ibuprofen tablet 200 mg tablet - 69 Ibuprofen tablet 400 mg tablet - 70 Iodium Test - 71 Isoniazide tablet 300 mg tablet 2,000 - 72 Isosorbid Dinitrat tablet sublingual 5 mg tablet 92 - 73 Kalsium Laktat (Kalk) tablet 500 mg tablet 50 2,215 109,643 74 Kaporit kg -

75 Kaptopril tablet 12.5 mg tablet 62 1,074 66,588 76 Kaptopril tablet 25 mg tablet 80 844 67,520 77 Karbamazepine tablet 200 mg tablet 243 1,500 364,500 78 Ketokonazole tablet 200 mg tablet 300 - 79 Kloramfenicol kapsul 250 mg tablet 275 3,160 869,000 80 Kloramfenikol Salep Mata 1 % - 81 Kloramfenikol Suspensi 60 ml - 82 Kloramfenikol Tetes Mata 0,5 % - 83 Kloramfenikol Tetes Telinga 3% - 84 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 26 24,486 636,636 85 Klorpromazine HCl tablet salut 25 mg tablet 38 - 86 Kotrimoksazol Suspensi 60 ml botol 2,574 229 589,446 87 Kotrimoxazol tablet dewasa tablet 149 5,196 774,204 88 Kotrimoxazol tablet pediatrik tablet 30 - 89

-

90 Lidokain Injeksi (Pehacain) ampul 1,295 150 194,250 91 Meloxicam tablet 15 mg tablet - 92 Metformin tablet 500 mg tablet - 93

Metilergometrin Maleat (Metergin) tablet salut 0,125 mg tablet 154 138 21,252

94 Metilergometrin Maleat Injeksi 0,2mg/ml ampul 4,620 30 138,600 95 Metochlorpramide tablet 10 mg tablet 20 - 96 Metronidazole tablet 250 mg tablet - 97 Metronidazole tablet 500 mg tablet 160 722 115,520 98 Mikonazol Krim 2% - 99 Multivitamin Dewasa Kapsul (Vicanatal) tablet 440 -

100 Multivitamin Dewasa Kapsul (Zevibex) tablet - 101 Multivitamin Sirup Anak (Lytamin) botol - 102 Natrium Bikarbonat tablet 500 mg tablet 14 1,913 27,356 103 Natrium Diklofenak tablet 50 mg tablet - 104 Natrium Klorida Cairan Infus 0,9% 500 ml botol 4,700 60 282,000 105 Natrium Klorida Cairan Infus 0,9% 500 ml botol 4,700 - 106 Nifedipine tablet 10 mg tablet 100 100 10,000 107 Nistatin tablet 500.000 IU tablet 640 100 64,000 108 Nistatin tablet vaginal 100.000 IU tablet 318 102 32,456 109 Obat Antituberkolosa FDC 1/3 paket - 110

tube -

111 Obat Batuk Hitam (OBH) Sirup 100 ml botol 3,850 2,822 10,864,700 112 Obat Flu Sirup (Remco Sirup) botol 3,307 - 113 Obat Flu Sirup (Ponflu) botol - 114 Oksitetrasiklin HCl Injeksi 50 mg/ ml - 115 Oksitetrasiklin HCl Salep Kulit 3% 6 -

Larutan Polikresulen (kondensasi Metakresol sulfonat dan metanal 360 mg/g

Obat bahan gigi kombinasi : Paraclorofenol, Alcanfor, Sulfato de Cinc Seco, Excipiente (CRESOPATE)

116 Oksitetrasiklin HCl Salep Mata 1 % tube 1,600 25 40,000 117 Oksitosin Injeksi 10 IU/ml ampul 2,200 200 440,000 118 Paracetamol 500mg tablet tablet 84 777 65,214 119 Parasetamol Sirup 120 mg/ 5 ml botol 1,319 612 807,167 120 Parasetamol tablet 100 mg tablet - 121 Pirantel Pamoat tablet 125 mg tablet 296 39 11,544 122 Pirazinamide tablet 500 mg tablet 198 1,547 306,306 123 Piridoxin HCl (Vit. B6) tablet 10 mg tablet 15 3,777 56,504 124 Piroxicam kapsul 20 mg tablet 105 337 35,217 125 Povidon Iodida 10% Cairan 300ml botol 3 - 126 Povidon Iodida 10% Cairan 30ml botol 2,163 10 21,630 127 Prednisone tablet 5 mg tablet - 128 Propanolol tablet 40 mg tablet 77 - 129 Ranitidin Injeksi 25 mg/ ml ampul - 130 Ranitidine tablet 150 mg tablet 120 1,564 187,680 131 Reserpin tablet 25 mg 64 - 132 Rifampicin kapsul 300 mg - 133 Ringer Laktat Cairan Infus 500 ml botol 5,200 340 1,768,000 134 Salbutamol Nebulizer 1 mg/ ml-2,5ml ampul 8,690 - 135 Salbutamol tablet 2 mg tablet 59 949 55,991 136

tube 1,229 21 25,812

137 5 -

138 Salisil Bedak 2% - 50 gram 8 - 139 Sarung tangan non steril 7 G - 140 Sefadroxil sirup kering 125 mg/ 5 ml botol 6,151 - 141 Sianokobalamin (Vit B12) Injeksi 500 mcg/ ml ampul 1,078 - 142 Sianokobalamin (Vit. B12) tablet 50 mcg tablet 668 - 143 Simvastatin tablet 10 mg tablet 169 130 21,970 144 Siprofloxacin tablet 500 mg tablet 250 140 35,000 145 Sulfasetamid Na Tetes Mata 15% - 146 Tetrasiklin kapsul 250 mg tablet 148 392 58,016 147 Tetrasiklin kapsul 500 mg tablet 206 - 148 Tiamfenicole kapsul 500 mg tablet 704 - 149 Tiamin HCl (Vit B1) Injeksi 100 mg/ ml ampul - 150 Tiamin HCl (Vit. B1) tablet 50 mg tablet 36 5,524 200,521 151 Trihexifenidril Hidroksida tablet 2 mg tablet 275 - 152 Vitamin B Kompleks tablet tablet 107 15,248 1,631,536 153 Zink tablet 200 mg dispersible tablet 292 614 179,288

- 154 Alat Suntik sekali pakai 1 ml - 155 Alat Suntik sekali pakai 2,5 ml / 3 ml pcs 1,038 - 156 Alat Suntik sekali pakai 5 ml pcs 750 300 225,000 157 Bisturi -

Salep 2-4 kombinasi : Asam Salisilat 2% + Belerang endap 4%

Salep luka bakar; ekstrak plasenta+neomisin (Bioplasenton)

158 Catgut/Benang bedah No.2/0 sase 50,967 - 159 Catgut/Benang bedah No.3/0 sase 50,967 - 160 Foley catheter 18 pcs 8,470 - 161 Infusion set anak bks 4,015 - 162 Infusion set dewasa bks 4,620 - 163 IV. Catheter No. 18 pcs - 164 Kapas Pembalut/Absorben 250 gram bks 15,070 8 120,560 165 Kasa Gulung 36 m x 80 cm bks - 166 Kasa Pembalut Hidrofil 4 m x 10 cm bks 1,100 - 167 Kasa Pembalut Hidrofil 4 m x 3 cm bks 550 - 168 Kasa sterill 16 x 16 cm kotak 8,250 146 1,204,500 169 Masker set 300 - 170 Plester 2,5 cm x 4,5 cm roll - 171 Plester 5 yards x 2 inch roll 23,100 - 172 Sarung tangan non steril 7 G psg - 173 Sarung tangan steril Disposible 7 G psg 4,950 - 174

sase 28,875 -

175 Tissue Gulung - 176 Umbilical Klem pcs 1,000 -

Silk ( Benang Bedah Sutera ) No. 3/0 dengan jarum bedah

ARJASARI BALEENDAH BANJARAN

ARJASARI BANJARAN DTP BALEENDAH JELEKONG RANCAMANYAR BANJARAN KOTA KIANGROKE

MARGAHAYU BOJONG SOANG CILEUNYI

BIHBUL MARGAHAYU SELATAN BOJONG SOANG CILEUNYI CIBIRU HILIR CINUNUK

CICALENGKA CIMAUNG CIKANCUNG CILENGKRANG CIMENYAN

CICALENGKA DTP SAWAHLEGA CAMPAKA MULYA CIKALONG CIKANCUNG CILULUK CILENGKRANG CIMENYAN

CIMENYAN CIPARAY CIWIDEY DAYEUH KOLOT

CIBEUNYING CIPARAY PAKUTANDANG SUMBERSARI CIWIDEY RAWABOGO DAYEUH KOLOT

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DAYEUH KOLOT IBUN KATAPANG KERTASARI

CANGKUANG IBUN SUDI KATAPANG SANGKAN HURIP KERTASARI SANTOSA

KUTAWARINGIN MAJALAYA MARGA ASIH

KOPO KUTAWARINGIN MAJALAYA CIKARO WANGISAGARA RAHAYU MARGA ASIH

CANGKUANG NAGREG PACET PAMEUNGPEUK PANGALENGAN

NAGRAK NAGREG PACET PANCA PAMEUNGPEUK PANGALENGAN SUKAMANAH

27002500

3002,000

20014000

110

13,000

216200

72

15120

30

1300

1000

700

210

900100600

4001026

100

90100

100072

1000400

4000

800700900

1000

140001,900

2001200

210

1100

180

1700

2000

42

200

9640

10000200

100

7,0001400

513

10060

7800

44

1500

96

10

20

100

500020006400

50100

4

4

24180

50

PANGALENGAN PASEH PASIR JAMBU RANCABALI RANCAEKEK

WARNASARI CIPEDES PASEH PASIR JAMBU SUGIHMUKTI RANCABALI RANCAEKEK

RANCAEKEK SOLOKAN JERUK SOREANG

NANJUNG MEKAR LINGGAR SOLOKAN JERUK PADAMUKTI SOREANG SUKAJADI