USULAN KEBUTUHAN OBAT PUSKESMAS BAMBAN TAHUN 2009
NO
NAMA OBAT
SATUAN
1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
2
3 Ampul Botol Tablet Tablet Tube Vial Set Set Set Tablet Ampul Tablet Tablet Botol Ampul Tablet Tablet Tablet Tablet Botol Vial Vial Tablet Botol Ampul Tablet
ACT Air raksa dental use Acylovir 200mg tablet Acylovir 400mg tablet Acylovir 5% krim Adona Injeksi Alat suntik sekali pakai 1 ml Alat suntik sekali pakai 2,5 ml Alat suntik sekali pakai 5 ml Albendazole tablet 400 mg Alinamin inj Alopurinol tablet 100 mg Ambroxol tablet Ambroxol syrup Aminofilina inj 24 mg/ml-10 ml Aminofilina tablet 200 mg Amitriptilin HCL tablet salut 25 mg Amoksilin kapsul 250 mg Amoksilin kapsul 500 mg Amoksilin sirup kering 125 mg/ml Amoksilin inj Ampisilin inj Ampisilin kaplet 500 mg Ampisilin sirup kering 125mg/ml Antalgin inj 250mg/ml-2ml Antantalgin(metampiron) tablet 500mg
STOK AWAL Jan-08
PENERIMAAN PEMAKAIAN JAN-DES 2008 JAN-DES 2008
STOK AKHIR Des-08
RENCANA KEBUTUHAN TH 2009 8
4
5
6
7
350
779 427 36
171 73
6
600 500 30
1200 1000 100
410
100
398
112
500
13
120
515
1700
1861
354
10
50
60
467 180
1300
1404 20
363 160
5125 82
14500 270
18921 352
704
1708 37
7000 380
5851 130
2857 287
1000
3000
4000
2500 100 2000 200 1000 30000 500
10000 150 6000
27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57
Antrain inj Antasida doen tablet kombinasi Mg hidroksida 200mg+Al hidroksida 200mg Antasida doen sirup Antibakteri doen salep kombinasi Basutrasin 500IU/g+ polimiksin 1000IU Antihemarid doen kombinasi Antifungi doen kombinasi Asam benzoat 6%+ Asam salisilat 3% Antimigrain doen kombinasi Ergotamin tartrat1mg+ kofein 50mg Antiparkinson doen tablet kombinasi Karbidoba 25mg+levodopa 250mg Aqua pro inj steril bebas pirogen Aquadest steril Asam askorbat (vit C) 50mg Asam askorbat (vit C) 250mg Asam klorida 0,1% Asam mefenamat 500mg Asam sulfosalisilat 20% Asetosal tablet 100mg Asetosal tablet 500mg Atrofin sulfat inj 0,25mg/ml-1ml Atrofin sulfat tablet 0,5mg Betason N krim Betametasone krim 0,1%/betason N Bioplacenton Bisturi Borak gliserin Buscopan tablet Blood lancet Catgut/benang bedah no 2/0-3/0 dgn jarum bedah Calcidol sirup Catopril 25mg Catopri 12,5mg Catheter
Ampul Tablet
9735
9000
12648
Botol Tube
9
100
109
Supp Pot
30
40
58
Tablet
501
6087
15000 200
12
501
100 100 500
Tablet Vial Botol Tablet Tablet Botol Tablet Botol Tablet Tablet Ampul Tablet Tube Tube Tube Biji Botol Tablet Kotak Sak Botol Tablet Tablet Biji
6132
5000
10561
571
7000
1451
8000
8144
1307
15000
400 400
205
195 400
500
115
85
30
150 50
29 100
8
350
21 450
30 750
10 70 3100
33 70 3588
6
60 150 6000 3000
29 944
456
58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93
Chlorampekort H krim Cendo carpin 20% Cifadroxil sirup Cipadroxil 500mg kapsul Cifotaxim 1g inj Ciprofloxacin infus Ciprofloxacin 250mg tab Ciprofloxacin 500mg tab Cynop Chloramidina inj Clonidin/Catapres 0,15mg Cimetidine 200mg Dapson tab 100mg Dexamethasone inj 5mg/ml-1ml Dexamethasone 0,5mg tab Dextrometorfan sirup 10mg/5ml Dextrometorfan tab 15mg Devutalisasi pasta(non arsen) Diaform tab Diazepam inj 5mg/ml-2ml Diazepam 5mg tab Diazepam 2mg tag Dietilkarbamazepin 100mg Difenhidramin HCL inj 10mg/ml-1ml Digixin tab 0,25mg Diltiazem 30mg Dimenhydrinat50mg Dulcolak Dulcolak supp Domperidon tab Doxycycline 100mg Ecosop 3/0 Ecosop 4/0 Efedrin HCl tab 25mg Ekstrak belladona tab 10mg Enkasari liquit
Tube Botol Botol Kapsul Ampul Botol Tablet Tablet Botol Vial Tablet Tablet Tablet Ampul Tablet Botol Tablet Botol Tablet Ampul Tablet Tablet Tablet Ampul Tablet Tablet Tablet Tablet Supp Tablet Kapsul Bungkus Bungkus Tablet Tablet Botol
30
63
83
10
150
10 100
15
23 100
2
50 500
420
3550
3645
325
217 258
1700
639 258
1278
1200 1500
38 8907 80 2898
72 5194 25 3375
100 10000 100 5000
110 7101 60 6273
7000 45
2500 10000
1500 26
26
366
118
248
200
66 176
600 500
230 282
600
764 106
56
100
156
2180
250
998
250
1432
2000
94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129
Erythromycin 500mg Erythromycin 250mg Erythromycin sirup Etakridin(rivanol) larutan 0,1% Etambutol tab 250mg Etambutol tab 500mg Etanol 70% Etil klorida semprot Eugnol cairan Fenitoin natrium kaps 30mg Fenitoin natrium kaps 100mg Fenobarbital inj 50mg/ml-2ml Fenobarbital tab 30mg Fenol gliserol tetes telinga 10% Firacetam inj Fitomenadion(vit K) inj 10mg/ml-1ml Fitomenadion(vit K) tab salut gula 10mg Flour tab 0,5 mg Furusemida inj Furusemida tab 40mg Gameksan emulsi 1% Garam oralit untuk 200ml air Gentian violet larutan 1% Gentamicin inj Gentamicin salep kulit Gentamicin tetes mata 0,3% Gitas ijn Glass isomer cement(GC IX) Glibenklamid tab 5mg Gliseril guayacolat tab 100mg Gliserin Gliserol Glucosa lar infus 5% steril Glucosa lar infus 10% steril Glucosa lar infus 40% steril Gatavit
Kapsul Kapsul Botol Botol Tablet Tablet Botol Botol Botol Kapsul Kapsul Ampul Tablet Botol Ampul Ampul Tablet Tablet Ampul Tablet Botol Bungkus Botol Ampul Tube Botol Ampul Set Tablet Tablet Botol Botol Botol Botol Botol Botol
9
9 4 4
4 2
12 6 6
10
67 34
5 121 6
150 60
120 800 1000
120 1146 1000
154
100 1500
20
114 36 400 34
8 6
5 188 30
500
164 36 500 20
50 100 6
250 50 500 60 100 100
2 500 10032
16
300 7000
629 12388
16
2 171 4644
1000 15000
30
130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165
Griseofulvin tab 125mg,mikronized Haloperidol 0,5mh tab Haloperidol 1,5mg tab Handscoun steril no 7,5 & 8 Hemafort tab Hidroklorotiazid(HCT) tab 25mg Hidrokortison krim 2,5% H2O Hyscopan Ibuprofen tab 200mg Ibuprofen tab 400mg Ichtyol salep Infuset anak Infuser dewasa Infus K N 1 B Infus K N 3 B Infus D5 1/2 NS Infus D5 1/4 NS INH 100mg INH 300mg Isosorbit dinitrat tab sub lingual 5mg Jarum jahit(bedah) no 9 s/d 14 Jarum suntik (disp needle) no 23 G Kalium permanganat serbuk Kalsium hidroksida pasta Kalsium laktat (Kalk) tab 500mg Kapas pembalut /absorben 250gr Karbamazepin 200mg tab Kasa kompres 40/40 steril Kasa pembalut 2mx3cm Kasa pembalut hidrofil 4mx3cm Kasa pembalut hidrofil 4mx15cm Klindamycin kaps 150mg Klindamycin kaps 300mg Chloramex inj/kloramphenikol Kloramfenikol kaps 250mg
Tablet Tablet Tablet Biji Tablet Tablet Tube Botol Tablet Tablet Tablet Pot Kantong Kantong Botol Botol Botol Botol Tablet Tablet Tablet Set Set Botol Kotak Tablet Bungkus Tablet Rol Rol Rol Rol Kapsul Kapsul Vial Kapsul
418 113 50
100 300
497 173
21 240 40
967 57
1000 116
968 146
999 27
216 314 14 9 8
3200
3323 314 6 2 23
93
15
71
8 7
1000 250
1500 1500 250
5000 500 30 40
71
300
2299
4500 3
5128 3
1671
10000 5
15
5
16
4
30
13 50 50
35
32
16 30 50
50
1269
750
1302
717
3000
166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197
Kloramfenikol suspensi Kloramfenikol salep mata 1% Kloramfenikol tetes mata Kloramfenikol tetes telinga Klorfeniramin maleat(CTM) tab 4mg Klorokuin tab 150mg Klorpromazin HCL inj 5mg/ml-2ml Klorpromazin HCL inj 25mg/ml-1ml Klorpromazin tab 25mg Klorpromazin tab 100mg Klorpropamid tab 100mg Kodein fosfat tab 10mg Kombinasi(piremetamin 25mg+sulfadoxin 500mg) Kotrimoksazol suspensi kombinasi Sulfametoksazol 200mg+trimetoprim40mg/5ml Kotrimoksazol tab kombinasi Sulfametoksazol 400mg+trimetoprim 80mg Kotrimoksazol tab pediatrik kombinasi sulfametoksazol 100mg+trimetoprim 20mg Kuinin dihidroksida inj 25%-2ml Kuinin (kina) tab 200mg Larutan benedik Larutan eosin Larutan etanol asam Larutan giemsa stain Larutan karbo fuschen Larutan metilen blue Larutan turk Lidokain komps inj kombinasi Lidokain HCL 2%+epinefrin 1:80.000-2ml Lincomycin kaps 500mg Lisol mengandung kresol tersabun 50% Magasida tab Magnesium sulfat inj (IV) 20% -25ml Magnesium sulfat inj (IV) 40% -25ml Magnesium sulfat serbuk
Botol Tube Botol Botol Tablet Tablet Ampul Ampul Tablet Tablet Tablet Tablet Tablet Botol
9
70
79
18 19 13298 750
127 63 13000
121 77 18488 750
220 111 30
1500
125
410
496
Tablet
1543
2800
4343
Tablet
1195
Ampul Tablet Botol Botol Botol Botol Botol Botol Botol Ampul
134
Kapsul Botol Tablet Ampul Ampul Bungkus
100 24 5 7810
220 1611
200 100 25000
300 2000 30
50
39
750 10000
632
562
115
69
200
198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233
masker Mebendazole 100mg/5ml sirup Mebendazole 100mg tab Melation Mikonazole salep Metoklorpropamid tab Metoklorpropamid inj metanol Metilergometrin maleat inj 0,200mg-1ml Metilergometrin maleat tab salut 0,125mg Metilprednisolone tab 4mg Metronidazole infus Metronidazole tab 250mg Metformin HCl 500mg tab Monoklorkamper menthol cair Mummfying pasta Natrium bikarbonat tab 500mg Natrium diklofenak 25mg/Klotaren/Voltadex Natrium diklofenak 50mg/Klotaren/Voltadex Natrium fluoresein tetes mata 2% Natrium klorida larutan infus 0,9% steril Natrium tiosulfat inj 25% -10ml Neo diastop Neurobat inj Nifedipin/coronipin Nistatin tab salut 500.000IU Nistatin tab vaginal 100.000 IU/g Novadium/loperamid Obat antituberkulosis kategori 1 Obat antituberkulosis kategori 2 Obat antituberkulosis kategori 3 Obat antituberkulosis kategori anak Obat antituberkulosis sisipan Obat batuk hitam (O.B.H) cairan Obat suntik KB 1 Obat suntik KB 2
Biji Botol Tablet Leter Tube Tablet Vial Botol Ampul Tablet Tablet Botol Tablet Tablet Botol Botol Tablet Tablet Tablet Botol Botol Ampul Tablet Ampul Tablet Tablet Tablet Tablet Paket Paket Paket Paket Paket Botol Vial Vial
213
213 20
20
30 200 100
30 50
60 168 40
82 60
75 300 300
1206
1400
1902
704
4000
441 169 293
441 1100 1100
527
77
100
196
1269 1393
5000 5000
132
395
300
226
47
500
234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269
Oxitetrasiklin HCL inj im 50mg/ml-10ml Oxitetrasiklin HCL salep3% Oxitetrasiklin HCL salep mata 1% Oksitosin inj 10IU/ml -1ml Omeprazol 20mg Paraformaldehid tab 1 gr Paramidon/Xilomidon/Adimidon inj Parasetamol sirup 125mg/5ml parasetamol tab 100mg Parasetamol tab 500mg Papaverin inj Papaverin tab Pantokain tetes mata Pembalut gips Perfenazin HCl tab 4mg Petidin HCl inj 50mg/ml-2ml Pil KB 1 Pilokarpin HCL /nitrat tetes mata 2% Piperasin sirup Pirantel tab 125mg Pirasetam tab 800mg Pirasetam inj 1gr Pirasetam inj 3gr Piridoksin HCl(vit B6) tab 10mg Piroksikam 10mg tab Plasil tab 10mg Plester 5 yard x 2 inch poly chateter 16&18 year Primperan tab Polikresoulen povidin iodida 10% -30ml Povidin iodida 10% -300ml Prednisone tab 5mg Primakuin tab 15mg Propiltiurasil tab 100mg Propanolol HCl tab 40mg
Vial Tube Tube Ampul Tablet Tablet Vial Botol Tablet Tablet Ampul Tablet Botol Bungkus Tablet Ampul Siklus Botol Botol Tablet Tablet Ampul Ampul Tablet Tablet Tablet Rol Pcs Tablet Botol Botol Botol Tablet Tablet Tablet Tablet
40 53 26 26
10 75 115 100
42 128 141 122
170 130 217 10857 80 1028
60 325
330 455
100 750
25000
35857
50000
1250
1638
100
4
80 640
60 200 250 200
3000
100
240
240 10
90
6000 1050
9449 2122
4068 215
4
4
100
7517 1287
8
500
15000 3000 6 500
6
18
24
8004
9000
138184
800
800
40 3820
20000 2000
270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305
Pyrasinamid tab Ranitidin 150mg ranitidin inj Reserpin tab 0,25mg Retinol (vitamin A) kapsul lunak 100.000 IU Retinol (vitamin A) kapsul lunak 200.000 IU Rifampisin kaps 300mg Rifampisin kaps 450mg Ringer laktat larutan infus steril Salbutamol tab 2mg Salep 2-4 komb as salisilat 2%+belerang endap 4% Salisil bedak 2% Salisil spiritus 10% Scabisida krim Semen seng fosfat serbuk dan cairan serum anti bisa ular polivalen inj 5ml(ABU I) Serum anti tetanus inj 1.500 IU/ampul (ATS) Serum anti tetanus inj 20.000 IU/vial (ATS) Sianokobalamin (vit B12) inj 500mcg/ml-1ml Silk (benang bedah sutra) no 3/0 dgn jarum bedah Silver amalgam serbuk 65-75% Sinvastatin tab Spiritus Spons gelatin cubicles 1x1x1 cm Sulfadimidin tab 500mg Sulfasetamid natrium tetes mata 15% Supratule Surflo no 20 Surflo no 22 Surflo no 24 Tab tamb darah komb besi II sulfat 200mg+as folat Temporary stopping fletcher serbuk dan cairan Tes golongan darah Trigisirida Tes glucosa BS 50ml Tes cholesterol 50ml
Tablet Tablet Ampul Tablet Kapsul Kapsul Kapsul Kapsul Botol Tablet Pot Bungkus Botol Tube Botol Vial Vial Vial Ampul Sak Botol Tablet Botol Kotak Tablet Botol Kotak Set Set Set Tablet Set Set Set Kit Kit
621
2000
2621
30
30 800 92 64 10
40 627 132 78 9
40 26 6
5000
20 173 6 7
50 1000 150 100 20
2
2
388 9
128 9
260
300 30
100
160
300
60
200
37
37
10
20
19
2320 1
5790
8110
50
11
30 10000
1
306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330
Tes asam urat/urit acid 50ml tes SGOT BS 50ml(GOT) Tes SGPT BS 50ml(GPT) Tes WIDAL SLIDE NL O Tes WIDAL SLIDE NL H Tes WIDAL SLIDE NL A-O Tes WIDAL SLIDE NL B-O Tes kehamilan Tetracain tetes mata Tetrasiklin kaps 250mg Tetrasiklin kaps 500mg Tensigart tab Thiamex 500mg (thiamfenikol) Thiamin HCl (vit B1) inj 100mg/ml-1ml Thiamin HCl/mononitrat (vit B1) tab 50mg Trazep krim Tramadol inj Triheksifenidil hidroklorida 2mg tab Trikresol formalin (TKF) cairan Vaksin rabies vero Vatamin A 6.000 SI Vitamin B komplek tab Vitamin B12 tab Wing needle no 25 G Yodium kaps lunak
Kit Kit Kit Vial Vial Vial Vial Bungkus Botol Kapsul Kapsul Tablet Kapsul Ampul Tablet Tube Ampul Tablet Botol Vial Tablet Tablet Tablet Buah Kapsul
720
50
50
1000
1720
3000
60
300
60 107 8213
10000
40 12683
339
500
839
18008 1296
12000 1250
27517 1207
67 5530
16000
1000
2491 1339
16000 5000
Mengetahui : Pimpinan Puskesmas Bamban
Kandangan Pengelola Obat Puskesmas Bamban
Dr M.Riduan Nip 540016238
Liawaty Agustina Nip 540014444
