PEMERINTAH KABUPATEN BANTAENG

DINAS KESEHATAN
PUSKESMAS BISSAPPU
Jl. Pahlawan KM 101 Beloparang Bissappu

DATA KLASIFIKASI PERBEKALAN FARMASI

PUSKESMAS BISSAPPU

BULAN : DESEMBER 2021

NO NAMA BARANG SATUAN SUMBER DANA

OBAT-OBATAN
A. TABLET/KAPLET/KAPSUL
1 Albendazole 400 mg Tablet APBD
2 Allopurinol 100 mg Tablet JKN
3 Ambroxol 30 mg Tablet APBD
4 Amlodipin 5 mg Tablet APBD
5 Amlodipin 10 mg Tablet APBD
6 Amoksisilin 500 mg Tablet APBD
7 Antasida Doen Tablet APBD
8 Asam Folat 0,4 mg Tablet APBD
9 Asam Mefenamat 500 mg Tablet JKN
10 Asetyl Cystein 200 mg Tablet APBD
11 Asiklovir 400 mg Tablet APBD
12 Asetosal (Miniaspi 80 mg) Tablet APBD
13 Bisakodil Tablet JKN
14 Betahistine24 mg Tablet JKN
15 Captopril 12,5 mg Tablet APBD
16 Carbamazepin 200 mg Tablet APBD
17 Cefadroxil 250 mg Kapsul APBD
18 Cetirizine 10 mg Tablet APBD
19 Chlorfeniramina Maleat (CTM) 4 mg Tablet JKN
20 Ciprofloxacin 500 mg Tablet APBD
21 Cotrimoxazole 480 mg Tablet APBD
22 Deksametason 0,5 mg Tablet JKN
23 Domperidon 10 mg Tablet APBD
24 Eritromisin 250 mg Paket APBD
25 Eritromisin 500 mg Tablet APBD
26 Evafirenz 600 mg Tablet APBD
27 FDC KAT Anak Paket APBD
28 FDC KAT I Paket APBD
29 Fitomenadion (Vit. K1) 10 mg Tablet JKN
 30 Furosemid 40 mg Tablet APBD
31 Favipiravir 200 mg Tablet APBD
32 Garam Oralit Sachet PROGRAM
33 Glibenklamid 5 mg Tablet APBD
34 Herbacold Tablet APBD
35 Ibuprofen 400 mg Tablet JKN
36 Isosorbid Dinitrat 5 mg Tablet APBD
37 Kalsium Laktat (Kalk) 500 mg Tablet APBD
38 Ketokonazole 200 mg Tablet APBD
39 Lansoprasole Kapsul APBD
40 Loperamid 2 mg Tablet JKN
41 Metformin 500 mg Tablet JKN
42 Metilergometrin 0,125 mg Tablet APBD
43 Metilprednisolon 4 mg Tablet APBD
44 Metoklopramide 10 mg Tablet APBD
45 Multivitamin (Meviton) Tablet APBD
46 Metrodinazole 500 mg Tablet JKN
47 Natrium diklofenak 25 mg Tablet APBD
48 Nifedipin Tablet JKN
49 Nystatin 500.000IU Tablet APBD
50 Nystatin tablet vagina 100.000 IU Tablet APBD
51 Nevirapine 200 mg Tablet PROGRAM
52 Paracetamol 500 mg Tablet JKN
53 Primaquin Tablet PROGRAM
54 Ranitidin 150 mg Tablet JKN

NO NAMA BARANG SATUAN SUMBER DANA

55 Salbutamol 2 mg Tablet JKN

56 Simvastatin 20 mg Tablet APBD
57 Tablet Tambah Darah Tablet PROGRAM
58 Tenolam-E Tablet PROGRAM
59 Vitamin A (Retinol) 100.000 IU Kapsul PROGRAM
60 Vitamin A (Retinol) 200.000 IU Kapsul PROGRAM
61 Vitamin B Complex Tablet JKN
62 Vitamin B1 (Thiamin) Tablet APBD
63 Vitamin B12 (Sianokobalamin) Tablet APBD
64 Vitamin B6 (Piridoksin) Tablet JKN
65 Vitamin C 50 mg Tablet JKN
66 Vitamin D Tablet APBD
67 Zinc 20 mg Tablet JKN
68 Zidovudine 100 mg + Lamivudine Tablet PROGRAM
B. SIRUP
69 Amoksisillin sirup kering 250 mg Botol APBD
70 Antasida Suspensi Botol APBD
71 Cotrimoksazole Sirup 60 ml Botol JKN
72 Herbakof Sirup Botol APBD
73 Ibuprofen Suspensi 200 mg/ 5 ml Botol APBD
74 Parasetamol drop Botol APBD
 75 Parasetamol sirup 120 mg /5 ml Botol APBD
76 Stimuno Sirup Botol APBD
C. INJEKSI & INFUS
77 Neurosanbe Ampul JKN
78 Ampicillin inj Vial APBD
79 Antalgin (Metamizole sodium) Ampul JKN
80 Aqua Pro Injeksi Vial APBD
81 Asam Traneksamat Ampul APBD
82 Asering Infus Botol APBD
83 Fitomenadion (Vit. K1) Injeksi 10 mg/ml Ampul APBD
84 Glukosa 10 % Infus Botol 500 ml APBD
85 Hyocine Butylbromide inj Ampul APBD
86 KA-EN 3B Botol APBD
87 Lidocain inj 2 % Ampul JKN

NO NAMA BARANG SATUAN SUMBER DANA

88 Metilergometrin inj Ampul APBD

89 NaCl 0,9 % Infus Botol 500 ml APBD
90 Oksitocin inj 10 ui/ml Ampul APBD
91 Ondansetron HCl Ampul JKN
92 Ranitidine HCl inj. Ampul APBD
93 Ringer Laktat Infus Botol 500 ml APBD
D. OBAT LUAR
94 Antihemoroid Supp APBD
95 As. Sal + Bel. Endap (2 - 4 Salep) Pot APBD
96 Antifungi DOEN (ac.salicylicum+ac.Benzoicum) Pot APBD
97 Asiklovir Cr Tube JKN
98 Bedak salicyl pot JKN
99 Betametason krim 0,1% Tube JKN
100 Chloramfenikol Tetes Telinga Botol JKN
101 Gentamicin 0,1 % Salep Kulit Tube JKN
102 Gentamisin Tetes Mata Botol APBD
103 Gentamicin salep mata Tube APBD
104 Hidrokortison krim 2,5% Tube APBD
105 Ketokenazole Cr 2 % Tube APBD
BMHP (Bahan Medis Habis Pakai)

1 Alkohol 70% Botol 1 Liter APBD

2 Alkohol Swab Kotak APBD
3 ARM Sling M Pcs APBD
4 ARM Sling L Pcs APBD
5 Alkazime sachet 25 mg Sachet APBD
6 Alkacide 1 L High Level Disinfectant botol APBD
7 Cannofix-PU Pcs APBD
8 Cannula Oksigen Bayi Pcs APBD
9 Cannula Oksigen Anak Pcs APBD
10 Cannula Oksigen Dewasa Pcs APBD
11 Crhomic No. 2/0 (Gabler) Pcs APBD
12 Crhomic No. 3/0 (Gabler) Pcs APBD
13 Crhomic No. 4/0 (Gabler) Pcs APBD
14 Catgut Plain No. 2/0 Pcs APBD
15 Catgut Plain No. 3/0 Pcs APBD
16 Cavidagel 15g Tube APBD
17 Dermafix 10 x 15 Pcs JKN
18 Disposable (Spoit) 1 cc Pcs APBD
19 Disposable (Spoit) 3 cc Pcs APBD
20 Disposable (Spoit) 5 cc Pcs APBD
21 Disposable (Spoit) 10 cc Pcs APBD
22 Dental BIP Pack APBD
23 Ethyl Chloride Botol JKN
24 Fescopore 2,5 x 910 cm roll APBD
25 Foley Catheter No. 18 Pcs JKN
26 Foley Catheter No. 20 Pcs JKN
27 Foley Catheter No. 22 Pcs JKN
28 Foley Catheter No, 24 Pcs APBD
29 Hanschoen Gynecolog Glove No. 6,5 Pasang APBD
30 Hanschoen Gynecolog Glove No. 7 Pasang APBD
31 Hanschoen Gynecolog Glove No. 7,5 Pasang APBD
32 Hanschoen Gynecolog Glove No. 8 Pasang APBD
33 Hanschoen Gynecolog Glove No. 8,5 Pasang APBD
34 Handschoen Steril Free Powder No. 6,5 Pasang APBD
35 Handschoen Steril Free Powder No. 7 Pasang APBD
36 Handschoen Steril Free Powder No. 7,5 Pasang APBD
37 Handschoen Steril Free Powder No. 8 Pasang APBD
38 Handschoen Non Steril S Pcs APBD
39 Handschoen Non Steril M Pcs APBD
40 Handschoen Non Steril L Pcs APBD
41 I.V. Catheter No. 18 Pcs APBD
42 I.V. Catheter No. 20 Pcs APBD
43 I.V. Catheter No. 22 Pcs APBD
44 I.V. Catheter No. 24 Pcs APBD
45 I.V. Catheter No. 26 (Troge Medical) Pcs APBD
46 Infus Set Makro (Dewasa) Pcs APBD
47 Infus Set Mikro (Anak) Pcs APBD
48 Jelly Catheter Tube JKN
49 Jelly USG Botol JKN
50 Kapas 250 g Roll APBD
51 Kapas Berlemak 500 g Roll APBD
52 Kapas 1000 g Roll APBD
53 Kasa Hidrofil 40 m x 80 cm Roll APBD
54 Kasa Kompres 40 x 40 cm Pcs APBD
55 Kasa Steril 16 x 16 cm Ktk APBD
56 Kasa Pembalut Hydrofil 4 x 5 cm Roll APBD
57 Kasa Pembalut Hydrofil 4 x 10 cm Roll APBD
58 Kasa Pembalut Hydrofil 4 x 15 cm Roll APBD
 59 Lysol larutan 1 liter Botol APBD
60 Masker Earloop Pcs APBD
61 Masker Headloop 3 Ply (Masker Hijab) Pcs APBD
62 Masker Tali Pcs APBD
63 Nasal Oxigen M Pcs APBD
64 Nasal Oxigen L Pcs APBD
65 Nylon Non Absorbable 5/0 Pcs APBD
66 Optime 4/0 Pcs APBD
67 Optime 5/0, 1/2 TP 18 mm, 75 cm Pcs APBD
68 Optime 5/0, 3/8 TP 13 mm, 75 cm Pcs APBD
69 One Scrub 5 Liter Botol APBD
70 One Scrub 500 ml Botol APBD
71 One Test Hamil Pcs APBD
72 Plesterin 10 cm x 5 m Pcs APBD
73 Plesterin 5 cm x 5 m Set APBD
74 Pot Urine Pot APBD
75 Pot Dahak Steril Pot APBD
76 Paper Tape 2,5 cm x 9,14 m Roll APBD
77 Paper Tape 5,0 cm x 9,14 m Roll APBD
78 Pharmafix ( 5 cm x 500 cm ) Roll APBD
79 Pharmafix ( 10 cm x 500 cm ) Roll APBD
80 Pharmafix ( 15 cm x 500 cm ) Roll APBD
81 Postofix-PU Pcs APBD
82 Silk No. 2/0 (Gabler) Pcs APBD
83 Silk No. 3/0 (Gabler) Pcs APBD
84 Silk No. 4/0 Pcs APBD
85 Sungkup Oksigen Bayi Pcs APBD
86 Sungkup Oksigen Anak Pcs APBD
87 Sungkup Oksigen Dewasa Pcs APBD
88 Tape Fescoplast 2.5 cm x 4,5 M Roll APBD
89 Tape Fescoplast 5 cm x 4.5 M Roll APBD
90 Tro-Venoflow 3-way Pcs APBD
91 T-Silk/Sutra 3-0, 76 cm Pcs APBD
92 T-Silk/Sutra 2-0, 76 cm Reverse Cutting, 3/8 circle, 26 mm Pcs APBD
93 T-Vio Episiotomy 2-0, 110 cm, TC, 1/2C, 35 MM Pcs APBD
94 T-Handrub Chlorhexidine 500 ml Botol APBD
95 Umbilical Cord Klem Steril Nylon Pcs APBD
96 Urine Bag Pcs APBD
REAGENSIA
1 Reagen Golongan darah Anti B vial JKN
2 Reagen Golongan darah Anti A vial JKN
3 Reagen HCl 0.1 botol JKN
4 Reagen Larutan turk botol JKN
5 Reagen Leukosit botol JKN
6 Reagen Thrombosit botol JKN
7 Reagen Widal Paket JKN
8 Reagen Zn Paket APBD
9 Urine Analyzer paket JKN
BAHAN GIGI
1 Artikulating Paper Buku JKN
2 Bur High Speed Kotak JKN
3 Bur Low Speed Kotak JKN
4 Cavit / Dentorit Pot JKN
5 Celluloid strip Set JKN
6 Cresopen - 13 ml Botol JKN
7 Dentin Conditioner Botol JKN
8 Devitalisasi Pasta (Non Arsen) Btl / ktk JKN
9 Disclosing Agent Tube JKN
10 Disposible saliva ejektor Bungkus @ 100 pcs JKN
11 Etil Chlorida spray - 100 ml Botol JKN
12 Eugenol cairan Botol JKN
13 Glass Ionomer Radiopak / Fuji VII Set JKN
14 Glass Ionomer Cement ART / Fuji IX / Ketac Molar Set JKN
15 Kalsium Hidroksida pasta / Calcidor / Dycal Set JKN
16 Macro gold + propylen + EDTA Set JKN
17 Oil Spray Botol JKN
Obat Anestesi Lokal Injeksi ( Lidokain HCl 20 ml + Adrenalin
18 Ampul JKN
12.5 mcg ) / Pehacain
19 Pulperyl Botol JKN
20 Spon Gelatin Cubicels / Spongostan/ Haemospon Pcs JKN
21 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan Set JKN
22 Tetric N Ceram Paket JKN
23 Tetric N Ceram Refill (A2, A3, A3,5) - 3,5 gr Tube JKN
24 Tetric Bonding - 6 gr Botol JKN
25 Tetric Etch Refill - 2 gr Tube JKN
26 Trikresol Formalin (TKF) Botol JKN
27 Xylestesin Adrenalin injeksi / Scandonest Ampul JKN
28 Xylestesin Non Adrenalin injeksi Ampul JKN
29 CHKM Botol JKN
30 Iodoform/Mumifying pasta Botol JKN

Bantaeng, 2 Desember 2021

Mengetahui, Pengelola Obat,

Kepala Puskesmas

Ernawaty, S.ST., SKM Qurratul Aeni,S.Farm., Apt

NIP. 19681221 198903 2 007 NIP. 19920915 201903 2 023
 DATA KLASIFIKASI PERBEKALAN FARMASI
SUMBER DANA APBD DAN JKN
PUSKESMAS BISSAPPU
TAHUN 2022

BULAN : FEBRUARI 2021

NO NAMA BARANG SATUAN

OBAT-OBATAN
A. TABLET/KAPLET/KAPSUL
1 Albendazole 400 mg Tablet
2 Allopurinol 100 mg Tablet
3 Ambroxol 30 mg Tablet
4 Amlodipin 5 mg Tablet
5 Amlodipin 10 mg Tablet
6 Amoksisilin 500 mg Tablet
7 Antasida Doen Tablet
8 Asam Folat 0,4 mg Tablet
9 Asam Mefenamat 500 mg Tablet
10 Asetyl Cystein 200 mg Tablet
11 Asiklovir 400 mg Tablet
12 Asetosal (Miniaspi 80 mg) Tablet
13 Bisakodil Tablet
14 Betahistine24 mg Tablet
15 Captopril 12,5 mg Tablet
16 Carbamazepin 200 mg Tablet
17 Cefadroxil 250 mg Kapsul
18 Cetirizine 10 mg Tablet
19 Chlorfeniramina Maleat (CTM) 4 mg Tablet
20 Ciprofloxacin 500 mg Tablet
21 Cotrimoxazole 480 mg Tablet
22 Deksametason 0,5 mg Tablet
23 Domperidon 10 mg Tablet
24 Eritromisin 250 mg Paket
25 Eritromisin 500 mg Tablet
26 Evafirenz 600 mg Tablet
27 FDC KAT Anak Paket
28 FDC KAT I Paket
29 Fitomenadion (Vit. K1) 10 mg Tablet
30 Furosemid 40 mg Tablet
31 Favipiravir 200 mg Tablet
32 Garam Oralit Sachet
33 Glibenklamid 5 mg Tablet
 34 Herbacold Tablet
35 Ibuprofen 400 mg Tablet
36 Isosorbid Dinitrat 5 mg Tablet
37 Kalsium Laktat (Kalk) 500 mg Tablet
38 Ketokonazole 200 mg Tablet
39 Lansoprasole Kapsul
40 Loperamid 2 mg Tablet
41 Metformin 500 mg Tablet
42 Metilergometrin 0,125 mg Tablet
43 Metilprednisolon 4 mg Tablet
44 Metoklopramide 10 mg Tablet
45 Multivitamin (Meviton) Tablet
46 Metrodinazole 500 mg Tablet
47 Natrium diklofenak 25 mg Tablet
48 Nifedipin Tablet
49 Nystatin 500.000IU Tablet
50 Nystatin tablet vagina 100.000 IU Tablet
51 Nevirapine 200 mg Tablet
52 Paracetamol 500 mg Tablet
53 Primaquin Tablet
54 Ranitidin 150 mg Tablet

NO NAMA BARANG SATUAN

55 Salbutamol 2 mg Tablet
56 Simvastatin 20 mg Tablet
57 Tablet Tambah Darah Tablet
58 Tenolam-E Tablet
59 Vitamin A (Retinol) 100.000 IU Kapsul
60 Vitamin A (Retinol) 200.000 IU Kapsul
61 Vitamin B Complex Tablet
62 Vitamin B1 (Thiamin) Tablet
63 Vitamin B12 (Sianokobalamin) Tablet
64 Vitamin B6 (Piridoksin) Tablet
65 Vitamin C 50 mg Tablet
66 Vitamin D Tablet
67 Zinc 20 mg Tablet
68 Zidovudine 100 mg + Lamivudine Tablet
B. SIRUP
69 Amoksisillin sirup kering 250 mg Botol
70 Antasida Suspensi Botol
71 Cotrimoksazole Sirup 60 ml Botol
72 Herbakof Sirup Botol
73 Ibuprofen Suspensi 200 mg/ 5 ml Botol
74 Parasetamol drop Botol
75 Parasetamol sirup 120 mg /5 ml Botol
76 Stimuno Sirup Botol
C. INJEKSI & INFUS
77 Neurosanbe Ampul
 78 Ampicillin inj Vial
79 Antalgin (Metamizole sodium) Ampul
80 Aqua Pro Injeksi Vial
81 Asam Traneksamat Ampul
82 Asering Infus Botol
83 Fitomenadion (Vit. K1) Injeksi 10 mg/ml Ampul
84 Glukosa 10 % Infus Botol 500 ml
85 Hyocine Butylbromide inj Ampul
86 KA-EN 3B Botol
87 Lidocain inj 2 % Ampul

NO NAMA BARANG SATUAN

88 Metilergometrin inj Ampul

89 NaCl 0,9 % Infus Botol 500 ml
90 Oksitocin inj 10 ui/ml Ampul
91 Ondansetron HCl Ampul
92 Ranitidine HCl inj. Ampul
93 Ringer Laktat Infus Botol 500 ml
D. OBAT LUAR
94 Antihemoroid Supp
95 As. Sal + Bel. Endap (2 - 4 Salep) Pot
96 Antifungi DOEN (ac.salicylicum+ac.Benzoicum) Pot
97 Asiklovir Cr Tube
98 Bedak salicyl pot
99 Betametason krim 0,1% Tube
100 Chloramfenikol Tetes Telinga Botol
101 Gentamicin 0,1 % Salep Kulit Tube
102 Gentamisin Tetes Mata Botol
103 Gentamicin salep mata Tube
104 Hidrokortison krim 2,5% Tube
105 Ketokenazole Cr 2 % Tube
BMHP (Bahan Medis Habis Pakai)

1 Alkohol 70% Botol 1 Liter

2 Alkohol Swab Kotak
3 ARM Sling M Pcs
4 ARM Sling L Pcs
5 Alkazime sachet 25 mg Sachet
6 Alkacide 1 L High Level Disinfectant botol
7 Cannofix-PU Pcs
8 Cannula Oksigen Bayi Pcs
9 Cannula Oksigen Anak Pcs
10 Cannula Oksigen Dewasa Pcs
11 Crhomic No. 2/0 (Gabler) Pcs
12 Crhomic No. 3/0 (Gabler) Pcs
13 Crhomic No. 4/0 (Gabler) Pcs
14 Catgut Plain No. 2/0 Pcs
15 Catgut Plain No. 3/0 Pcs
16 Cavidagel 15g Tube
17 Dermafix 10 x 15 Pcs
18 Disposable (Spoit) 1 cc Pcs
19 Disposable (Spoit) 3 cc Pcs
20 Disposable (Spoit) 5 cc Pcs
21 Disposable (Spoit) 10 cc Pcs
22 Dental BIP Pack
23 Ethyl Chloride Botol
24 Fescopore 2,5 x 910 cm roll
25 Foley Catheter No. 18 Pcs
26 Foley Catheter No. 20 Pcs
27 Foley Catheter No. 22 Pcs
28 Foley Catheter No, 24 Pcs
29 Hanschoen Gynecolog Glove No. 6,5 Pasang
30 Hanschoen Gynecolog Glove No. 7 Pasang
31 Hanschoen Gynecolog Glove No. 7,5 Pasang
32 Hanschoen Gynecolog Glove No. 8 Pasang
33 Hanschoen Gynecolog Glove No. 8,5 Pasang
34 Handschoen Steril Free Powder No. 6,5 Pasang
35 Handschoen Steril Free Powder No. 7 Pasang
36 Handschoen Steril Free Powder No. 7,5 Pasang
37 Handschoen Steril Free Powder No. 8 Pasang
38 Handschoen Non Steril S Pcs
39 Handschoen Non Steril M Pcs
40 Handschoen Non Steril L Pcs
41 I.V. Catheter No. 18 Pcs
42 I.V. Catheter No. 20 Pcs
43 I.V. Catheter No. 22 Pcs
44 I.V. Catheter No. 24 Pcs
45 I.V. Catheter No. 26 (Troge Medical) Pcs
46 Infus Set Makro (Dewasa) Pcs
47 Infus Set Mikro (Anak) Pcs
48 Jelly Catheter Tube
49 Jelly USG Botol
50 Kapas 250 g Roll
51 Kapas Berlemak 500 g Roll
52 Kapas 1000 g Roll
53 Kasa Hidrofil 40 m x 80 cm Roll
54 Kasa Kompres 40 x 40 cm Pcs
55 Kasa Steril 16 x 16 cm Ktk
56 Kasa Pembalut Hydrofil 4 x 5 cm Roll
57 Kasa Pembalut Hydrofil 4 x 10 cm Roll
58 Kasa Pembalut Hydrofil 4 x 15 cm Roll
59 Lysol larutan 1 liter Botol
60 Masker Earloop Pcs
61 Masker Headloop 3 Ply (Masker Hijab) Pcs
62 Masker Tali Pcs
 63 Nasal Oxigen M Pcs
64 Nasal Oxigen L Pcs
65 Nylon Non Absorbable 5/0 Pcs
66 Optime 4/0 Pcs
67 Optime 5/0, 1/2 TP 18 mm, 75 cm Pcs
68 Optime 5/0, 3/8 TP 13 mm, 75 cm Pcs
69 One Scrub 5 Liter Botol
70 One Scrub 500 ml Botol
71 One Test Hamil Pcs
72 Plesterin 10 cm x 5 m Pcs
73 Plesterin 5 cm x 5 m Set
74 Pot Urine Pot
75 Pot Dahak Steril Pot
76 Paper Tape 2,5 cm x 9,14 m Roll
77 Paper Tape 5,0 cm x 9,14 m Roll
78 Pharmafix ( 5 cm x 500 cm ) Roll
79 Pharmafix ( 10 cm x 500 cm ) Roll
80 Pharmafix ( 15 cm x 500 cm ) Roll
81 Postofix-PU Pcs
82 Silk No. 2/0 (Gabler) Pcs
83 Silk No. 3/0 (Gabler) Pcs
84 Silk No. 4/0 Pcs
85 Sungkup Oksigen Bayi Pcs
86 Sungkup Oksigen Anak Pcs
87 Sungkup Oksigen Dewasa Pcs
88 Tape Fescoplast 2.5 cm x 4,5 M Roll
89 Tape Fescoplast 5 cm x 4.5 M Roll
90 Tro-Venoflow 3-way Pcs
91 T-Silk/Sutra 3-0, 76 cm Pcs
92 T-Silk/Sutra 2-0, 76 cm Reverse Cutting, 3/8 circle, 26 mm Pcs
93 T-Vio Episiotomy 2-0, 110 cm, TC, 1/2C, 35 MM Pcs
94 T-Handrub Chlorhexidine 500 ml Botol
95 Umbilical Cord Klem Steril Nylon Pcs
96 Urine Bag Pcs
REAGENSIA
1 Reagen Golongan darah Anti B vial
2 Reagen Golongan darah Anti A vial
3 Reagen HCl 0.1 botol
4 Reagen Larutan turk botol
5 Reagen Leukosit botol
6 Reagen Thrombosit botol
7 Reagen Widal Paket
8 Reagen Zn Paket
9 Urine Analyzer paket

BAHAN GIGI
1 Artikulating Paper Buku
2 Bur High Speed Kotak
3 Bur Low Speed Kotak
4 Cavit / Dentorit Pot
5 Celluloid strip Set
6 Cresopen - 13 ml Botol
7 Dentin Conditioner Botol
8 Devitalisasi Pasta (Non Arsen) Btl / ktk
9 Disclosing Agent Tube
10 Disposible saliva ejektor Bungkus @ 100 pcs
11 Etil Chlorida spray - 100 ml Botol
12 Eugenol cairan Botol
13 Glass Ionomer Radiopak / Fuji VII Set
14 Glass Ionomer Cement ART / Fuji IX / Ketac Molar Set
15 Kalsium Hidroksida pasta / Calcidor / Dycal Set
16 Macro gold + propylen + EDTA Set
17 Oil Spray Botol
Obat Anestesi Lokal Injeksi ( Lidokain HCl 20 ml + Adrenalin
18 Ampul
12.5 mcg ) / Pehacain
19 Pulperyl Botol
20 Spon Gelatin Cubicels / Spongostan/ Haemospon Pcs
21 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan Set
22 Tetric N Ceram Paket
23 Tetric N Ceram Refill (A2, A3, A3,5) - 3,5 gr Tube
24 Tetric Bonding - 6 gr Botol
25 Tetric Etch Refill - 2 gr Tube
26 Trikresol Formalin (TKF) Botol
27 Xylestesin Adrenalin injeksi / Scandonest Ampul
28 Xylestesin Non Adrenalin injeksi Ampul
29 CHKM Botol
30 Iodoform/Mumifying pasta Botol

Mengetahui,
Kepala Puskesmas

Ernawaty, S.ST., SKM

NIP. 19681221 198903 2 007
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APBD
APBD
APBD

JKN
JKN
JKN
JKN
JKN
JKN
JKN
APBD
JKN

JKN
JKN
 JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN

Pengelola Obat,

Qurratul Aeni,S.Farm., Apt

NIP. 19920915 201903 2 023
 DATA KLASIFIKASI PERBEKALAN FARMASI
SUMBER DANA APBD DAN JKN
PUSKESMAS BISSAPPU
TAHUN 2022

BULAN : MARET 2021

NO NAMA BARANG SATUAN

OBAT-OBATAN
A. TABLET/KAPLET/KAPSUL
1 Albendazole 400 mg Tablet
2 Allopurinol 100 mg Tablet
3 Ambroxol 30 mg Tablet
4 Amlodipin 5 mg Tablet
5 Amlodipin 10 mg Tablet
6 Amoksisilin 500 mg Tablet
7 Antasida Doen Tablet
8 Asam Folat 0,4 mg Tablet
9 Asam Mefenamat 500 mg Tablet
10 Asetyl Cystein 200 mg Tablet
11 Asiklovir 400 mg Tablet
12 Asetosal (Miniaspi 80 mg) Tablet
13 Bisakodil Tablet
14 Betahistine 24 mg Tablet
15 Captopril 12,5 mg Tablet
16 Carbamazepin 200 mg Tablet
17 Cefadroxil 250 mg Kapsul
18 Cetirizine 10 mg Tablet
19 Chlorfeniramina Maleat (CTM) 4 mg Tablet
20 Ciprofloxacin 500 mg Tablet
21 Cotrimoxazole 480 mg Tablet
22 Deksametason 0,5 mg Tablet
23 Domperidon 10 mg Tablet
24 Eritromisin 250 mg Paket
25 Eritromisin 500 mg Tablet
26 Evafirenz 600 mg Tablet
27 FDC KAT Anak Paket
28 FDC KAT I Paket
29 Fitomenadion (Vit. K1) 10 mg Tablet
30 Furosemid 40 mg Tablet
31 Favipiravir 200 mg Tablet
32 Garam Oralit Sachet
33 Glibenklamid 5 mg Tablet
 34 Herbacold Tablet
35 Ibuprofen 400 mg Tablet
36 Isosorbid Dinitrat 5 mg Tablet
37 Kalsium Laktat (Kalk) 500 mg Tablet
38 Ketokonazole 200 mg Tablet
39 Lansoprasole Kapsul
40 Loperamid 2 mg Tablet
41 Metformin 500 mg Tablet
42 Metilergometrin 0,125 mg Tablet
43 Metilprednisolon 4 mg Tablet
44 Metoklopramide 10 mg Tablet
45 Multivitamin (Meviton) Tablet
46 Metrodinazole 500 mg Tablet
47 Natrium diklofenak 25 mg Tablet
48 Nifedipin Tablet
49 Nystatin 500.000IU Tablet
50 Nystatin tablet vagina 100.000 IU Tablet
51 Nevirapine 200 mg Tablet
52 Paracetamol 500 mg Tablet
53 Primaquin Tablet
54 Ranitidin 150 mg Tablet

NO NAMA BARANG SATUAN

55 Salbutamol 2 mg Tablet
56 Simvastatin 20 mg Tablet
57 Tablet Tambah Darah Tablet
58 Tenolam-E Tablet
59 Vitamin A (Retinol) 100.000 IU Kapsul
60 Vitamin A (Retinol) 200.000 IU Kapsul
61 Vitamin B Complex Tablet
62 Vitamin B1 (Thiamin) Tablet
63 Vitamin B12 (Sianokobalamin) Tablet
64 Vitamin B6 (Piridoksin) Tablet
65 Vitamin C 50 mg Tablet
66 Vitamin D Tablet
67 Zinc 20 mg Tablet
68 Zidovudine 100 mg + Lamivudine Tablet
B. SIRUP
69 Amoksisillin sirup kering 250 mg Botol
70 Antasida Suspensi Botol
71 Cotrimoksazole Sirup 60 ml Botol
72 Herbakof Sirup Botol
73 Ibuprofen Suspensi 200 mg/ 5 ml Botol
74 Parasetamol drop Botol
75 Parasetamol sirup 120 mg /5 ml Botol
76 Stimuno Sirup Botol
C. INJEKSI & INFUS
77 Neurosanbe Ampul
 78 Ampicillin inj Vial
79 Antalgin (Metamizole sodium) Ampul
80 Aqua Pro Injeksi Vial
81 Asam Traneksamat Ampul
82 Asering Infus Botol
83 Fitomenadion (Vit. K1) Injeksi 10 mg/ml Ampul
84 Glukosa 10 % Infus Botol 500 ml
85 Hyocine Butylbromide inj Ampul
86 KA-EN 3B Botol
87 Lidocain inj 2 % Ampul

NO NAMA BARANG SATUAN

88 Metilergometrin inj Ampul

89 NaCl 0,9 % Infus Botol 500 ml
90 Oksitocin inj 10 ui/ml Ampul
91 Ondansetron HCl Ampul
92 Ranitidine HCl inj. Ampul
93 Ringer Laktat Infus Botol 500 ml
D. OBAT LUAR
94 Antihemoroid Supp
95 As. Sal + Bel. Endap (2 - 4 Salep) Pot
96 Antifungi DOEN (ac.salicylicum+ac.Benzoicum) Pot
97 Asiklovir Cr Tube
98 Bedak salicyl pot
99 Betametason krim 0,1% Tube
100 Chloramfenikol Tetes Telinga Botol
101 Gentamicin 0,1 % Salep Kulit Tube
102 Gentamisin Tetes Mata Botol
103 Gentamicin salep mata Tube
104 Hidrokortison krim 2,5% Tube
105 Ketokenazole Cr 2 % Tube
BMHP (Bahan Medis Habis Pakai)

1 Alkohol 70% Botol 1 Liter

2 Alkohol Swab Kotak
3 ARM Sling M Pcs
4 ARM Sling L Pcs
5 Alkazime sachet 25 mg Sachet
6 Alkacide 1 L High Level Disinfectant botol
7 Cannofix-PU Pcs
8 Cannula Oksigen Bayi Pcs
9 Cannula Oksigen Anak Pcs
10 Cannula Oksigen Dewasa Pcs
11 Crhomic No. 2/0 (Gabler) Pcs
12 Crhomic No. 3/0 (Gabler) Pcs
13 Crhomic No. 4/0 (Gabler) Pcs
14 Catgut Plain No. 2/0 Pcs
15 Catgut Plain No. 3/0 Pcs
16 Cavidagel 15g Tube
17 Dermafix 10 x 15 Pcs
18 Disposable (Spoit) 1 cc Pcs
19 Disposable (Spoit) 3 cc Pcs
20 Disposable (Spoit) 5 cc Pcs
21 Disposable (Spoit) 10 cc Pcs
22 Dental BIP Pack
23 Ethyl Chloride Botol
24 Fescopore 2,5 x 910 cm roll
25 Foley Catheter No. 18 Pcs
26 Foley Catheter No. 20 Pcs
27 Foley Catheter No. 22 Pcs
28 Foley Catheter No, 24 Pcs
29 Hanschoen Gynecolog Glove No. 6,5 Pasang
30 Hanschoen Gynecolog Glove No. 7 Pasang
31 Hanschoen Gynecolog Glove No. 7,5 Pasang
32 Hanschoen Gynecolog Glove No. 8 Pasang
33 Hanschoen Gynecolog Glove No. 8,5 Pasang
34 Handschoen Steril Free Powder No. 6,5 Pasang
35 Handschoen Steril Free Powder No. 7 Pasang
36 Handschoen Steril Free Powder No. 7,5 Pasang
37 Handschoen Steril Free Powder No. 8 Pasang
38 Handschoen Non Steril S Pcs
39 Handschoen Non Steril M Pcs
40 Handschoen Non Steril L Pcs
41 I.V. Catheter No. 18 Pcs
42 I.V. Catheter No. 20 Pcs
43 I.V. Catheter No. 22 Pcs
44 I.V. Catheter No. 24 Pcs
45 I.V. Catheter No. 26 (Troge Medical) Pcs
46 Infus Set Makro (Dewasa) Pcs
47 Infus Set Mikro (Anak) Pcs
48 Jelly Catheter Tube
49 Jelly USG Botol
50 Kapas 250 g Roll
51 Kapas Berlemak 500 g Roll
52 Kapas 1000 g Roll
53 Kasa Hidrofil 40 m x 80 cm Roll
54 Kasa Kompres 40 x 40 cm Pcs
55 Kasa Steril 16 x 16 cm Ktk
56 Kasa Pembalut Hydrofil 4 x 5 cm Roll
57 Kasa Pembalut Hydrofil 4 x 10 cm Roll
58 Kasa Pembalut Hydrofil 4 x 15 cm Roll
59 Lysol larutan 1 liter Botol
60 Masker Earloop Pcs
61 Masker Headloop 3 Ply (Masker Hijab) Pcs
62 Masker Tali Pcs
 63 Nasal Oxigen M Pcs
64 Nasal Oxigen L Pcs
65 Nylon Non Absorbable 5/0 Pcs
66 Optime 4/0 Pcs
67 Optime 5/0, 1/2 TP 18 mm, 75 cm Pcs
68 Optime 5/0, 3/8 TP 13 mm, 75 cm Pcs
69 One Scrub 5 Liter Botol
70 One Scrub 500 ml Botol
71 One Test Hamil Pcs
72 Plesterin 10 cm x 5 m Pcs
73 Plesterin 5 cm x 5 m Set
74 Pot Urine Pot
75 Pot Dahak Steril Pot
76 Paper Tape 2,5 cm x 9,14 m Roll
77 Paper Tape 5,0 cm x 9,14 m Roll
78 Pharmafix ( 5 cm x 500 cm ) Roll
79 Pharmafix ( 10 cm x 500 cm ) Roll
80 Pharmafix ( 15 cm x 500 cm ) Roll
81 Postofix-PU Pcs
82 Silk No. 2/0 (Gabler) Pcs
83 Silk No. 3/0 (Gabler) Pcs
84 Silk No. 4/0 Pcs
85 Sungkup Oksigen Bayi Pcs
86 Sungkup Oksigen Anak Pcs
87 Sungkup Oksigen Dewasa Pcs
88 Tape Fescoplast 2.5 cm x 4,5 M Roll
89 Tape Fescoplast 5 cm x 4.5 M Roll
90 Tro-Venoflow 3-way Pcs
91 T-Silk/Sutra 3-0, 76 cm Pcs
92 T-Silk/Sutra 2-0, 76 cm Reverse Cutting, 3/8 circle, 26 mm Pcs
93 T-Vio Episiotomy 2-0, 110 cm, TC, 1/2C, 35 MM Pcs
94 T-Handrub Chlorhexidine 500 ml Botol
95 Umbilical Cord Klem Steril Nylon Pcs
96 Urine Bag Pcs
REAGENSIA
1 Reagen Golongan darah Anti B vial
2 Reagen Golongan darah Anti A vial
3 Reagen HCl 0.1 botol
4 Reagen Larutan turk botol
5 Reagen Leukosit botol
6 Reagen Thrombosit botol
7 Reagen Widal Paket
8 Reagen Zn Paket
9 Urine Analyzer paket

BAHAN GIGI
1 Artikulating Paper Buku
2 Bur High Speed Kotak
3 Bur Low Speed Kotak
4 Cavit / Dentorit Pot
5 Celluloid strip Set
6 Cresopen - 13 ml Botol
7 Dentin Conditioner Botol
8 Devitalisasi Pasta (Non Arsen) Btl / ktk
9 Disclosing Agent Tube
10 Disposible saliva ejektor Bungkus @ 100 pcs
11 Etil Chlorida spray - 100 ml Botol
12 Eugenol cairan Botol
13 Glass Ionomer Radiopak / Fuji VII Set
14 Glass Ionomer Cement ART / Fuji IX / Ketac Molar Set
15 Kalsium Hidroksida pasta / Calcidor / Dycal Set
16 Macro gold + propylen + EDTA Set
17 Oil Spray Botol
Obat Anestesi Lokal Injeksi ( Lidokain HCl 20 ml + Adrenalin
18 Ampul
12.5 mcg ) / Pehacain
19 Pulperyl Botol
20 Spon Gelatin Cubicels / Spongostan/ Haemospon Pcs
21 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan Set
22 Tetric N Ceram Paket
23 Tetric N Ceram Refill (A2, A3, A3,5) - 3,5 gr Tube
24 Tetric Bonding - 6 gr Botol
25 Tetric Etch Refill - 2 gr Tube
26 Trikresol Formalin (TKF) Botol
27 Xylestesin Adrenalin injeksi / Scandonest Ampul
28 Xylestesin Non Adrenalin injeksi Ampul
29 CHKM Botol
30 Iodoform/Mumifying pasta Botol

Mengetahui,
Kepala Puskesmas

Ernawaty, S.ST., SKM

NIP. 19681221 198903 2 007
 FARMASI
JKN
U

SUMBER DANA

APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
APBD
APBD
 APBD
JKN
APBD
APBD
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
JKN
APBD
APBD
APBD
JKN
APBD
JKN

SUMBER DANA

JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
JKN
JKN
APBD
JKN
APBD

APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD

JKN
 APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN

SUMBER DANA

APBD
APBD
APBD
JKN
APBD
APBD

APBD
APBD
APBD
JKN
JKN
JKN
JKN
JKN
APBD
APBD
APBD
APBD

APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
JKN
APBD
APBD
APBD
JKN
APBD
JKN
JKN
JKN
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN
JKN
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD

JKN
JKN
JKN
JKN
JKN
JKN
JKN
APBD
JKN

JKN
JKN
 JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN

Pengelola Obat,

Qurratul Aeni,S.Farm., Apt

NIP. 19920915 201903 2 023
 DATA KLASIFIKASI PERBEKALAN FARMASI
SUMBER DANA APBD DAN JKN
PUSKESMAS BISSAPPU
TAHUN 2022

BULAN : APRIL 2021

NO NAMA BARANG SATUAN

OBAT-OBATAN
A. TABLET/KAPLET/KAPSUL
1 Albendazole 400 mg Tablet
2 Allopurinol 100 mg Tablet
3 Ambroxol 30 mg Tablet
4 Amlodipin 5 mg Tablet
5 Amlodipin 10 mg Tablet
6 Amoksisilin 500 mg Tablet
7 Antasida Doen Tablet
8 Asam Folat 0,4 mg Tablet
9 Asam Mefenamat 500 mg Tablet
10 Asetyl Cystein 200 mg Tablet
11 Asiklovir 400 mg Tablet
12 Asetosal (Miniaspi 80 mg) Tablet
13 Bisakodil Tablet
14 Betahistine 24 mg Tablet
15 Captopril 12,5 mg Tablet
16 Carbamazepin 200 mg Tablet
17 Cefadroxil 250 mg Kapsul
18 Cetirizine 10 mg Tablet
19 Chlorfeniramina Maleat (CTM) 4 mg Tablet
20 Ciprofloxacin 500 mg Tablet
21 Cotrimoxazole 480 mg Tablet
22 Deksametason 0,5 mg Tablet
23 Domperidon 10 mg Tablet
24 Eritromisin 250 mg Paket
25 Eritromisin 500 mg Tablet
26 Evafirenz 600 mg Tablet
27 FDC KAT Anak Paket
28 FDC KAT I Paket
29 Fitomenadion (Vit. K1) 10 mg Tablet
30 Furosemid 40 mg Tablet
31 Favipiravir 200 mg Tablet
32 Garam Oralit Sachet
33 Glibenklamid 5 mg Tablet
 34 Herbacold Tablet
35 Ibuprofen 400 mg Tablet
36 Isosorbid Dinitrat 5 mg Tablet
37 Kalsium Laktat (Kalk) 500 mg Tablet
38 Ketokonazole 200 mg Tablet
39 Lansoprasole Kapsul
40 Loperamid 2 mg Tablet
41 Metformin 500 mg Tablet
42 Metilergometrin 0,125 mg Tablet
43 Metilprednisolon 4 mg Tablet
44 Metoklopramide 10 mg Tablet
45 Multivitamin (Meviton) Tablet
46 Metrodinazole 500 mg Tablet
47 Natrium diklofenak 25 mg Tablet
48 Nifedipin Tablet
49 Nystatin 500.000IU Tablet
50 Nystatin tablet vagina 100.000 IU Tablet
51 Nevirapine 200 mg Tablet
52 Paracetamol 500 mg Tablet
53 Primaquin Tablet
54 Ranitidin 150 mg Tablet

NO NAMA BARANG SATUAN

55 Salbutamol 2 mg Tablet
56 Simvastatin 20 mg Tablet
57 Tablet Tambah Darah Tablet
58 Tenolam-E Tablet
59 Vitamin A (Retinol) 100.000 IU Kapsul
60 Vitamin A (Retinol) 200.000 IU Kapsul
61 Vitamin B Complex Tablet
62 Vitamin B1 (Thiamin) Tablet
63 Vitamin B12 (Sianokobalamin) Tablet
64 Vitamin B6 (Piridoksin) Tablet
65 Vitamin C 50 mg Tablet
66 Vitamin D Tablet
67 Zinc 20 mg Tablet
68 Zidovudine 100 mg + Lamivudine Tablet
B. SIRUP
69 Amoksisillin sirup kering 250 mg Botol
70 Antasida Suspensi Botol
71 Cotrimoksazole Sirup 60 ml Botol
72 Herbakof Sirup Botol
73 Ibuprofen Suspensi 200 mg/ 5 ml Botol
74 Parasetamol drop Botol
75 Parasetamol sirup 120 mg /5 ml Botol
76 Stimuno Sirup Botol
C. INJEKSI & INFUS
77 Neurosanbe Ampul
 78 Ampicillin inj Vial
79 Antalgin (Metamizole sodium) Ampul
80 Aqua Pro Injeksi Vial
81 Asam Traneksamat Ampul
82 Asering Infus Botol
83 Fitomenadion (Vit. K1) Injeksi 10 mg/ml Ampul
84 Glukosa 10 % Infus Botol 500 ml
85 Hyocine Butylbromide inj Ampul
86 KA-EN 3B Botol
87 Lidocain inj 2 % Ampul

NO NAMA BARANG SATUAN

88 Metilergometrin inj Ampul

89 NaCl 0,9 % Infus Botol 500 ml
90 Oksitocin inj 10 ui/ml Ampul
91 Ondansetron HCl Ampul
92 Ranitidine HCl inj. Ampul
93 Ringer Laktat Infus Botol 500 ml
D. OBAT LUAR
94 Antihemoroid Supp
95 As. Sal + Bel. Endap (2 - 4 Salep) Pot
96 Antifungi DOEN (ac.salicylicum+ac.Benzoicum) Pot
97 Asiklovir Cr Tube
98 Bedak salicyl pot
99 Betametason krim 0,1% Tube
100 Chloramfenikol Tetes Telinga Botol
101 Gentamicin 0,1 % Salep Kulit Tube
102 Gentamisin Tetes Mata Botol
103 Gentamicin salep mata Tube
104 Hidrokortison krim 2,5% Tube
105 Ketokenazole Cr 2 % Tube
BMHP (Bahan Medis Habis Pakai)

1 Alkohol 70% Botol 1 Liter

2 Alkohol Swab Kotak
3 ARM Sling M Pcs
4 ARM Sling L Pcs
5 Alkazime sachet 25 mg Sachet
6 Alkacide 1 L High Level Disinfectant botol
7 Cannofix-PU Pcs
8 Cannula Oksigen Bayi Pcs
9 Cannula Oksigen Anak Pcs
10 Cannula Oksigen Dewasa Pcs
11 Crhomic No. 2/0 (Gabler) Pcs
12 Crhomic No. 3/0 (Gabler) Pcs
13 Crhomic No. 4/0 (Gabler) Pcs
14 Catgut Plain No. 2/0 Pcs
15 Catgut Plain No. 3/0 Pcs
16 Cavidagel 15g Tube
17 Dermafix 10 x 15 Pcs
18 Disposable (Spoit) 1 cc Pcs
19 Disposable (Spoit) 3 cc Pcs
20 Disposable (Spoit) 5 cc Pcs
21 Disposable (Spoit) 10 cc Pcs
22 Dental BIP Pack
23 Ethyl Chloride Botol
24 Fescopore 2,5 x 910 cm roll
25 Foley Catheter No. 18 Pcs
26 Foley Catheter No. 20 Pcs
27 Foley Catheter No. 22 Pcs
28 Foley Catheter No, 24 Pcs
29 Hanschoen Gynecolog Glove No. 6,5 Pasang
30 Hanschoen Gynecolog Glove No. 7 Pasang
31 Hanschoen Gynecolog Glove No. 7,5 Pasang
32 Hanschoen Gynecolog Glove No. 8 Pasang
33 Hanschoen Gynecolog Glove No. 8,5 Pasang
34 Handschoen Steril Free Powder No. 6,5 Pasang
35 Handschoen Steril Free Powder No. 7 Pasang
36 Handschoen Steril Free Powder No. 7,5 Pasang
37 Handschoen Steril Free Powder No. 8 Pasang
38 Handschoen Non Steril S Pcs
39 Handschoen Non Steril M Pcs
40 Handschoen Non Steril L Pcs
41 I.V. Catheter No. 18 Pcs
42 I.V. Catheter No. 20 Pcs
43 I.V. Catheter No. 22 Pcs
44 I.V. Catheter No. 24 Pcs
45 I.V. Catheter No. 26 (Troge Medical) Pcs
46 Infus Set Makro (Dewasa) Pcs
47 Infus Set Mikro (Anak) Pcs
48 Jelly Catheter Tube
49 Jelly USG Botol
50 Kapas 250 g Roll
51 Kapas Berlemak 500 g Roll
52 Kapas 1000 g Roll
53 Kasa Hidrofil 40 m x 80 cm Roll
54 Kasa Kompres 40 x 40 cm Pcs
55 Kasa Steril 16 x 16 cm Ktk
56 Kasa Pembalut Hydrofil 4 x 5 cm Roll
57 Kasa Pembalut Hydrofil 4 x 10 cm Roll
58 Kasa Pembalut Hydrofil 4 x 15 cm Roll
59 Lysol larutan 1 liter Botol
60 Masker Earloop Pcs
61 Masker Headloop 3 Ply (Masker Hijab) Pcs
62 Masker Tali Pcs
 63 Nasal Oxigen M Pcs
64 Nasal Oxigen L Pcs
65 Nylon Non Absorbable 5/0 Pcs
66 Optime 4/0 Pcs
67 Optime 5/0, 1/2 TP 18 mm, 75 cm Pcs
68 Optime 5/0, 3/8 TP 13 mm, 75 cm Pcs
69 One Scrub 5 Liter Botol
70 One Scrub 500 ml Botol
71 One Test Hamil Pcs
72 Plesterin 10 cm x 5 m Pcs
73 Plesterin 5 cm x 5 m Set
74 Pot Urine Pot
75 Pot Dahak Steril Pot
76 Paper Tape 2,5 cm x 9,14 m Roll
77 Paper Tape 5,0 cm x 9,14 m Roll
78 Pharmafix ( 5 cm x 500 cm ) Roll
79 Pharmafix ( 10 cm x 500 cm ) Roll
80 Pharmafix ( 15 cm x 500 cm ) Roll
81 Postofix-PU Pcs
82 Silk No. 2/0 (Gabler) Pcs
83 Silk No. 3/0 (Gabler) Pcs
84 Silk No. 4/0 Pcs
85 Sungkup Oksigen Bayi Pcs
86 Sungkup Oksigen Anak Pcs
87 Sungkup Oksigen Dewasa Pcs
88 Tape Fescoplast 2.5 cm x 4,5 M Roll
89 Tape Fescoplast 5 cm x 4.5 M Roll
90 Tro-Venoflow 3-way Pcs
91 T-Silk/Sutra 3-0, 76 cm Pcs
92 T-Silk/Sutra 2-0, 76 cm Reverse Cutting, 3/8 circle, 26 mm Pcs
93 T-Vio Episiotomy 2-0, 110 cm, TC, 1/2C, 35 MM Pcs
94 T-Handrub Chlorhexidine 500 ml Botol
95 Umbilical Cord Klem Steril Nylon Pcs
96 Urine Bag Pcs
REAGENSIA
1 Reagen Golongan darah Anti B vial
2 Reagen Golongan darah Anti A vial
3 Reagen HCl 0.1 botol
4 Reagen Larutan turk botol
5 Reagen Leukosit botol
6 Reagen Thrombosit botol
7 Reagen Widal Paket
8 Reagen Zn Paket
9 Urine Analyzer paket

BAHAN GIGI
1 Artikulating Paper Buku
2 Bur High Speed Kotak
3 Bur Low Speed Kotak
4 Cavit / Dentorit Pot
5 Celluloid strip Set
6 Cresopen - 13 ml Botol
7 Dentin Conditioner Botol
8 Devitalisasi Pasta (Non Arsen) Btl / ktk
9 Disclosing Agent Tube
10 Disposible saliva ejektor Bungkus @ 100 pcs
11 Etil Chlorida spray - 100 ml Botol
12 Eugenol cairan Botol
13 Glass Ionomer Radiopak / Fuji VII Set
14 Glass Ionomer Cement ART / Fuji IX / Ketac Molar Set
15 Kalsium Hidroksida pasta / Calcidor / Dycal Set
16 Macro gold + propylen + EDTA Set
17 Oil Spray Botol
Obat Anestesi Lokal Injeksi ( Lidokain HCl 20 ml + Adrenalin
18 Ampul
12.5 mcg ) / Pehacain
19 Pulperyl Botol
20 Spon Gelatin Cubicels / Spongostan/ Haemospon Pcs
21 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan Set
22 Tetric N Ceram Paket
23 Tetric N Ceram Refill (A2, A3, A3,5) - 3,5 gr Tube
24 Tetric Bonding - 6 gr Botol
25 Tetric Etch Refill - 2 gr Tube
26 Trikresol Formalin (TKF) Botol
27 Xylestesin Adrenalin injeksi / Scandonest Ampul
28 Xylestesin Non Adrenalin injeksi Ampul
29 CHKM Botol
30 Iodoform/Mumifying pasta Botol

Mengetahui,
Kepala Puskesmas

Ernawaty, S.ST., SKM

NIP. 19681221 198903 2 007
 FARMASI
JKN
U

SUMBER DANA

APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
APBD
APBD
 APBD
JKN
APBD
APBD
APBD
APBD
JKN
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APBD
APBD
APBD
APBD
JKN
APBD
JKN
APBD
APBD
APBD
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APBD
JKN

SUMBER DANA

JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
JKN
JKN
APBD
JKN
APBD

APBD
APBD
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APBD
APBD
APBD
APBD
APBD

JKN
 APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN

SUMBER DANA

APBD
APBD
APBD
JKN
APBD
APBD

APBD
APBD
APBD
JKN
JKN
JKN
JKN
JKN
APBD
APBD
APBD
APBD

APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
JKN
APBD
APBD
APBD
JKN
APBD
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JKN
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APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN
JKN
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APBD
APBD
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APBD
APBD
APBD
APBD
APBD
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APBD
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APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD

JKN
JKN
JKN
JKN
JKN
JKN
JKN
APBD
JKN

JKN
JKN
 JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN

Pengelola Obat,

Qurratul Aeni,S.Farm., Apt

NIP. 19920915 201903 2 023
 DATA KLASIFIKASI PERBEKALAN FARMASI
SUMBER DANA APBD DAN JKN
PUSKESMAS BISSAPPU
TAHUN 2022

BULAN : MEI 2022

NO NAMA BARANG SATUAN

OBAT-OBATAN
A. TABLET/KAPLET/KAPSUL
1 Albendazole 400 mg Tablet
2 Allopurinol 100 mg Tablet
3 Ambroxol 30 mg Tablet
4 Amlodipin 5 mg Tablet
5 Amlodipin 10 mg Tablet
6 Amoksisilin 500 mg Tablet
7 Antasida Doen Tablet
8 Asam Folat 0,4 mg Tablet
9 Asam Mefenamat 500 mg Tablet
10 Asetyl Cystein 200 mg Tablet
11 Asiklovir 400 mg Tablet
12 Asetosal (Miniaspi 80 mg) Tablet
13 Bisakodil Tablet
14 Betahistine 24 mg Tablet
15 Captopril 12,5 mg Tablet
16 Carbamazepin 200 mg Tablet
17 Cefadroxil 250 mg Kapsul
18 Cetirizine 10 mg Tablet
19 Chlorfeniramina Maleat (CTM) 4 mg Tablet
20 Ciprofloxacin 500 mg Tablet
21 Cotrimoxazole 480 mg Tablet
22 Deksametason 0,5 mg Tablet
23 Domperidon 10 mg Tablet
24 Eritromisin 250 mg Paket
25 Eritromisin 500 mg Tablet
26 Evafirenz 600 mg Tablet
27 FDC KAT Anak Paket
28 FDC KAT I Paket
29 Fitomenadion (Vit. K1) 10 mg Tablet
30 Furosemid 40 mg Tablet
31 Favipiravir 200 mg Tablet
32 Garam Oralit Sachet
33 Glibenklamid 5 mg Tablet
 34 Herbacold Tablet
35 Ibuprofen 400 mg Tablet
36 Isosorbid Dinitrat 5 mg Tablet
37 Kalsium Laktat (Kalk) 500 mg Tablet
38 Ketokonazole 200 mg Tablet
39 Lansoprasole Kapsul
40 Loperamid 2 mg Tablet
41 Metformin 500 mg Tablet
42 Metilergometrin 0,125 mg Tablet
43 Metilprednisolon 4 mg Tablet
44 Metoklopramide 10 mg Tablet
45 Multivitamin (Meviton) Tablet
46 Metrodinazole 500 mg Tablet
47 Natrium diklofenak 25 mg Tablet
48 Nifedipin Tablet
49 Nystatin 500.000IU Tablet
50 Nystatin tablet vagina 100.000 IU Tablet
51 Nevirapine 200 mg Tablet
52 Paracetamol 500 mg Tablet
53 Primaquin Tablet
54 Ranitidin 150 mg Tablet

NO NAMA BARANG SATUAN

55 Salbutamol 2 mg Tablet
56 Simvastatin 20 mg Tablet
57 Tablet Tambah Darah Tablet
58 Tenolam-E Tablet
59 Vitamin A (Retinol) 100.000 IU Kapsul
60 Vitamin A (Retinol) 200.000 IU Kapsul
61 Vitamin B Complex Tablet
62 Vitamin B1 (Thiamin) Tablet
63 Vitamin B12 (Sianokobalamin) Tablet
64 Vitamin B6 (Piridoksin) Tablet
65 Vitamin C 50 mg Tablet
66 Vitamin D Tablet
67 Zinc 20 mg Tablet
68 Zidovudine 100 mg + Lamivudine Tablet
B. SIRUP
69 Amoksisillin sirup kering 250 mg Botol
70 Antasida Suspensi Botol
71 Cotrimoksazole Sirup 60 ml Botol
72 Herbakof Sirup Botol
73 Ibuprofen Suspensi 200 mg/ 5 ml Botol
74 Parasetamol drop Botol
75 Parasetamol sirup 120 mg /5 ml Botol
76 Stimuno Sirup Botol
C. INJEKSI & INFUS
77 Neurosanbe Ampul
 78 Ampicillin inj Vial
79 Antalgin (Metamizole sodium) Ampul
80 Aqua Pro Injeksi Vial
81 Asam Traneksamat Ampul
82 Asering Infus Botol
83 Fitomenadion (Vit. K1) Injeksi 10 mg/ml Ampul
84 Glukosa 10 % Infus Botol 500 ml
85 Hyocine Butylbromide inj Ampul
86 KA-EN 3B Botol
87 Lidocain inj 2 % Ampul

NO NAMA BARANG SATUAN

88 Metilergometrin inj Ampul

89 NaCl 0,9 % Infus Botol 500 ml
90 Oksitocin inj 10 ui/ml Ampul
91 Ondansetron HCl Ampul
92 Ranitidine HCl inj. Ampul
93 Ringer Laktat Infus Botol 500 ml
D. OBAT LUAR
94 Antihemoroid Supp
95 As. Sal + Bel. Endap (2 - 4 Salep) Pot
96 Antifungi DOEN (ac.salicylicum+ac.Benzoicum) Pot
97 Asiklovir Cr Tube
98 Bedak salicyl pot
99 Betametason krim 0,1% Tube
100 Chloramfenikol Tetes Telinga Botol
101 Gentamicin 0,1 % Salep Kulit Tube
102 Gentamisin Tetes Mata Botol
103 Gentamicin salep mata Tube
104 Hidrokortison krim 2,5% Tube
105 Ketokenazole Cr 2 % Tube
BMHP (Bahan Medis Habis Pakai)

1 Alkohol 70% Botol 1 Liter

2 Alkohol Swab Kotak
3 ARM Sling M Pcs
4 ARM Sling L Pcs
5 Alkazime sachet 25 mg Sachet
6 Alkacide 1 L High Level Disinfectant botol
7 Cannofix-PU Pcs
8 Cannula Oksigen Bayi Pcs
9 Cannula Oksigen Anak Pcs
10 Cannula Oksigen Dewasa Pcs
11 Crhomic No. 2/0 (Gabler) Pcs
12 Crhomic No. 3/0 (Gabler) Pcs
13 Crhomic No. 4/0 (Gabler) Pcs
14 Catgut Plain No. 2/0 Pcs
15 Catgut Plain No. 3/0 Pcs
16 Cavidagel 15g Tube
17 Dermafix 10 x 15 Pcs
18 Disposable (Spoit) 1 cc Pcs
19 Disposable (Spoit) 3 cc Pcs
20 Disposable (Spoit) 5 cc Pcs
21 Disposable (Spoit) 10 cc Pcs
22 Dental BIP Pack
23 Ethyl Chloride Botol
24 Fescopore 2,5 x 910 cm roll
25 Foley Catheter No. 18 Pcs
26 Foley Catheter No. 20 Pcs
27 Foley Catheter No. 22 Pcs
28 Foley Catheter No, 24 Pcs
29 Hanschoen Gynecolog Glove No. 6,5 Pasang
30 Hanschoen Gynecolog Glove No. 7 Pasang
31 Hanschoen Gynecolog Glove No. 7,5 Pasang
32 Hanschoen Gynecolog Glove No. 8 Pasang
33 Hanschoen Gynecolog Glove No. 8,5 Pasang
34 Handschoen Steril Free Powder No. 6,5 Pasang
35 Handschoen Steril Free Powder No. 7 Pasang
36 Handschoen Steril Free Powder No. 7,5 Pasang
37 Handschoen Steril Free Powder No. 8 Pasang
38 Handschoen Non Steril S Pcs
39 Handschoen Non Steril M Pcs
40 Handschoen Non Steril L Pcs
41 I.V. Catheter No. 18 Pcs
42 I.V. Catheter No. 20 Pcs
43 I.V. Catheter No. 22 Pcs
44 I.V. Catheter No. 24 Pcs
45 I.V. Catheter No. 26 (Troge Medical) Pcs
46 Infus Set Makro (Dewasa) Pcs
47 Infus Set Mikro (Anak) Pcs
48 Jelly Catheter Tube
49 Jelly USG Botol
50 Kapas 250 g Roll
51 Kapas Berlemak 500 g Roll
52 Kapas 1000 g Roll
53 Kasa Hidrofil 40 m x 80 cm Roll
54 Kasa Kompres 40 x 40 cm Pcs
55 Kasa Steril 16 x 16 cm Ktk
56 Kasa Pembalut Hydrofil 4 x 5 cm Roll
57 Kasa Pembalut Hydrofil 4 x 10 cm Roll
58 Kasa Pembalut Hydrofil 4 x 15 cm Roll
59 Lysol larutan 1 liter Botol
60 Masker Earloop Pcs
61 Masker Headloop 3 Ply (Masker Hijab) Pcs
62 Masker Tali Pcs
 63 Nasal Oxigen M Pcs
64 Nasal Oxigen L Pcs
65 Nylon Non Absorbable 5/0 Pcs
66 Optime 4/0 Pcs
67 Optime 5/0, 1/2 TP 18 mm, 75 cm Pcs
68 Optime 5/0, 3/8 TP 13 mm, 75 cm Pcs
69 One Scrub 5 Liter Botol
70 One Scrub 500 ml Botol
71 One Test Hamil Pcs
72 Plesterin 10 cm x 5 m Pcs
73 Plesterin 5 cm x 5 m Set
74 Pot Urine Pot
75 Pot Dahak Steril Pot
76 Paper Tape 2,5 cm x 9,14 m Roll
77 Paper Tape 5,0 cm x 9,14 m Roll
78 Pharmafix ( 5 cm x 500 cm ) Roll
79 Pharmafix ( 10 cm x 500 cm ) Roll
80 Pharmafix ( 15 cm x 500 cm ) Roll
81 Postofix-PU Pcs
82 Silk No. 2/0 (Gabler) Pcs
83 Silk No. 3/0 (Gabler) Pcs
84 Silk No. 4/0 Pcs
85 Sungkup Oksigen Bayi Pcs
86 Sungkup Oksigen Anak Pcs
87 Sungkup Oksigen Dewasa Pcs
88 Tape Fescoplast 2.5 cm x 4,5 M Roll
89 Tape Fescoplast 5 cm x 4.5 M Roll
90 Tro-Venoflow 3-way Pcs
91 T-Silk/Sutra 3-0, 76 cm Pcs
92 T-Silk/Sutra 2-0, 76 cm Reverse Cutting, 3/8 circle, 26 mm Pcs
93 T-Vio Episiotomy 2-0, 110 cm, TC, 1/2C, 35 MM Pcs
94 T-Handrub Chlorhexidine 500 ml Botol
95 Umbilical Cord Klem Steril Nylon Pcs
96 Urine Bag Pcs
REAGENSIA
1 Reagen Golongan darah Anti B vial
2 Reagen Golongan darah Anti A vial
3 Reagen HCl 0.1 botol
4 Reagen Larutan turk botol
5 Reagen Leukosit botol
6 Reagen Thrombosit botol
7 Reagen Widal Paket
8 Reagen Zn Paket
9 Urine Analyzer paket

BAHAN GIGI
1 Artikulating Paper Buku
2 Bur High Speed Kotak
3 Bur Low Speed Kotak
4 Cavit / Dentorit Pot
5 Celluloid strip Set
6 Cresopen - 13 ml Botol
7 Dentin Conditioner Botol
8 Devitalisasi Pasta (Non Arsen) Btl / ktk
9 Disclosing Agent Tube
10 Disposible saliva ejektor Bungkus @ 100 pcs
11 Etil Chlorida spray - 100 ml Botol
12 Eugenol cairan Botol
13 Glass Ionomer Radiopak / Fuji VII Set
14 Glass Ionomer Cement ART / Fuji IX / Ketac Molar Set
15 Kalsium Hidroksida pasta / Calcidor / Dycal Set
16 Macro gold + propylen + EDTA Set
17 Oil Spray Botol
Obat Anestesi Lokal Injeksi ( Lidokain HCl 20 ml + Adrenalin
18 Ampul
12.5 mcg ) / Pehacain
19 Pulperyl Botol
20 Spon Gelatin Cubicels / Spongostan/ Haemospon Pcs
21 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan Set
22 Tetric N Ceram Paket
23 Tetric N Ceram Refill (A2, A3, A3,5) - 3,5 gr Tube
24 Tetric Bonding - 6 gr Botol
25 Tetric Etch Refill - 2 gr Tube
26 Trikresol Formalin (TKF) Botol
27 Xylestesin Adrenalin injeksi / Scandonest Ampul
28 Xylestesin Non Adrenalin injeksi Ampul
29 CHKM Botol
30 Iodoform/Mumifying pasta Botol

Mengetahui,
Kepala Puskesmas

Ernawaty, S.ST., SKM

NIP. 19681221 198903 2 007
 FARMASI
JKN
U

SUMBER DANA

APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
JKN
APBD
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APBD
APBD
 APBD
JKN
APBD
APBD
APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
JKN
APBD
APBD
APBD
JKN
APBD
JKN

SUMBER DANA

JKN
APBD
APBD
APBD
APBD
APBD
JKN
APBD
APBD
JKN
JKN
APBD
JKN
APBD

APBD
APBD
JKN
APBD
APBD
APBD
APBD
APBD

JKN
 APBD
JKN
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN

SUMBER DANA

APBD
APBD
APBD
JKN
APBD
APBD

APBD
APBD
APBD
JKN
JKN
JKN
JKN
JKN
APBD
APBD
APBD
APBD

APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
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APBD
APBD
JKN
APBD
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APBD
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APBD
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JKN
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APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
JKN
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APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD
APBD

JKN
JKN
JKN
JKN
JKN
JKN
JKN
APBD
JKN

JKN
JKN
 JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN
JKN

Pengelola Obat,

Qurratul Aeni,S.Farm., Apt

NIP. 19920915 201903 2 023
SEPTEMBER