No.

No. SATUA STOK PENERI PERSE PEMAKA SISA

URU NAMA OBAT
T KODE N AWAL MAAN DIAAN IAN STOK
1 2 3 4 5 6 7 8 9

1 101 Acyclovir krim tube - - - - -

Acyclovir tablet -
2 102 tablet - - - - -
400 mg
Air utk Irigasi Lar
3 104 botol - - - - -
Infus 1000 ml
4 105 Alat Suntik 10 ml set - - - - -
Alat suntik sekali
5 106 set 876 - 876 65 811
pakai 1 ml
Alat suntik sekali
6 107 set 1.858 500 2.358 466 1.892
pakai 2,5 ml
Alat suntik sekali
7 108 set 53 2.500 2.553 2.145 408
pakai 5 ml
Albendazol tablet
8 109 tablet 9.000 - 9.000 959 8.041
400 mg
Alkazyme Sachet
9 110 pack - - - - -
25 mg
10 111 Alkohol 95 % botol - - - - -
Alkohol Swab
11 112 dos 2.365 500 2.865 599 2.266
(DBHCT)+(DAU)
12 113 Alopurinol tablet tablet 675 - 675 215 460
13 114 Alpara tablet - - - - -
Ambroxol sirup 60
14 115 botol - - - - -
ml
Ambroxol tablet 30
15 116 tablet - - - - -
mg
Aminofilina injeksi
16 117 ampul - 5 5 - 5
24mg/ml-10ml
Aminofilina tablet
17 118 tablet - - - - -
150 mg
Aminofilina tablet
18 119 tablet 100 200 300 - 300
200 mg
Amitriptilina HCL
19 120 tablet - - - - -
tablet 25 mg
20 121 Amlodipin 10 mg tablet 870 - 870 362 508
Amoksilin Forte
21 122 250 mg/5ml Sirup botol - - - - -
Kering
Amoksilin kaplet -
22 123 kaplet 4.547 5.000 9.547 2.970 6.577
500 mg
23 124 Amoksilin kapsul - kapsul 490 500 990 35 955
 250 mg
Amoksilin Sirup
24 125 Kering 125ml/5ml botol 220 - 220 - 220
sirup kering
Ampisilina injeksi 1
25 126 vial - - - - -
gram
26 127 Amlodipin 5 mg Tablet - 900 900 900 -
Antalgin tablet
27 128 tablet - - - - -
500mg
Antasi DOEN II
28 129 botol 106 - 106 12 94
Suspensi,Kombi
Antasida Doen
29 130 tablet 5.840 3.000 8.840 950 7.890
tablet
Anti Hemmoroid
30 131 supp - 50 50 - 50
Suppositoria
Antibakteri DOEN
31 132 (Basitrasin + tube - - - - -
Polimiksin)
Antifungi DOEN
32 133 (As Benzoat 3% pot - - - - -
+As Salisilat 6%)
Antimigren DOEN
33 134 (Ergotamina Trt + tablet - - - - -
Kofeina)
Antrain injeksi 2ml
34 135 ampul - - - - -
/5
Aqua pro injeksi
35 136 ampul 95 120 215 101 114
steril - 20 ml
Aquadest steril -
36 137 botol - - - - -
1000 ml
Aquagel Sterile
37 138 tube - - - - -
Jely 82 gr
Asam Askorbat (vit
38 139 tablet - - - - -
C) tablet 50 mg
Asam Mefenamat
39 140 kaplet 935 1.000 1.935 1.035 900
kaplet 500 mg
Asam tranexamat
40 141 ampul - - - - -
injeksi 100mg/ml
AsamTraneksamat
41 142 tablet - - - - -
HCL tablet 500mg
Aseptic Gel + Disp
42 143 botol - - - - -
500 ml
Asetosal tablet 100
43 144 tablet - - - - -
mg
44 145 Asetosal tablet 80 tablet 140 - 140 140 -
 mg
Askina Calgitrol Ag
45 146 PCS - - - - -
10x10 cm
Atropina Sulfat
46 147 ampul 50 - 50 - 50
injeksi
47 148 Attapulgit 600 mg tablet 100 - 100 - 100
48 149 Attapulgit 630 mg tablet - - - - -
49 150 Attapulgit 650 mg tablet 605 - 605 87 518
50 201 Becom C kaplet kaplet - - - - -
Benzatin Bensil
51 202 vial - - - - -
Pen.inj 2,4 juta IU
Betahistin Mesilat
52 203 tablet - 400 400 375 25
6 mg
53 204 Betametason krim tube - 25 25 - 25
Betametason N
54 205 tube - - - - -
crem
Bisoprolol tablet 5
55 206 tablet - - - - -
mg
56 207 Bist Mess No.24 set - - - - -
57 208 Blood Lancet set - - - - -
Blood Lancet
58 209 set - - - - -
( GEA )
Calcium Gluconas
59 301 botol - 5 5 - 5
infus
Captopril tablet
60 302 tablet 114 - 114 50 64
12,5 mg
Captopril tablet 25
61 303 tablet 345 - 345 159 186
mg
Captopril tablet 50
62 304 tablet - - - - -
mg
63 305 Carpiaton 100 mg tablet - - - - -
Catgut Chromic
64 306 sachet - - - - -
2/0 + jarum
Catgut chromic 2/0
65 307 75c+jarum 1/2 sachet - - - - -
22MR
Catgut chromic 2/0
66 308 75c+jarum 1/2 sachet - - - - -
37MR
Catgut Chromic
67 309 sachet - - - - -
3/0 + jarum
68 310 Catgut chromic 3/0 sachet - - - - -
75c+jarum 1/2
 37MR
Catgut Chromic
69 311 3/0 75 + jarum 1/2 sachet - - - - -
22MR
Catgut Plain 2/0 +
70 312 sachet - - - - -
jarum
Catgut Plain 2/0 +
71 313 sachet - - - - -
jarum 1/2 25MR
Catgut Plain 3/0 +
72 314 sachet - - - - -
jarum
Catgut Plain 3/0 +
73 315 sachet - - - - -
jarum 1/2 25MR
Catgut Plain 3/0 +
74 316 sachet - - - - -
jarum 1/2 19MR
Cefadroxil kapsul
75 317 kapsul 75 1.000 1.075 94 981
500 mg
76 318 Cefixime 100mg tablet - - - - -
77 319 Cefixime 200mg tablet - - - - -
78 320 Cefotaxim injeksi vial - - - - -
79 321 Cendo Lyteer botol - - - - -
Cetirizine Kapsul
80 322 kapsul 74 1.000 1.074 139 935
10mg
Chlorhexidine
81 323 botol - - - - -
gluconat 0,2%
Chlorhexidine
82 324 gluconat 0,5 botol 18 - 18 - 18
W/V70 %
Chlorhexidine
83 325 gluconat 4% 500 botol - - - - -
cc + dispenser
84 326 Clobazam 10 mg tablet - - - - -
85 327 Clozapin 25 mg tablet 155 500 655 125 530
86 328 Corsafen 500 mg kapsul - - - - -
87 329 Cover Glass pcs - - - - -
Cover Glass 18 x
88 330 set - - - - -
18 cm
Cyprofloxacin
89 331 kapsul 662 1.000 1.662 271 1.391
kapsul 500 mg
Daryan Tulle :
90 401 Tramisetin Sulfat lembar - - - - -
10 x 10 cm
Decullin tablet
91 402 tablet - - - - -
30mg
 Deksametason
92 403 ampul - - - - -
Injeksi 5mg/ml
Deksametason
93 404 tablet - - - - -
tablet 0,5 mg
94 405 Demacolin tablet tablet - - - - -
Dermazin salep
95 406 tube - - - - -
kulit 1% - 25 gram
96 407 Dextral sirup botol - - - - -
Dextran infus - 500
97 408 botol - - - - -
ml
Diazepam Injeksi
98 409 ampul 50 - 50 2 48
5mg/ml-2ml
Diazepam tablet 2
99 410 tablet - - - - -
mg
Diazepam tablet 5
100 411 tablet 211 300 511 216 295
mg
Diethylcarbamazin
101 412 tablet - - - - -
e
Difenhidramina
102 413 ampul 3 - 3 3 -
HCL injeksi 10 mg
Digoksina tablet
103 414 tablet - - - - -
0,25 mg
Doksisiklin kapsul
104 415 kapsul 200 - 200 20 180
100 mg
Domperidon tablet
105 416 tablet 300 - 300 300 -
10 mg
Dulcolax supp
Adult 10 mg /
106 417 supp 31 50 81 6 75
Bisakadil 10 mg
Supp
Epinefrina
107 501 HCL/Bitart injeksi ampul 150 - 150 3 147
0.1% - l ml
Erithromicin kaplet
108 502 kaplet - - - - -
500 mg
Erithromicin kapsul
109 503 kapsul - - - - -
250 mg
Erithromicin sirup -
110 504 botol 35 - 35 - 35
60 ml Kering
Etanol 70% - 1000
111 505 botol 4 10 14 2 12
ml
Etil Klorida
112 506 botol 8 - 8 1 7
semprot
113 601 Farmoten 12,5 mg tablet - - - - -
 Feeding tube 40
114 602 set 15 - 15 2 13
cm No. 6
Feeding tube No.
115 603 set - - - - -
10
Feeding tube No.
116 604 set - - - - -
16
117 605 Feeding tube No. 5 set - - - - -
118 606 Feeding tube No. 8 set - - - - -
Fenitoina Natrium
119 607 kapsul - - - - -
kapsul 100 mg
Fenobarbital
120 608 Injeksi 50mg/ml- ampul - - - - -
2ml
Fenobarbital tablet
121 609 tablet - - - - -
30 mg
Fenoksimetil
122 610 Penisilina tablet tablet - - - - -
250 mg
Fenoksimetil
123 611 Penisilina tablet tablet - - - - -
500 mg
Fitomenadion
124 612 ampul - - - - -
injeksi 10mg/ml
Fitomenadion
125 613 ampul - 30 30 5 25
injeksi 2 mg/ml
Fitomenadion
126 614 tablet - - - - -
tablet 10 mg
Flagil /
127 615 Metronidazol Ovuo Tablet 5 - 5 5 -
500mg
Fluconazole 150
128 616 tablet 5 - 5 5 -
mg
129 617 Fluoksetin 10 mg tablet - - - - -
Folley Catheter
130 618 set 3 - 3 1 2
No. 14
Folley Catheter
131 619 set - - - - -
No. 16
Folley Catheter
132 620 set - - - - -
No. 18
France Alkacide
133 621 1L High level botol - - - - -
Disinfectant
Furosemida tablet
134 622 tablet 578 600 1.178 383 795
40 mg
 Furosemide
135 623 ampul - 25 25 4 21
10mg/ml injeksi
Garam Oralit untuk
136 701 kantong 489 1.000 1.489 - 1.489
200 ml air (prop)
137 702 Gastrusid Blister tablet - - - - -
Gastrusid sirup -
138 703 botol - - - - -
60ml
Gentamycin injeksi
139 704 vial - - - - -
80 mg/2 ml
Gentamycin salep
140 705 tube - - - - -
kulit
Gentamycin salep
141 706 tube 3 - 3 3 -
mata
Gentamycin tetes
142 707 botol 6 10 16 3 13
mata
Gentian violet
143 708 botol - - - - -
larutan 1%
Glibenklamida
144 709 tablet 1.050 - 1.050 65 985
tablet 5 mg
145 710 Glimepiride 1 mg tablet - - - - -
146 711 Glimepiride 2 mg tablet - - - - -
147 712 Gliserin 1 liter botol - - - - -
148 713 Gliserin 100 ml botol - - - - -
Glukosa infus
149 714 botol 20 - 20 - 20
0,225% - 500 ml
Glukosa lar. infus
150 715 botol 100 200 300 - 300
10% steril
Glukosa lar. infus
151 716 ampul 60 100 160 - 160
40% steril
Glukosa lar. infus
152 717 botol 822 200 1.022 68 954
5% steril
Griseofulvin tablet
153 718 tablet 190 - 190 - 190
125mg
Griseofulvin tablet
154 719 tablet - - - - -
500 mg
Gynaecology
155 720 set - - - - -
gloves/ Obgyn
Haldol Decanoat
156 801 ampul - - - - -
50 mg / ml inj
Haloperidol /
157 802 lodomer Drops botol - - - - -
15ml
Haloperidol inj 5
158 803 Ampul - - - - -
mg/ ml
 Haloperidol tablet
159 804 tablet - - - - -
0.5 mg
Haloperidol tablet
160 805 tablet - - - - -
1.5 mg
Haloperidol tablet
161 806 tablet - - - - -
2 mg
Halopuridol tablet
162 807 tablet 455 - 455 35 420
5 mg
163 808 Herbakof sirup botol - 48 48 10 38
Hidrogen
164 809 botol - - - - -
Peroksida / H2O2
Hidroklortiazida
165 810 tablet - - - - -
tab 25 mg
Hidrokortison Krim
166 811 tube 46 - 46 30 16
2,5%
Ibuprofen suspensi
167 901 botol 23 - 23 23 -
100 mg/ 5ml
Ibuprofen tablet
168 902 tablet - - - - -
200 mg
Ibuprofen tablet
169 903 tablet - - - - -
400 mg
170 904 Ikaneuron tablet - - - - -
171 905 Infusion set anak set 297 100 397 11 386
Infusion set
172 906 set 341 300 641 556 85
dewasa
173 907 Iodina Test Test Kit - - - - -
174 908 Isoniazid 100 mg kaplet 1.431 - 1.431 1.020 411
175 909 Isoniazid 300 mg kaplet - - - - -
Isosorbid Dinitrat
176 910 tablet 375 100 475 - 475
tablet 5 mg
177 911 IV Catether No.18 biji - - - - -
178 912 IV Catether No.20 biji 164 200 364 138 226
179 913 IV Catether No.22 biji 249 100 349 142 207
180 914 IV Catether No.24 biji 90 200 290 90 200
KA-EN 3B infus -
181 1001 botol 240 200 440 60 380
500 ml
Kalsium Laktat
182 1003 tablet 5.886 10.000 15.886 3.250 12.636
tablet 500mg.
Kapas pembalut
183 1004 rol 12 - 12 - 12
abs 250 gram
Karbamazepin
184 1005 tablet 155 - 155 100 55
tablet 200 mg
 Kasa Hidrofil
185 1006 box 10 50 60 5 55
16x16
Kasa kompres
186 1007 bungkus 20 10 30 13 17
steril 40cm/40cm
Kasa pembalut 2
187 1008 bungkus 20 10 30 13 17
m x 80 cm
Kasa Pembalut
188 1009 rol 20 50 70 25 45
4x10 cm
Kasa pembalut
189 1010 rol - - - - -
hidrofil 4mx 3cm
Kasa pembalut
190 1011 rol - - - - -
hidrofil 4mx15cm
Ketokonazol Krim
191 1012 Tube - - - - -
2%
192 1013 Ketokonazol tablet tablet 285 - 285 35 250
Klindamycin
193 1014 kapsul 100 - 100 95 5
kapsul 150 mg
Klindamycin
194 1015 kapsul 95 - 95 95 -
kapsul 300 mg
Kloramfenikol
195 1016 vial - - - - -
injeksi 1 gram
Kloramfenikol
196 1017 kapsul - - - - -
kapsul 250 mg
Kloramfenikol
197 1018 tube - - - - -
Salep Mata 1%
Kloramfenikol sirup
198 1019 botol - - - - -
- 125 mg/ml -60ml
Kloramfenikol tetes
199 1020 botol 7 - 7 6 1
mata 0,5% - 5 ml
Kloramfenikol tetes
200 1021 botol - - - - -
telinga 3%
Klorfeniramina
201 1022 tablet 7.454 2.000 9.454 1.008 8.446
Maleat tablet 4mg
Klorpromazina
202 1023 HCL inj 25 mg/ml- ampul 19 - 19 4 15
1ml
Klorpromazina
203 1024 HCL tab salut 100 tablet - - - - -
mg
Klorpromazina
204 1025 HCL tab salut 25 tablet - - - - -
mg
Kodeina tablet.
205 1026 tablet - - - - -
10mg
206 1027 Kombipak Kategori Paket - - - - -
 1
Kompolak
207 1028 (parafin+gliserinten botol - - - - -
olflalein susp)
Kotrimoksazol
208 1029 botol 144 - 144 66 78
sirup
Kotrimoksazol
209 1030 tablet 1.513 - 1.513 613 900
tablet Forte
Kotrimoksazol
210 1031 tablet 7.321 1.000 8.321 256 8.065
tablet Adult
Kuinina Sulfat
211 1032 tablet - - - - -
tablet
Laktulosa Sirup
212 1101 botol - - - - -
3,335g/5 ml
Lanzoprazol
213 1102 kapsul 558 - 558 558 -
kapsul 30 mg
Laxadin sirup 60
214 1103 botol - - - - -
ml
Leukoplast
215 1104 rol - - - - -
Hospital 1 cm x5 m
Levofloksasin
216 1105 tablet 316 500 816 704 112
tablet 500 mg
Levotiroksin tab
217 1106 tablet - - - - -
100mcg
Leukoplast
218 1107 Hospital 0.50 cm x kaplet - - - - -
5m
219 1108 Lidocain 2% injeksi ampul - - - - -
Lidokain spray oral
220 1109 10% (Xylocaine botol - - - - -
spray)
Lidokaina Comp.
221 1110 ampul 104 60 164 77 87
Injeksi 2%
222 1111 Lisol - 1000 ml botol - - - - -
Loperamide tablet
223 1112 tablet - - - - -
- 2mg
224 1113 Loratadin tablet - - - - -
225 1114 Lysofit sirup botol - - - - -
226 1115 Lytacur 60 ml botol - 96 96 76 20
Magnesium Sulfat
227 1201 ampul 30 10 40 - 40
injeksi 20%
Magnesium Sulfat
228 1202 ampul 21 10 31 - 31
injeksi 40%
229 1203 Maltodextrin / tablet - - - - -
 TABURIA
Masker KN -95
230 1204 biji - - - - -
(PROP)
Masker Disposable
231 1205 pcs 100 - 100 16 84
(N95)
Masker N95 (1860
232 1206 pcs - - - - -
s) Program - TB
Masker N95 (1870
233 1207 pcs - - - - -
s)
Masker Oksigen
234 1208 biji 5 50 55 13 42
Dewasa
Masker Surgical
235 1209 biji 598 - 598 328 270
ear loop'50
Masker Surgical
236 1210 Plus 3 Ply Plus biji - - - - -
Earloop
Masker Surgical tie
237 1211 biji 452 - 452 162 290
on'50
Masker Surgical
238 1212 biji - - - - -
ear loop Hijab
Mebendazol tablet
239 1213 tablet - - - - -
100 mg
240 1214 Meliseptol Foam botol - - - - -
Meliseptol Wipes
241 1215 botol - - - - -
Box
Meliseptol Wipes
242 1216 botol - - - - -
Refill
Meloksikam tablet
243 1217 tablet - - - - -
15 mg
244 1218 Metaneuron tablet tablet - - - - -
Metformin H Cl
245 1219 tablet 650 1.000 1.650 745 905
tablet 500 mg
Metilergometrina
246 1220 injeksi 0,2 mg/ml - ampul 116 100 216 - 216
1 ml
Metilergometrina
247 1221 tablet 100 300 400 - 400
Maleat tablet
Metoclopramide 5
248 1222 tablet - - - - -
mg
Metoklopramid
249 1223 botol - - - - -
Syrup 60 ml
Metronidazol
250 1224 vial - 10 10 - 10
500mg infus
Metronidazol tablet
251 1225 tablet - - - - -
250 mg
 Metronidazol tablet
252 1226 tablet 2 - 2 2 -
500 mg
Miconazol Krim
253 1227 tube 83 - 83 7 76
2%
254 1228 Mineral mix sachet - - - - -
N- Asetil sistein
255 1301 tablet - - - - -
tablet
256 1302 N2O Nitrous Oxide tabung - - - - -
257 1303 Nasaflam 100 mg tablet - - - - -
Natrium Diklofenak
258 1304 tablet - 1.000 1.000 40 960
50 mg
Natrium Klorida
259 1305 botol 467 100 567 123 444
larutan infus 0.9%
Neo Kaominal
260 1306 botol 7 - 7 - 7
sirup
261 1307 Neurobat injeksi ampul - - - - -
262 1308 Neuroval kaplet kaplet - - - - -
Nifedipin 10 mg
263 1309 tablet - - - - -
tablet
Nifedipin 30 mg
264 1310 tablet/Adalat tablet 25 - 25 - 25
OROS
Nistatin 100.000 IU
265 1311 botol - - - - -
suspensi
Nistatin 100.000
266 1312 tablet - 50 50 - 50
IU/g tablet vaginal
Nistatin 500.000
267 1313 tablet - - - - -
IU/g tablet oral
268 1314 Novabion tablet - - - - -
Obat Anti Malaria (
269 1401 tablet - - - - -
DHP )
Obat
270 1402 Antituberkulosis paket - - - - -
kat - Anak
Obat
271 1403 Antituberkulosis paket 9 20 29 29 -
kat - I
Obat
272 1404 Antituberkulosis paket - - - - -
kat -II
Obat Batuk Hitam
273 1405 botol - - - - -
cairan 100ml
274 1406 OBAT KUSTA M strip - - - - -
 B anak
OBAT KUSTA M
275 1407 strip - 2 2 1 1
B dewasa
OBAT KUSTA P B
276 1408 strip - - - - -
anak
OBAT KUSTA P B
277 1409 strip - - - - -
dewasa
OBH Tropica Exta
278 1410 botol - - - - -
Mentol 60 ml
OBH Tropica Plus
279 1411 botol - - - - -
Anak Jeruk 60 ml
OBH Tropica Plus
280 1412 botol - - - - -
Mentol 60 ml
Obyek Glass
281 1413 pcs - - - - -
(DAK)
Oksigen Gas
282 1414 dalam tabung - tabung 5 7 12 - 12
1m3
Oksigen Gas
283 1415 dalam tabung - tabung 17 15 32 - 32
6m3
Oksitetrasiklina
284 1416 HCL salep kulit 3 tube - - - - -
%
Oksitetrasiklina
285 1417 HCL salep mata tube - - - - -
1%
Oksitosina injeksi
286 1418 ampul 150 50 200 100 100
10 IU/ml-1ml
287 1419 Omeprazol kapsul kapsul - - - - -
Ondansetron tab 4
288 1420 tablet - - - - -
mg
Oxyflow Nasal
289 1421 biji 4 - 4 - 4
Oxygen Anak
Oxyflow Nasal
290 1422 biji 2 - 2 - 2
Oxygen Bayi
Oxyflow Nasal
291 1423 biji - - - - -
Oxygen Dewasa
292 1501 Paracetamol Drop botol - - - - -
Parasetamol sirup
293 1502 botol 189 - 189 - 189
120 mg/5ml
Parasetamol tablet
294 1503 tablet 5.520 10.000 15.520 5.231 10.289
500 mg
Permetrin Krim 5%
295 1504 tube 11 - 11 11 -
/ Scabimite
 Plesterin Roll bulat
296 1505 ampul 250 200 450 50 400
(200pcs)
Piracetam 800 mg
297 1506 tablet - - - - -
tablet
Piracetam inj 1
298 1507 ampul - - - - -
gram/5ml
Pirantel Pamoat
299 1508 tablet 500 - 500 - 500
tablet 125 mg
Pirantel Susp
300 1509 botol - - - - -
125mg / 5 ml
Piridoksina HCL
301 1510 tablet - - - - -
tablet 10mg
Piridoksina HCL
302 1511 tablet 466 - 466 379 87
tablet 25 mg
303 1512 Piroxicam 20 mg kapsul - - - - -
Plester Flexible
304 1513 rol 15 10 25 5 20
non woven 5 x 5
Plester Kain Roll
305 1514 rol - - - - -
1,25cm x 4,5m
Plester Kain Roll
306 1515 rol 24 - 24 18 6
2,5cm x 4,5m
Plester Nonwoven
307 1516 Fixation/ 10 cm x rol - - - - -
10 m
Plesterin kain Roll
308 1517 rol - - - - -
7,5 x 4,5
Polyurethan fil
309 1518 dressing Askina pcs - - - - -
Derm 15x20 cm
PPD (Purified
310 1519 Protein Derivative)/ Ampul 3 - 3 3 -
Mantoux test
Prednison tablet 5
311 1520 tablet - - - - -
mg
312 1521 Primaquin 15 mg tablet - - - - -
Pro Baby (Omega
313 1522 tablet - - - - -
3 Softgels)
Prokaina Pen. G
314 1523 vial - - - - -
injeksi 3 juta IU
315 1524 Proneuron tablet - - - - -
Prontosan Wound
316 1525 botol - - - - -
Gel X 250 Gram
Prontosan Wound
317 1526 botol - - - - -
Gel x 50 gram
 Prontosan Wound
318 1527 Irrigation Sol botol - - - - -
350ml
Propanolol HCL
319 1528 tablet - - - - -
tablet 10 mg
Propanolol HCL
320 1529 tablet - - - - -
tablet 40 mg
Propiltiourasil
321 1530 tablet 50 - 50 10 40
tablet 100 mg
322 1601 Ranitidin 150 mg tablet - - - - -
Ranitidin 50 mg /
323 1602 ampul - - - - -
2 ml Inj
324 1603 Recovit Plus tablet - - - - -
Retinol kap. lunak
325 1604 kapsul 500 - 500 - 500
100.000 IU
Retinol kap. lunak
326 1605 kapsul 717 - 717 54 663
200.000 IU
Rifampisin kapsul
327 1606 kapsul - - - - -
450 mg
Rifampisin kapsul
328 1607 kapsul - - - - -
600 mg
Ringer Asetat infus
329 1608 botol 281 300 581 257 324
- 500ml
Ringer Laktat +
330 1609 Glucose 5% infus- botol 35 - 35 - 35
500ml
Ringer Laktat
331 1610 Larutan infus - 500 botol 445 100 545 181 364
ml
332 1611 Risperidone 2 mg tablet 389 300 689 479 210
Safe Glove Exam
333 1701 set 300 - 300 - 300
L
Safe Glove Exam
334 1702 set 300 - 300 - 300
M
Safe Glove Exam
335 1703 set 202 100 302 172 130
S
336 1704 Safety box 2,5 lt set - - - - -
337 1705 Safety box 5 lt set 7 2 9 2 7
338 1706 Salbutamol 2 mg tablet - - - - -
339 1707 Salbutamol 4 mg tablet - 500 500 53 447
340 1708 Salep 2-4 DOEN pot 6 - 6 - 6
(As.Salisilat 2%
+Belerang Endap
 4%)
Salisil Bedak 2% -
341 1709 kotak 5 10 15 - 15
50 gram
Sarung Tangan
342 1710 Obgyn set 100 50 150 - 150
( STERIL )
Semilas Non
343 1711 Woven 10 x 500 rol - - - - -
cm
Semillas Non
344 1712 rol - - - - -
Woven 5 x 500 cm
Serum Anti Bisa
345 1713 Ular injeksi (ABU I) vial 2 - 2 - 2
/ SABU
Serum Anti Dipteri
346 1714 vial - - - - -
injeksi 10.000 IU
Serum Anti Dipteri
347 1715 vial - - - - -
injeksi 20.000 IU
Serum Anti
348 1716 Tetanus injeksi ampul - - - - -
1.500 IU/ ATS
Serum Anti
349 1717 Tetanus injeksi vial - - - - -
20.000 IU
Sianokobalamina
350 1718 ampul 275 100 375 40 335
(Vit B12) injeksi
Sikzonoate injeksi
351 1719 ampul 54 30 84 18 66
25 mg /ml
Silk no 2/0,
352 1720 sachet - - - - -
24x13x60 cm
Silk no 2/0 75C +
353 1721 0 - - - - -
JARUM 3/8 30M C
Silk no 3/0,
354 1722 sachet - - - - -
24x13x60 cm
Silk no 3/0 black
355 1723 sachet - - - - -
DS 19 MM
Simvastatin tablet
356 1724 tablet - - - - -
10 mg
Simvastatin tablet
357 1725 tablet 365 - 365 113 252
20 mg
358 1726 Spashi - Injeksi ampul - - - - -
359 1727 Spasminal tablet tablet - - - - -
Spironolactone 25
360 1728 tablet 200 - 200 - 200
mg
361 1729 Spray Semprot botol - - - - -
 Cold / Roeko Endo
Frost
Stesolid Rectal 10
362 1730 tube 10 - 10 5 5
mg/2,5 ml
Stesolid Rectal 5
363 1731 tube 7 - 7 7 -
mg/2,5 ml
Stolax /Bisakodil
364 1732 tablet - - - - -
Supp 10mg
Suction Tube,
365 1733 pcs 5 - 5 5 -
85cm, no. 16
Sulfasetamida
366 1734 botol - - - - -
tetes mata 15%
Surgical glove no.
367 1735 set - - - - -
6
Surgical Glove No.
368 1736 set 157 200 357 357 -
7
Surgical Glove No.
369 1737 set 340 200 540 50 490
7,5
Surgical Glove No.
370 1738 set - - - - -
8
Tablet Tambah
371 1801 Darah (Besi II tablet 54.690 - 54.690 10.695 43.995
Sulfat) tab.300mg
Temporary
372 1802 set - - - - -
Stopping Fletcher
373 1803 Teosal tablet tablet - - - - -
Tetrasiklina HCl
374 1804 kapsul - 500 500 - 500
kapsul 500 mg
Thiampenicol
375 1805 botol - - - - -
Sirup
Thiamphenicol 500
376 1806 kapsul - - - - -
mg
Three way Stop
377 1807 pcs - - - - -
Cock
Tiamina (Vit B1)
378 1808 tablet - - - - -
tablet 100 mg
Tiamina (Vit B1)
379 1809 tablet 592 500 1.092 80 1.012
tablet 50 mg
Tiamina HCL
380 1810 ampul - - - - -
injeksi 100mg/ml
Topical Anastesi
381 1811 tube - - - - -
Gel/Prime Gel
Tramadol injeksi
382 1812 ampul - - - - -
50 mg/ml
383 1813 Tramadol kapsul tablet - - - - -
 50 mg
384 1814 Transfusion set set 8 - 8 - 8
Trifluoperazin 5
385 1815 tablet 700 - 700 625 75
mg / Stesoli tab
Triheksifenidil HCl
386 1816 tablet 465 300 765 472 293
tablet - 2 mg
387 1901 Umbilical Cord biji - - - - -
Underpad
388 1902 biji - - - - -
(DBHCHT)
389 1903 Urine bag set 18 10 28 7 21
390 1904 USG Gel 5 liter Botol 1 - 1 - 1
391 1905 USG Gel 250 ml Botol - - - - -
Ventolin
Nebules
392 2002 ampul 8 50 58 29 29
/Salbutamol Cairan
2,5 mg
Verorab / Serum
393 2003 vial - - - - -
Anti Rabies
Vitamin B
394 2004 tablet 939 5.000 5.939 539 5.400
Kompleks tablet
Voluven - Koloid
395 2005 HES BM 130.000 Botol - - - - -
Lar inf 0,6 %
396 2101 Wida D5 1/2 NS botol - - - - -
Wing Needle bayi
397 2102 biji - - - - -
no.25
Yodium Povidon
398 2201 botol 5 5 10 1 9
10% - 30 ml
Yodium Povidon
399 2202 botol - - - - -
10% - 300 ml
Yodium Povidon
400 2203 botol - - - - -
1000 ml
ZINC tablet 20 mg
401 2301 tablet 5.292 1.000 6.292 1.101 5.191
(DAK + Prop)
402 2302 Zircum KID sirup botol - - - - -
403 2303 Zoralin tablet - - - - -
Clofazimine 100
404 tablet - - - - -
2309 mg (Program TB)
Artesunate 60 mg
405 vial - - - - -
2310 Injeksi
Masker N95
406 (8810) 20 BH pcs - - - - -
2311 (DAK)
407 2312 Stericide 5 liter botol - - - - -
408 2313 Softanol 500 ml botol - - - - -
BAHAN HABIS
#N/A - - - - -
PAKAI GIGI
Air raksa dental
409 botol - - - - -
103 use
410 154 Articulating paper pcs - 1 1 - 1
Bahan tumpatan
411 botol 1 - 1 - 1
210 sementara
412 211 Bonding Liquid botol 1 - 1 - 1
Bur carbide
413 Pak - - - - -
212 highspeed round
414 332 Cavit W botol - - - - -
Composit Light
415 syringe 2 - 2 - 2
333 Curing A2
Composit Light
416 syringe - - - - -
334 Curing A3
Composit Light
417 syringe - - - - -
335 Curing A3,5
418 336 Cotton roll Sak - - - - -
Cresopen (obat
419 botol - - - - -
337 gigi)
420 338 Cresotin Liq No. 2 botol - - - - -
Dentin Conditioner
421 418 kotak - - - - -
/ Mini Pack
422 419 Devitalisasi pasta botol - - - - -
Etchant/ Etsa
423 509 set - 1 1 - 1
Asam Liquid
424 508 Etching Liquid set - - - - -
Eugenol Cairan -
425 507 botol 2 - 2 1 1
10 ml
Fluoride Sediaan
426 624 Topical/Clinpro botol - - - - -
White
Glass Ionomer
427 721 set 1 - 1 - 1
Cement/GC Fuji IX
428 812 Hydcal pasta set - - - - -
Kalsium
429 1002 tube 1 - 1 - 1
Hidroksida pasta
Ledermix 5 gr/ 3
430 1116 botol - - - - -
mix
431 1230 Minyak bur / Pana botol - - - - -
 Spray Plus
Monoklorkamfer
Mentol
432 1231 botol 1 - 1 - 1
cairan/Paramono
Chlorophenol
433 1232 Mummifying pasta botol - - - - -
434 1531 Pulp X botol 1 - 1 - 1
Semen Seng
435 1739 set - - - - -
Fosfat
Silver Amalgam
436 1740 botol - - - - -
serbuk 65-75%
437 1741 Single Bond 2 botol - - - - -
Spons Gelatin
438 1742 biji - - - - -
cubicles 1x1x1cm
439 1819 Tampon Sak - - - - -
Trikresol Formalin
440 1817 (Formokresol) botol - - - - -
cairan - 10 ml
441 2006 Vaselin Alba botol - - - - -
Zinc F+ (Zinc
442 2304 Phosphate set - 1 1 1 -
Cement)
Masker Tali Bedah
2351 Pcs - - - - -
3 Ply (APBN-TB)
Albendazol
2352 Suspensi 200 Botol 70 - 70 - 70
mg/5 ml
2353 NaCl Infus 25 ML ampul - - - - -
2354 NaCl Infus 100 ML botol - 100 100 - 100
Obat
Antituberkulosis
2396 tablet 15 - 15 15 -
(OAT) KDT Dosis
Harian
PROGRAM
#N/A - - - - -
IMUNISASI
Autodisposable
443 151 set - - - - -
Syringe 0,05 ml
Autodisposable
444 152 Syringe 0,5 ml set 2.473 - 2.473 1.673 800
(Soloshot)
Autodisposable
445 153 Syringe 5 ml set 250 - 250 250 -
(Soloshot)
446 1532 Pelarut BCG ampul 16 30 46 26 20
Vaksin Covid -19
447 1533 10 dosis (Sinovac vial - - - - -
10 dosis)
Vaksi Covid - 19
448 1534 vial - - - - -
(Singgle dosis)
449 2007 Vaksin BCG ampul 16 30 46 26 20
450 2008 Vaksin PCV vial 22 60 82 49 33
Vaksin DPT Hb -
451 2009 vial 82 50 132 57 75
Hib / PENTABIO
452 2010 Vaksin DT vial - 90 90 71 19
453 2011 Vaksin HB Unijeck vial 42 - 42 23 19
454 2012 Vaksin HBIG vial - 1 1 1 -
Vaksin Astra
455 2013 vial - - - - -
Ceneka (10 dosis)
Vaksin Sinopharm
456 2014 Vial - - - - -
(singgle dosis)
Vaksin Moderna
457 2015 (multi dosis/14 ampul - - - - -
Dosis)
458 2016 Vaksin Meningitis vial - - - - -
459 2017 Vaksin MR ampul 82 - 82 22 60
Vaksin Polio bOPV
460 2018 ampul 61 50 111 57 54
10 Dosis
Vaksin Polio IPV 5
461 2019 ampul 70 - 70 12 58
Dosis
462 2020 Vaksin Td vial 26 170 196 146 50
Bedaquilin 100 mg
2355 tablet - - - - -
( Program TB)
Cycloserin 250 mg
2356 tablet - - - - -
(Program TB)
Ethionamid 250
2357 tablet - - - - -
mg (Program TB)
Etambutol ( E )
2358 400 mg (Program tablet - - - - -
TB)
Moxiflocaxin 400
2359 tablet - - - - -
mg (Program TB)
PROGRAM IMS #N/A - - - - -
463 155 Alcohol Swab pcs - - - - -
464 213 Box Slide biji - - - - -
 Cotton Applicators
465 339 biji - - - - -
Sterile
466 340 Blue Tips 500"s biji - - - - -
Focus TPHA (100
467 625 tes - - - - -
test)
468 813 Hand Gloves pcs - - - - -
469 915 Immersion Oil botol - - - - -
470 1033 Kertas PH 3,8 - 4,2 botol - - - - -
471 1034 KOH 10% botol - - - - -
472 1233 Methylated Spirit botol - - - - -
Methylen Blue
473 1234 botol - - - - -
0.3%
474 1315 NaCl 0.9% botol - - - - -
475 1424 Object Glass biji 10 - 10 - 10
Pirazinamid (Z)
2360 500 mg (Program tablet - - - - -
TB)
APD Vaksin Covid
2350 paket - - - - -
-19(BA-BUN)
Rapid Tes Antigen
2361 pcs 75 100 175 75 100
Covid-19
2362 Proten Gold sachet - - - - -
2363 Pirimitamin tablet - - - - -
REAGEN #N/A - - - - -
Acon Hb
476 156 Hemoglobin Strip test 150 100 250 100 150
50 test mission
477 157 Albumin kit - - - - -
478 158 Asam Cuka 25 % botol - - - - -
Autocheck Tes
479 159 Gula Darah 25 pcs - - - - -
Strip
480 214 BGLB Kit - - - - -
Brilliant Cresyl
481 215 botol - - - - -
Blue 1 %
482 341 Cadmium SPQ Kit - - - - -
483 342 Catridge TCM PCS - - - - -
484 344 Chloride Test Kit - - - - -
485 345 Chromate Test Kit - - - - -
 Control Negatif
486 346 box - - - - -
Polyvalent
Control Positive
487 347 vial - - - - -
Polyvalent
Control Urine 2
488 348 tube - - - - -
Level
489 349 Cotton swab biji - - - - -
490 350 Cyanide SPQ Kit - - - - -
CYBOW Strip
491 351 test 300 - 300 - 300
100"S
492 420 Determine HIV box - - - - -
493 722 Giemsa botol - - - - -
494 723 Gluco Protein Piece 140 100 240 4 236
Golongan Darah
495 724 vial - - - - -
Anti A
Golongan Darah
496 725 vial - - - - -
Anti AB
Golongan Darah
497 726 vial - - - - -
Anti B
Golongan Darah
498 727 vial - - - - -
Anti D
499 814 HBsAg Strip Tes box - - - - -
Humasens 2.0
500 815 Plus Glukose Strip pcs 525 200 725 100 625
17562 (kit @50)
501 916 ICT Malaria box - - - - -
502 917 Iron Test Kit - - - - -
503 1037 Kesadahan Test Kit - - - - -
504 1117 Lactose Broth Kit - - - - -
505 1118 Larutan Chlorine botol - - - - -
506 1119 Larutan Drabkin botol - - - - -
507 1120 Larutan Eosin 2 % botol - - - - -
508 1121 Larutan Turk botol - - - - -
509 1229 Mangan Test Kit - - - - -
510 1317 Nitrit Test Kit - - - - -
Paket Alat Deteksi
511 1535 Paket - - - - -
Resiko Kehamilan
512 1536 Performa Test pcs - - - - -
Strips/ Stik GDA
 ACCU
513 1537 Pewarna Gram set - - - - -
Pewarna Rapid/
514 1538 sediaan apus set - - - - -
darah tepi/MDT
Pewarna Ziehl
515 1539 set - - - - -
Nellsen (DAK )
RAPID TEST ANTI
516 1612 box - - - - -
HCV
RDT DBD Dengue
517 1613 test 49 - 49 - 49
Combo Verotec
RDT Malaria (10
518 1614 test - - - - -
test / ktk)
Reagen Crackset
519 1615 Kit - - - - -
10
Reagen Giemsa +
520 1616 botol - - - - -
Buffer Giemds
Safe-T Pro Uno
521 1743 biji 850 - 850 - 850
(DBHCT)
SD HBsAg WB
522 1744 box 800 - 800 50 750
(Multi + Droppler)
Spekulum
523 1745 set - - - - -
Disposble
Sputum Pot
524 1746 (PROGRAM pct 910 - 910 10 900
+DAK)
525 1747 Stick Urine 10 PM stick - - - - -
Strip Colesterol
526 1748 pcs - - - - -
Merk Easytouch
Strip Glukosa Merk
527 1749 pcs - - - - -
Easytouch
Strip Urid Acid
528 1750 pcs - - - - -
Merk Easytouch
529 1751 Strip Urine 11 PM tube - - - - -
530 1752 Strip Urine 3 PM tube - - - - -
Tube EDTA plh
531 1820 13x75 3,0 blblce set - - - - -
lav
Ultra Once Test
532 1906 Piece 182 200 382 10 372
Hamil
Uriscan GP2 for
533 1907 kit - - - - -
Reduksi + Albumin
Widal Salmonella
534 2103 vial - - - - -
Thypi H
 Widal Salmonella
535 2104 vial - - - - -
Thypi H Antigen A
Widal Salmonella
536 2105 vial - - - - -
Thypi H Antigen B
Widal Salmonella
537 2106 vial - - - - -
Thypi H Antigen C
Widal Salmonella
538 2107 vial - - - - -
Thypi O
Widal Salmonella
539 2108 vial - - - - -
Thypi O Antigen A
Widal Salmonella
540 2109 vial - - - - -
Thypi O Antigen B
Widal Salmonella
541 2110 vial - - - - -
Thypi O Antigen C
542 2111 Xylol botol - - - - -
543 2112 RDT COVID - 19 test - - - - -
Masker Tali Bedah
544 2113 3 Ply (APBN- pcs - - - - -
COVID19)
Masker N95 (1860
545 2114 s) Type Cone (GF- pcs - - - - -
COVID19)
Viorex No Rinse
546 2115 galon - - - - -
(5 lt)
Viorex No Rinse
547 2116 botol 1 - 1 1 -
(500 ml)
PROGRAM
#N/A - - - - -
REAGEN HIV
Anti-HIV1/2
548 160 Cassette (FOKUS pcs 50 - 50 - 50
25 test)
Cepheid Xpert
HIV-1 VL Assay
549 352 test - - - - -
( Catridge HIV
Viral Load )
HCV Viral Load
550 816 Test - - - - -
Xpert HIV 1
HIV 1/2
DIAGOSTAR
551 817 (ONE STEP Test - - - - -
RAPID TEST 40
tes) R3 Diagnostar
552 1035 Kondom Artika pcs 288 - 288 - 288
Kondom
553 1036 pcs - - - - -
Lubrikan/Pelicin
 R2 . KHB
(Diagnostic Kit For
554 1617 Test 52 - 52 - 52
HIV (1+2) Antibody
50 test
Rapid Test
Syphilis RS-TS
555 1618 test - - - - -
25 / Trepocheck
Syphilis
Reagen I Intec
556 1619 One Step Anti HIV pcs 2 - 2 - 2
Tri Line Tes Card
Reagen I SD
557 1620 pcs 2 - 2 - 2
Bioline HIV 1/2
Reagen
558 1621 Penghitung CD 4 pcs - - - - -
Control
Reagen
559 1622 Penghitung CD 4 pcs - - - - -
MOBIL
Reagen Rapid
560 1623 syphilis/Standar @ 100 - - - - -
Diagnostic
Reagen SD Bio
561 1624 pcs 275 - 275 - 275
Syphilis
Reagen Sifilis
562 1625 RPR/kit (10ml untk pcs - - - - -
100 test)
Reagen Sifilis
563 1626 TPHA /Hexagon pcs - - - - -
sipilis
DBS Collection Kit
564 1627 pcs - - - - -
( kotak/ 20 pcs )
Tes HIV I
565 1821 (Virocheck HIV 1/2 set 20 - 20 20 -
Kotak 25 tes)
Tes HIV II ( Intech
566 1822 Triline ) 40 set - - - - -
Pcs/box
567 1823 Tes HIV III (Vikia ) set - - - - -
Biocare Syphilis 25
568 2204 pcs 275 - 275 200 75
test
Humasens 2.0
Plus Uric Acid Test
2347 pcs - - - - -
Strip 17566 (kit @
50)
 Humasens 2.0
Plus Colesterol
2348 pcs 380 - 380 - 380
Test Strip 17567
(kit @20 pcs)
D.Piece
2364 pcs - - - - -
( Box @ 12 pcs )
Mouth Piece
2365 pcs - - - - -
( Box @ 250 pcs )
Lipid Panel Test
2366 Strip ( Box @ strip - - - - -
15 pcs )
BARANG HABIS
PAKAI #N/A - - - - -
PROGRAM HIV
Alkohol Swab
569 161 pcs - - - - -
(HIV)
Alat suntik sekali
570 162 pcs - - - - -
pakai 3 ml (HIV)
Surgical Glove No.
571 1753 pcs - - - - -
7,5 (HIV)
Yellow dan Blue
572 2205 pcs - - - - -
Tip (HIV) (1000'S)
Tube EDTA plh
573 1824 13x75 3,0 blblce pcs - - - - -
lav (HIV)
Vacutainer
574 2021 Flashback Blood pcs - - - - -
Collection Needle
Masker Disposible
2349 pcs - 1.000 1.000 200 800
(GFHIV AIDS)
2367 Favipiravir 200 mg tablet - - - - -
Remdesivir Injk
2368 vial - - - - -
100 mg
DOLUTEGRAVIR (
2369 tablet - - - - -
botol/30 tab)
TDF 300 +3TC
2370 300 +DTG 50 tablet - - - - -
(botol/30 tablet)
PROGRAM
#N/A - - - - -
OBAT ARV
Abacavir (ABC)
575 163 tablet - - - - -
300 mg
Combipak
576 343 (Azithromycin- tablet - - - - -
Cefixime)
 Efavirenz (EFV)
577 510 tablet - - - - -
200 mg
Efavirenz (EFV)
578 511 tablet - - - - -
600mg
Lamivudine 150
579 1122 tablet - - - - -
mg tablet
Lopinavir/ritonavir
580 1123 (LPV / r) 200/50 tablet - - - - -
mg (ALUVIA)
Nevirapine ( NVP )
581 1316 tablet - - - - -
200mg
Tenofovir 300 mg
582 1825 + Emcitritabine tablet - - - - -
200 (FCT)
Tenofovir 300 mg
583 1826 tablet - - - - -
tablet
Tenofovir
300+Lamivudin
584 1827 tablet 1.603 - 1.603 1.213 390
300+Efavien 600
Dewasa
Zidofudine ( ZDV )
300mg +
585 2305 tablet - - - - -
Lamivudine ( 3TC )
150mg
Zidofudine ( ZDV )
60mg +
Lamivudine
586 2306 tablet - - - - -
30mg+Nevirapine
50mg ( Triple
FDC ) Anak
Zidofudine (ZDV )
587 2307 tablet - - - - -
100 mg tablet
588 2308 Zidovudin Sirup botol - - - - -
Linezolid 600mg
2371 tablet - - - - -
(Program TB)
Levofloksasin 250
2372 tablet - - - - -
mg (Program TB)
2373 Oseltamivir 75 mg tablet - 100 100 100 -
Klorokuin 150 mg
2374 tablet - - - - -
(Prop)
Azithromisin 500
2375 tablet - - - - -
mg
PRODUK SUSU #N/A - - - - -
Susu Entrasol
589 1754 kotak - - - - -
Active 160 gr
 Susu Entrasol
590 1755 kotak - - - - -
Active 360 gr
Susu Entrasol
591 1756 kotak - - - - -
Active 370 gr
Susu Formula 1
592 1757 Plus / LAKTOGEN kotak - - - - -
1
Susu Formula 2
593 1758 Plus / LAKTOGEN kotak - - - - -
2
Susu Formula 4
594 1759 Plus / LAKTOGEN kotak - - - - -
3
Susu Formula 3
595 1760 Plus / LAKTOGEN kotak - - - - -
4
Susu Formula 5
596 1761 kotak - - - - -
Plus
Susu SGM Ekspor
597 1762 kotak - - - - -
400 mg
Susu SGM Bunda
598 1763 kotak - - - - -
150 mg
Baju Pelindung
( Hazmad )
599 2314 pcs - - - - -
(Bantuan
+DAU/Program)
600 2315 Coverall (DAU) pcs - - - - -
601 2316 Sepatu Boot pcs - - - - -
Goggle / Kaca
602 2317 pcs - - - - -
Mata
Sarung Tangan
603 2318 pcs - - - - -
Otory
Sarung Tangan
604 2319 pcs - - - - -
Freeder
Sarung Tangan
605 2320 pcs - - - - -
Latex
Pelindung Wajah/
606 2321 pcs - - - - -
Face Shiel
607 Masker Disposible #N/A - - - - -
Nesco Transprost
608 2323 pcs - - - - -
Swab
VTM SWAB
609 2324 pcs - - - - -
COVID-19
Masker Sensi
610 2325 pcs - - - - -
(bantuan BPBD)
 Masker Use
611 2326 pcs - - - - -
(bantuan BPBD)
Chlorhexidine
612 2327 gluconat 0,5 galon 7 - 7 - 7
W/V70 % 5 liter
Face Shield
613 2328 Bantuan Covid-19 pcs - - - - -
(Pendopo) )
Handscoon
614 2329 pcs - - - - -
(Pendopo))
Hazmat
615 2330 pcs - - - - -
(PENDOPO)
Kaca Mata
616 2331 Pelindung pcs - - - - -
(PENDOPO)
Nurse Cap
617 2332 pcs - - - - -
(PENDOPO)
Masker Disposible
618 2333 pcs - - - - -
(PENDOPO)
Viorex Liquid 4%
619 2334 botol 4 - 4 3 1
500 ml
620 2335 Masker KN 95 pcs - - - - -
Plastik APRON
621 2336 pcs 100 - 100 - 100
(DBHCHT)
622 2337 Viorex Liquid 5 liter botol - - - - -
Thermometer Gun
623 2338 Nikita(Bantuan unit - - - - -
BPBD)
Face Shield
Bantuan Tanpa
624 2339 pcs - - - - -
Merk (Bantuan
BPBD)
Hand Sanitizer
625 2340 Tanpa Merk 1 Liter botol - - - - -
(Bantuan BPBD)
Masker 3 Ply
Biasa (Tanpa Merk
626 2341 pcs - - - - -
Hijau (Bantuan
BPBD)
Masker 3 Ply
627 2342 Diapro Hijau pcs - 5.000 5.000 - 5.000
(Bantuan BPBD)
RDT- COVID -19
628 2343 tes - - - - -
Bantuan BPBD)
629 2344 Helm Face Shield pcs - - - - -
 (Pendopo)
RTPCR Xperrt
630 2345 COV2 (TCM kit - - - - -
Covid) (Prop)
VTM (SWAB
Covid)
2346 kit - - - - -
(Prop+DAU)/
50pcs/box
RDT COVID- 19
2394 pcs - - - - -
AgTest (BNPB)
Face Shield
Bantuan Tanpa
2395 pcs - - - - -
Merk (Bantuan
Ten / Pendopo)
Sepatu Boot
2397 (Rotary Club) 0 - - - - -
Prop.
RDT Cocid 19
2398 pcs - - - - -
(Propinsi)
Masker N-95
2399 Covid-19 pcs - - - - -
(Propinsi)
Masker FFP 2NR
2322 (Prop) (30 pcs - - - - -
Pcs/kotak)
2376 Vitamin C 500 mg tablet 105 - 105 5 100
Vitamin (Bantuan
2401 tablet - - - - -
Pendopo)
Safety Boot
2402 (Bantuan pcs - - - - -
Pendopo)
Msker N95
2403 (Bantuan pcs - - - - -
Pendopo)
Hand Sanitizer Uk.
2404 5 L (Bantuan pcs - - - - -
Pendopo)
BAHAN
#N/A - - - - -
LABKESDA
Rapid Test SD
#N/A - - - - -
Bioline HBsAg
Rapid Test SD
#N/A - - - - -
Bioline HIV 1/2 3.0
HEXAGON
#N/A - - - - -
SYPHILIS
 IMMUNOQUICK
#N/A - - - - -
Contact Malaria +4
Salmonella Typhi
O Widal Test (Vial #N/A - - - - -
5 ml)
Salmonella
Paratyphi AO
#N/A - - - - -
Widal Test (Vial 5
ml)
Salmonella
Paratyphi BO
#N/A - - - - -
Widal Test (Vial 5
ml)
Salmonella
Paratyphi CO
#N/A - - - - -
Widal Test (Vial 5
ml)
Salmonella Typhi
H Widal Test (Vial #N/A - - - - -
5 ml)
Salmonella
Paratyphi AH
#N/A - - - - -
Widal Test (Vial 5
ml)
Salmonella
Paratyphi BH
#N/A - - - - -
Widal Test (Vial 5
ml)
Salmonella
Paratyphi CH
#N/A - - - - -
Widal Test (Vial 5
ml)
Anti-A Monoclonal
Golongan Darah #N/A - - - - -
(Vial 10 ml)
Anti-B Monoclonal
Golongan Darah #N/A - - - - -
(Vial 10 ml)
Anti-AB
Monoclonal
#N/A - - - - -
Golongan Darah
(Vial 10 ml)
Anti-D Duoclone
Golongan Darah #N/A - - - - -
(Vial 10 ml)
TERUMO #N/A - - - - -
Disp.Syringe with
Needle 1 CC
Tuberculin
TERUMO
Disp.Syringe with #N/A - - - - -
Needle 3 CC
TERUMO
Disp.Syringe with #N/A - - - - -
Needle 5 CC
WIDA WI UNICAP
Air untuk irigasi inf #N/A - - - - -
1000 ml
E-CARE
ALCOHOL SWAB
#N/A - - - - -
CHG + 0.5%
(EMPAC)
Onemed Plesterin
#N/A - - - - -
Bulat Non Woven
Safeglove
Examination #N/A - - - - -
Gloves S
Safeglove
Examination #N/A - - - - -
Gloves M
Safeglove
Examination #N/A - - - - -
Gloves L
Onemed Alkohol
#N/A - - - - -
70% 1L
Onemed Kapas
#N/A - - - - -
Pembalut 250g
ACON Urinalysis
10 SG Insight 100 #N/A - - - - -
test
Pewarna MDT
#N/A - - - - -
3x100mL
Pewarna Ziehl
#N/A - - - - -
Neelsen 3x100mL
Immersion Oil
#N/A - - - - -
1x50mL
Hemoglobin C
#N/A - - - - -
1x500mL
Turk 1x100ml #N/A - - - - -
GONGDONG GD #N/A - - - - -
Vaccum Tube
 Sterile Clot
Activator (3ml)
GONGDONG GD
Vaccum Tube
#N/A - - - - -
Sterile EDTA K-3
(3ml)
FOKUS
Amphetamine #N/A - - - - -
Check Test
FOKUS Device
Benzodiazepine s #N/A - - - - -
(BZD) Rapid Test
FOKUS Morphine
(Opiates) Rapid #N/A - - - - -
Test
FOKUS Marijuana
#N/A - - - - -
(THC) Rapid Test
FOKUS Cocain
#N/A - - - - -
Rapid Test
FOKUS HCG Strip #N/A - - - - -
Multi Drug One
Step Multi Line
#N/A - - - - -
with Integrated E-
Z, Split Key Cup II
#N/A - - - - -
LABORATORIUM
#N/A - - - - -
KLINIK
Hematologi
#N/A - - - - -
(Sysmex KX-21)
Cell Pack (Diluent) #N/A - - - - -
Stroma #N/A - - - - -
Cell Clean #N/A - - - - -
Control Eight
#N/A - - - - -
Check Normal
Control Eight Low #N/A - - - - -
Control Eight High #N/A - - - - -
Hematologi
#N/A - - - - -
(Sysmex KX-21)
Cell Pack DCL #N/A - - - - -
Sulfolyser (SLS-
#N/A - - - - -
210A)
Lysercall WDF #N/A - - - - -
 Fluorocell WDF #N/A - - - - -
Cell Pack DFL #N/A - - - - -
Fluorocell RET #N/A - - - - -
Cellclean Auto
#N/A - - - - -
(CCA-500)
XN-L Check
#N/A - - - - -
(L1,L2,L3)
XN Check BF #N/A - - - - -
XN CAL #N/A - - - - -
Kimia Klinik 
(Randok RX #N/A - - - - -
Monza)
Glucose #N/A - - - - -
Cholesterol #N/A - - - - -
Trigliserida #N/A - - - - -
HDL Chol Direct #N/A - - - - -
LDL Chol Direct #N/A - - - - -
Ureum #N/A - - - - -
Creatinin #N/A - - - - -
Uric Acid #N/A - - - - -
Albumin #N/A - - - - -
Total Protein #N/A - - - - -
SGOT #N/A - - - - -
SGPT #N/A - - - - -
Gamma GT #N/A - - - - -
Alkali Phosphatase #N/A - - - - -
Billirubin #N/A - - - - -
Control Serum
#N/A - - - - -
Abnormal
Control Serum
#N/A - - - - -
Normal
Immuno Serologi #N/A - - - - -
HBsAg Strip Tes #N/A - - - - -
Urine Analisa #N/A - - - - -
Methamphetamine #N/A - - - - -
Drug Abuse Multi #N/A - - - - -
Panel 7 Parameter
Pengecatan #N/A - - - - -
Pewarna Gram #N/A - - - - -
Xylol #N/A - - - - -
LAB.KESEHATAN
MASYARAKAT/LI #N/A - - - - -
NGKUNGAN
Chromate Test  VI
#N/A - - - - -
1.14758.0001
Iron test  SPQ
#N/A - - - - -
1.14761.0002
Chloride Test 
SPQ 1.14897.001- #N/A - - - - -
1
Copper Test  SPQ
#N/A - - - - -
1.14767.0001
Nitrite Test  SPQ
#N/A - - - - -
1.14776.0002
Mangan Test SPQ
#N/A - - - - -
1.01846.0001
Kesadahan Test 
#N/A - - - - -
SPQ 1.08047.0001
Formaldehyd Test
#N/A - - - - -
Strip
Rhodamin B Test #N/A - - - - -
Borax Test #N/A - - - - -
Sisa Chlor Test #N/A - - - - -
Colour Test PSQ
#N/A - - - - -
114421.0001
Pemanis (Grade
#N/A - - - - -
Teknis)
Extran MA 02-
NeutralSPQ #N/A - - - - -
1.0175532500
Cadmium (cd)
#N/A - - - - -
1.01745.0001
PCA SPQ #N/A - - - - -
TSIA (Uji) #N/A - - - - -
SIM Medium #N/A - - - - -
SimonCytrat #N/A - - - - -
Reagen Crackset
#N/A - - - - -
10 (1.14687.0001)
 Nitrite Test 
#N/A - - - - -
1.01842.0001
TCBS Agar
1.10263.0500 #N/A - - - - -
9(P+MI)
Fluoride Test
#N/A - - - - -
1.14598.0002
BOD Cell Test #N/A - - - - -
BOD Nutrient Salt
#N/A - - - - -
Mixture
BOD Standart #N/A - - - - -
BOD Reaction
#N/A - - - - -
Bottle
COD Cell Test #N/A - - - - -
COD Solution A #N/A - - - - -
COD Solution B #N/A - - - - -
Cyanid (Cn)
#N/A - - - - -
1.0971.0001
Chlorine Test 
(free chlorine) #N/A - - - - -
1.14434.0001
Acon Urinalysis 10
#N/A - - - - -
SG Insight 100 test
GONGDONG GD
Vaccum Tube
#N/A - - - - -
Sterile Clot
Activator (3ml)
GONGDONG GD
Vaccum Tube
#N/A - - - - -
Sterile EDTA K-3
(3ml)
Brilliant green #N/A - - - - -
PH indikator #N/A - - - - -
Lactose broth #N/A - - - - -
Multi Drug One
Step Multi Line
#N/A - - - - -
with Integrated E-
Z, Split Key Cup II
REAGEN #N/A - - - - -
Cell Pack DCL
#N/A - - - - -
1x20Lt
Sulfolyser (SLS- #N/A - - - - -
 210A)
Lysercell WDF #N/A - - - - -
Fluorcell WDF #N/A - - - - -
Cellclean Auto
#N/A - - - - -
(CCA-500)
XN-L Check
#N/A - - - - -
(L1,L2,L3)
Widal Salmonella
#N/A - - - - -
Thypi O Antigen A
Widal Salmonella
#N/A - - - - -
Thypi O Antigen B
Widal Salmonella
#N/A - - - - -
Thypi O Antigen C
Widal Salmonella
#N/A - - - - -
Thypi O
Widal Salmonella
#N/A - - - - -
Thypi H Antigen A
Widal Salmonella
#N/A - - - - -
Thypi H Antigen B
Widal Salmonella
#N/A - - - - -
Thypi H Antigen C
Widal Salmonella
#N/A - - - - -
Thypi H
Golongan Darah
#N/A - - - - -
Anti A
Golongan Darah
#N/A - - - - -
Anti B
Golongan Darah
#N/A - - - - -
Anti AB
Golongan Darah
#N/A - - - - -
Anti D
Control Urine 2
#N/A - - - - -
Level
Lactose Broth #N/A - - - - -
BGLB #N/A - - - - -
Chromate Test #N/A - - - - -
Iron Test #N/A - - - - -
Chloride Test #N/A - - - - -
Nitrit Test #N/A - - - - -
Mangan Test #N/A - - - - -
Kesadahan Test #N/A - - - - -
 Cadmium SPQ #N/A - - - - -
Cyanide SPQ #N/A - - - - -
Reagen Crackset
#N/A - - - - -
10
Alkohol Swab 100
#N/A - - - - -
pcs/box
Plesterin Bulat Soft
#N/A - - - - -
isi 200/box
Stik Urine 10
#N/A - - - - -
Parameter
Amphethamine 50
#N/A - - - - -
strp (Answer)
Methamphetamine
#N/A - - - - -
50 strip (Answer)
Opiet 50 strip
#N/A - - - - -
(Monotest)
Marijuana 50 strip
#N/A - - - - -
(Answer)
Cocain50 strip
#N/A - - - - -
(Monotest)
Benz0 50 strip
#N/A - - - - -
(Answer)
Drug Abuse Multi
Panel 6 Parameter #N/A - - - - -
25 card (Answer)
Pregnancy strip
#N/A - - - - -
test 50 strip
HBSS ( reagen
#N/A - - - - -
labkesda)
BARANG
#N/A - - - - -
BANTUAN
Masker KN 95 #N/A - - - - -
Face Shield #N/A - - - - -
2378 Hand Sanitiser botol - - - - -
Kaca Mata
#N/A - - - - -
Pelindung
2379 Tisu Basah bungkus - - - - -
Adem Sari
2380 botol - - - - -
Chingku
Minuman Panas
2381 botol - - - - -
Dalam
2382 Sari Kacang Hijau botol - - - - -
2383 Susu UHT botol - - - - -
2384 Susu Bear Brand botol - - - - -
2385 Rompi Vasinator pcs - - - - -
2386 Kartu Vaksin pcs - - - - -
2387 Poster pcs - - - - -
2388 Brosur pcs - - - - -
2389 Booklet pcs - - - - -
2390 Buku PVC pcs - - - - -
Buku Peraturan
2391 pcs - - - - -
per UU Covid
2392 Buku Kontak pcs - - - - -
2393 Spanduk Covid-19 0 - - - - -
OBAT BENCANA #N/A - - - - -
Abate #N/A - - - - -
Amoksilin Forte
250 mg/5ml Sirup #N/A - - - - -
Kering
Antifungi DOEN
2445 (As Benzoat 3% Pot 24 - 24 - 24
+As Salisilat 6%)
OBH Tropica Plus
#N/A - - - - -
Mentol 60 ml
Masker Surgical
Plus 3 Ply Plus #N/A - - - - -
Earloop
Salep 2-4 DOEN
{As.Salisilat 2%
2444 Pot - - - - -
+Belerang Endap
4%}
PMT BUMIL #N/A - - - - -
PMT BALITA #N/A - - - - -
KONSINYASI #N/A - - - - -
Kantong Limbah
2405 Medis Ukuran M lbr 24 - 24 - 24
Kesling)
Kantong Limbah
2406 Medis Ukuran L lbr 24 - 24 - 24
(Kesling)
Paket Bahan
2407 paket - - - - -
Habis Pakai IVA
2377 Civit -Zink kaplet - - - - -
 (Multivitamin)
Sample Collection
2408 Kit Module 8 box - - - - -
Cooolboox
Sarung Tangan
2409 pasang - - - - -
Pendek L
Paket APD
2410 paket - - - - -
Lengkap
Rapid Diagnosa
2411 pcs - - - - -
Tes Antigen
Safety box 5 lt
2412 pcs - - - - -
KESLING
Clofazimine tab
2413 tablet - - - - -
50 mg
Delanamid tab 50
2414 tablet - - - - -
mg
Roll Banner
2415 0 - - - - -
Imunisasi Ganda
2416 Roll Banner PCV 0 - - - - -
APD - PAKET
2417 LENGKAP 0 - - - - -
(GREMAS)
2418 PARAFLU SIRUP 0 5 - 5 4 1
HI D 5000 ( box /
2419 tablet 300 - 300 122 178
30 tablet )
Vaksin Astra
2420 vial - - - - -
Ceneka (8 dosis)
Vaksin Sinovac 2
2421 vial - - - - -
dosis
Kasa pembalut
2422 roll - - - - -
40/80
2423 Ciycloserin 125 mg vial - - - - -
#N/A #N/A - - - - -
OBAT DAN BMHP
#N/A - - - - -
COVID - 19
Vaksin Pfizer
2424 Bilateral Shipment vial - 25 25 11 14
6 Dosis
Auto Destruct
2425 Syringe (Pfizer) set - 100 100 - 100
0,3 ml
Auto Destruct
2426 Syringe (Pfizer) 3 set - 50 50 - 50
ml
2427 Alkohol Swab pcs 50 200 250 250 -
Nbacl 0,9% /
2428 Sodium Chlorida botol - - - - -
0,9 % - 10 ml
Auto Destruct
2429 set - - - - -
Syringe 0,5 ml
Vaksin Moderna
2430 (multi dosis/10 vial - - - - -
Dosis)
Kasa Pembalut 4m
2431 bungkus - - - - -
x 8m
Asam Askorbat (vit
2432 tablet 1.541 5.000 6.541 1.533 5.008
C) tablet 250 mg
2433 Reagent Dilluent Kit - - - - -
2434 Reagent Lyse botol - - - - -
DILAMANID (DLM)
2435 tablet - - - - -
50 MG
Surgical Glove No.
2436 pasang - 200 200 - 200
8,5
APRON PLASTIK /
2437 pcs - - - - -
P2
Goggle / Kaca
2438 pcs - - - - -
Mata / P2
Hand Sanitizer
2439 botol - - - - -
Spray / P2
Marker Bedah 3
2440 pcs - - - - -
Ply / P2
Sarung Tangan
2441 pasang - - - - -
Latex / P2
2442 Masker KN 95 / P2 pcs - - - - -
Media Amis Swab
2443 tes - - - - -
Difteri
2446 Cervical collar tes 1 - 1 - 1
Handsaitizer 1 liter
2447 botol - - - - -
( Hibah )
Disinfectant I liter
2448 botol - - - - -
(Hibah)
Disinfectant 5 liter
2449 botol - - - - -
(Hiba)
Masker Earloop
2450 (Box/50 pcs) pcs - - - - -
(Hibah)
2451 Spalk botol 5 - 5 2 3
 VAKSIN
2452 COVOVAC (10 vial - - - - -
Dosis)
Surgical Gloves
2453 pcs 100 - 100 100 -
6,5
2454 CAVIPLEX tablet 500 1.000 1.500 589 911