QTY Yg

No Nama Barang QTY Actual Satuan

dibutuhkan
1 Bed 3 Crank Manual 2 2 Unit
2 Branker/Stretcher 1 0 Unit
3 Kursi Roda 1 0 Unit
4 Tabung Oksigen 1 1 Tabung
5 Trolly Tabung Oksigen 2 1 Unit
6 Regulator Oksigen 1 2 Set
7 Suction Pump Listrik (12V DC) 1 0 Set
8 Sterilisator Kering 1 Pintu 1 0 Unit
9 Nebulizer Omron 1 0 Unit
10 Tensimeter Digital Tiang 1 1 Unit
11 Stetoskop Litmann 1 1 Unit
12 Minor Surgery Set 1 1 Set
13 Tiang Infus 2 2 Unit
14 Pulse Oximetri 1 1 Unit
15 Cervical Collar 1 2 Set
16 Scoop Stretcher 1 0 Unit
17
 ALAT POS PPGD
NO NAMA BARANG ACTUAL YG DIBUTUHKAN SATUAN

1 Bed Pemeriksaan 0 1 Unit

Pasien&Tangga
2 Stretcher 0 1 Unit
3 Kursi Roda 0 1 Unit
4 Tabung Oksigen&isi 0 2 Tabung
5 Trolly Tabung Oksigen 0 1 Unit
6 Regulator Oksigen 0 2 Set
7 Temperature Suhu 0 2 Set
8 Sterilisator Kering 1 Pintu 0 1 Unit
9 Nebulizer Omron 0 1 Unit
10 Tensimeter Digital "Omron" 0 1 Unit
11 Stetoskop Litmann 0 2 Unit
12 Minor Surgery Set 0 2 Set
13 Tiang Infus 0 2 Unit
14 Pulse Oximetri 0 1 Unit
15 Neck Collar 0 2 Set
16 Responder Bag 0 1 Set
17 Tensi Meter Manual Air Raksa 0 2 Set
 KET

Size C
 OBAT KLINIK
NO NAMA BARANG ACTUAL QTY SATUAN KET
1 Dumin 0 5 Box
2 Neuralgin 0 5 Box Analgesic
3 Myonal 0 5 Box
4 Amoxycillin 500 mg 0 5 Box
5 Acyclovir 400 mg 0 5 Box
Antibiotik
6 Ciprofloxacin 500 mg 0 5 Box
7 Bactoprim/Bactrim Forte 0 3 Box
8 Claritin/Loratadine 0 5 Box
9 Dextamine 0 5 Box
Antihistamine
10 Prednisone 5 mg 0 5 Box
11 Ketoconazole 200 mg 0 2 Box
12 Cedocard 0 3 Box
13 Nifedipin 10 mg 0 3 Box
Cardiac
14 HCT 25 mg 0 1 Botol
15 Captensin 25 mg 0 3 Box
16 Ambeven 0 5 Box
17 Buscopan/Hyoscine 0 3 Box
18 Cimetidine 200 mg 0 5 Box
19 Dulcolax tab 0 3 Box
20 Lodia 0 5 Box
21 Mylanta 0 5 Box
22 New diatabs 0 5 Box Gastrointestinal
23 Oralit/Pharolit 0 3 Box
24 Ranitidine 0 5 Box
25 Primperan 0 2 Box
26 Simvastatin 0 5 Box
27 Fenofibrate 0 3 Box
28 Lanzoprazol 0 5 Box
29 Atropine Sulfas 0 5 Ampul
30 Adrenaline/Epinephrine 0 5 Ampul
31 Lidocain 0 2 Ampul
32 Neurobion 0 10 Ampul Injection Varian
33 Paradryl 0 2 Vial
34 Paramidone 0 2 Vial
35 Tetanus Toxoid vaccine 0 1 Vial
36 Nacl 0,9 % 500 ml 0 2 Kolf
37 Dextrose 5 % 500 ml 0 2 Kolf
Intravena Varian
38 0 2 Kolf
Dex 5%+Sodium Chloride 0,9%
39 Ringer Lactate 500 ml 0 2 Kolf
40 Mefinal/Ponstan 500 mg 0 5 Box
41 Piroxicam 20 mg 0 5 Box
42 Voltadex Tab 0 5 Box
Anti Inflamatory
43 Zyloric 100 mg/Allupurinol 0 5 Box
 Anti Inflamatory

44 Meticobalt 0 5 Box
45 Irgapan 0 5 Box
46 Cendo Cytrol eye drop 0 10 Vial
47 Cendo Fenicol 0 5 Vial
48 Visine eye drop 0 10 Botol Opthamologic
49 Mycetine Zalf 0 5 Tube
50 Y-Rins 0 5 Botol
51 Ventolin inhaler 0 2 Botol
52 Ventolin Nebulizer 0 2 Pcs Anti Ashma
53 Bricasma tab 0 2 Box
54 Mucera Tab 0 5 Box
55 Anadex 0 8 Box
56 Albothil 0 5 Tube
57 Bisolvon syr 60 ml 0 10 Botol
58 FG Throces 0 8 Box
59 Kenalog in Orabase 0 10 Tube Ear, Nose&Throat
60 Otopain/Otoloin 0 3 Botol
61 Waxsol Ear Drop/Forumen 0 3 Botol
62 OBH Nelco 0 20 Botol
63 Sudafed/Trifedrin 0 5 Box
64 Paratusin 0 8 Box
65 Betadine Sedang 0 20 Botol
66 Acyclovir 5% 5 gr 0 10 Tube
67 Autan 0 1 Box
68 Alcohol 70% 100 ml 0 20 Botol
69 Betadine gargle kecil 0 20 Botol
70 Burnazine cream 0 5 Tube
71 Bioplacenton cream 0 5 Tube
72 Caladine Lotion 0 5 Botol Topical&Anti Septic
73 Chlor ethyl Spray 0 2 Botol
74 Minyak kayu putih sedang 0 10 Botol
75 Counterpain 0 20 Tube
76 Daktarin cream 0 5 Botol
77 Nizoral/ketokonazole Cream 0 5 Tube
78 Voltadex Gel 0 5 Tube
79 Thrombofob 0 5 Tube
80 Batugin Elixir 0 3 Botol
Renal
81 Nefrolit 0 3 Botol
82 Neurobion 0 3 Box
83 Sangobion 0 3 Box
84 Ascorbic Acid/Vitacimin 0 3 Box
85 Benovit M 0 3 Box Multivitamin
86 Enzyplex 0 5 Box
87 Bionicom Zink 0 3 Box
88 Zegavit Zink 0 3 Box
 CONSUMABLE KLINIK
NO NAMA BARANG ACTUAL QTY SATUAN KET
1 Plastic Medicine small size 0 Pack Pack
Packing Material
2 Plastic Medicine medium size 0 5 Pack
3 Abbocath no 16 G 0 5 PCS
4 Abbocath no 18 G 0 5 PCS
5 Abbocath no 20 G 0 5 PCS
6 Air Strip 7,5X1cm 0 2 Box
7 Air Strip 3,8X2,2cm 0 2 Box
8 Alcohol Swab 0 1 Box
9 Basic dressing pack 0 5 Pack
10 Burn Shield 0 3 Pack
11 Catgut no 3/0 0 2 Roll
12 Catgut/Chromix no 4/0 0 2 Roll
13 Catheter dressing pack 0 2 Pack
14 Binasal canula 0 3 Pcs
15 Disposable Syringe 1 ml 0 15 Pcs
16 Disposable Syringe 3 ml 0 15 Pcs
17 Disposable Syringe 5 ml 0 10 Pcs
18 Elastic bandage 7,5X455 0 5 Roll
19 Elastic bandage 10X455 0 5 Roll
20 Endo Tracheal tube No 6,5 0 1 Pcs
21 Endo Tracheal tube No 7 0 1 Pcs
22 Endo Tracheal tube No 7.5 0 1 Pcs
23 Eye Pad Oval 0 5 Pcs
24 Gauze roll 5 cm 0 5 Roll
25 Gauze roll 7,5 cm 0 5 Roll
26 Gauze pad unsterile 0 5 Box
27 Gauze Setrile/Hydrofile 0 10 Box
28 Glove steriles No 7,5 0 4 Box
29 Glove unstreile Medium Size 0 2 Box
30 Hansaplast 0 2 Box
31 Hyfafix 0 2 Roll
32 Micropore 0,5 inch 0 2 Roll
33 Micropore 1 inch 0 2 Roll
34 0 2 Roll DRESSING,
Micropore 2 inch
INTRAVENOU AND
35 Needle no 21 G 0 1 Box INJECTION
36 Needle no 23 G 0 1 Box MATERIALS
37 Needle no 25 G 0 1 Box
38 Hot And cold compress 0 2 Pcs
39 Infusion set adult 0 5 Set
40 Opsite 0 5 PCS
41 Oxygen tube 0 3 PCS
42 dermalon 2/0 0 2 Roll
43 Dermalon 4/0 0 2 Roll
44 Mersilk 2/0 0 2 Roll
45 Mersilk 3/0 0 2 Roll
46 Non Rebreathing Mask 0 3 PCS
47 Rebreathing Mask 0 2 PCS
48 Prolene atau Mersilk 4/0 0 3 Roll
49 Silk without needle 3/0 0 2 Roll
50 Simple mask oxygen 0 2 Roll
51 Nebulizer Mask 0 2 Pcs
52 Sharp Container 0 5 Box
53 Sofratule 0 2 PCS
54 Stomach tube/NGT 0 2 PCS
55 Suction tube 2m 0 2 PCS
56 Suction Catheter 0 2 PCS
57 Surflo no.22 0 3 PCS
58 Surflo no.20 0 3 PCS
59 Termometer Sleeves 0 2 Pack
60 Triangular bandage 0 8 PCS
61 Urine Bag 0 1 PCS
62 Urine catheter 0 2 PCS
63 Wing Needle 21 G 0 5 PCS
64 Wing Needle 23 G 0 5 PCS
65 Wooden Spatula 0 2 PCS
66 Wound Dressing 0 8 PCS