KEPOLISIAN NEGARA REPUBLIK INDONESIA

DAERAH JAMBI
BIDANG KEDOKTERAN DAN KESEHATAN
DAFTAR LAPORAN SISA PEMAKAIAN OBAT & ALKES HABIS
PAKAI SUMBER BPJS SATUAN : KLINIK PRATAMA POLDA JAMBI
HARIAN DALAM SATU BULAN BULAN : AGUSTUS 2024

PENGELUARAN
PERSEDI SISA
NO NAMA OBAT SATUAN
AAN AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 2 3 4 5 6
I OBAT UMUM

A. OBAT SUSUNAN SYARAF

1 ANALGETIKA, ANTI PYRETIKA

1 ALLOPURINOL 100 MG TABLET 600

2 ALLOPURINOL 300 MG TABLET 800
3 ASAM MEFENAMAT 500 MG TABLET 1600
4 ASAM MEFENAMAT 500 MG TABLET 500
5 FARSIFEN 400 KAPL TABLET 100
6 FARSIFEN PLUS TABLET 300
7 PARASETAMOL SYR BTL 70
8 PARASETAMOL TAB 500 MG BERNO TAB 0
9 PARASETAMOL TAB 500 MG BERNO JUNI TAB 2200
10 MIXALGIN TABLET 800
11 FASIDOL TAB TABLET 0
12 ASAM TRANEXSAMAT TABLET 400
13 ALOFAR 100 TABLET 100
14 ALOFAR 300 TABLET 100
15 CONSTAN 500 MG TABLET 0
16 ERLAMOL SYR BTL 0
17 DEXKETOPROFEN TABLET 0
18 FASIDOL DROP BTL 22
19 FASIDOL SYR BTL 64
20 SAMCOFENAK TABLET 0
21 TIFALSIK TAB TABLET 0
22 EPERISON TABLET 100
2 ANTI INFLAMASI -

1 DICLOFENAC SODIUM 50 MG KAPLET BERNO TAB 1900

2 MELOXICAM 15 MG TAB TAB 900
3 MELOXICAM 7,5 MG TAB TAB 500
4 FAXIDEN 20 MG TABLET 100
5 MEGATIC 50 MG TABLET 0
6 FLAMIGRA TABLET 0
 7 GENIXAM 15 MG TABLET 200
8 GENFLAM @ 50 TABLET 250
3 ANTI INFLUENZA,COUGHT & COLD REMEDIES

1 COPARCETIN KAPL TABLET 1200

2 FLUTAMOL SYR BTL 58
3 FLUNADIN TABLET 200
4 FLUTAMOL TAB TABLET 1400
5 PHENZACOL TABLET 1700
6 TERA F TABLET 400
7 FLUTOP C SYR BTL 31
8 ALPARA TABLET 1100
9 COPARCETIN SYR BTL 41
10 DEVOSIX DROP BTL 22
11 OBH BERLICO BTL 49
12 PARATUSIN TABLET TABLET 600
13 TERNIX PLUS BTL 34
14 TERNIX SYR BTL 31
15 PARATENZA SYR BTL 35
16 CALORTUSIN TAB TABLET 500
B OBAT PSIKOFARMA

1 HIPNOTIK SEDATIF

2 ANTI DEPRESAN.ANTI CONVULSAN

3 ANTI PARKINSON

1 DIVALPROEX SODIUM BTL 0

2 PHENITOIN BTL 14

0
C OBAT KARDIOVASKULER

1 ANTI ANGINA

2 ANTI HYPERTENSI

1 AMLODIPIN 10 MG BERNOFARM TABLET 1300

2 AMLODIPIN 5 MG TABLET 700
3 SAMCOVASK 10 MG TABLET 400
4 CAPTOPRIL 12,5 MG TABLET 200
5 CANDESARTAN 8 MG TABLET 400
3 VASOLDILATOR

1 ASCARDIA TABLET 0
2 CLOPIDOGREL TABLET 0
3 CONCOR 2,5 MG TABLET 0
4 FUROSEMIDE TABLET 0
5 JANDIANCE TABLET 0
 6 NEULIN TABLET 0
7 SIMARC 2 TABLET 0
8 SPIRONOLACTON TABLET 0
9 UPERIO 100 MG TABLET 0
4 GLIKOSIDA JANTUNG

5 HAEMOSTATIK

6 ANTI HEMOROID

D OBAT SALURAN PERNAFASAN

1 ANTITUSIF / EXPECTORAN /MUKOLITIK

1 AMBROXOL HCL 30 MG 75 ML ELIXIR BERNO BTL 32

2 AMBROXOL HCL 30 MG TAB BERNO TABLET 1500
3 BROMIFAR KAP TABLET 400
4 ERDOSTEIN SYR BTL 67
5 GUEFENISIN TABLET TABLET 700
6 OBH ITRASAL BTL 8
7 BRICOX TAB TABLET 20
8 SAMCODIN TABLET 700
9 BISOLVON BTL 1
10 ITRABAT SYR BTL 17
11 ROVERTON DROP BTL 15
12 ACETYLSISTEIN TABLET 200
2 ANTI ASMA 0
1 SALBUTAMOL 2 MG BERNO KAPLET 1100
E SALURAN CERNA

1 ANTASIDA

1 RANITIDIN TAB TABLET 500

2 LOKEV CAPS KAPSUL 1100
3 SUCRALFAT SYR BTL 15
4 DOBRIZOL KAPSUL 750
5 CARSIDA SYR BTL 0
6 RANACID F TAB TABLET 200
7 RANITIDIN INJ INJ 17
8 TRIOCID TABLET 300
9 TRIOCID SYR BTL 0
10 ZANTIFAR TABLET 50
11 TRIANTA TABLET TABLET 0
12 MAAGEL SYR BTL 62
13 ANTASIDA DOEN TABLET 0
14 SAMTASID TAB TABLET 0
15 OMEPRAZOLE INJ AMP 10
 16 SAMTACID TAB TABLET 600
2 ENZYM

3 LAXATIVE

1 LAXANA/BISACODYL TAB TABLET 600

2 DULCOLACTOL 60 ML BTL 3
4 ANTI SPASMODIK

1 SCOPMA PLUS KAPL TABLET 500

2 SCOPMA PLUS KAPL TABLET 500
5 ANTI DIARE

1 NOVADIUM TAB 2 MG TABLET 0

2 DIASTRIX TAB 2 MG TABLET 1200
3 KAOTIN SYR TABLET 6
4 AKITA TABLET 600
5 L-BIO PCS 90
6 OBAT HEPATITIS

7 ANTI EMETIKUM

1 DOMPERIDONE SUSP 5 MG/5 ML BTL 60

2 ONDANSENTRON 4 MG TABLET 270
3 ROSIDON TABLET TABLET 1100
4 ONDANSENTRON INJEKSI AMPUL 20
F ANTI ALERGI

1 ANTI HISTAMIN

1 ALERZIN 10 MG TABLET 0
2 NYSTATIN DROP BTL 18
3 NYSTATIN DROP JUNI BTL 27
4 DEXTAF TAB TABLET 1300
5 HUFABETAMIN SYR BTL 18
6 LERZIN SYR BTL 44
7 QUANTIDEX KAPLET TABLET 1600
8 LERZIN KAP KAPLET 750
9 WINATIN TABLET 900
10 QUANTIDEX SYR BTL 61
11 LERZIN DROP BTL 21
12 NOZA TABLET 300
13 ORPHEN TABLET 0
2 KORTIKOSTEROID

1 DEXAMETHASON 0,5 MB BERNO TABLET 0

2 DEXAMETHASON 0,5 MB BERNO JUNI TABLET 2600
3 METHYL PREDNISOLON 4 MG KAPLET BERNO KAPLET 3800
4 DEXAMETASONE INJ INJ 60
 5 FARIDEXON TABLET 0
6 RHEMAFAR TABLET 0
7 DEGIROL TABLET 500
G ANTI DIABETIK

1 GLIMEPIRIDE 2 MG BERNO tablet 1300

2 METFORMIN 500 MG TAB BERNO TABLET 1700
ANTI TYROID BOX

H VITAMIN

1 ARKAVIT C TABLET 0
2 CURCUMA PLUS SYR BTL 36
3 GLUCOSAMINE TABLET 600
4 GLUCOSAMINE TABLET 200
5 NEUROBION INJ AMP 20
6 NEUROBION INJ AMP 5
7 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO BTL 50
8 NEURODEX TABLET 800
9 LECOZINC 20 MG TABLET 500
10 LECOZINC 20 MG TABLET 300
11 ANELAT TABLET 300
12 CALCIVAR TABLET 400
13 HORVITA G TABLET 300
14 INTERLAC OIL DROP BTL 0
15 MECOBALAMIN TABLET 900
16 NEUROFA TABLET 100
17 SAMCOBION TABLET 900
18 VITAMIN C 50 MG TABLET 200
19 ARKAVIT DRAGEE TABLET 100
20 CURCUMA FORCE TABLET 100
21 NEXICAL D TABLET 400
22 VITAMIN C 250 TABLET 300
23 SAMCORBEX C TABLET 400
24 HI D 5000 TABLET 0
25 BECEFORT TABLET 600
26 FONDAZEN TABLET 800
27 APIALYS SYR BTL 3
I ANTI INFEKSI

J ANTI BAKTERI SISTEMIK

1 AMOXICILLIN 500 MG KAP BERNO KAPLET 600

2 AMOXILIN 500 MG BERNO JUNI KAPLET 3400
3 CEFADROXIL 500 MG KAP BERNOFARM KAPLET 0
 4 CEFADROXIL 500 MG KAP BERNOFARM JUNI KAPLET 2500
5 CEFADROXIL SYR 125 MG BTL 46
6 CEFADROXIL SYR 125 MG JUNI BTL 34
7 AMOXILIN SYR BTL 72
8 AMOXILIN SYR JUNI BTL 30
9 CEFIXIME 100 MG TABLET 1800
10 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 1200
11 CIPROFLOXACIN 500 MGTAB bernofarm JUNI TABLET 1100
12 CEFIXIME SYR BTL 64
13 CEFIXIME SYR JUNI BTL 25
14 AMOXILIN 500 MG / YUSIMOX KAP TABLET 0
15 CEFADROXIL INFION TABLET 0
16 HELIXIME 100 TABLET 0
17 HELIXIME SYR BTL 0
18 SAMOXIN SYR BTL 5
19 DOHIXAT TABLET 500
20 LOSTACEF 125/5 BTL 12
21 LOSTACEF 500 MG KAPSUL 700
22 FARIZOL TABLET 700
23 SAMOXIN 500 TABLET 0
24 FG TROCHES TABLET 240
K FUNGISIDA

L ANTI MALARIA

M OBAT TETES / SALEP/OBAT LAIN

1 ACIFAR/ACYCLOVIR CREAM 5 GR TUBE 60

2 BEDAK SALYSIL 2% 60 GRAM PCS 26
3 BETASON N CREAM TUBE 80
4 CENDO XITROL AMP 85
5 KETOKONAZOLE CR TUBE 50
6 FUCILEX CREAM TUBE 35
7 GENALTEN CREAM TUBE 38
8 GENTAMICIN SK TUBE 100
9 HIDROCORTISON 2,5 % CREAM BERNO TUBE 50
10 HIDROCORTISON 2,5 % CREAM BERNO JUNI TUBE 47
11 MOLAKRIM CREAM TUBE 5
12 PRODERMIS CR TUBE 20
13 RECO TETES MATA BTL 16
14 RECO TETES TELINGA BTL 25
15 MICONAZOL CR TUBE 8
16 BETAMETASON TUBE 75
 17 BETAMETASON JUNI TUBE 30
18 ORSADERM CR TUBE 0
19 THROMBO GEL TUBE 1
20 NESTACORT CR TUBE 10
21 PAIN KILLA TUBE 40
22 SYNALTEN CR TUBE 46
23 RL INFUS KOLF 44
24 BIOPLACENTON TUBE 13
25 DESOXIMETASONE TUBE 14
26 PERMETHRIN CR TUBE 17
27 RECO SALEP MATA TUBE 45
28 POVIDON IODIN BTL 2
29 MINYAK KAYU PUTIH BTL 24
30 SALEP 24 BTL 16
31 PEHACAIN AMP 160
32 BETADIN KUMUR BTL 8
33 CARBO GLISERIN TETES TELINGA BTL 24
34 GENTAMICIN SALEP MATA TUBE 10
35 HEXADOL KUMUR BTL 15
36 MOMETASONE CR TUBE 10
N NEUTROPIC&NEUTRONIC

O ANTI TUBERCULOSA

P OBAT LAIN SALURAN KEMIH & UROGENITAL

Q ANNESTHESI LOKAL

R ANTI MIGRAIN

1 FLUNARIZINE HCl 5 MG BERNO TABLET 1200

2 BETAHISTIN MESILETE 6 MG BERNO TABLET 1000
3 HISTIGO TABLET TABLET 200
S ANTI HYPERLIPIDMIA 0
1 ATORVASTATIN 10 MG TABLET 120
2 ATORVASTATIN 20 MG TABLET 740
3 SIMVASTATIN 10 MG BERNO KAPLET 700
4 SIMVASTATIN 10 MG BERNO JUNI KAPLET 600
5 SIMVASTATIN 20 MG BERNO KAPLET 0
6 SIMVASTATIN 20 MG BERNO JUNI KAPLET 1600
7 SELVIM 10 MG TABLET 0
8 SELVIM 20 MG TABLET 0
9 RESUVASTATIN 10 MG TABLET 0
T OBAT KULIT

U HORMON
 V ANTELMINTIKA

W ANTI VIRAL

1 ACIFAR 200 MG KAPSUL 700

2 ACIFAR 400 MG KAPSUL 780

X LAIN LAIN BOX

II ALKES HABIS PAKAI AMP

1 STIK KOLESTEROL NESCO BTL 7

2 STIK ASAM URAT NESCO BTL 7
3 STIK GULA DARAH NESCO BTL 9
4 MASKER HIJAB PCS 350
5 HYPAFIX 5X5 PCS 0
6 HYPAFIX 15X5 PCS 2
7 HYPAFIX 5*1 PCS 6
8 ABBOCATH NO 24 PCS 81
9 KERTAS EKG 80MM X 25 PCS 4
10 SUNGKUP DEWASA PCS 4
11 ULTRASONIC GEL PCS 4
12 SEIMENS ADVIA 360 DILUET @ 20 L PCS 0
13 SEIMENS ADVIA 360 3 PARTS LYSE @ 5 L /900 TEST PCS 0
14 SEIMENS ADVIA 360 CLEANER @ 1 L 600 TEST PCS 0
15 MONOTEST HBSAB PCS 0
16 SR STANDAR REAGEN PCS 0
17 INFUSET PCS 70
18 KASSA STERIL PCS 35
19 NALD NO 25 BOX 2
20 SUNGKUP ANAK PCS 12
21 SUNGKUP DEWASA PCS 4
22 BISTURI NO 11 PCS 50
23 BLOOD LANCET BOX 0
24 CHLOR ETHYL BTL 4
25 POT SALEP 20 GRAM PCS 20
26 SPUIT 3 CC PCS 100
27 SPUIT 3 CC PCS 40
28 HANDSCOON BOX 0
29 ALVOGYL PCS 0
30 OCCO PCS 0
31 ETCHING PCS 0
32 BONDING PCS 0
33 TAMPON PCS 13
 34 COMPOSIT 3 M A 2 PCS 0
35 COMPOSIT 3 M A 3 PCS 0
36 COMPOSIT FLOW 3 M A 2 PCS 0
37 COMPOSIT FLOW 3 M A 3 PCS 0
38 NEEDLE PCS 0
39 DEVITAL PCS 0
40 CAVIT PCS 0
41 BRUSH APLICATOR PCS 0
42 CITOJECT PCS 0
43 AGATE SPATULA PCS 0
IV ALKES INVESTASI

1 SCOOP STRECER PCS 1

2 KURSI RODA PCS 1
3 TROLI INSTRUMEN PCS 1
4 TRIAL FRAME FLEKSIBEL PCS 1
5 TENSIMETER ABN PCS 1
6 TENSIMETER INBODY PCS 1
7 KOMPUTER PC ACER AIO C 22 – 1700 I3 – 1215U PCS 1
SUMMIT DENTAL INSTRUMENT TOOTH EXTRACTING
8
FORCEPS CHILD 101 SET (TANG GIGI ANAK)
PCS
1

Jambi, AGUSTUS 2024

KEPALA KLINIK PRATAMA POLDA JAMBI
APOTEKER PENANGGUNG JAWAB

drg. MAYANG PUSPITASARI, MM.C.H apt. AYU NURLIANSARI, S.Farm

446-DGT-164913136-15.71.02.1003-DPMPTSP-SIPA-20222
PENATA TK.I NIP. 19821028 201403 2001
 KEPOLISIAN NEGARA REPUBLIK INDONESIA
DAERAH JAMBI
BIDANG KEDOKTERAN DAN KESEHATAN
KLINIK PRATAMA POLDA JAMBI
DAFTAR LAPORAN SISA PEMAKAIAN OBAT & ALKES HABIS
PAKAI SUMBER BPJS SATUAN : KLINIK PRATAMA POLDA JAMBI
HARIAN DALAM SATU BULAN BULAN : SEPTEMBER 2024

PENGELUARAN
PERSEDI SISA
NO NAMA OBAT SATUAN
AAN AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 2 3 4 5 6
I OBAT UMUM

A. OBAT SUSUNAN SYARAF

1 ANALGETIKA, ANTI PYRETIKA

1 ALLOPURINOL 100 MG TABLET 600

2 ALLOPURINOL 300 MG TABLET 800
3 ASAM MEFENAMAT 500 MG TABLET 1400
4 ASAM MEFENAMAT 500 MG TABLET 500
5 FARSIFEN 400 KAPL TABLET 100
6 FARSIFEN PLUS TABLET 200
7 PARASETAMOL SYR BTL 70
8 PARASETAMOL TAB 500 MG BERNO TAB 0
9 PARASETAMOL TAB 500 MG BERNO JUNI TAB 1300
10 MIXALGIN TABLET 800
11 FASIDOL TAB TABLET 0
12 ASAM TRANEXSAMAT TABLET 300
13 ALOFAR 100 TABLET 100
14 ALOFAR 300 TABLET 100
15 CONSTAN 500 MG TABLET 0
16 ERLAMOL SYR BTL 0
17 DEXKETOPROFEN TABLET 0
18 FASIDOL DROP BTL 30
19 FASIDOL SYR BTL 30
20 SAMCOFENAK TABLET 0
21 TIFALSIK TAB TABLET 0
22 EPERISON TABLET 100
2 ANTI INFLAMASI - 0
1 DICLOFENAC SODIUM 50 MG KAPLET BERNO TAB 1700
2 MELOXICAM 15 MG TAB TAB 900
3 MELOXICAM 7,5 MG TAB TAB 400
4 FAXIDEN 20 MG TABLET 100
5 MEGATIC 50 MG TABLET 0
 6 FLAMIGRA TABLET 0
7 GENIXAM 15 MG TABLET 200
8 GENFLAM @ 50 TABLET 350
3 ANTI INFLUENZA,COUGHT & COLD REMEDIES 0
1 COPARCETIN KAPL TABLET 1200
2 FLUTAMOL SYR BTL 42
3 FLUNADIN TABLET 200
4 FLUTAMOL TAB TABLET 1300
5 PHENZACOL TABLET 1800
6 TERA F TABLET 400
7 TERA F TABLET 100
8 FLUTOP C SYR BTL 21
9 ALPARA TABLET 900
10 COPARCETIN SYR BTL 30
11 DEVOSIX DROP BTL 5
12 OBH BERLICO BTL 23
13 PARATUSIN TABLET TABLET 600
14 TERNIX PLUS BTL 44
15 TERNIX SYR BTL 36
16 PARATENZA SYR BTL 29
17 CALORTUSIN TAB TABLET 500
B OBAT PSIKOFARMA 0
1 HIPNOTIK SEDATIF 0
2 ANTI DEPRESAN.ANTI CONVULSAN 0
3 ANTI PARKINSON 0
1 DIVALPROEX SODIUM BTL 0
2 PHENITOIN BTL 14

0
C OBAT KARDIOVASKULER 0
1 ANTI ANGINA 0
2 ANTI HYPERTENSI 0
1 AMLODIPIN 10 MG BERNOFARM TABLET 1100
2 AMLODIPIN 5 MG TABLET 700
3 SAMCOVASK 10 MG TABLET 400
4 CAPTOPRIL 12,5 MG TABLET 200
5 CANDESARTAN 8 MG TABLET 400
3 VASOLDILATOR 0
1 ASCARDIA TABLET 0
2 CLOPIDOGREL TABLET 0
3 CONCOR 2,5 MG TABLET 0
 4 FUROSEMIDE TABLET 0
5 JANDIANCE TABLET 0
6 NEULIN TABLET 0
7 SIMARC 2 TABLET 0
8 SPIRONOLACTON TABLET 0
9 UPERIO 100 MG TABLET 0
4 GLIKOSIDA JANTUNG 0
5 HAEMOSTATIK 0
6 ANTI HEMOROID 0
D OBAT SALURAN PERNAFASAN 0
1 ANTITUSIF / EXPECTORAN /MUKOLITIK 0
1 AMBROXOL HCL 30 MG 75 ML ELIXIR BERNO BTL 5
2 AMBROXOL HCL 30 MG TAB BERNO TABLET 1500
3 BROMIFAR KAP TABLET 400
4 ERDOSTEIN SYR BTL 65
5 GUEFENISIN TABLET TABLET 700
6 OBH ITRASAL BTL 8
7 BRICOX TAB TABLET 20
8 SAMCODIN TABLET 600
9 BISOLVON BTL 1
10 ITRABAT SYR BTL 17
11 ROVERTON DROP BTL 17
12 ACETYLSISTEIN TABLET 200
13 ROVERTON SYR BOTOL 7
2 ANTI ASMA 0
1 SALBUTAMOL 2 MG BERNO KAPLET 1100
E SALURAN CERNA 0
1 ANTASIDA 0
1 RANITIDIN TAB TABLET 600
2 LOKEV CAPS KAPSUL 850
3 SUCRALFAT SYR BTL 22
4 DOBRIZOL KAPSUL 950
5 CARSIDA SYR BTL 0
6 RANACID F TAB TABLET 200
7 RANITIDIN INJ INJ 17
8 TRIOCID TABLET 100
9 TRIOCID SYR BTL 0
10 ZANTIFAR TABLET 50
11 TRIANTA TABLET TABLET 0
12 MAAGEL SYR BTL 44
 13 ANTASIDA DOEN TABLET 0
14 SAMTASID TAB TABLET 0
15 OMEPRAZOLE INJ AMP 10
16 SAMTACID TAB TABLET 900
2 ENZYM 0
3 LAXATIVE 0
1 LAXANA/BISACODYL TAB TABLET 500
2 DULCOLACTOL 60 ML BTL 3
4 ANTI SPASMODIK 0
1 SCOPMA PLUS KAPL TABLET 400
2 SCOPMA PLUS KAPL TABLET 500
5 ANTI DIARE 0
1 NOVADIUM TAB 2 MG TABLET 0
2 DIASTRIX TAB 2 MG TABLET 1300
3 KAOTIN SYR TABLET 4
4 AKITA TABLET 600
5 L-BIO PCS 90
6 OBAT HEPATITIS 0
7 ANTI EMETIKUM 0
1 DOMPERIDONE SUSP 5 MG/5 ML BTL 60
2 ONDANSENTRON 4 MG TABLET 420
3 ROSIDON TABLET TABLET 900
4 ONDANSENTRON INJEKSI AMPUL 20
5 HUFADON TABLET 100
F ANTI ALERGI 0
1 ANTI HISTAMIN 0
1 ALERZIN 10 MG TABLET 0
2 NYSTATIN DROP BTL 10
3 NYSTATIN DROP JUNI BTL 27
4 DEXTAF TAB TABLET 900
5 HUFABETAMIN SYR BTL 7
6 LERZIN SYR BTL 44
7 QUANTIDEX KAPLET TABLET 1600
8 LERZIN KAP KAPLET 650
9 WINATIN TABLET 1000
10 QUANTIDEX SYR BTL 70
11 LERZIN DROP BTL 16
12 NOZA TABLET 400
13 ORPHEN TABLET 0
14 CALESTAR SYR BOTOL 2
 2 KORTIKOSTEROID 0
1 DEXAMETHASON 0,5 MB BERNO TABLET 0
2 DEXAMETHASON 0,5 MB BERNO JUNI TABLET 2000
3 METHYL PREDNISOLON 4 MG KAPLET BERNO KAPLET 2200
4 DEXAMETASONE INJ INJ 60
5 FARIDEXON TABLET 0
6 RHEMAFAR TABLET 0
7 DEGIROL TABLET 200
G ANTI DIABETIK 0
1 GLIMEPIRIDE 2 MG BERNO tablet 1300
2 METFORMIN 500 MG TAB BERNO TABLET 1700
ANTI TYROID BOX 0
H VITAMIN 0
1 ARKAVIT C TABLET 0
2 CURCUMA PLUS SYR BTL 19
3 GLUCOSAMINE TABLET 600
4 GLUCOSAMINE TABLET 400
5 NEUROBION INJ AMP 20
6 NEUROBION INJ AMP 35
7 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO BTL 50
8 NEURODEX TABLET 300
9 LECOZINC 20 MG TABLET 400
10 LECOZINC 20 MG TABLET 300
11 ANELAT TABLET 200
12 CALCIVAR TABLET 300
13 HORVITA G TABLET 700
14 INTERLAC OIL DROP BTL 0
15 MECOBALAMIN TABLET 700
16 NEUROFA TABLET 200
17 SAMCOBION TABLET 900
18 VITAMIN C 50 MG TABLET 100
19 ARKAVIT DRAGEE TABLET 0
20 CURCUMA FORCE TABLET 100
21 NEXICAL D TABLET 400
22 VITAMIN C 250 TABLET 200
23 SAMCORBEX C TABLET 500
24 HI D 5000 TABLET 0
25 BECEFORT TABLET 0
26 FONDAZEN TABLET 700
27 APIALYS SYR BTL 0
 28 CALCIFAR TABLET 200
I ANTI INFEKSI 0
J ANTI BAKTERI SISTEMIK 0
1 AMOXICILLIN 500 MG KAP BERNO KAPLET 200
2 AMOXILIN 500 MG BERNO JUNI KAPLET 3400
3 CEFADROXIL 500 MG KAP BERNOFARM KAPLET 0
4 CEFADROXIL 500 MG KAP BERNOFARM JUNI KAPLET 1900
5 CEFADROXIL SYR 125 MG BTL 46
6 CEFADROXIL SYR 125 MG JUNI BTL 34
7 AMOXILIN SYR BTL 72
8 AMOXILIN SYR JUNI BTL 30
9 CEFIXIME 100 MG TABLET 1700
10 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 1100
11 CIPROFLOXACIN 500 MGTAB bernofarm JUNI TABLET 1100
12 CEFIXIME SYR BTL 64
13 CEFIXIME SYR JUNI BTL 25
14 AMOXILIN 500 MG / YUSIMOX KAP TABLET 0
15 CEFADROXIL INFION TABLET 0
16 HELIXIME 100 TABLET 0
17 HELIXIME SYR BTL 0
18 SAMOXIN SYR BTL 5
19 DOHIXAT TABLET 500
20 LOSTACEF 125/5 BTL 12
21 LOSTACEF 500 MG KAPSUL 700
22 FARIZOL TABLET 700
23 SAMOXIN 500 TABLET 0
24 FG TROCHES TABLET 360
K FUNGISIDA 0
L ANTI MALARIA 0
M OBAT TETES / SALEP/OBAT LAIN 0
1 ACIFAR/ACYCLOVIR CREAM 5 GR TUBE 50
2 BEDAK SALYSIL 2% 60 GRAM PCS 16
3 BETASON N CREAM TUBE 74
4 CENDO XITROL AMP 115
5 KETOKONAZOLE CR TUBE 23
6 FUCILEX CREAM TUBE 35
7 GENALTEN CREAM TUBE 38
8 GENTAMICIN SK TUBE 42
9 HIDROCORTISON 2,5 % CREAM BERNO TUBE 33
10 HIDROCORTISON 2,5 % CREAM BERNO JUNI TUBE 47
 11 MOLAKRIM CREAM TUBE 5
12 PRODERMIS CR TUBE 10
13 RECO TETES MATA BTL 23
14 RECO TETES TELINGA BTL 25
15 MICONAZOL CR TUBE 11
16 BETAMETASON TUBE 45
17 BETAMETASON JUNI TUBE 30
18 ORSADERM CR TUBE 0
19 THROMBO GEL TUBE 2
20 NESTACORT CR TUBE 10
21 PAIN KILLA TUBE 44
22 SYNALTEN CR TUBE 46
23 RL INFUS KOLF 49
24 BIOPLACENTON TUBE 10
25 DESOXIMETASONE TUBE 14
26 PERMETHRIN CR TUBE 9
27 RECO SALEP MATA TUBE 30
28 POVIDON IODIN BTL 2
29 MINYAK KAYU PUTIH BTL 24
30 SALEP 24 BTL 16
31 PEHACAIN AMP 160
32 BETADIN KUMUR BTL 8
33 CARBO GLISERIN TETES TELINGA BTL 24
34 GENTAMICIN SALEP MATA TUBE 10
35 HEXADOL KUMUR BTL 15
36 MOMETASONE CR TUBE 10
37 CAIRAN NACL TUBE 3
38 EPINEFRIN INJ AMP 8
39 ACDAT CR TUBE 4
40 GENOINT SALEP MATA TUBE 10
41 PLESTERIN BOX 6
42 RIVANOL BTL 13
N NEUTROPIC&NEUTRONIC 0
O ANTI TUBERCULOSA 0
P OBAT LAIN SALURAN KEMIH & UROGENITAL 0
Q ANNESTHESI LOKAL 0
R ANTI MIGRAIN 0
1 FLUNARIZINE HCl 5 MG BERNO TABLET 1200
2 BETAHISTIN MESILETE 6 MG BERNO TABLET 1000
3 HISTIGO TABLET TABLET 300
S ANTI HYPERLIPIDMIA 0
1 ATORVASTATIN 10 MG TABLET 120
2 ATORVASTATIN 20 MG TABLET 940
3 SIMVASTATIN 10 MG BERNO KAPLET 700
4 SIMVASTATIN 10 MG BERNO JUNI KAPLET 600
5 SIMVASTATIN 20 MG BERNO KAPLET 0
6 SIMVASTATIN 20 MG BERNO JUNI KAPLET 1300
7 SELVIM 10 MG TABLET 0
8 SELVIM 20 MG TABLET 0
9 RESUVASTATIN 10 MG TABLET 0
10 FENO FIBRAT 300 @50 KAPSUL 50
T OBAT KULIT 0
U HORMON 0
V ANTELMINTIKA 0
1 COMBANTRIN SYR BTL 10
W ANTI VIRAL 0
1 ACIFAR 200 MG KAPSUL 600
2 ACIFAR 400 MG KAPSUL 690

0
X LAIN LAIN BOX 0
II ALKES HABIS PAKAI AMP 0
1 STIK KOLESTEROL NESCO BTL 9
2 STIK ASAM URAT NESCO BTL 8
3 STIK GULA DARAH NESCO BTL 10
4 MASKER HIJAB PCS 900
5 HYPAFIX 5X5 PCS 0
6 HYPAFIX 15X5 PCS 2
7 HYPAFIX 5*1 PCS 8
8 ABBOCATH NO 24 PCS 81
9 KERTAS EKG 80MM X 25 PCS 4
10 SUNGKUP DEWASA PCS 4
11 ULTRASONIC GEL PCS 4
12 SEIMENS ADVIA 360 DILUET @ 20 L PCS 0
13 SEIMENS ADVIA 360 3 PARTS LYSE @ 5 L /900 TEST PCS 0
14 SEIMENS ADVIA 360 CLEANER @ 1 L 600 TEST PCS 0
15 MONOTEST HBSAB PCS 0
16 SR STANDAR REAGEN PCS 0
17 INFUSET PCS 70
18 KASSA STERIL PCS 39
19 NALD NO 25 BOX 2
20 SUNGKUP ANAK PCS 12
21 SUNGKUP DEWASA PCS 4
22 BISTURI NO 11 PCS 50
23 BLOOD LANCET BOX 6
24 CHLOR ETHYL BTL 4
25 POT SALEP 20 GRAM PCS 20
26 SPUIT 3 CC PCS 100
27 SPUIT 3 CC PCS 40
28 HANDSCOON BOX 4
29 ALVOGYL PCS 0
30 OCCO PCS 0
31 ETCHING PCS 0
32 BONDING PCS 0
33 TAMPON PCS 13
34 COMPOSIT 3 M A 2 PCS 0
35 COMPOSIT 3 M A 3 PCS 0
36 COMPOSIT FLOW 3 M A 2 PCS 0
37 COMPOSIT FLOW 3 M A 3 PCS 0
38 NEEDLE PCS 0
39 DEVITAL PCS 0
40 CAVIT PCS 0
41 BRUSH APLICATOR PCS 0
42 CITOJECT PCS 0
43 AGATE SPATULA PCS 0
44 COMBO STIK ISI 100 PCS 1
45 URYNALISIS CONTROL 2 X 12 ML PCS 1
46 CALINRATIOM STRIP PCS 1
47 THERMAL PAPER PCS 1
48 SAPTANEST 1 : 100.000 BOX 2
49 DISPOSIBLE DENTAL NEEDLE 14 MM BOX 15
50 BUR DIAMOND SET 6 SET 1
51 CAL LC PCS 1
52 COCOA BUTTER PCS 1
53 MIXING SLAB PCS 5
54 BUR DIAMOND MEISINGER A 801 010 ROUND KECIL PCS 10
BUR DIAMOND MEISINGER B 837 014 (FISSURE
55 PCS 5
PANJANG)
56 BUR DIAMOND MEISINGER B 837 014 (FISSURE TIPIS) PCS 5
57 ALPIN MEISINGER 661XF 025 (POLES PUTIH) PCS 5
58 BEIN MEDESY 4 MM 795/2 PCS 1
59 BEIN MEDESY 4 MM 795/5 PCS 1
 60 ALKOHOL 100 ML PCS 15
61 ALKOHOL SWAB PCS 10
62 OXYCAN BTL 1
63 STIK HB EASY TOUCH BTL 6
IV ALKES INVESTASI 0
1 SCOOP STRECER PCS 1
2 KURSI RODA PCS 1
3 TROLI INSTRUMEN PCS 1
4 TRIAL FRAME FLEKSIBEL PCS 1
5 TENSIMETER ABN PCS 1
6 TENSIMETER INBODY PCS 1
7 KOMPUTER PC ACER AIO C 22 – 1700 I3 – 1215U PCS 1
SUMMIT DENTAL INSTRUMENT TOOTH EXTRACTING
8
FORCEPS CHILD 101 SET (TANG GIGI ANAK)
PCS 1

Jambi, AGUSTUS 2024

KEPALA KLINIK PRATAMA POLDA JAMBI
APOTEKER PENANGGUNG JAWAB

drg. MAYANG PUSPITASARI, MM.C.H apt. AYU NURLIANSARI, S.Farm

446-DGT-164913136-15.71.02.1003-DPMPTSP-SIPA-20222
PENATA TK.I NIP. 19821028 201403 2001
 KEPOLISIAN NEGARA REPUBLIK INDONESIA
DAERAH JAMBI
BIDANG KEDOKTERAN DAN KESEHATAN
KLINIK PRATAMA POLDA JAMBI
DAFTAR LAPORAN SISA PEMAKAIAN OBAT & ALKES HABIS
PAKAI SUMBER BPJS SATUAN : KLINIK PRATAMA POLDA JAMBI
HARIAN DALAM SATU BULAN BULAN : NOVEMBER 2024

PENGELUARAN
PERSEDI SISA
NO NAMA OBAT SATUAN
AAN AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 2 3 4 5 6
I OBAT UMUM

A. OBAT SUSUNAN SYARAF

1 ANALGETIKA, ANTI PYRETIKA

1 ALLOPURINOL 100 MG TABLET 900

2 ALLOPURINOL 300 MG TABLET 800
2 ALLOPURINOL 300 MG TABLET 600
3 ASAM MEFENAMAT 500 MG TABLET 1100
4 ASAM MEFENAMAT 500 MG TABLET 500
5 FARSIFEN 400 KAPL TABLET 100
6 FARSIFEN PLUS TABLET 200
6 FARSIFEN PLUS TABLET 300
7 PARASETAMOL SYR BTL 70
7 PARASETAMOL SYR OKT BTL 73
8 PARASETAMOL TAB 500 MG BERNO TAB 1000
9 PARASETAMOL TAB 500 MG BERNO JUNI TAB 200
10 MIXALGIN TABLET 800
11 FASIDOL TAB TABLET 300
12 ASAM TRANEXSAMAT TABLET 300
13 ALOFAR 100 TABLET 100
14 ALOFAR 300 TABLET 100
15 CONSTAN 500 MG TABLET 0
16 ERLAMOL SYR BTL 0
17 DEXKETOPROFEN TABLET 0
18 FASIDOL DROP BTL 30
19 FASIDOL SYR BTL 50
20 SAMCOFENAK TABLET 700
21 TIFALSIK TAB TABLET 100
22 EPERISON TABLET 100
22 FARGETIK TABLET 200
22 EPERISON TABLET 200
2 ANTI INFLAMASI -
 1 DICLOFENAC SODIUM 50 MG KAPLET BERNO TAB 1100
2 MELOXICAM 15 MG TAB TAB 900
2 MELOXICAM 15 MG TAB TAB 900
3 MELOXICAM 7,5 MG TAB TAB 400
4 FAXIDEN 20 MG TABLET 100
5 MEGATIC 50 MG TABLET 0
6 FLAMIGRA TABLET 0
7 GENIXAM 15 MG TABLET 200
8 GENFLAM @ 50 TABLET 350
3 ANTI INFLUENZA,COUGHT & COLD REMEDIES

1 COPARCETIN KAPL TABLET 800

2 FLUTAMOL SYR BTL 30
3 FLUNADIN TABLET 200
4 FLUTAMOL TAB TABLET 1200
5 PHENZACOL TABLET 1500
5 PHENZACOL TABLET 598
6 TERA F TABLET 400
7 TERA F TABLET 0
8 FLUTOP C SYR BTL 13
9 ALPARA TABLET 1100
10 COPARCETIN SYR BTL 43
11 DEVOSIX DROP BTL 5
12 OBH BERLICO BTL 23
13 PARATUSIN TABLET TABLET 600
14 TERNIX PLUS BTL 44
15 TERNIX SYR BTL 36
16 PARATENZA SYR BTL 29
17 CALORTUSIN TAB TABLET 500
17 BROMEDRYL PLUS SYR BTL 20
17 PROMEDRYL SYR BTL 21
B OBAT PSIKOFARMA

1 HIPNOTIK SEDATIF

2 ANTI DEPRESAN.ANTI CONVULSAN

3 ANTI PARKINSON

1 DIVALPROEX SODIUM BTL 2

2 PHENITOIN BTL 14

C OBAT KARDIOVASKULER

1 ANTI ANGINA

2 ANTI HYPERTENSI
 1 AMLODIPIN 10 MG BERNOFARM TABLET 1700
2 AMLODIPIN 5 MG TABLET 1400
3 SAMCOVASK 10 MG TABLET 600
3 SAMCOVASK 5 MG TABLET 200
4 CAPTOPRIL 12,5 MG TABLET 200
5 CANDESARTAN 8 MG TABLET 400
3 VASOLDILATOR 0
1 ASCARDIA TABLET 0
2 CLOPIDOGREL TABLET 0
3 CONCOR 2,5 MG TABLET 0
4 FUROSEMIDE TABLET 0
5 JANDIANCE TABLET 0
6 NEULIN TABLET 0
7 SIMARC 2 TABLET 0
8 SPIRONOLACTON TABLET 0
9 UPERIO 100 MG TABLET 0
4 GLIKOSIDA JANTUNG

5 HAEMOSTATIK

6 ANTI HEMOROID

D OBAT SALURAN PERNAFASAN

1 ANTITUSIF / EXPECTORAN /MUKOLITIK

1 AMBROXOL HCL 30 MG 75 ML ELIXIR BERNO BTL 0

2 AMBROXOL HCL 30 MG TAB BERNO TABLET 1500
2 AMBROXOL HCL 15mg/5ml TABLET 49
2 AMBROXOL HCL 30 MG TAB BERNO okt TABLET 500
3 BROMIFAR KAP TABLET 400
4 ERDOSTEIN SYR BTL 64
5 GUEFENISIN TABLET TABLET 700
6 OBH ITRASAL BTL 8
7 BRICOX TAB TABLET 20
8 SAMCODIN TABLET 400
8 SAMCODIN TABLET 700
9 BISOLVON BTL 1
10 ITRABAT SYR BTL 53
11 ROVERTON DROP BTL 17
12 ACETYLSISTEIN TABLET 100
13 ROVERTON SYR BOTOL 0
13 ERLAPECT SYR BOTOL 20
13 BRICOX TAB BOTOL 100
2 ANTI ASMA
 1 SALBUTAMOL 2 MG BERNO KAPLET 1100
E SALURAN CERNA

1 ANTASIDA

1 RANITIDIN TAB TABLET 600

2 LOKEV CAPS KAPSUL 700
3 SUCRALFAT SYR BTL 12
4 DOBRIZOL KAPSUL 1330
5 CARSIDA SYR BTL 0
6 RANACID F TAB TABLET 200
7 RANITIDIN INJ INJ 17
8 TRIOCID TABLET 0
9 TRIOCID SYR BTL 0
10 ZANTIFAR TABLET 50
11 TRIANTA TABLET TABLET 0
12 MAAGEL SYR BTL 42
13 ANTASIDA DOEN TABLET 0
14 SAMTASID TAB TABLET 0
15 OMEPRAZOLE INJ AMP 10
16 SAMTACID TAB TABLET 800
16 DEXANTA TABLET TABLET 200
16 MAGTEN TABLET 700
2 ENZYM

3 LAXATIVE

1 LAXANA/BISACODYL TAB TABLET 500

2 DULCOLACTOL 60 ML BTL 0
4 ANTI SPASMODIK

1 SCOPMA PLUS KAPL TABLET 200

2 SCOPMA PLUS KAPL TABLET 800
2 KOLICGON TAB TABLET 100
5 ANTI DIARE

1 NOVADIUM TAB 2 MG TABLET 0

2 DIASTRIX TAB 2 MG TABLET 800
3 KAOTIN SYR TABLET 23
4 AKITA TABLET 800
5 L-BIO PCS 80
6 OBAT HEPATITIS

7 ANTI EMETIKUM

1 DOMPERIDONE SUSP 5 MG/5 ML BTL 51

2 ONDANSENTRON 4 MG TABLET 450
3 ROSIDON TABLET TABLET 500
 3 ROSIDON TABLET TABLET 200
4 ONDANSENTRON INJEKSI AMPUL 20
5 HUFADON TABLET 0
5 DOMPERIDON TABLET TABLET 300
F ANTI ALERGI

1 ANTI HISTAMIN

1 ALERZIN 10 MG TABLET 0
2 NYSTATIN DROP BTL 10
3 NYSTATIN DROP JUNI BTL 27
4 DEXTAF TAB TABLET 1300
5 HUFABETAMIN SYR BTL 37
6 LERZIN SYR BTL 80
7 QUANTIDEX KAPLET TABLET 1600
8 LERZIN KAP KAPLET 600
9 WINATIN TABLET 900
10 QUANTIDEX SYR BTL 54
11 LERZIN DROP BTL 36
12 NOZA TABLET 700
13 ORPHEN TABLET 0
14 CALESTAR SYR BOTOL 0
2 KORTIKOSTEROID

1 DEXAMETHASON 0,5 MB BERNO TABLET 700

2 DEXAMETHASON 0,5 MB BERNO JUNI TABLET 1200
3 METHYL PREDNISOLON 4 MG KAPLET BERNO KAPLET 1700
4 DEXAMETASONE INJ INJ 60
5 FARIDEXON TABLET 0
6 RHEMAFAR TABLET 200
7 DEGIROL TABLET 200
8 MOLACORT 0,5 MG TABLET 200
8 MESOALA 4 MG TABLET 500
G ANTI DIABETIK

1 GLIMEPIRIDE 2 MG BERNO tablet 1300

1 GLIMEPIRIDE 2 MG BERNO OKT tablet 300
2 METFORMIN 500 MG TAB BERNO TABLET 1700
2 METFORMIN 500 MG TAB BERNO OKT TABLET 700
ANTI TYROID BOX 0
H VITAMIN 0
1 ARKAVIT C TABLET 0
2 CURCUMA PLUS SYR BTL 34
3 GLUCOSAMINE TABLET 600
 4 GLUCOSAMINE TABLET 400
3 GLUCOSAMINE TABLET 300
5 NEUROBION INJ AMP 20
6 NEUROBION INJ AMP 55
7 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO BTL 50
7 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO OKT BTL 32
8 NEURODEX TABLET 500
8 BENEURON TABLET 900
9 LECOZINC 20 MG TABLET 200
10 LECOZINC 20 MG TABLET 300
10 ZINC SULFAT TABLET 200
11 ANELAT TABLET 600
12 CALCIVAR TABLET 300
13 HORVITA G TABLET 700
14 INTERLAC OIL DROP BTL 0
15 MECOBALAMIN TABLET 1100
16 NEUROFA TABLET 200
17 SAMCOBION TABLET 900
17 FERMIA TABLET 300
18 VITAMIN C 50 MG TABLET 0
19 ARKAVIT DRAGEE TABLET 0
20 CURCUMA FORCE TABLET 100
21 NEXICAL D TABLET 400
22 VITAMIN C 250 TABLET 0
23 SAMCORBEX C TABLET 500
24 HI D 5000 TABLET 0
25 BECEFORT TABLET 300
26 FONDAZEN TABLET 700
27 APIALYS SYR BTL 0
28 CALCIFAR TABLET 100
28 PROSORBIC SS 500 MG KAPLET 500
28 PROLYSIN SYR BTL 20
28 EZYGARD SYR BTL 8
28 OSTGEN FC TABLET TABLET 60
28 D - PRO 1000 TABLET TABLET 120
I ANTI INFEKSI

J ANTI BAKTERI SISTEMIK 1

1 AMOXICILLIN 500 MG KAP BERNO KAPLET 400
2 AMOXILIN 500 MG BERNO JUNI KAPLET 3000
3 CEFADROXIL 500 MG KAP BERNOFARM KAPLET 300
 4 CEFADROXIL 500 MG KAP BERNOFARM JUNI KAPLET 1900
5 CEFADROXIL SYR 125 MG BTL 46
6 CEFADROXIL SYR 125 MG JUNI BTL 34
6 CEFADROXIL SYR 125 MG JUNI BTL 16
7 AMOXILIN SYR BTL 59
8 AMOXILIN SYR JUNI BTL 30
8 AMOXILIN SYR OKT BTL 50
9 CEFIXIME 100 MG TABLET 1700
9 CEFIXIME 100 MG TABLET 200
10 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 1100
11 CIPROFLOXACIN 500 MGTAB bernofarm JUNI TABLET 1100
11 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 200
12 CEFIXIME SYR BTL 64
13 CEFIXIME SYR JUNI BTL 25
14 AMOXILIN 500 MG / YUSIMOX KAP TABLET 0
15 CEFADROXIL INFION TABLET 0
16 HELIXIME 100 TABLET 0
17 HELIXIME SYR BTL 0
18 SAMOXIN SYR BTL 0
19 DOHIXAT TABLET 500
20 LOSTACEF 125/5 BTL 12
21 LOSTACEF 500 MG KAPSUL 700
22 FARIZOL TABLET 700
23 SAMOXIN 500 TABLET 0
24 FG TROCHES TABLET 360
24 CLINDAMISIN 300 MG TABLET 300
24 METRONIDAZOL TABLET 300
K FUNGISIDA

L ANTI MALARIA

M OBAT TETES / SALEP/OBAT LAIN

1 ACIFAR/ACYCLOVIR CREAM 5 GR TUBE 61

2 BEDAK SALYSIL 2% 60 GRAM PCS 9
3 BETASON N CREAM TUBE 89
4 CENDO XITROL AMP 135
4 CENDO EYEFRESH AMP 40
5 KETOKONAZOLE CR TUBE 28
6 FUCILEX CREAM TUBE 50
7 GENALTEN CREAM TUBE 38
8 GENTAMICIN SK TUBE 42
8 GENTAMICIN SK TUBE 44
 9 HIDROCORTISON 2,5 % CREAM BERNO TUBE 33
10 HIDROCORTISON 2,5 % CREAM BERNO JUNI TUBE 47
11 MOLAKRIM CREAM TUBE 9
12 PRODERMIS CR TUBE 27
13 RECO TETES MATA BTL 35
14 RECO TETES TELINGA BTL 44
15 MICONAZOL CR TUBE 9
16 BETAMETASON TUBE 45
17 BETAMETASON JUNI TUBE 30
17 BETAMETASON OKT TUBE 47
18 ORSADERM CR TUBE 0
19 THROMBO GEL TUBE 2
20 NESTACORT CR TUBE 10
21 PAIN KILLA TUBE 60
22 SYNALTEN CR TUBE 46
23 RL INFUS KOLF 47
24 BIOPLACENTON TUBE 15
25 DESOXIMETASONE TUBE 26
26 PERMETHRIN CR TUBE 9
27 RECO SALEP MATA TUBE 47
28 POVIDON IODIN BTL 2
29 MINYAK KAYU PUTIH BTL 24
30 SALEP 24 BTL 16
31 PEHACAIN AMP 270
32 BETADIN KUMUR BTL 8
33 PHENOL GLISERIN TETES TELINGA BTL 24
33 PHENOL GLISERIN TETES TELINGA BTL 5
34 GENTAMICIN SALEP MATA TUBE 0
35 HEXADOL KUMUR BTL 15
36 MOMETASONE CR TUBE 10
36 MOMETASONE CR TUBE 20
37 CAIRAN NACL TUBE 1
38 EPINEFRIN INJ AMP 6
39 ACDAT CR TUBE 4
40 GENOINT SALEP MATA TUBE 24
40 GENOINT TETES MATA BTL 4
41 PLESTERIN BOX 6
42 RIVANOL BTL 13
42 SIDIADRYL INJ VIAL 12
N NEUTROPIC&NEUTRONIC
O ANTI TUBERCULOSA

P OBAT LAIN SALURAN KEMIH & UROGENITAL

Q ANNESTHESI LOKAL

R ANTI MIGRAIN

1 FLUNARIZINE HCl 5 MG BERNO TABLET 1200

2 BETAHISTIN MESILETE 6 MG BERNO TABLET 1000
3 HISTIGO TABLET TABLET 200
S ANTI HYPERLIPIDMIA

1 ATORVASTATIN 10 MG TABLET 120

2 ATORVASTATIN 20 MG TABLET 820
2 ATORVASTATIN 20 MG TABLET 90
3 SIMVASTATIN 10 MG BERNO KAPLET 700
4 SIMVASTATIN 10 MG BERNO JUNI KAPLET 600
4 SIMVASTATIN 10 MG BERNO OKT KAPLET 600
5 SIMVASTATIN 20 MG BERNO OKT KAPLET 1100
6 SIMVASTATIN 20 MG BERNO JUNI KAPLET 900
7 SELVIM 10 MG TABLET 0
8 SELVIM 20 MG TABLET 200
9 RESUVASTATIN 10 MG TABLET 0
10 FENO FIBRAT 300 @50 KAPSUL 50
10 FENO FIBRAT 100 @50 KAPSUL 50
10 CRESTOR 10 MG TABLET 30
10 LIPITOR 10 MG TABLET 30
T OBAT KULIT

U HORMON

V ANTELMINTIKA

1 COMBANTRIN SYR BTL 10

W ANTI VIRAL

1 ACIFAR 200 MG KAPSUL 600

2 ACIFAR 400 MG KAPSUL 690

X LAIN LAIN BOX

II ALKES HABIS PAKAI AMP

1 STIK KOLESTEROL NESCO BTL 14

2 STIK ASAM URAT NESCO BTL 12
3 STIK GULA DARAH NESCO BTL 14
4 MASKER HIJAB PCS 850
5 HYPAFIX 5X5 PCS 0
6 HYPAFIX 15X5 PCS 2
7 HYPAFIX 5*1 PCS 8
 8 ABBOCATH NO 24 PCS 81
9 KERTAS EKG 80MM X 25 PCS 4
10 SUNGKUP DEWASA PCS 4
11 ULTRASONIC GEL PCS 4
12 SEIMENS ADVIA 360 DILUET @ 20 L PCS 0
13 SEIMENS ADVIA 360 3 PARTS LYSE @ 5 L /900 TEST PCS 0
14 SEIMENS ADVIA 360 CLEANER @ 1 L 600 TEST PCS 0
15 MONOTEST HBSAB PCS 0
16 SR STANDAR REAGEN PCS 0
17 INFUSET PCS 70
18 KASSA STERIL PCS 39
19 NALD NO 25 BOX 2
20 SUNGKUP ANAK PCS 12
21 SUNGKUP DEWASA PCS 4
22 BISTURI NO 11 PCS 50
23 BLOOD LANCET BOX 6
24 CHLOR ETHYL BTL 4
24 CHLOR ETHYL BTL 3
25 POT SALEP 20 GRAM PCS 20
26 SPUIT 3 CC PCS 100
27 SPUIT 3 CC PCS 40
28 HANDSCOON BOX 4
29 ALVANEST PCS 0
29 ALVOGYL PCS 1
30 OCCO PCS 1
31 ETCHING PCS 3
32 BONDING PCS 3
33 TAMPON PCS 22
34 COMPOSIT 3 M A 2 PCS 3
35 COMPOSIT 3 M A 3 PCS 3
36 COMPOSIT FLOW 3 M A 2 PCS 0
37 COMPOSIT FLOW 3 M A 3 PCS 0
38 NEEDLE PCS 0
39 DEVITAL PCS 0
40 CAVIT PCS 2
41 BRUSH APLICATOR PCS 0
42 CITOJECT PCS 0
43 AGATE SPATULA PCS 0
44 COMBO STIK ISI 100 PCS 1
45 URYNALISIS CONTROL 2 X 12 ML PCS 1
 46 CALINRATIOM STRIP PCS 1
47 THERMAL PAPER PCS 1
48 SAPTANEST 1 : 100.000 BOX 2
49 DISPOSIBLE DENTAL NEEDLE 14 MM BOX 15
50 BUR DIAMOND SET 6 SET 1
51 CAL LC PCS 4
52 COCOA BUTTER PCS 1
53 MIXING SLAB PCS 5
54 BUR DIAMOND MEISINGER A 801 010 ROUND KECIL PCS 10
BUR DIAMOND MEISINGER B 837 014 (FISSURE
55 PCS
PANJANG) 5

56 BUR DIAMOND MEISINGER B 837 014 (FISSURE TIPIS) PCS

5
57 ALPIN MEISINGER 661XF 025 (POLES PUTIH) PCS 5
58 BEIN MEDESY 4 MM 795/2 PCS 1
59 BEIN MEDESY 4 MM 795/5 PCS 1
60 ALKOHOL 100 ML PCS 14
61 ALKOHOL SWAB PCS 9
62 OXYCAN BTL 1
63 STIK HB EASY TOUCH BTL 6
63 SELULOID STRIP PCS 2
63 KACA MULUT PCS 10
63 ARTIKULATING PAPER PCS 5
63 BATU POLES HIGH SPEED SLINDRIS PCS 5
63 KARET POLES LOW SPEED PCS 5
63 PLASTIS FILING PCS 5
63 EXCAVATOR PCS 5
63 REAGEN ASAM URAT PCS 1
63 REAGEN GLUCOSA PCS 1
63 REAGEN CHOLESTROL PCS 1
63 DARYANTULE @ 10 PCS 9
IV ALKES INVESTASI

1 SCOOP STRECER PCS 1

2 KURSI RODA PCS 1
3 TROLI INSTRUMEN PCS 1
4 TRIAL FRAME FLEKSIBEL PCS 1
5 TENSIMETER ABN PCS 1
6 TENSIMETER INBODY PCS 1
7 KOMPUTER PC ACER AIO C 22 – 1700 I3 – 1215U PCS 1
SUMMIT DENTAL INSTRUMENT TOOTH EXTRACTING
8
FORCEPS CHILD 101 SET (TANG GIGI ANAK)
PCS 1
 Jambi, NOVEMBER 2024
KEPALA KLINIK PRATAMA POLDA JAMBI
APOTEKER PENANGGUNG JAWAB

drg. MAYANG PUSPITASARI, MM.C.H apt. AYU NURLIANSARI, S.Farm

446-DGT-164913136-15.71.02.1003-DPMPTSP-SIPA-20222
PENATA TK.I NIP. 19821028 201403 2001
 KEPOLISIAN NEGARA REPUBLIK INDONESIA
DAERAH JAMBI
BIDANG KEDOKTERAN DAN KESEHATAN
KLINIK PRATAMA POLDA JAMBI
DAFTAR LAPORAN SISA PEMAKAIAN OBAT & ALKES HABIS
PAKAI SUMBER BPJS SATUAN : KLINIK PRATAMA POLDA JAMBI
HARIAN DALAM SATU BULAN BULAN : DESEMBER 2024

PENGELUARAN
PERSEDI SISA
NO NAMA OBAT SATUAN
AAN AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 2 3 4 5 6
I OBAT UMUM

A. OBAT SUSUNAN SYARAF

1 ANALGETIKA, ANTI PYRETIKA

1 ALLOPURINOL 100 MG TABLET 1400

2 ALLOPURINOL 300 MG TABLET 800
3 ALLOPURINOL 300 MG TABLET 1000
4 ASAM MEFENAMAT 500 MG TABLET 3100
5 ASAM MEFENAMAT 500 MG TABLET 500
6 FARSIFEN PLUS TABLET 200
7 FARSIFEN 400 KAPL TABLET 700
8 PARASETAMOL SYR BTL 60
9 PARASETAMOL SYR OKT BTL 73
10 PARASETAMOL TAB 500 MG BERNO TAB 300
11 PARASETAMOL TAB 500 MG BERNO TAB 2000
12 MIXALGIN TABLET 800
13 FASIDOL TAB TABLET 300
14 ASAM TRANEXSAMAT TABLET 300
15 ALOFAR 100 TABLET 100
16 ALOFAR 300 TABLET 100
17 FASIDOL DROP BTL 30
18 FASIDOL SYR BTL 20
19 SAMCOFENAK TABLET 700
20 FARGETIK TABLET 200
21 EPERISON TABLET 300
2 ANTI INFLAMASI - 0
1 DICLOFENAC SODIUM 50 MG KAPLET BERNO TAB 100
2 DICLOFENAC SODIUM 50 MG KAPLET BERNO TAB 800
3 MELOXICAM 15 MG TAB TAB 900
4 MELOXICAM 15 MG TAB TAB 1600
5 MELOXICAM 7,5 MG TAB TAB 400
6 FAXIDEN 20 MG TABLET 100
 7 GENIXAM 15 MG TABLET 200
8 GENFLAM @ 50 TABLET 250
9 SAMROX 20 TABLET 300
3 ANTI INFLUENZA,COUGHT & COLD REMEDIES 0
1 COPARCETIN KAPL TABLET 1100
2 FLUNADIN TABLET 200
3 FLUTAMOL TAB TABLET 600
4 PHENZACOL TABLET 1800
5 PHENZACOL TABLET 700
6 TERA F TABLET 400
7 FLUTOP C SYR BTL 0
8 ALPARA TABLET 1200
9 COPARCETIN SYR BTL 10
10 DEVOSIX DROP BTL 5
11 OBH BERLICO BTL 23
12 PARATUSIN TABLET TABLET 400
13 TERNIX PLUS BTL 33
14 TERNIX SYR BTL 33
15 PARATENZA SYR BTL 29
16 CALORTUSIN TAB TABLET 500
17 BROMEDRYL PLUS SYR BTL 20
18 PROMEDRYL SYR BTL 21
B OBAT PSIKOFARMA 0
1 HIPNOTIK SEDATIF 0
2 ANTI DEPRESAN.ANTI CONVULSAN 0
3 ANTI PARKINSON 0
1 DIVALPROEX SODIUM BTL 0
2 PHENITOIN BTL 9

0
C OBAT KARDIOVASKULER 0
1 ANTI ANGINA 0
2 ANTI HYPERTENSI 0
1 AMLODIPIN 10 MG BERNOFARM TABLET 2400
2 AMLODIPIN 5 MG TABLET 2300
3 SAMCOVASK 10 MG TABLET 300
4 SAMCOVASK 5 MG TABLET 200
5 CAPTOPRIL 12,5 MG TABLET 200
6 CANDESARTAN 8 MG TABLET 300
3 VASOLDILATOR 0
4 GLIKOSIDA JANTUNG 0
 5 HAEMOSTATIK 0
6 ANTI HEMOROID 0
D OBAT SALURAN PERNAFASAN 0
1 ANTITUSIF / EXPECTORAN /MUKOLITIK 0
1 AMBROXOL HCL 30 MG 75 ML ELIXIR BERNO BTL 0
2 AMBROXOL HCL 30 MG TAB BERNO TABLET 1500
3 AMBROXOL HCL 15mg/5ml TABLET 101
4 AMBROXOL HCL 30 MG TAB BERNO okt TABLET 1600
5 BROMIFAR KAP TABLET 400
6 ERDOSTEIN SYR BTL 60
7 GUEFENISIN TABLET TABLET 700
8 OBH ITRASAL BTL 7
9 SAMCODIN TABLET 300
10 SAMCODIN TABLET 700
11 BISOLVON BTL 1
12 ITRABAT SYR BTL 36
13 ITRABAT SYR BTL 12
14 ROVERTON DROP BTL 17
15 ACETYLSISTEIN TABLET 100
16 ERLAPECT SYR BOTOL 20
17 BRICOX TAB BOTOL 100
2 ANTI ASMA 0
1 SALBUTAMOL 2 MG BERNO KAPLET 1100
2 SALBUTAMOL 2 MG BERNO KAPLET 300
E SALURAN CERNA 0
1 ANTASIDA 0
1 RANITIDIN TAB TABLET 900
2 LOKEV CAPS KAPSUL 500
3 SUCRALFAT SYR BTL 20
4 DOBRIZOL KAPSUL 950
5 RANACID F TAB TABLET 200
6 RANITIDIN INJ INJ 17
7 ZANTIFAR TABLET 50
8 MAAGEL SYR BTL 45
9 OMEPRAZOLE INJ AMP 9
10 SAMTACID TAB TABLET 1200
11 DEXANTA TABLET TABLET 200
12 MAGTEN TABLET 300
2 ENZYM 0
3 LAXATIVE 0
 1 LAXANA/BISACODYL TAB TABLET 500
4 ANTI SPASMODIK 0
1 SCOPMA PLUS KAPL TABLET 0
2 SCOPMA PLUS KAPL TABLET 600
3 KOLICGON TAB TABLET 100
5 ANTI DIARE 0
1 DIASTRIX TAB 2 MG TABLET 800
2 KAOTIN SYR TABLET 17
3 AKITA TABLET 800
4 L-BIO PCS 70
6 OBAT HEPATITIS 0
7 ANTI EMETIKUM 0
1 DOMPERIDONE SUSP 5 MG/5 ML BTL 51
2 ONDANSENTRON 4 MG TABLET 540
3 ROSIDON TABLET TABLET 300
4 ONDANSENTRON INJEKSI AMPUL 20
5 HUFADON TABLET 0
6 DOMPERIDON TABLET TABLET 200
F ANTI ALERGI 0
1 ANTI HISTAMIN 0
1 NYSTATIN DROP JUNI BTL 10
2 DEXTAF TAB TABLET 1100
3 HUFABETAMIN SYR BTL 40
4 LERZIN SYR BTL 69
5 QUANTIDEX KAPLET TABLET 1600
6 LERZIN KAP KAPLET 450
7 WINATIN TABLET 600
8 QUANTIDEX SYR BTL 43
9 LERZIN DROP BTL 36
10 NOZA TABLET 700
11 ORPHEN TAB TABLET 0
2 KORTIKOSTEROID 0
1 DEXAMETHASON 0,5 MB BERNO TABLET 1000
2 DEXAMETHASON 0,5 MB BERNO JUNI TABLET 1000
3 METHYL PREDNISOLON 4 MG KAPLET BERNO KAPLET 1400
4 METHYL PREDNISOLON 4 MG KAPLET BERNO KAPLET 1200
5 DEXAMETASONE INJ INJ 60
6 RHEMAFAR TABLET 200
7 DEGIROL TABLET 200
8 MOLACORT 0,5 MG TABLET 200
 9 MESOALA 4 MG TABLET 500
G ANTI DIABETIK 0
1 GLIMEPIRIDE 2 MG BERNO tablet 1300
2 GLIMEPIRIDE 2 MG BERNO OKT tablet 1000
3 METFORMIN 500 MG TAB BERNO TABLET 1700
4 METFORMIN 500 MG TAB BERNO OKT TABLET 500
ANTI TYROID BOX 0
H VITAMIN 0
1 CURCUMA PLUS SYR BTL 62
2 GLUCOSAMINE TABLET 600
3 GLUCOSAMINE TABLET 400
4 GLUCOSAMINE TABLET 300
5 NEUROBION INJ AMP 73
6 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO BTL 50
7 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO OKT BTL 32
8 NEURODEX TABLET 100
9 BENEURON TABLET 800
10 LECOZINC 20 MG TABLET 300
11 ZINC SULFAT TABLET 500
12 ANELAT TABLET 400
13 CALCIVAR TABLET 900
14 HORVITA G TABLET 900
15 MECOBALAMIN TABLET 600
16 SAMCOBION TABLET 900
17 FERMIA TABLET 300
18 NEXICAL D TABLET 400
19 SAMCORBEX C TABLET 300
20 BECEFORT TABLET 200
21 FONDAZEN TABLET 500
22 PROSORBIC SS 500 MG KAPLET 500
23 PROSORBIC SS 500 MG KAPLET 1000
24 PROLYSIN SYR BTL 20
25 PROLYSIN SYR BTL 10
26 EZYGARD SYR BTL 8
27 OSCIFIT TAB TAB 300
28 PROBION FC TAB 600
29 PROFOLAT 400 TAB TAB 300
30 D PRO 1000 TAB TAB 180
I ANTI INFEKSI 0
J ANTI BAKTERI SISTEMIK
 1 AMOXICILLIN 500 MG KAP BERNO KAPLET 300
2 AMOXILIN 500 MG BERNO JUNI KAPLET 3000
3 CEFADROXIL 500 MG KAP BERNOFARM KAPLET 200
4 CEFADROXIL 500 MG KAP BERNOFARM JUNI KAPLET 1500
5 CEFADROXIL SYR 125 MG BTL 4
6 CEFADROXIL SYR 125 MG JUNI BTL 34
7 CEFADROXIL SYR 125 MG JUNI BTL 16
8 AMOXILIN SYR JUNI BTL 25
9 AMOXILIN SYR OKT BTL 50
10 CEFIXIME 100 MG TABLET 1600
11 CEFIXIME 100 MG TABLET 100
12 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 1000
13 CIPROFLOXACIN 500 MGTAB bernofarm JUNI TABLET 1100
14 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 100
15 CEFIXIME SYR BTL 64
16 CEFIXIME SYR JUNI BTL 25
17 DOHIXAT TABLET 500
18 LOSTACEF 500 MG KAPSUL 700
19 FARIZOL TABLET 300
20 FG TROCHES TABLET 640
21 CLINDAMISIN 300 MG TABLET 200
22 METRONIDAZOL TABLET 200
K FUNGISIDA 0
L ANTI MALARIA 0
M OBAT TETES / SALEP/OBAT LAIN 0
1 ACIFAR/ACYCLOVIR CREAM 5 GR TUBE 61
2 BEDAK SALYSIL 2% 60 GRAM PCS 9
3 BETASON N CREAM TUBE 102
4 CENDO XITROL AMP 85
5 CENDO EYEFRESH AMP 40
6 KETOKONAZOLE CR TUBE 34
7 FUCILEX CREAM TUBE 57
8 GENALTEN CREAM TUBE 20
9 GENTAMICIN SK TUBE 42
10 GENTAMICIN SK TUBE 62
11 HIDROCORTISON 2,5 % CREAM BERNO TUBE 33
12 HIDROCORTISON 2,5 % CREAM BERNO JUNI TUBE 47
13 MOLAKRIM CREAM TUBE 5
14 PRODERMIS CR TUBE 10
15 RECO TETES MATA BTL 22
 16 RECO TETES TELINGA BTL 17
17 MICONAZOL CR TUBE 9
18 BETAMETASON TUBE 43
19 BETAMETASON JUNI TUBE 30
20 BETAMETASON OKT TUBE 45
21 THROMBO GEL TUBE 2
22 NESTACORT CR TUBE 10
23 PAIN KILLA TUBE 65
24 SYNALTEN CR TUBE 20
25 RL INFUS KOLF 58
26 BIOPLACENTON TUBE 20
27 DESOXIMETASONE TUBE 26
28 PERMETHRIN CR TUBE 4
29 RECO SALEP MATA TUBE 25
30 POVIDON IODIN BTL 2
31 MINYAK KAYU PUTIH BTL 12
32 SALEP 24 BTL 16
33 PEHACAIN AMP 325
34 BETADIN KUMUR BTL 8
35 PHENOL GLISERIN TETES TELINGA BTL 24
36 PHENOL GLISERIN TETES TELINGA BTL 5
37 HEXADOL KUMUR BTL 15
38 MOMETASONE CR TUBE 8
39 MOMETASONE CR TUBE 20
40 CAIRAN NACL TUBE 1
41 CAIRAN NACL TUBE 10
42 EPINEFRIN INJ AMP 6
43 GENOINT SALEP MATA TUBE 16
44 PLESTERIN BOX 6
45 RIVANOL BTL 13
46 RIVANOL BTL 10
47 SIDIADRYL INJ VIAL 10
48 MINOSEP RED 60 ML BTL 30
N NEUTROPIC&NEUTRONIC 0
O ANTI TUBERCULOSA 0
P OBAT LAIN SALURAN KEMIH & UROGENITAL 0
Q ANNESTHESI LOKAL 0
R ANTI MIGRAIN 0
1 FLUNARIZINE HCl 5 MG BERNO TABLET 1200
2 BETAHISTIN MESILETE 6 MG BERNO TABLET 1000
 3 HISTIGO TABLET TABLET 200
S ANTI HYPERLIPIDMIA 0
1 ATORVASTATIN 10 MG TABLET 120
2 ATORVASTATIN 20 MG TABLET 700
3 ATORVASTATIN 20 MG TABLET 90
4 SIMVASTATIN 10 MG BERNO KAPLET 600
5 SIMVASTATIN 10 MG BERNO JUNI KAPLET 600
6 SIMVASTATIN 10 MG BERNO OKT KAPLET 800
7 SIMVASTATIN 20 MG BERNO OKT KAPLET 1800
8 SIMVASTATIN 20 MG BERNO JUNI KAPLET 300
9 SELVIM 20 MG TABLET 200
10 FENO FIBRAT 300 @50 KAPSUL 50
11 FENO FIBRAT 100 @50 KAPSUL 50
T OBAT KULIT 0
U HORMON 0
V ANTELMINTIKA 0
1 COMBANTRIN SYR BTL 7
2 WORMETRIN SYR BTL 2
3 WORMETRIN TABLET BTL 40
W ANTI VIRAL 0
1 ACIFAR 200 MG KAPSUL 600
2 ACIFAR 400 MG KAPSUL 600

0
X LAIN LAIN BOX 0
II ALKES HABIS PAKAI AMP 0
1 STIK KOLESTEROL NESCO BTL 10
2 STIK ASAM URAT NESCO BTL 8
3 STIK GULA DARAH NESCO BTL 10
4 STIK HB EASY TOUCH BTL 2
5 MASKER HIJAB PCS 650
6 HYPAFIX 15X5 PCS 2
7 HYPAFIX 5*1 PCS 9
8 ABBOCATH NO 24 PCS 81
9 ABOCATH NO 22 PCS 12
10 KERTAS EKG 80MM X 25 PCS 4
11 SUNGKUP DEWASA PCS 4
12 ULTRASONIC GEL PCS 4
13 SEIMENS ADVIA 360 DILUET @ 20 L PCS 0
14 SEIMENS ADVIA 360 3 PARTS LYSE @ 5 L /900 TEST PCS 0
15 SEIMENS ADVIA 360 CLEANER @ 1 L 600 TEST PCS 0
16 MONOTEST HBSAB PCS 0
17 SR STANDAR REAGEN PCS 0
18 INFUSET PCS 70
19 INFUSET PCS 10
20 KASSA STERIL PCS 61
21 NALD NO 25 BOX 2
22 SUNGKUP ANAK PCS 8
23 SUNGKUP DEWASA PCS 4
24 BISTURI NO 11 PCS 50
25 BLOOD LANCET BOX 12
26 CHLOR ETHYL BTL 4
27 CHLOR ETHYL BTL 4
28 POT SALEP 20 GRAM PCS 20
29 SPUIT 3 CC PCS 100
30 SPUIT 3 CC PCS 40
31 HANDSCOON BOX 4
32 ALVANEST PCS 0
33 ALVOGYL PCS 0
34 OCCO PCS 0
35 ETCHING PCS 0
36 BONDING PCS 0
37 TAMPON PCS 22
38 COMPOSIT 3 M A 2 PCS 0
39 COMPOSIT 3 M A 3 PCS 0
40 COMPOSIT FLOW 3 M A 2 PCS 0
41 COMPOSIT FLOW 3 M A 3 PCS 0
42 NEEDLE PCS 0
43 DEVITAL PCS 0
44 CAVIT PCS 0
45 BRUSH APLICATOR PCS 0
46 CITOJECT PCS 0
47 AGATE SPATULA PCS 0
48 COMBO STIK ISI 100 PCS 0
49 URYNALISIS CONTROL 2 X 12 ML PCS 0
50 CALINRATIOM STRIP PCS 0
51 THERMAL PAPER PCS 0
52 SAPTANEST 1 : 100.000 BOX 0
53 DISPOSIBLE DENTAL NEEDLE 14 MM BOX 0
54 BUR DIAMOND SET 6 SET 0
55 CAL LC PCS 0
 56 COCOA BUTTER PCS 0
57 MIXING SLAB PCS 0
58 BUR DIAMOND MEISINGER A 801 010 ROUND KECIL PCS 0
BUR DIAMOND MEISINGER B 837 014 (FISSURE
59 PCS 0
PANJANG)
60 BUR DIAMOND MEISINGER B 837 014 (FISSURE TIPIS) PCS 0
61 ALPIN MEISINGER 661XF 025 (POLES PUTIH) PCS 0
62 BEIN MEDESY 4 MM 795/2 PCS 0
63 BEIN MEDESY 4 MM 795/5 PCS 0
64 ALKOHOL 100 ML PCS 14
65 ALKOHOL SWAB PCS 26
66 OXYCAN BTL 1
67 STIK HB EASY TOUCH BTL 0
68 SELULOID STRIP PCS 0
69 KACA MULUT PCS 0
70 ARTIKULATING PAPER PCS 0
71 BATU POLES HIGH SPEED SLINDRIS PCS 0
72 KARET POLES LOW SPEED PCS 0
73 PLASTIS FILING PCS 0
74 EXCAVATOR PCS 0
75 REAGEN ASAM URAT PCS 0
76 REAGEN GLUCOSA PCS 0
77 REAGEN CHOLESTROL PCS 0
78 DARYANTULE @ 10 PCS 15
79 ALAT EASY TOUCH PCS 1
80 H2O2 PCS 5
81 HANDSAPLAST BOX 3
82 TERMOMETER DIGITAL PCS 1
IV ALKES INVESTASI 0
1 SCOOP STRECER PCS 1
2 KURSI RODA PCS 1
3 TROLI INSTRUMEN PCS 1
4 TRIAL FRAME FLEKSIBEL PCS 1
5 TENSIMETER ABN PCS 1
6 TENSIMETER INBODY PCS 1
7 KOMPUTER PC ACER AIO C 22 – 1700 I3 – 1215U PCS 1
SUMMIT DENTAL INSTRUMENT TOOTH EXTRACTING
8 PCS
FORCEPS CHILD 101 SET (TANG GIGI ANAK) 1

Jambi, NOVEMBER 2024

KEPALA KLINIK PRATAMA POLDA JAMBI
APOTEKER PENANGGUNG JAWAB

drg. MAYANG PUSPITASARI, MM.C.H apt. AYU NURLIANSARI, S.Farm

 Jambi, NOVEMBER 2024
KEPALA KLINIK PRATAMA POLDA JAMBI
APOTEKER PENANGGUNG JAWAB

drg. MAYANG PUSPITASARI, MM.C.H apt. AYU NURLIANSARI, S.Farm

446-DGT-164913136-15.71.02.1003-DPMPTSP-SIPA-20222
PENATA TK.I NIP. 19821028 201403 2001
 KEPOLISIAN NEGARA REPUBLIK INDONESIA
DAERAH JAMBI
BIDANG KEDOKTERAN DAN KESEHATAN
KLINIK PRATAMA POLDA JAMBI
DAFTAR LAPORAN SISA PEMAKAIAN OBAT & ALKES HABIS
PAKAI SUMBER BPJS SATUAN : KLINIK PRATAMA POLDA JAMBI
HARIAN DALAM SATU BULAN BULAN : JANUARI 2025

PENGELUARAN
PERSEDI SISA
NO NAMA OBAT SATUAN
AAN AKHIR
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 2 3 4 5 6
I OBAT UMUM

A. OBAT SUSUNAN SYARAF

1 ANALGETIKA, ANTI PYRETIKA

1 ALLOPURINOL 100 MG TABLET 1400

2 ALLOPURINOL 300 MG TABLET 800
3 ALLOPURINOL 300 MG TABLET 1000
4 ASAM MEFENAMAT 500 MG TABLET 3100
5 ASAM MEFENAMAT 500 MG TABLET 0
6 FARSIFEN PLUS TABLET 0
7 FARSIFEN 400 KAPL TABLET 200
8 PARASETAMOL SYR BTL 40
9 PARASETAMOL SYR OKT BTL 100
10 PARASETAMOL TAB 500 MG BERNO TAB 0
11 PARASETAMOL TAB 500 MG BERNO TAB 1500
12 MIXALGIN TABLET 400
13 FASIDOL TAB TABLET 0
14 ASAM TRANEXSAMAT TABLET 300
15 ALOFAR 100 TABLET 100
16 ALOFAR 300 TABLET 100
17 FASIDOL DROP BTL 35
18 FASIDOL SYR BTL 0
19 SAMCOFENAK TABLET 100
20 FARGETIK TABLET 200
21 EPERISON TABLET 300
22 DUMIN RECTAL 125 MG SUPP 2
2 ANTI INFLAMASI 0 0
1 DICLOFENAC SODIUM 50 MG KAPLET BERNO TAB 0
2 DICLOFENAC SODIUM 50 MG KAPLET BERNO TAB 600
3 MELOXICAM 15 MG TAB TAB 900
4 MELOXICAM 15 MG TAB TAB 1400
5 MELOXICAM 7,5 MG TAB TAB 300
 6 FAXIDEN 20 MG TABLET 100
7 GENIXAM 15 MG TABLET 200
8 GENFLAM @ 50 TABLET 250
9 SAMROX 20 TABLET 300
3 ANTI INFLUENZA,COUGHT & COLD REMEDIES 0
1 COPARCETIN KAPL TABLET 300
2 FLUNADIN TABLET 500
3 FLUTAMOL TAB TABLET 200
4 PHENZACOL TABLET 1800
5 PHENZACOL TABLET 100
6 TERA F TABLET 600
7 FLUTOP C SYR BTL 0
8 ALPARA TABLET 1100
9 COPARCETIN SYR BTL 10
10 DEVOSIX DROP BTL 5
11 OBH BERLICO BTL 20
12 PARATUSIN TABLET TABLET 200
13 PARATUSIN TABLET TABLET 200
14 TERNIX PLUS BTL 15
15 TERNIX SYR BTL 30
16 PARATENZA SYR BTL 29
17 CALORTUSIN TAB TABLET 800
18 BROMEDRYL PLUS SYR BTL 18
19 PROMEDRYL SYR BTL 21
20 FLUTAMOL SYR BTL 20
B OBAT PSIKOFARMA 0
1 HIPNOTIK SEDATIF 0
2 ANTI DEPRESAN.ANTI CONVULSAN 0
3 ANTI PARKINSON 0
1 DIVALPROEX SODIUM BTL 0
2 PHENITOIN BTL 9

0
C OBAT KARDIOVASKULER 0
1 ANTI ANGINA 0
2 ANTI HYPERTENSI 0
1 AMLODIPIN 10 MG BERNOFARM TABLET 1800
2 AMLODIPIN 5 MG TABLET 2000
3 SAMCOVASK 10 MG TABLET 0
4 SAMCOVASK 5 MG TABLET 0
5 CAPTOPRIL 12,5 MG TABLET 200
 6 CANDESARTAN 8 MG TABLET 300
3 VASOLDILATOR 0
1 ASPILET TABLET 300
4 GLIKOSIDA JANTUNG 0
5 HAEMOSTATIK 0
6 ANTI HEMOROID 0
D OBAT SALURAN PERNAFASAN 0
1 ANTITUSIF / EXPECTORAN /MUKOLITIK 0
1 AMBROXOL HCL 30 MG 75 ML ELIXIR BERNO BTL 0
2 AMBROXOL HCL 30 MG TAB BERNO TABLET 1500
3 AMBROXOL HCL 15mg/5ml TABLET 86
4 AMBROXOL HCL 30 MG TAB BERNO okt TABLET 1600
5 BROMIFAR KAP TABLET 400
6 BROMIFAR KAP TABLET 100
7 ERDOSTEIN SYR BTL 60
8 GUEFENISIN TABLET TABLET 600
9 OBH ITRASAL BTL 7
10 OBH ITRASAL BTL 20
11 SAMCODIN TABLET 100
12 SAMCODIN TABLET 500
13 BISOLVON BTL 1
14 ITRABAT SYR BTL 36
15 ITRABAT SYR BTL 12
16 ROVERTON DROP BTL 10
17 ACETYLSISTEIN TABLET 100
18 ACETYLSISTEIN TABLET 200
19 ERLAPECT SYR BOTOL 0
20 BRICOX TAB BOTOL 160
2 ANTI ASMA 0
1 SALBUTAMOL 2 MG BERNO KAPLET 1100
2 SALBUTAMOL 2 MG BERNO KAPLET 300
E SALURAN CERNA 0
1 ANTASIDA 0
1 RANITIDIN TAB TABLET 500
2 LOKEV CAPS KAPSUL 500
3 SUCRALFAT SYR BTL 15
4 DOBRIZOL KAPSUL 800
5 RANACID F TAB TABLET 200
6 RANITIDIN INJ INJ 17
7 ZANTIFAR TABLET 50
 8 MAAGEL SYR BTL 45
9 OMEPRAZOLE INJ AMP 9
10 SAMTACID TAB TABLET 1200
11 DEXANTA TABLET TABLET 200
12 MAGTEN TABLET 100
2 ENZYM 0
3 LAXATIVE 0
1 LAXANA/BISACODYL TAB TABLET 700
4 ANTI SPASMODIK 0
1 SCOPMA PLUS KAPL TABLET 0
2 SCOPMA PLUS KAPL TABLET 600
3 KOLICGON TAB TABLET 0
5 ANTI DIARE 0
1 DIASTRIX TAB 2 MG TABLET 600
2 KAOTIN SYR TABLET 17
3 AKITA TABLET 700
4 L-BIO PCS 160
6 OBAT HEPATITIS 0
7 ANTI EMETIKUM 0
1 DOMPERIDONE SUSP 5 MG/5 ML BTL 40
2 DOMPERIDONE SUSP 5 MG/5 ML BTL 30
3 ONDANSENTRON 4 MG TABLET 450
4 ROSIDON TABLET TABLET 0
5 ONDANSENTRON INJEKSI AMPUL 20
6 HUFADON TABLET 0
7 DOMPERIDON TABLET TABLET 0
F ANTI ALERGI 0
1 ANTI HISTAMIN 0
1 NYSTATIN DROP JUNI BTL 10
2 DEXTAF TAB TABLET 200
3 HUFABETAMIN SYR BTL 10
4 LERZIN SYR BTL 59
5 QUANTIDEX KAPLET TABLET 1600
6 LERZIN KAP KAPLET 100
7 WINATIN TABLET 400
8 QUANTIDEX SYR BTL 35
9 LERZIN DROP BTL 45
10 NOZA TABLET 200
11 ORPHEN TAB TABLET 0
12 CETIRIZIN TAB TABLET 1100
 2 KORTIKOSTEROID 0
1 DEXAMETHASON 0,5 MB BERNO TABLET 1000
2 DEXAMETHASON 0,5 MB BERNO JUNI TABLET 0
3 METHYL PREDNISOLON 4 MG KAPLET BERNO KAPLET 0
4 METHYL PREDNISOLON 4 MG KAPLET BERNO KAPLET 800
5 DEXAMETASONE INJ INJ 60
6 RHEMAFAR TABLET 200
7 DEGIROL TABLET 700
8 MOLACORT 0,5 MG TABLET 200
9 MESOALA 4 MG TABLET 500
G ANTI DIABETIK 0
1 GLIMEPIRIDE 2 MG BERNO tablet 1300
2 GLIMEPIRIDE 2 MG BERNO OKT tablet 1000
3 METFORMIN 500 MG TAB BERNO TABLET 1700
4 METFORMIN 500 MG TAB BERNO OKT TABLET 500
ANTI TYROID BOX 0
H VITAMIN 0
1 CURCUMA PLUS SYR BTL 48
2 GLUCOSAMINE TABLET 600
3 GLUCOSAMINE TABLET 700
4 GLUCOSAMINE TABLET 200
5 NEUROBION INJ AMP 73
6 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO BTL 50
7 ZINK SULFAD SYR 20 MG/5 ML SYR BERNO OKT BTL 25
8 NEURODEX TABLET 300
9 BENEURON TABLET 500
10 LECOZINC 20 MG TABLET 300
11 ZINC SULFAT TABLET 300
12 ANELAT TABLET 400
13 CALCIVAR TABLET 800
14 HORVITA G TABLET 800
15 MECOBALAMIN TABLET 400
16 MECOBALAMIN TABLET 0
17 SAMCOBION TABLET 800
18 FERMIA TABLET 300
19 NEXICAL D TABLET 400
20 SAMCORBEX C TABLET 100
21 BECEFORT TABLET 0
22 FONDAZEN TABLET 0
23 PROSORBIC SS 500 MG KAPLET 0
 24 PROSORBIC SS 500 MG KAPLET 600
25 PROLYSIN SYR BTL 14
26 PROLYSIN SYR BTL 10
27 EZYGARD SYR BTL 8
28 OSCIFIT TAB TAB 300
29 PROBION FC TAB 600
30 PROFOLAT 400 TAB TAB 300
31 D PRO 1000 TAB TAB 180
I ANTI INFEKSI 0
J ANTI BAKTERI SISTEMIK

1 AMOXICILLIN 500 MG KAP BERNO KAPLET 900

2 AMOXILIN 500 MG BERNO JUNI KAPLET 400
3 CEFADROXIL 500 MG KAP BERNOFARM KAPLET 500
4 CEFADROXIL 500 MG KAP BERNOFARM JUNI KAPLET 100
5 CEFADROXIL SYR 125 MG BTL 29
6 CEFADROXIL SYR 125 MG JUNI BTL 66
7 AMOXILIN SYR BTL 0
8 AMOXILIN SYR BTL 80
9 CEFIXIME 100 MG TABLET 1600
10 CEFIXIME 100 MG TABLET 800
11 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 1000
12 CIPROFLOXACIN 500 MGTAB bernofarm JUNI TABLET 1100
13 CIPROFLOXACIN 500 MGTAB bernofarm TABLET 700
14 CEFIXIME SYR BTL 50
15 CEFIXIME SYR JUNI BTL 25
16 DOHIXAT TABLET 400
17 LOSTACEF 500 MG KAPSUL 700
18 FARIZOL TABLET 100
19 FG TROCHES TABLET 480
20 CLINDAMISIN 300 MG TABLET 0
21 METRONIDAZOL TABLET 600
K FUNGISIDA 0
L ANTI MALARIA 0
M OBAT TETES / SALEP/OBAT LAIN 0
1 ACIFAR/ACYCLOVIR CREAM 5 GR TUBE 50
2 BEDAK SALYSIL 2% 60 GRAM PCS 12
3 BETASON N CREAM TUBE 85
4 CENDO XITROL AMP 55
5 CENDO EYEFRESH AMP 30
6 KETOKONAZOLE CR TUBE 22
 7 FUCILEX CREAM TUBE 57
8 GENALTEN CREAM TUBE 20
9 GENTAMICIN SK TUBE 18
10 GENTAMICIN SK TUBE 62
11 HIDROCORTISON 2,5 % CREAM BERNO TUBE 28
12 HIDROCORTISON 2,5 % CREAM BERNO JUNI TUBE 47
13 MOLAKRIM CREAM TUBE 3
14 PRODERMIS CR TUBE 10
15 RECO TETES MATA BTL 10
16 RECO TETES TELINGA BTL 25
17 MICONAZOL CR TUBE 19
18 BETAMETASON TUBE 20
19 BETAMETASON JUNI TUBE 30
20 BETAMETASON TUBE 67
21 THROMBO GEL TUBE 1
22 NESTACORT CR TUBE 10
23 PAIN KILLA TUBE 35
24 SYNALTEN CR TUBE 0
25 RL INFUS KOLF 58
26 BIOPLACENTON TUBE 20
27 DESOXIMETASONE TUBE 26
28 PERMETHRIN CR TUBE 0
29 PERMETHRIN CR TUBE 15
30 RECO SALEP MATA TUBE 0
31 POVIDON IODIN BTL 2
32 MINYAK KAYU PUTIH BTL 5
33 MINYAK KAYU PUTIH BTL 20
34 SALEP 24 BTL 24
35 PEHACAIN AMP 325
36 BETADIN KUMUR BTL 5
37 BETADIN BTL 10
38 PHENOL GLISERIN TETES TELINGA BTL 24
39 PHENOL GLISERIN TETES TELINGA BTL 5
40 HEXADOL KUMUR BTL 15
41 MOMETASONE CR TUBE 6
42 MOMETASONE CR TUBE 20
43 CAIRAN NACL TUBE 1
44 CAIRAN NACL TUBE 10
45 EPINEFRIN INJ AMP 6
46 GENOINT SALEP MATA TUBE 15
 47 PLESTERIN BOX 6
48 PLESTERIN BOX 1
49 RIVANOL BTL 13
50 RIVANOL BTL 10
51 SIDIADRYL INJ VIAL 8
52 MINOSEP RED 60 ML BTL 30
53 DEX 5 PCS 8
54 NASAL CANUL PCS 8
55 VENTASAL NEBU PCS 8
56 HANDPIECE HIGH SPEED PCS 1
N NEUTROPIC&NEUTRONIC 0
O ANTI TUBERCULOSA 0
P OBAT LAIN SALURAN KEMIH & UROGENITAL 0
Q ANNESTHESI LOKAL 0
R ANTI MIGRAIN 0
1 FLUNARIZINE HCl 5 MG BERNO TABLET 1000
2 BETAHISTIN MESILETE 6 MG BERNO TABLET 700
3 HISTIGO TABLET TABLET 0
S ANTI HYPERLIPIDMIA 0
1 ATORVASTATIN 10 MG TABLET 220
2 ATORVASTATIN 20 MG TABLET 520
3 ATORVASTATIN 20 MG TABLET 90
4 ATORVASTATIN 20 MG TABLET 300
5 SIMVASTATIN 10 MG BERNO KAPLET 600
6 SIMVASTATIN 10 MG BERNO JUNI KAPLET 600
7 SIMVASTATIN 10 MG BERNO OKT KAPLET 800
8 SIMVASTATIN 20 MG BERNO OKT KAPLET 2100
9 SIMVASTATIN 20 MG BERNO JUNI KAPLET 0
10 SELVIM 20 MG TABLET 100
11 FENO FIBRAT 300 @50 KAPSUL 0
12 FENO FIBRAT 100 @50 KAPSUL 0
13 FENO FIBRAT 300 @30 KAPSUL 60
T OBAT KULIT 0
U HORMON 0
V ANTELMINTIKA 0
1 COMBANTRIN SYR BTL 5
2 WORMETRIN SYR BTL 2
3 WORMETRIN TABLET BTL 40
W ANTI VIRAL 0
1 ACIFAR 200 MG KAPSUL 600
 2 ACIFAR 400 MG KAPSUL 450

0
X LAIN LAIN BOX 0
II ALKES HABIS PAKAI AMP 0
1 STIK KOLESTEROL NESCO BTL 10
2 STIK ASAM URAT NESCO BTL 8
3 STIK GULA DARAH NESCO BTL 10
4 STIK HB EASY TOUCH BTL 2
5 MASKER HIJAB PCS 650
6 HYPAFIX 15X5 PCS 2
7 HYPAFIX 5*1 PCS 9
8 ABBOCATH NO 24 PCS 40
9 ABOCATH NO 22 PCS 12
10 KERTAS EKG 80MM X 25 PCS 3
11 SUNGKUP DEWASA PCS 1
12 ULTRASONIC GEL PCS 3
13 SEIMENS ADVIA 360 DILUET @ 20 L PCS 0
14 SEIMENS ADVIA 360 3 PARTS LYSE @ 5 L /900 TEST PCS 0
15 SEIMENS ADVIA 360 CLEANER @ 1 L 600 TEST PCS 0
16 MONOTEST HBSAB PCS 0
17 SR STANDAR REAGEN PCS 0
18 INFUSET PCS 69
19 INFUSET PCS 10
20 KASSA STERIL PCS 46
21 NALD NO 25 BOX 2
22 SUNGKUP ANAK PCS 12
23 SUNGKUP DEWASA PCS 2
24 BISTURI NO 11 PCS 50
25 BLOOD LANCET BOX 12
26 CHLOR ETHYL BTL 4
27 CHLOR ETHYL BTL 4
28 POT SALEP 20 GRAM PCS 20
29 SPUIT 3 CC PCS 200
30 SPUIT 3 CC PCS 40
31 SPUIT 1 CC PCS 100
32 SPUIT 5 CC PCS 100
33 HANDSCOON BOX 4
34 HANDSCOON BOX 5
35 ALVANEST PCS 0
36 ALVOGYL PCS 0
37 OCCO PCS 1
38 ETCHING PCS 0
39 BONDING PCS 0
40 TAMPON PCS 32
41 COMPOSIT 3 M A 2 PCS 2
42 COMPOSIT 3 M A 3 PCS 2
43 COMPOSIT FLOW 3 M A 2 PCS 2
44 COMPOSIT FLOW 3 M A 3 PCS 2
45 NEEDLE PCS 0
46 DEVITAL PCS 0
47 CAVIT PCS 0
48 BRUSH APLICATOR PCS 0
49 CITOJECT PCS 0
50 AGATE SPATULA PCS 0
51 COMBO STIK ISI 100 PCS 0
52 URYNALISIS CONTROL 2 X 12 ML PCS 0
53 CALINRATIOM STRIP PCS 0
54 THERMAL PAPER PCS 0
55 SAPTANEST 1 : 100.000 BOX 0
56 DISPOSIBLE DENTAL NEEDLE 14 MM BOX 0
57 BUR DIAMOND SET 6 SET 0
58 CAL LC PCS 1
59 COCOA BUTTER PCS 1
60 MIXING SLAB PCS 10
61 BUR DIAMOND MEISINGER A 801 010 ROUND KECIL PCS 1
62 BUR DIAMOND MEISINGER B 837 014 (FISSURE PANJAN PCS 1
63 BUR DIAMOND MEISINGER B 837 014 (FISSURE TIPIS) PCS 1
64 ALPIN MEISINGER 661XF 025 (POLES PUTIH) PCS 0
65 BEIN MEDESY 4 MM 795/2 PCS 0
66 BEIN MEDESY 4 MM 795/5 PCS 0
67 SUCTION SALIVA EJECTOR PCS 10
68 BUR POLISHING PCS 2
69 CALCIUM HIDROXIDE PCS 1
70 ALKOHOL 100 ML PCS 14
71 ALKOHOL SWAB PCS 26

72 OXYCAN BTL
3
73 STIK HB EASY TOUCH BTL 0
74 SELULOID STRIP PCS 0
75 KACA MULUT PCS 10
76 ARTIKULATING PAPER PCS 0
77 BATU POLES HIGH SPEED SLINDRIS PCS 10
78 KARET POLES LOW SPEED PCS 0
 79 PLASTIS FILING PCS 0
80 EXCAVATOR PCS 0
81 REAGEN ASAM URAT PCS 0
82 REAGEN GLUCOSA PCS 0
83 REAGEN CHOLESTROL PCS 0
84 DARYANTULE @ 10 PCS 15
85 ALAT EASY TOUCH PCS 1
86 H2O2 PCS 5
87 HANDSAPLAST BOX 3
88 TERMOMETER DIGITAL PCS 1
89 CATETER NO 16 PCS 1
90 AQUADES 25 ML PCS 20
91 KASSA GULUNG 40*80 PCS 2
IV ALKES INVESTASI 0
1 SCOOP STRECER PCS 1
2 KURSI RODA PCS 1
3 TROLI INSTRUMEN PCS 1
4 TRIAL FRAME FLEKSIBEL PCS 1
5 TENSIMETER ABN PCS 1
6 TENSIMETER INBODY PCS 1
7
KOMPUTER PC ACER AIO C 22 – 1700 I3 – 1215U PCS 1
SUMMIT DENTAL INSTRUMENT TOOTH
8 EXTRACTING FORCEPS CHILD 101 SET (TANG
GIGI ANAK) PCS 1

Jambi, JANUARI 2025

KEPALA KLINIK PRATAMA POLDA JAMBI
APOTEKER PENANGGUNG JAWAB

apt. AYU NURLIANSARI, S.Farm

drg. MAYANG PUSPITASARI, MM.C.H
446-DGT-164913136-15.71.02.1003-DPMPTSP-SIPA-20222
PENATA TK.I NIP. 19821028 201403 2001