LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(LPLPO)

Unit Penerima : PKM PURUK CAHU Bulan : JANUARI

Kecamatan : MURUNG Tahun : 2024
Kabupaten : MURUNG RAYA
Provinsi : KALIMANTAN TENGAH

Kode Nama Obat Sediaan Stok Awal Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
Permintaan Pemberian Keterangan
10315 2 - 4 SALEP SALEP 0 0
51 ACETYLCYSTEINE TABLET 200 MG TABLET 0 3000
119 ACYCLOVIR TABLET 200 MG TABLET 0 3000
12530 ADSORBED DT VACCINE VIAL 16 0
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 330 0
13349 ALKOHOL 70% 1 LITER BOTOL 0
13355 ALKOHOL 70% 100 ML BOTOL 0
14187 ALKOHOL 70% 300 ML BOTOL 9
12460 ALKOHOL SWAB PIECES 12 50
247 ALLOPURINOL TABLET 100 MG TABLET 1400 3000
261 ALPRAZOLAM TABLET 1 MG TABLET 260
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 70 200
417 AMINOPHYLLINE TABLET 200 MG TABLET 0
444 AMITRIPTYLINE TABLET 25 MG TABLET 80
445 AMLODIPINE TABLET 10 MG TABLET 1800 3000
446 AMLODIPINE TABLET 5 MG TABLET 1600 3000
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 195 200
511 AMOXYCILLIN TABLET 500 MG TABLET 4300 5000
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 5 0
302 ANTACIDA TABLET TABLET 1200 3000
809 ANTACIDA TABLET 400 MG TABLET 0 0
13623 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 28 20
847 AQUA PRO INJEKSI INJEKSI INJEKSI 12 30
883 ARTEMISININ TABLET 40 & 320 MG TABLET 0
886 ARTESUNATE INJEKSI 60 MG INJEKSI 0
12425 ASAM FOLAT 400 MCG TABLET 900 3000
966 ASAM MEFENAMAT TABLET 500 MG TABLET 2000 4000
926 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 3600 3000
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT INJEKSI 8
 1438 BEDAK SALISIL SERBUK 2 % SERBUK 35 50
1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 0
1560 BETAHISTINE TABLET 6 MG TABLET 2200 2000
1599 BETAMETHASONE SALEP 0.1% SALEP 30 100
13718 BIVALENT ORAL POLIOMYELITIS VACCINE 1 ML AMPULE AMPULE 14
1866 CALCIUM GLUCONATE INJEKSI 10 ML INJEKSI 0 5
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM 2g SYRINGE 0 5
2005 CALCIUM LACTATE TABLET 500 MG TABLET 2000 3000
2073 CAPTOPRIL TABLET 12.5 MG TABLET 2000 3000
2075 CAPTOPRIL TABLET 25 MG TABLET 2000 2000
2084 CARBAMAZEPINE TABLET 200 MG TABLET 0
2176 CEFADROXIL TABLET 500 MG TABLET 800 3000
2311 CEFOTAXIME INJEKSI 1 G/VIAL INJEKSI 0
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 10
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 70 100
2546 CETIRIZINE TABLET 10 MG TABLET 1300 2000
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 0 100
14042 CHLORAMPHENICOL TETES TELINGA 3% 5 ML BOTOL BOTOL 125
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 1800 4000
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 0
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 200 3000
3018 CLINDAMYCIN TABLET 150 MG TABLET 500 3000
3024 CLOBAZAM TABLET 10 MG TABLET 0
3136 CLOZAPINE TABLET 25 MG TABLET 545
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING) 10 GR TUBE 0 5
3157 CODEINE TABLET 10 MG TABLET 140
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 39 100
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 400 2000
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 600
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 41 200
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN 320 MG (DHP) TABLET 9
12596 DENTIN CONDITIONER BOTOL 0 5
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 2 6
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 39 100
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 2600 3000
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 5
3642 DIAZEPAM TABLET 5 MG TABLET 240
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 1500 2000
 3756 DIGOXIN TABLET 0.25 MG TABLET 0 100
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 100
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 34 50
3983 DOMPERIDONE TABLET 10 MG TABLET 800 2000
4093 EFAVIRENZ TABLET 600 MG TABLET 0
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 90 50
4461 ERYTHROMYCIN TABLET 500 MG TABLET 500 2000
4577 ETHAMBUTOL TABLET 100 MG TABLET 0
4561 ETHANOL 1000 ML 0
4562 ETHANOL 300 ML 0 30
4627 ETHYL CHLORIDE SPRAY SPRAY 1
4663 EUGENOL LIQUID 10 ML BOTOL 0 5
4737 FENOTEROL HYDROBROMIDE SPRAY 100 MCG/DOSIS SPRAY 0 0
9260 FITOMENADION (VITAMIN K) INJEKSI 2 MG\/ML INJEKSI 46
4932 FLUOXETINE TABLET 20 MG TABLET 0
4934 FLUPHENAZINE DECANOATE INJEKSI 25 MG/ML INJEKSI 0
5074 FUROSEMIDE TABLET 40 MG TABLET 300 500
5126 GARAM ORALIT SERBUK SERBUK 200 500
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 200
5300 GLUCOSE INFUS 5 % INFUS 24
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUP SIRUP 70 20
5539 GUAIFENESIN TABLET 100 MG TABLET 3300 2000
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 7
5641 HALOPERIDOL TABLET 2 MG TABLET 0
5642 HALOPERIDOL TABLET 5 MG TABLET 260
13745 HAND RUB 5 LITER 0 20
5691 HEPATITIS B SURFACE ANTIGEN (HBS AG) INJEKSI 20 UG/ML INJEKSI 0
14215 HIV COMBO TEST KIT KIT 0 5
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 400 500
5843 HYDROCORTISONE SALEP 2.5 % SALEP 71 150
13020 IBUPROFEN SIRUP 200 MG\/5 ML BOTOL 35
5964 IBUPROFEN TABLET 200 MG TABLET 1300 3000
5966 IBUPROFEN TABLET 400 MG TABLET 3200 3000
6181 IODIUM POVIDON LIQUID 2% LIQUID 0 2
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPHATE LIQUID LIQUID 30 50
6322 ISONIAZID TABLET 100 MG TABLET 0
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 0 300
12627 KASA STERIL 16 X 16 CM PIECES 0 200
6535 KETOCONAZOLE SALEP 2% SALEP 40 100
6575 KETOROLAC INJEKSI 3 % INJEKSI 48 20
AK9006180 KONDOM 0 0
 6697 LAMIVUDINE TABLET 150 MG TABLET 2
13188 LARUTAN BENEDICT 100 ML BOTOL 0 5
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 2
6838 LEVOFLOXACIN TABLET 100 MG TABLET 0
6877 LEVOTHYROXINE TABLET 50 MCG TABLET 0
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 180 100
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY) SYRINGE 0 50
6906 LIDOCAINE INJEKSI 2% INJEKSI 96 100
6998 LOPERAMIDE TABLET 2 MG TABLET 900 2000
7013 LORATADINE TABLET 10 MG TABLET 500 3000
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 8
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 8
AK9006983 MASKER PAKAI TALI 0 0 50
13126 MDT COMBI PB ADULT : RIFAMPICIN BP 300 MG |DAPSON 100 MGTABLET 4
7491 METFORMIN HCL TABLET 500 MG TABLET 2000 2000
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 50
7605 METHYLERGOMETRINE TABLET 0.125 MG TABLET 400 500
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 1300
7679 METRONIDAZOLE INFUS 5 MG/ML INFUS 0
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 65 50
7697 METRONIDAZOLE TABLET 500 MG TABLET 900 2000
7727 MICONAZOLE SALEP 2% SALEP 61 50
7747 MINERAL MIX SERBUK 8 G SACHET 0
7845 MOMETASONE SALEP 1 MG SALEP 0
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT) : VITAMIN A 6000 IU,TABLET
VITAMIN D 400 IU, VITAMIN B1 10 MG, VITAMIN B2 2,5 MG, VITAMIN B6 15 MG, VITAMIN
0 B12 4 MCG, NICOTINAMIDE
1000 20 MG, CA PANTOTHENATE 7,5 MG, FO
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 1350 3000
8110 NEVIRAPINE TABLET 200 MG TABLET 0
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLET TABLET 0 1000
13633 NYSTATIN OVULA 100000 IU\/G OVULA 100 100
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 800 3000
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 50
12527 PAKET STOP TB KATEGORI 1 PAKET 0
12528 PAKET STOP TB OAT ANAK PAKET 0
8573 PARACETAMOL DROPS 100 MG/ML DROPS 0 100
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 220 300
8593 PARACETAMOL TABLET 500 MG TABLET 3000 4000
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET HYDROBROMIDE|GUAIFENESIN TABLET 2400 3000
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
40 300 HYD
9013 PECTIN|ATTAPULGITE TABLET TABLET 600 500
9086 PERMETHRIN SALEP 5 % SALEP 55 50
9120 PHENOBARBITAL INJEKSI 50 MG\/ML INJEKSI 0
 9125 PHENOBARBITAL TABLET 30 MG TABLET 170
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET 0
9392 PIROXICAM TABLET 20 MG TABLET 900 1000
12324 POVIDONE IODINE 10% 300ML CAIRAN 5 20
12325 POVIDONE IODINE 10% 30ML CAIRAN 12
12463 POVIDONE IODINE 10% 60 ML CAIRAN 0
9583 PREDNISONE TABLET 5 MG TABLET 1600 2000
12384 PRIMAQUINE 16
13322 PROPANOLOL TABLET 10 MG TABLET 400
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 ML SIRUP 70
9793 PYRANTEL TABLET 125 MG TABLET 300
1684 PYRIDOXINE TABLET 10 MG TABLET 1200 2000
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 40
10014 RANITIDINE TABLET 150 MG TABLET 1700 1000
12329 REAGEN GOLONGAN DARAH ( ANTI A ) LARUTAN 0 2
12330 REAGEN GOLONGAN DARAH ( ANTI B ) LARUTAN 0 2
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0
11899 RETINOL ACETATE TABLET 20000 IU TABLET 10
11896 RETINOL PALMITATE TABLET 100000 IU TABLET 2
10114 RIFAMPICIN TABLET 150 MG TABLET 0
10133 RIFAMPICIN|ISONIAZID TABLET 75 MG/50 MG TABLET 0
12439 RINGER LAKTAT 500 ML BOTOL 17 40
10173 RISPERIDONE TABLET 2 MG TABLET 510
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT) TABLET 800 2000
13301 SALMONELLA TYPHI H WIDAL TEST 5 ML VIAL 1 0
13302 SALMONELLA TYPHI O WIDAL TEST 5 ML VIAL 1 0
10484 SIMVASTATIN TABLET 20 MG TABLET 1500 2000
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 30 40
7971 SODIUM CHLORIDE LIQUID 0.9 % LIQUID 0
AK9009629 SPUIT 3 CC 0 395 300
10800 SUCRALFATE SIRUP SIRUP 75 50
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 20
11021 TENOFOVIR DISOPROXIL FUMARATE|LAMIVUDINE TABLET 300 TABLET MG|300 MG 0
11328 THIAMINE (VITAMIN B1) TABLET 50 MG (HCL\/NITRAT) TABLET 600 2000
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN TABLET TABLET 0 1000
AK0602044 Tooth shade resin material 0 0 5
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 800
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 5
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 20
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 561
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1 1 MG, Vitamin B2 0.5 MG,
SYRUP
Vitamin B6 1 MG, Vitamin B12 1 MCG, Vitamin C 10 MG, Vitamin D 50 MG, DHA 8 120
MG, Lysine HCl 100 MG, Colostrum
200 Bovine 250 MG
 13617 USG JELLY 250 GR TUBE 10
12835 VACCINE IPV 5 DS VIAL 11
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 9
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 10
13499 VAKSIN MENINGITIS 200 MCG DAN PELARUT 0.5 ML VIAL 0
13599 VAKSIN PNEUMOCOCCUS VIAL 0
12770 WHITE TIPS 10 uL PIECES 0 10
12668 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG TABLET 0
12160 ZIDOVUDINE TABLET 100 MG TABLET 0
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60 ML BOTOL 20 200
12192 ZINC SULPHATE TABLET 20 MG TABLET 1900 3000
12448 ALAT SUNTIK 1 ML PIECES 100 200
13369 ALAT SUNTIK 5 ML PIECES 400 200
12460 ALKOHOL SWAB PIECES 0 100
12754 ALKOHOL SWAB 100 PCS PIECES 12 100
12735 AUTO DISABLE SYRINGE 0.05 ML PIECES PIECES 0
12641 AUTO DISABLE SYRINGE 0.5 ML PIECES PIECES 0
12648 AUTO DISABLE SYRINGE 5 ML PIECES 0
14231 BAJU APD (DISPOSABLE PROTECTIVE COVER ALL) PIECES 0
12322 BAJU PELINDUNG 0
12663 BISTURI NO. 15 PIECES 0
12441 CAT GUT 2\/0 PIECES 0
12442 CAT GUT 3\/0 PIECES 0
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENT (20 GR POWDER
BOTOL
+ 10 ML LIQUID) BOTOL 0
14241 FACE SHIELD UNTUK APD PIECES 0
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 5
12871 HAND RUB 500 ML 0
AK1603005 Hydrophilic wound dressing 0 0
12358 INFUSET ANAK SET 14
12357 INFUSET DEWASA SET 18
12363 JARUM HECTING OTOT 1\/2 LINGKARAN GR 6 SET 0
12718 KAPAS BERLEMAK 500 GR PIECES 4
13565 KAPAS PEMBALUT 250 gr ROL 6 5
13979 KASA BARU : KASA HIDROFIL SIZE 4 X 15 CM ROLL ROLL 5 50
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 0 0
13656 LARUTAN TURK 250 ML BOTOL 0 5
14287 MASKER KN-95 PIECES 0
14247 MASKER NON MEDIS PIECES 0 100
13559 MASKER OKSIGEN ANAK (MAXIFLOW) PIECES 15 5
13459 MASKER OKSIGEN DEWASA WITH TUBING 10 MA-EL PIECES 14 5
 14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169) 100\/4 BOTOL
BOTOL 0
13699 MTB\/RIF (TB LINI 2) 10 CARTRIDGE PIECES 0
12758 NASAL OKSIGEN ANAK PIECES 0 10
12757 NASAL OKSIGEN DEWASA PIECES 0 10
12924 OBJECT GLASS 7101 (ONELAB) PIECES 0 5
13536 ONEMED SABUN ANTIBAKTERI 500 ML : Triclosan 3LAS, SodiumBOTOL
Laurenth Sulphate, Cocoamide DEA, Disodium EDTA, Citric Acid, Fragrance, Deionized Water
0 10
12471 OXYCAN BOTOL 4
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 2 10
13168 POLYSAFE SAFETY BOX 5 LITER PIECES 0
AK9008218 POT 50 ML PCS 0
12559 POT SPUTUM PIECES 0
12577 REAGEN GOLONGAN DARAH ( ANTI D ) 10 ML CAIRAN 0
12574 SAFETY BOX 2,5 L PIECES 0
12691 SAFETY BOX 5 L PIECES 0
13303 SALMONELLA PARATYPHI AO WIDAL TEST 5 ML VIAL 0
13304 SALMONELLA PARATYPHI BO TEST 5 ML VIAL 0
13443 SARUNG TANGAN OBGYN PANJANG STERIL 56 CM PIECES 0
12682 SILK SUTURE 3\/0 PIECES 22 100
12591 STRIP GLUKOSA PIECES 10 50
12598 STRIP HB CEK DIGITAL PIECES 0
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 200
12592 STRIP TOTAL KOLESTEROL PIECES
13724 TIFOID IgM TEST 25 STRIP STRIP 0
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS TESTS 0 50
13465 URINE TEST STRIP 10 PIECES PIECES 15
14070 VIROCHECK : HBsAg 25 TEST TEST 0
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 100
13926 (XPERT) HCV HIV 1 TEST CARTRIDGE CARTRIDGE 0 100
AK9000680 APRON FILM WHITE 0 0
13447 ARM SLING TYPE A DENGAN GESPER SIZE L PIECES 5
13446 ARM SLING TYPE A DENGAN GESPER SIZE M PIECES 3
AK9001917 BLOOD LANCET PIECES 0
AK9002642 CANULA NASAL OKSIGEN NEONATES PIECES 4 5
13645 CELLULOID STRIP 100 PIECES STRIP 0
AK9002813 CERVICAL COLLAR NECK PIECES 0
AK9002857 CHKM STIK 0 5
AK0101034 Cholesterol (total) test system
12571 Cleaner Reagen CAIRAN 0
AK9004498 FEEDING TUBE NO 10 0
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNO TEST FOR THE DETECTION
PAKET OF HEPATITIS B 250 0
13542 HEPATITIS B IMMUNE GLOBULIN (HUMAN) S\/D 220 IU\/ML SYRINGE 0
AK9012183 Iodoform (Mummifying Pasta) 0 0 5
AK9005688 IV CATHETER NO 20 0 16 20
AK9005689 IV CATHETER NO 22 0 17 20
12484 IV CATHETER NO. 24 PIECES 32 20
14236 KACAMATA UNTUK APD PIECES 0
13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL) TUBE 0
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 40 100
AK9006974 MASKER N95 0 0
AK9007516 NGT NO 16 0 0
AK0605002 Oral cavity abrasive polishing agent 0 0
AK9007766 PAPER MOUTH PIECE 25 X 75 MM 0 0
AK0903025 Patient lubricant 0 0
AK0303045 Plasmodium species antigen detection assays 0 0
AK9008129 PLESTERKU 0 10
AK0403030 Portable oxygen generator 0 0
12576 REAGEN GOLONGAN DARAH ( ANTI AB ) 10 ML CAIRAN 0
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50 SIRUP 21
13304 SALMONELLA PARATYPHI BO TEST 5 ML VIAL
AK9008942 SARUNG TANGAN KARET NON STERIL L 0 0 20 KOTAK
AK9008966 SARUNG TANGAN STERIL 0 0 10
AK9008969 SARUNG TANGAN STERIL NO 7 0 0 10
AK9008970 SARUNG TANGAN STERIL NO 7.5 0 0 10
AK9008971 SARUNG TANGAN STERIL NO 8 0 0 10
AK9009332 SHOES COVER 0 0
12598 STRIP HB CEK DIGITAL PIECES 15 50
12692 STRIP URIC ACID PIECES 15 50
AK9010910 SURGICAL NURSE CUP PCS 0
AK9011358 TIP CLEANER 250 ML 0 0
AK9011806 URINE BAG PCS 5
AK9012152 YELLOW TIP AXYGEN PCS 0
FOLLEY CATHETER 2 WAY NO. 18 PCS 5
METFORMIN HCL TABLET 850 MG TABLET 1100
CEFADROXIL 125 MG/5 ML SIRUP 0 200
VITAMIN B KOMPLEX TABLET 300 4000
VITSAP TABLET 720 700
UNDERPAD 60 CM/90 CM PCS 39 0
SALBUTAMOL 2 MG TABLET 0 2000
KETOKONAZOLE 200 MG TABLET 100 1000
ACYCLOVIR TABLET 400 MG TABLET 1900 2000
AQUADEST 25 ML BOTOL 12
AMOXICILLIN 100 MG/DROP BOTOL 60
GEMFIBROZIL 300 MG KAPSUL 400
SARUNG TANGAN KARET NON STERIL M KOTAK 0 30
CAVITON PIECES 0 5

Mengetahui 12 Januari 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 199307222023212000
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima : PKM PURUK CAHU Bulan FEBRUARI

Kecamatan : MURUNG Tahun : 2024
Kabupaten : MURUNG RAYA
Provinsi : KALIMANTAN TENGAH

Kode Nama Obat Sediaan Stok Awal Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok OptimumPermintaan Pemberian Keterangan
10315 2 - 4 SALEP SALEP 0 0
51 ACETYLCYSTEINE TABLET 200 MG TABLET 0 3000
119 ACYCLOVIR TABLET 200 MG TABLET 0 3000
12530 ADSORBED DT VACCINE VIAL 16 0
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 330 0
13349 ALKOHOL 70% 1 LITER BOTOL 0 10
13355 ALKOHOL 70% 100 ML BOTOL 0 20
14187 ALKOHOL 70% 300 ML BOTOL 9
12460 ALKOHOL SWAB PIECES 11 50
247 ALLOPURINOL TABLET 100 MG TABLET 400 3000
261 ALPRAZOLAM TABLET 1 MG TABLET 240
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 12 200
417 AMINOPHYLLINE TABLET 200 MG TABLET 0
444 AMITRIPTYLINE TABLET 25 MG TABLET 0
445 AMLODIPINE TABLET 10 MG TABLET 300 3000
446 AMLODIPINE TABLET 5 MG TABLET 600 3000
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 70 200
511 AMOXYCILLIN TABLET 500 MG TABLET 1800 5000
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 5 0
302 ANTACIDA TABLET TABLET 700 4000
809 ANTACIDA TABLET 400 MG TABLET 0 0
13623 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 28 20
847 AQUA PRO INJEKSI INJEKSI INJEKSI 12 30
883 ARTEMISININ TABLET 40 & 320 MG TABLET 0
886 ARTESUNATE INJEKSI 60 MG INJEKSI 0
12425 ASAM FOLAT 400 MCG TABLET 0 3000
966 ASAM MEFENAMAT TABLET 500 MG TABLET 500 4000
926 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 900 3000
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT INJEKSI 8
 1438 BEDAK SALISIL SERBUK 2 % SERBUK 16 50
1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 0 10
1560 BETAHISTINE TABLET 6 MG TABLET 1400 3000
1599 BETAMETHASONE SALEP 0.1% SALEP 0 200
13718 BIVALENT ORAL POLIOMYELITIS VACCINE 1 ML AMPULE AMPULE 14
1866 CALCIUM GLUCONATE INJEKSI 10 ML INJEKSI 0 5
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM 2g SYRINGE 0 5
2005 CALCIUM LACTATE TABLET 500 MG TABLET 500 3000
2073 CAPTOPRIL TABLET 12.5 MG TABLET 900 3000
2075 CAPTOPRIL TABLET 25 MG TABLET 1300 3000
2084 CARBAMAZEPINE TABLET 200 MG TABLET 200
2176 CEFADROXIL TABLET 500 MG TABLET 200 3000
2311 CEFOTAXIME INJEKSI 1 G/VIAL INJEKSI 0
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 10
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 15 100
2546 CETIRIZINE TABLET 10 MG TABLET 0 1000
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 0 100
14042 CHLORAMPHENICOL TETES TELINGA 3% 5 ML BOTOL BOTOL 120
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 0 4000
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 0
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET 0 3000
3018 CLINDAMYCIN TABLET 150 MG TABLET 400 3000
3024 CLOBAZAM TABLET 10 MG TABLET 240
3136 CLOZAPINE TABLET 25 MG TABLET 715
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING) 10 GR TUBE 0 5
3157 CODEINE TABLET 10 MG TABLET 130
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 0 200
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 100 2500
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 100
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 0 200
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN 320 MG (DHP) TABLET 9
12596 DENTIN CONDITIONER BOTOL 0 5
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 2 6
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 12 200
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 400 4000
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 5
3642 DIAZEPAM TABLET 5 MG TABLET 163
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 1100 2000
 3756 DIGOXIN TABLET 0.25 MG TABLET 0 100
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 100
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 22 100
3983 DOMPERIDONE TABLET 10 MG TABLET 100 3000
4093 EFAVIRENZ TABLET 600 MG TABLET 0
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 92 50
4461 ERYTHROMYCIN TABLET 500 MG TABLET 200 3000
4577 ETHAMBUTOL TABLET 100 MG TABLET 0
4561 ETHANOL 1000 ML 0 10
4562 ETHANOL 300 ML 0 30
4627 ETHYL CHLORIDE SPRAY SPRAY 1 2
4663 EUGENOL LIQUID 10 ML BOTOL 0 5
4737 FENOTEROL HYDROBROMIDE SPRAY 100 MCG/DOSIS SPRAY 0 0
9260 FITOMENADION (VITAMIN K) INJEKSI 2 MG\/ML INJEKSI 46
4932 FLUOXETINE TABLET 20 MG TABLET 0
4934 FLUPHENAZINE DECANOATE INJEKSI 25 MG/ML INJEKSI 0
5074 FUROSEMIDE TABLET 40 MG TABLET 300 1000
5126 GARAM ORALIT SERBUK SERBUK 200 800
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 100 500
5300 GLUCOSE INFUS 5 % INFUS 18
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUP SIRUP 70
5539 GUAIFENESIN TABLET 100 MG TABLET 1300 3000
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 7
5641 HALOPERIDOL TABLET 2 MG TABLET 0
5642 HALOPERIDOL TABLET 5 MG TABLET 280
13745 HAND RUB 5 LITER 0 20
5691 HEPATITIS B SURFACE ANTIGEN (HBS AG) INJEKSI 20 UG/ML INJEKSI 0
14215 HIV COMBO TEST KIT KIT 0 10
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 400 500
5843 HYDROCORTISONE SALEP 2.5 % SALEP 0 100
13020 IBUPROFEN SIRUP 200 MG\/5 ML BOTOL 0
5964 IBUPROFEN TABLET 200 MG TABLET 400 3000
5966 IBUPROFEN TABLET 400 MG TABLET 500 3000
6181 IODIUM POVIDON LIQUID 2% LIQUID 0
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPHATE LIQUID LIQUID 30 50
6322 ISONIAZID TABLET 100 MG TABLET 0
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 0 300
12627 KASA STERIL 16 X 16 CM PIECES 0 100
6535 KETOCONAZOLE SALEP 2% SALEP 15 100
6575 KETOROLAC INJEKSI 3 % INJEKSI 48 50
AK9006180 KONDOM 0 0
 6697 LAMIVUDINE TABLET 150 MG TABLET 2
13188 LARUTAN BENEDICT 100 ML BOTOL 0 5
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 2
6838 LEVOFLOXACIN TABLET 100 MG TABLET 0
6877 LEVOTHYROXINE TABLET 50 MCG TABLET 0
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 165 100
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY) SYRINGE 0 50
6906 LIDOCAINE INJEKSI 2% INJEKSI 81 100
6998 LOPERAMIDE TABLET 2 MG TABLET 0 3000
7013 LORATADINE TABLET 10 MG TABLET 0 3000
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 8
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 8
AK9006983 MASKER PAKAI TALI 0 0 50
13126 MDT COMBI PB ADULT : RIFAMPICIN BP 300 MG |DAPSON 100 MGTABLET 4
7491 METFORMIN HCL TABLET 500 MG TABLET 1200 2000
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 0
7605 METHYLERGOMETRINE TABLET 0.125 MG TABLET 300 500
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 200 4000
7679 METRONIDAZOLE INFUS 5 MG/ML INFUS 0
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 65 50
7697 METRONIDAZOLE TABLET 500 MG TABLET 300 3000
7727 MICONAZOLE SALEP 2% SALEP 19 100
7747 MINERAL MIX SERBUK 8 G SACHET 0
7845 MOMETASONE SALEP 1 MG SALEP 0
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT) : VITAMIN A 6000 IU,TABLET
VITAMIN D 400 IU, VITAMIN B1 10 MG, VITAMIN B2 2,5 MG, VITAMIN B6 15 MG, VITAMIN B120 4 MCG, NICOTINAMIDE1000
20 MG, CA PANTOTHENATE 7,5 MG, FOLIC AC
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 300 3000
8110 NEVIRAPINE TABLET 200 MG TABLET 0
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLET TABLET 0 1000
13633 NYSTATIN OVULA 100000 IU\/G OVULA 100 100
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 200 3000
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 50
12527 PAKET STOP TB KATEGORI 1 PAKET 0
12528 PAKET STOP TB OAT ANAK PAKET 0
8573 PARACETAMOL DROPS 100 MG/ML DROPS 0 100
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 70 300
8593 PARACETAMOL TABLET 500 MG TABLET 3500 4000
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET HYDROBROMIDE|GUAIFENESIN TABLET 500 4000
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
285 100 HYDROBRO
9013 PECTIN|ATTAPULGITE TABLET TABLET 0 1000
9086 PERMETHRIN SALEP 5 % SALEP 37 50
9120 PHENOBARBITAL INJEKSI 50 MG\/ML INJEKSI 0
 9125 PHENOBARBITAL TABLET 30 MG TABLET 20
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET 0 500
9392 PIROXICAM TABLET 20 MG TABLET 500 2000
12324 POVIDONE IODINE 10% 300ML CAIRAN 4 10
12325 POVIDONE IODINE 10% 30ML CAIRAN 12
12463 POVIDONE IODINE 10% 60 ML CAIRAN 0
9583 PREDNISONE TABLET 5 MG TABLET 500 3000
12384 PRIMAQUINE 16
13322 PROPANOLOL TABLET 10 MG TABLET 400
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 ML SIRUP 70
9793 PYRANTEL TABLET 125 MG TABLET 200
1684 PYRIDOXINE TABLET 10 MG TABLET 700 3000
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 27 50
10014 RANITIDINE TABLET 150 MG TABLET 300 3000
12329 REAGEN GOLONGAN DARAH ( ANTI A ) LARUTAN 0
12330 REAGEN GOLONGAN DARAH ( ANTI B ) LARUTAN 0
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6
11899 RETINOL ACETATE TABLET 20000 IU TABLET 0
11896 RETINOL PALMITATE TABLET 100000 IU TABLET 0
10114 RIFAMPICIN TABLET 150 MG TABLET 0
10133 RIFAMPICIN|ISONIAZID TABLET 75 MG/50 MG TABLET 0
12439 RINGER LAKTAT 500 ML BOTOL 6 20
10173 RISPERIDONE TABLET 2 MG TABLET 460
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT) TABLET 500 3000
13301 SALMONELLA TYPHI H WIDAL TEST 5 ML VIAL 0 1
13302 SALMONELLA TYPHI O WIDAL TEST 5 ML VIAL 0 1
10484 SIMVASTATIN TABLET 20 MG TABLET 400 3000
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 14 40
7971 SODIUM CHLORIDE LIQUID 0.9 % LIQUID 0
AK9009629 SPUIT 3 CC PCS 87 500
10800 SUCRALFATE SIRUP SIRUP 20 100
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 20
11021 TENOFOVIR DISOPROXIL FUMARATE|LAMIVUDINE TABLET 300 TABLET MG|300 MG 0
11328 THIAMINE (VITAMIN B1) TABLET 50 MG (HCL\/NITRAT) TABLET 500 2000
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN TABLET TABLET 0 3000
AK0602044 Tooth shade resin material 0 0 5
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 600 500
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 5
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 0
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 511
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1 1 MG, Vitamin B2 0.5 MG,
SYRUP
Vitamin B6 1 MG, Vitamin B12 1 MCG, Vitamin C 10 MG, Vitamin D 50 MG, DHA 8 MG, Lysine
25HCl 100 MG, Colostrum Bovine
200 250 MG
 13617 USG JELLY 250 GR TUBE 10
12835 VACCINE IPV 5 DS VIAL 11
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 9
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 10
13499 VAKSIN MENINGITIS 200 MCG DAN PELARUT 0.5 ML VIAL 0
13599 VAKSIN PNEUMOCOCCUS VIAL 0
12770 WHITE TIPS 10 uL PIECES 0 10
12668 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG TABLET 0
12160 ZIDOVUDINE TABLET 100 MG TABLET 0
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60 ML BOTOL 0 200
12192 ZINC SULPHATE TABLET 20 MG TABLET 1500 3000
12448 ALAT SUNTIK 1 ML PIECES 0 200
13369 ALAT SUNTIK 5 ML PIECES 481
12460 ALKOHOL SWAB PIECES 0 100
12754 ALKOHOL SWAB 100 PCS PIECES 11 100
12735 AUTO DISABLE SYRINGE 0.05 ML PIECES PIECES 0
12641 AUTO DISABLE SYRINGE 0.5 ML PIECES PIECES 0
12648 AUTO DISABLE SYRINGE 5 ML PIECES 0
14231 BAJU APD (DISPOSABLE PROTECTIVE COVER ALL) PIECES 0
12322 BAJU PELINDUNG 0
12663 BISTURI NO. 15 PIECES 0 100
12441 CAT GUT 2\/0 PIECES 0 100
12442 CAT GUT 3\/0 PIECES 0 100
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENT (20 GR POWDER
BOTOL
+ 10 ML LIQUID) BOTOL 0 2
14241 FACE SHIELD UNTUK APD PIECES 0
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 5
12871 HAND RUB 500 ML 0 10
AK1603005 Hydrophilic wound dressing 0 0
12358 INFUSET ANAK SET 9 20
12357 INFUSET DEWASA SET 18
12363 JARUM HECTING OTOT 1\/2 LINGKARAN GR 6 SET 0 2
12718 KAPAS BERLEMAK 500 GR PIECES 4
13565 KAPAS PEMBALUT 250 gr ROL 4 5
13979 KASA BARU : KASA HIDROFIL SIZE 4 X 15 CM ROLL ROLL 0 50
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 0 20
13656 LARUTAN TURK 250 ML BOTOL 0 5
14287 MASKER KN-95 PIECES 0
14247 MASKER NON MEDIS PIECES 0 100
13559 MASKER OKSIGEN ANAK (MAXIFLOW) PIECES 15
13459 MASKER OKSIGEN DEWASA WITH TUBING 10 MA-EL PIECES 14
 14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169) 100\/4 BOTOL
BOTOL 0 1
13699 MTB\/RIF (TB LINI 2) 10 CARTRIDGE PIECES 0
12758 NASAL OKSIGEN ANAK PIECES 0 20
12757 NASAL OKSIGEN DEWASA PIECES 0 20
12924 OBJECT GLASS 7101 (ONELAB) PIECES 0
13536 ONEMED SABUN ANTIBAKTERI 500 ML : Triclosan 3LAS, SodiumBOTOL
Laurenth Sulphate, Cocoamide DEA, Disodium EDTA, Citric Acid, Fragrance, Deionized Water 0 10
12471 OXYCAN BOTOL 4
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 2 10
13168 POLYSAFE SAFETY BOX 5 LITER PIECES 0
AK9008218 POT 50 ML PCS 0
12559 POT SPUTUM PIECES 0
12577 REAGEN GOLONGAN DARAH ( ANTI D ) 10 ML CAIRAN 0 1
12574 SAFETY BOX 2,5 L PIECES 0
12691 SAFETY BOX 5 L PIECES 0
13303 SALMONELLA PARATYPHI AO WIDAL TEST 5 ML VIAL
13304 SALMONELLA PARATYPHI BO TEST 5 ML VIAL
13443 SARUNG TANGAN OBGYN PANJANG STERIL 56 CM PIECES 0 50
12682 SILK SUTURE 3\/0 PIECES 21 100
12591 STRIP GLUKOSA PIECES 0 50
12598 STRIP HB CEK DIGITAL PIECES 0 50
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 150 100
12592 STRIP TOTAL KOLESTEROL PIECES 0 100
13724 TIFOID IgM TEST 25 STRIP STRIP 0 10
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS TESTS 0 50
13465 URINE TEST STRIP 10 PIECES PIECES 15 50
14070 VIROCHECK : HBsAg 25 TEST TEST 225 50
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 100
13926 (XPERT) HCV HIV 1 TEST CARTRIDGE CARTRIDGE 0 20
AK9000680 APRON FILM WHITE 0 0
13447 ARM SLING TYPE A DENGAN GESPER SIZE L PIECES 5
13446 ARM SLING TYPE A DENGAN GESPER SIZE M PIECES 3
AK9001917 BLOOD LANCET PIECES 0 100
AK9002642 CANULA NASAL OKSIGEN NEONATES PIECES 4 5
13645 CELLULOID STRIP 100 PIECES STRIP 0 10
AK9002813 CERVICAL COLLAR NECK PIECES 0
AK9002857 CHKM STIK 0 5
AK0101034 Cholesterol (total) test system
12571 Cleaner Reagen CAIRAN 0 2
AK9004498 FEEDING TUBE NO 10 0 1
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNO TEST FOR THE DETECTION
PAKET OF HEPATITIS B 250 0
13542 HEPATITIS B IMMUNE GLOBULIN (HUMAN) S\/D 220 IU\/ML SYRINGE 0
AK9012183 Iodoform (Mummifying Pasta) 0 0 5
AK9005688 IV CATHETER NO 20 0 16 20
AK9005689 IV CATHETER NO 22 0 17 20
12484 IV CATHETER NO. 24 PIECES 32 20
14236 KACAMATA UNTUK APD PIECES 0
13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL) TUBE 0 5
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 40 100
AK9006974 MASKER N95 0 0
AK9007516 NGT NO 16 0 0
AK0605002 Oral cavity abrasive polishing agent 0 0
AK9007766 PAPER MOUTH PIECE 25 X 75 MM 0 0
AK0903025 Patient lubricant 0 0
AK0303045 Plasmodium species antigen detection assays 0 0
AK9008129 PLESTERKU 0 10
AK0403030 Portable oxygen generator 0 0
12576 REAGEN GOLONGAN DARAH ( ANTI AB ) 10 ML CAIRAN 0
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50 SIRUP 21
13304 SALMONELLA PARATYPHI BO TEST 5 ML VIAL
AK9008942 SARUNG TANGAN KARET NON STERIL L KOTAK 0 50
AK9008966 SARUNG TANGAN STERIL KOTAK 0 10
AK9008969 SARUNG TANGAN STERIL NO 7 KOTAK 0 10
AK9008970 SARUNG TANGAN STERIL NO 7.5 KOTAK 0 10
AK9008971 SARUNG TANGAN STERIL NO 8 KOTAK 0 10
AK9009332 SHOES COVER KOTAK 0
12598 STRIP HB CEK DIGITAL PIECES 15 50
12692 STRIP URIC ACID PIECES 0 100
AK9010910 SURGICAL NURSE CUP PCS 0
AK9011358 TIP CLEANER 250 ML PCS 0 2
AK9011806 URINE BAG PCS 5
AK9012152 YELLOW TIP AXYGEN PCS 0
FOLLEY CATHETER 2 WAY NO. 18 PCS 5
METFORMIN HCL TABLET 850 MG TABLET 900
CEFADROXIL 125 MG/5 ML SIRUP 0 200
VITAMIN B KOMPLEX TABLET 0 4000
VITSAP TABLET 480 1000
UNDERPAD 60 CM/90 CM PCS 30 0
SALBUTAMOL 2 MG TABLET 0 2000
KETOKONAZOLE 200 MG TABLET 100 1000
ACYCLOVIR TABLET 400 MG TABLET 1300 2000
AQUADEST 25 ML BOTOL 12 20
AMOXICILLIN 100 MG/DROP BOTOL 60
GEMFIBROZIL 300 MG KAPSUL 400
SARUNG TANGAN KARET NON STERIL M KOTAK 0 50
BENZOCAIN TOPIKAL PIECES 4 3
IODENT KOTAK 0 5
OCO STAIN REMOVER PIECES 0 5
DENTAL CELULOID STRIP 0 5
GLASS IONOMER PIECES 0 5
EUGENOL PIECES 0 5
ENDOSEL PIECES 0 5
CRESODENT LIQUID PIECES 0 5
DENTAL PASTA PIECES 0 5
REES ECKER 100 ML LARUTAN 0 10
GIEMSA Reagen 0 10
CAVITON PIECES 0 5
DIAZEPAM ENEMA 5 MG/2.5 ML ampul 3

Mengetahui 05 Februari 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 199307222023212000
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan March

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok OptimumPermintaan Pemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 0 3000 3000 600 0 2400 0 0 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 3000 0-
12530 ADSORBED DT VACCINE VIAL 16 0 16 0 0 16 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 0 700 700 328 0 372 0 700 0-
13369 ALAT SUNTIK 5 ML PIECES 481 0 481 169 0 312 0 0 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 330 200 530 30 0 500 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 0 10 10 0 0 10 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 0 20 20 0 0 20 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 9 0 9 9 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 1100 5000 6100 600 0 5500 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 400 3000 3400 900 0 2500 0 2000 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 240 100 340 0 0 340 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 12 200 212 52 0 160 0 100 0-
445 AMLODIPINE TABLET 10 MG TABLET 300 3000 3300 2100 0 1200 0 3000 0-
446 AMLODIPINE TABLET 5 MG TABLET 600 3000 3600 600 0 3000 0 2000 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 70 200 120 0 0 120 0 0 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 1800 5000 6800 2400 0 4400 0 0 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 5 0 5 0 0 5 0 0 0-
302 ANTACIDA TABLET TABLET 700 5000 5700 3400 0 2300 0 2000 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIA SUPPOSITORIA
2 gr 28 20 48 0 0 48 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 12 30 42 5 0 37 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER PIECES
SIZE L 0 3 3 0 0 3 0 0 0-
13446 ARM SLING TYPE A DENGAN GESPER PIECES
SIZE M 0 3 3 0 0 3 0 0 0-
12425 ASAM FOLAT 400 MCG TABLET 0 4000 4000 1000 0 3000 0 1000 0-
966 ASAM MEFENAMAT TABLET 500 MG TABLET 500 4000 4500 1900 0 2600 0 2000 0-
926 ASCORBIC ACID (VITAMIN C) TABLET TABLET
50 MG 900 3000 3900 1300 0 2600 0 3000 0-
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0-
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 8 15 23 0 0 23 0 0 0-
1438 BEDAK SALISIL SERBUK 2 % SERBUK 16 50 66 16 0 50 0 0 0-
1483 BENZOIC ACID|SALICYLIC ACID SALEPSALEP 0 10 10 0 0 10 0 0 0-
 1560 BETAHISTINE TABLET 6 MG TABLET 1400 3000 4400 200 0 4200 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 0 150 150 85 0 65 0 100 0 -
12663 BISTURI NO. 15 PIECES 0 100 100 0 100 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE
AMPULE
1 ML AMPULE 14 25 39 0 0 39 0 0 0 -
AK9001917 BLOOD LANCET 0 0 5 5 0 0 5 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 MLINJEKSI 0 5 5 0 0 5 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM
SYRINGE 2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 500 3000 3500 900 0 2600 0 2000 0 -
AK9002642 CANULA NASAL OKSIGEN NEONATES 0 4 0 4 0 0 4 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 900 3000 3900 400 0 3500 0 1000 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 1300 3000 4300 1000 0 3300 0 1000 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 200 200 400 0 0 400 0 0 0 -
12441 CAT GUT 2\/0 PIECES 0 100 100 0 0 100 0 0 0 -
12442 CAT GUT 3\/0 PIECES 0 100 100 0 0 100 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 200 3000 3200 700 0 2500 0 2000 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 10 10 0 0 10 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 2 2 0 0 2 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 2 2 0 0 2 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 15 100 115 20 0 95 0 0 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 0 2000 2000 500 0 1500 2000 0 0 -
AK9002857 CHKM 0 0 5 5 0 0 5 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5MLSIRUP 0 0 0 0 0 0 0 50 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3%BOTOL
5 ML BOTOL 120 0 120 0 0 120 0 0 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 0 5000 5000 1700 0 3300 0 3000 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI
TABLETHCL) 0 3000 3000 500 0 2500 0 0 0 -
12571 Cleaner Reagen CAIRAN 0 2 2 0 0 2 0 0 0 -
12571 Cleaner Reagen CAIRAN 0 2 2 0 0 2 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 400 3000 3400 0 0 3400 0 0 0 -
3024 CLOBAZAM TABLET 10 MG TABLET 240 0 240 0 0 240 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 715 200 915 0 0 915 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER TUBE
FILLING) 10 GR 0 1 1 0 0 1 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 130 0 130 0 0 130 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 0 200 200 26 0 174 0 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 100 2500 2600 800 0 1800 0 0 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 100 0 100 0 0 100 0 0 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML
INJEKSI 0 200 200 125 0 75 0 300 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN
TABLET 320 MG (DHP) 9 0 9 0 0 9 0 0 0 -
12596 DENTIN CONDITIONER BOTOL 0 4 4 0 0 4 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR
BOX 2 0 2 0 0 2 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR
BOX 0 0 0 0 0 0 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 12 200 212 57 0 155 0 200 0 -
 3443 DEXAMETHASONE TABLET 0.5 MG TABLET 400 7000 7400 2900 0 4500 0 2000 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6 0 6 0 0 6 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 3 0 3 0 0 3 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 5 0 5 0 0 5 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 163 200 363 0 0 363 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MGTABLET 1100 2000 3100 1400 0 1700 0 2000 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 0 100 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 0 0 0 0 0 0 100 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 22 100 122 72 0 50 0 200 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 100 3000 3100 1000 0 2100 0 1000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER + 010 ML LIQUID) BOTOL
2 2 2 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER + 010 ML LIQUID) BOTOL
2 2 2 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 MLSIRUP 92 50 142 20 0 122 0 0 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 200 500 700 100 0 600 0 0 0 -
4561 ETHANOL 1000 ML 0 10 10 1 0 9 0 0 0 -
4562 ETHANOL 300 ML 0 30 30 1 0 29 0 0 0 -
4627 ETHYL CHLORIDE SPRAY SPRAY 1 2 3 2 0 1 0 5 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 2 2 2 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 2 2 2 0 0 0 0 0 -
AK9004498 FEEDING TUBE NO 10 0 0 1 1 0 0 1 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSIINJEKSI
2 MG\/ML 46 0 46 12 0 34 0 50 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 300 1000 1300 0 0 1300 0 0 0 -
5126 GARAM ORALIT SERBUK SERBUK 200 800 1000 100 0 900 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 100 0 100 100 0 0 0 500 0 -
5300 GLUCOSE INFUS 5 % INFUS 18 0 18 0 0 18 0 0 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUPSIRUP 70 0 70 10 0 60 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 1300 3000 4300 800 0 3500 0 3000 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 7 0 7 0 0 7 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 280 100 380 0 0 380 0 0 0 -
13745 HAND RUB 5 LITER 0 20 20 0 0 20 0 0 0 -
12871 HAND RUB 500 ML 0 36 36 5 0 31 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNO
PAKET TEST FOR THE DETECTION
250 OF HEPATITIS 80 B 330 330 0 0 0 5 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 400 500 900 0 0 900 0 0 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 400 3000 3400 500 0 2900 0 1000 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 500 3000 3500 1500 0 2000 0 3000 0 -
12358 INFUSET ANAK SET 9 20 29 0 0 29 0 0 0 -
12357 INFUSET DEWASA SET 18 0 18 0 0 18 0 0 0 -
AK9012183 Iodoform (Mummifying Pasta) 0 0 1 1 0 0 1 0 0 0-
AK9012183 Iodoform (Mummifying Pasta) 0 0 1 1 0 0 1 0 0 0-
6238 IPRATROPIUM BROMIDE|SALBUTAMOL LIQUID
SULPHATE LIQUID 30 0 30 30 0 0 0 60 0-
6386 ISOSORBIDE DINITRATE TABLET 5 MGTABLET 0 300 300 0 0 300 0 0 0-
AK9005688 IV CATHETER NO 20 0 16 20 36 0 0 36 0 0 0-
AK9005689 IV CATHETER NO 22 0 17 20 37 0 0 37 0 0 0-
12484 IV CATHETER NO. 24 PIECES 32 20 52 0 0 52 0 0 0-
12363 JARUM HECTING OTOT 1\/2 LINGKARAN SET GR 6 0 2 2 0 0 2 0 0 0-
13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)
TUBE 0 1 1 0 0 1 0 0 0-
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 0 0 4 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 4 5 9 0 0 9 0 0 0-
13979 KASA BARU : KASA HIDROFIL SIZE 4 XROLL
15 CM ROLL 0 0 0 0 0 0 0 0 0-
14225 KASA HIDROFIL 20 YARD X 80 CM ROLLROLL 0 10 10 0 0 10 0 0 0-
12627 KASA STERIL 16 X 16 CM PIECES 0 0 0 0 0 0 0 10 0-
6535 KETOCONAZOLE SALEP 2% SALEP 15 100 115 0 0 115 0 0 0-
6575 KETOROLAC INJEKSI 3 % INJEKSI 48 0 48 0 0 48 0 0 0-
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0-
13188 LARUTAN BENEDICT 100 ML BOTOL 0 5 5 0 0 5 0 0 0-
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
13656 LARUTAN TURK 250 ML BOTOL 0 5 5 0 0 5 0 0 0-
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 165 100 265 0 0 265 0 0 0-
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY)SYRINGE 0 10 10 0 0 10 0 0 0-
6906 LIDOCAINE INJEKSI 2% INJEKSI 81 100 181 0 0 181 0 0 0-
6998 LOPERAMIDE TABLET 2 MG TABLET 0 3000 3000 0 0 3000 0 0 0-
7013 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 1000 0-
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 8 0 8 0 0 8 0 0 0-
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 8 0 8 0 0 8 0 0 0-
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 40 40 80 0 0 80 0 0 0-
14247 MASKER NON MEDIS PIECES 0 100 100 100 0 0 0 0 0-
13559 MASKER OKSIGEN ANAK (MAXIFLOW)PIECES 15 0 15 0 0 15 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBING PIECES10 MA-EL 14 0 14 0 0 14 0 5 0-
AK9006983 MASKER PAKAI TALI 0 0 40 40 0 0 40 0 0 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN TABLET
BP 300 MG |DAPSON 100 MG 4 0 4 0 0 4 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 1200 0 1200 400 0 800 0 2000 0-
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML
INJEKSI 300 300 600 0 0 600 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MGTABLET 200 4000 4200 2000 0 2200 0 2000 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 65 50 115 0 0 115 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 300 3000 3300 200 0 3100 0 0 0-
7727 MICONAZOLE SALEP 2% SALEP 19 96 115 0 0 115 0 50 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/4 BOTOL 0 1 1 0 0 1 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT)
TABLET: VITAMIN A 6000 IU, VITAMIN
0 D 400 IU,
480VITAMIN B1 10
0 MG, VITAMIN
0 B2 2,5 MG,
0 VITAMIN B6
0 15 MG, VITAMIN
0 B12
1000
4 MCG, NICOTINAMIDE
0- 20 MG, CA PANTOTHENATE 7,5 MG, FOLIC ACID
 12758 NASAL OKSIGEN ANAK PIECES 0 20 20 0 0 20 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 0 5 5 5 0 0 0 10 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 300 3000 3300 0 3300 3300 0 3000 0 expired
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN
TABLET TABLET 0 0 0 0 0 0 0 1000 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 100 100 200 0 0 200 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 200 3000 3200 1800 0 1400 0 2000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML BOTOL
: Triclosan 3LAS, Sodium Laurenth
0 Sulphate, 10
Cocoamide DEA,
10 Disodium 2EDTA, Citric Acid,
0 Fragrance,
8 Deionized0 Water 0 0-
12471 OXYCAN BOTOL 4 0 4 0 0 4 0 0 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 50 0 50 0 0 50 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 0 100 100 0 0 100 0 0 0-
8601 PARACETAMOL SIRUP 120 MG\/5 MLSIRUP 70 300 370 140 0 230 0 200 0-
8593 PARACETAMOL TABLET 500 MG TABLET 3500 4000 7500 4100 0 3400 0 4000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 500 4000 HYDROBROMIDE|GUAIFENESIN
4500 1700 0 TABLET2800 0 3000 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 285 100 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
385 119 0 266 0 200 0- HYDROBROM
9013 PECTIN|ATTAPULGITE TABLET TABLET 0 500 500 0 0 500 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 37 50 87 15 0 72 0 0 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 20 0 20 0 0 20 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET
TABLET10 MG 0 500 500 0 0 500 0 0 0-
9392 PIROXICAM TABLET 20 MG TABLET 500 2000 2500 0 0 2500 0 0 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 2 10 12 0 0 12 0 0 0-
AK9008129 PLESTERKU 0 10 0 10 0 0 10 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 4 10 14 0 0 14 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 12 0 12 0 0 12 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 500 3000 3500 600 0 2900 0 1000 0-
12384 PRIMAQUINE 16 0 16 0 0 16 0 0 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5SIRUPML 70 0 70 0 0 70 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 200 0 200 0 0 200 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 700 3000 3700 1100 0 2600 0 2000 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 27 60 87 0 0 87 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 300 3000 3300 400 0 2900 0 1000 0-
12577 REAGEN GOLONGAN DARAH ( ANTI DCAIRAN
) 10 ML 0 1 1 0 0 1 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 0 0 6 0 0 0-
11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 20 20 0 0 20 0 0 0-
12439 RINGER LAKTAT 500 ML BOTOL 6 20 26 10 0 16 0 50 0-
10173 RISPERIDONE TABLET 2 MG TABLET 460 200 660 0 0 660 0 0 0-
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50
SIRUP 21 25 46 0 0 46 0 0 0-
10307 SALBUTAMOL TABLET 4 MG (SEBAGAITABLET
SULFAT) 500 0 500 300 0 200 0 3000 0-
13301 SALMONELLA TYPHI H WIDAL TEST 5 VIAL
ML 0 1 1 0 0 1 0 0 0-
13302 SALMONELLA TYPHI O WIDAL TEST 5 VIAL
ML 0 1 1 0 0 1 0 0 0-
AK9008942 SARUNG TANGAN KARET NON STERIL L 0 0 3 3 3 0 0 0 20 0-
 13443 SARUNG TANGAN OBGYN PANJANG STERIL PIECES56 CM 0 50 50 0 0 50 0 0 0-
AK9008966 SARUNG TANGAN STERIL 0 0 0 0 0 0 0 0 0 0-
AK9008969 SARUNG TANGAN STERIL NO 7 0 0 150 150 150 0 0 0 100 0-
AK9008970 SARUNG TANGAN STERIL NO 7.5 0 0 50 50 50 0 0 0 100 0-
AK9008971 SARUNG TANGAN STERIL NO 8 0 0 100 100 100 0 0 0 100 0-
12682 SILK SUTURE 3\/0 PIECES 21 20 41 5 0 36 0 0 0-
10484 SIMVASTATIN TABLET 20 MG TABLET 400 3000 3400 900 0 2500 0 0 0-
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 14 40 54 10 0 44 0 50 0-
AK9009629 SPUIT 3 CC 0 87 0 87 29 0 58 0 1000 0-
12598 STRIP HB CEK DIGITAL PIECES 0 10 10 10 0 0 0 10 0-
12598 STRIP HB CEK DIGITAL PIECES 15 10 25 25 0 0 0 10 0-
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)
PIECES 150 100 250 0 0 250 0 0 0-
12592 STRIP TOTAL KOLESTEROL PIECES 0 0 0 0 0 0 0 10 0-
12692 STRIP URIC ACID PIECES 0 5 5 0 0 5 0 10 0-
10800 SUCRALFATE SIRUP SIRUP 20 100 120 54 0 66 0 0 0-
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 0 0-
AK9011238 TEST STRIP FOR GLUCOSE METER 0 0 5 5 5 0 0 0 0 0-
11328 THIAMINE (VITAMIN B1) TABLET 50 MG TABLET
(HCL\/NITRAT) 500 2000 2500 200 0 2300 0 0 0-
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET TABLET0 4000 4000 1900 3000 2100 0 3000 0-
13724 TIFOID IgM TEST 25 STRIP STRIP 0 10 10 10 0 0 0 0 0-
AK9011358 TIP CLEANER 250 ML 0 0 0 0 0 0 0 0 0 0-
AK0602044 Tooth shade resin material 0 0 2 2 2 0 0 0 0 0-
AK0602044 Tooth shade resin material 0 0 2 2 2 0 0 0 0 0-
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 600 500 1100 100 0 1000 0 0 0-
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS TESTS 0 0 0 0 0 0 0 5 0-
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 2 2 2 0 0 0 0 0-
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 511 200 711 0 0 711 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1
SYRUP
1 MG, Vitamin B2 0.5 MG, Vitamin
25 B6 1 MG,
200
Vitamin B12
2251 MCG, Vitamin
55 C 10 MG,0Vitamin D170
50 MG, DHA 8 0MG, Lysine200
HCl 100 MG, Colostrum
0- Bovine 250 MG
AK9011806 URINE BAG 0 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 15 5 20 20 0 0 0 5 0-
13617 USG JELLY 250 GR TUBE 10 0 10 0 0 10 0 0 0-
12835 VACCINE IPV 5 DS VIAL 11 20 31 0 0 31 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 9 20 29 0 0 29 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 10 0 10 0 0 10 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 225 80 305 305 0 0 0 5 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 0 7 7 2 0 5 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60 ML 0 0 0 0 0 0 0 100 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 1500 5000 6500 900 0 5600 0 0 0-
REES ECKER 0 0 0 0 0 0 0 5
RAPID DBD (NSI) 0 0 0 0 0 0 0 5
MEPROVENT VIAL 0 0 0 0 0 0 0 50
HIDROKORTISONE KRIM TUBE 0 0 0 0 0 0 0 100
KETOKONAZOLE KRIM TUBE 0 0 0 0 0 0 0 100
KETOKONAZOLE TABLET TABLET 0 0 0 0 0 0 0 1000

Mengetahui 08 Maret 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 199307222023212000
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan April

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 2400 0 2400 300 0 2100 0 0 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 1000 0-
12530 ADSORBED DT VACCINE VIAL 16 0 16 0 0 16 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 372 700 1072 315 0 757 0 500 0-
13369 ALAT SUNTIK 5 ML PIECES 312 0 312 12 0 300 0 500 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 500 0 500 0 0 500 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 10 0 10 0 0 10 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 20 0 20 1 0 19 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 5500 0 5500 0 0 5500 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 2500 2000 4500 1400 0 3100 0 2000 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 340 200 540 255 0 285 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 160 100 260 78 0 182 0 200 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 0 300 300 90 0 210 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 1200 3000 4200 800 0 3400 0 3000 0-
446 AMLODIPINE TABLET 5 MG TABLET 3600 0 3600 1300 0 2300 0 2000 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 270 0 270 251 0 19 0 300 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 4400 0 4400 1000 0 3400 0 1000 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 5 0 5 0 0 5 0 0 0-
302 ANTACIDA TABLET TABLET 2300 2000 4300 1500 0 2800 0 3000 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 48 0 48 20 0 28 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 37 0 37 0 0 37 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER SIZE L PIECES 3 0 3 0 0 3 0 0 0-
 13446 ARM SLING TYPE A DENGAN GESPER SIZE M PIECES 3 0 3 0 0 3 0 0 0 -
12425 ASAM FOLAT 400 MCG TABLET 3000 1000 4000 1200 0 2800 0 3000 0 -
966 ASAM MEFENAMAT TABLET 500 MG TABLET 2600 2000 4600 3000 0 1600 0 4000 0 -
926 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 2600 3000 5600 1800 0 3800 0 3000 0 -
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0 -
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUTINJEKSI 23 15 38 22 0 16 0 0 0 -
1438 BEDAK SALISIL SERBUK 2 % SERBUK 50 0 50 30 0 20 0 50 0 -
1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 10 0 10 5 0 5 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 4200 0 4200 400 0 3800 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 65 0 65 35 0 30 0 100 0 -
12663 BISTURI NO. 15 PIECES 100 0 100 20 0 80 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE 1 ML
AMPULE
AMPULE 39 30 69 48 0 21 0 0 0 -
AK9001917BLOOD LANCET 5 0 5 1 0 4 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 ML INJEKSI 5 0 5 0 0 5 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM SYRINGE
2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 2600 2000 4600 2300 0 2300 0 3000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES pcs 4 0 4 0 0 4 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 3500 1000 4500 400 0 4100 0 1000 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 3300 1000 4300 500 0 3800 0 1000 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 400 100 500 210 0 290 0 0 0 -
12441 CAT GUT 2\/0 PIECES 100 0 100 4 0 96 0 0 0 -
12442 CAT GUT 3\/0 PIECES 100 0 100 64 0 36 0 120 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 2500 2000 4500 1000 0 3500 0 1000 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 10 0 10 0 0 10 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 2 0 2 0 0 2 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 2 0 2 0 0 2 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 95 0 95 45 0 50 0 200 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 1500 0 1500 600 0 900 0 3000 0 -
AK9002857CHKM 0 5 0 5 5 0 0 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 0 0 0 0 0 0 0 100 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3% 5 MLBOTOL
BOTOL 120 0 120 30 0 90 0 0 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 3300 3000 6300 1400 0 4900 0 0 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 0 5 5 0 0 5 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL)
TABLET 2500 0 2500 700 0 1800 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 3400 2000 5400 0 0 5400 0 0 0 -
3024 CLOBAZAM TABLET 10 MG TABLET 240 0 240 0 0 240 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 915 400 1315 870 0 445 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING)TUBE
10 GR 1 0 1 1 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 130 0 130 20 0 110 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 174 0 174 135 0 39 0 200 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 1800 0 1800 300 0 1500 0 2000 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 100 0 100 100 0 0 0 1000 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 75 100 175 10 0 165 0 500 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN 320
TABLET
MG (DHP) 9 0 9 0 0 9 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 30 30 30 0 0 0 30 0 -
12596 DENTIN CONDITIONER BOTOL 4 0 4 0 0 4 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 0 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 2 0 2 0 0 2 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 155 200 355 200 0 155 0 300 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 4500 2000 6500 1600 0 4900 0 3000 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 3 0 3 3 0 0 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6 0 6 0 0 6 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 5 0 5 5 0 0 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 363 300 663 523 0 140 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 1700 2000 3700 900 0 2800 0 3000 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 100 100 0 0 100 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 50 200 250 10 0 240 0 60 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 2100 1000 3100 800 0 2300 0 2000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENTBOTOL
(20 GR POWDER0+ 10 ML LIQUID)
0 BOTOL
0 0 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENTBOTOL
(20 GR POWDER0+ 10 ML LIQUID)
0 BOTOL
0 0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 122 0 122 23 0 99 0 0 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 600 0 600 200 0 400 0 1000 0 -
4561 ETHANOL 1000 ML 9 0 9 2 0 7 0 0 0 -
4562 ETHANOL 300 ML 29 0 29 5 0 24 0 0 0 -
 4627 ETHYL CHLORIDE SPRAY SPRAY 1 5 6 0 0 6 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
AK9004498FEEDING TUBE NO 10 0 1 0 1 0 0 1 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSI 2 MG\/ML
INJEKSI 34 60 94 4 0 90 0 0 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 1300 0 1300 300 0 1000 0 0 0 -
5126 GARAM ORALIT SERBUK SERBUK 900 0 900 0 0 900 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 0 0 0 0 0 0 0 1000 0 -
5300 GLUCOSE INFUS 5 % INFUS 18 0 18 3 0 15 0 0 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUPSIRUP 60 0 60 2 0 58 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 3500 3000 6500 1100 0 5400 0 2000 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 7 0 7 0 0 7 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 380 200 580 290 0 290 0 0 0 -
13745 HAND RUB 5 LITER 20 0 20 0 0 20 0 0 0 -
12871 HAND RUB 500 ML 31 0 31 0 0 31 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNOPAKET
TEST FOR THE DETECTION
0 OF HEPATITIS
0 B0 0 0 0 0 0 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 900 0 900 300 0 600 0 0 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 0 96 96 20 0 76 0 0 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 2900 1000 3900 1000 0 2900 0 2000 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 2000 3000 5000 900 0 4100 0 3000 0 -
12358 INFUSET ANAK SET 29 0 29 0 0 29 0 0 0 -
12357 INFUSET DEWASA SET 18 0 18 0 0 18 0 10 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPHATELIQUIDLIQUID 0 0 0 0 0 0 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPHATELIQUIDLIQUID 0 0 0 0 0 0 0 0 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 300 0 300 0 0 300 0 0 0 -
AK9005688IV CATHETER NO 20 0 36 0 36 25 0 11 0 200 0 -
AK9005689IV CATHETER NO 22 0 37 0 37 28 0 9 0 200 0 -
12484 IV CATHETER NO. 24 PIECES 52 0 52 33 0 19 0 200 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARAN GR 6SET 2 0 2 0 0 2 0 0 0 -
 13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)TUBE 1 0 1 0 0 1 0 0 0-
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 0 0 4 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 9 0 9 0 0 9 0 0 0-
13979 KASA BARU : KASA HIDROFIL SIZE 4 X 15 CM ROLL
ROLL 0 0 0 0 0 0 0 0 0-
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 10 0 10 1 0 9 0 0 0-
12627 KASA STERIL 16 X 16 CM PIECES 0 0 0 0 0 0 0 100 0-
6535 KETOCONAZOLE SALEP 2% SALEP 0 25 25 0 0 25 0 0 0-
6535 KETOCONAZOLE SALEP 2% SALEP 115 25 140 90 0 50 0 100 0-
6575 KETOROLAC INJEKSI 3 % INJEKSI 48 0 48 5 0 43 0 0 0-
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0-
13188 LARUTAN BENEDICT 100 ML BOTOL 5 0 5 5 0 0 0 0 0-
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
13656 LARUTAN TURK 250 ML BOTOL 5 0 5 5 0 0 0 0 0-
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 265 0 265 115 0 150 0 200 0-
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY) SYRINGE 10 0 10 2 0 8 0 0 0-
6906 LIDOCAINE INJEKSI 2% INJEKSI 181 0 181 35 0 146 0 200 0-
6998 LOPERAMIDE TABLET 2 MG TABLET 3000 0 3000 1400 0 1600 0 0 0-
7013 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 3000 0-
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 8 0 8 8 0 0 0 0 0-
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 8 0 8 8 0 0 0 0 0-
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 80 0 80 20 0 60 0 50 0-
14247 MASKER NON MEDIS PIECES 0 0 0 0 0 0 0 30 0-
13559 MASKER OKSIGEN ANAK (MAXIFLOW) PIECES 15 0 15 0 0 15 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBING 10PIECES MA-EL 14 5 19 8 0 11 0 0 0-
AK9006983MASKER PAKAI TALI 0 40 0 40 20 0 20 0 50 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN BP 300 MG TABLET
|DAPSON 100 MG4 0 4 0 0 4 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 800 0 800 700 0 100 0 3000 0-
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 600 0 600 300 0 300 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 2200 2000 4200 1400 0 2800 0 2000 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 115 0 115 0 0 115 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 3100 0 3100 400 0 2700 0 0 0-
7727 MICONAZOLE SALEP 2% SALEP 115 48 163 19 0 144 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL100\/4 BOTOL1 0 1 1 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT) : VITAMIN
TABLET A 6000 IU, VITAMIN
0 480
D 400 IU, VITAMIN
480 B1 10 0MG, VITAMIN
0 B2 2,5480
MG, VITAMIN0 B6 15 MG,0 VITAMIN B12
0 - 4 MCG, NICOTINAMIDE 20 MG, CA PANT
 12758 NASAL OKSIGEN ANAK PIECES 20 0 20 0 0 20 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 0 2 2 0 0 2 0 20 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 0 3000 3000 0 0 3000 0 3000 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLET
TABLET 0 0 0 0 0 0 0 2000 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 200 0 200 0 0 200 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 1400 300 1700 800 0 900 0 3000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML : Triclosan
BOTOL3LAS, Sodium Laurenth
8 Sulphate,
0 Cocoamide
8 DEA,0Disodium EDTA,
0 Citric 8Acid, Fragrance,
0 Deionized
0 Water 0 -
12471 OXYCAN BOTOL 4 0 4 0 0 4 0 0 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 50 0 50 20 0 30 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 100 0 100 26 0 74 0 0 0-
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 230 0 230 90 0 140 0 300 0-
8593 PARACETAMOL TABLET 500 MG TABLET 3400 4000 7400 2900 0 4500 0 4000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 2800 3000 5800 HYDROBROMIDE|GUAIFENESIN
1100 0 4700 TABLET 0 3000 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 266 200 466 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXT
102 0 364 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 500 150 650 150 0 500 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 72 0 72 12 0 60 0 0 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 20 300 320 60 0 260 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MGTABLET 500 0 500 300 0 200 0 0 0-
9392 PIROXICAM TABLET 20 MG TABLET 2500 0 2500 800 0 1700 0 0 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 12 0 12 3 0 9 0 0 0-
AK9008129PLESTERKU 0 10 0 10 0 0 10 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 14 0 14 0 0 14 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 12 0 12 2 0 10 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 2900 1000 3900 900 0 3000 0 3000 0-
12384 PRIMAQUINE 16 0 16 0 0 16 0 20 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 ML SIRUP 70 0 70 10 0 60 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 200 0 200 0 0 200 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 2600 2000 4600 1200 0 3400 0 3000 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 87 0 87 0 0 87 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 2900 1000 3900 900 0 3000 0 2000 0-
12577 REAGEN GOLONGAN DARAH ( ANTI D ) 10 MLCAIRAN 1 0 1 1 0 0 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 0 0 6 0 0 0-
11899 RETINOL ACETATE TABLET 20000 IU TABLET 20 10 30 30 0 0 0 0 0-
 12439 RINGER LAKTAT 500 ML BOTOL 16 50 66 0 0 66 0 0 0 -
10173 RISPERIDONE TABLET 2 MG TABLET 660 600 1260 730 0 530 0 0 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50 SIRUP 46 20 66 57 0 9 0 0 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT)TABLET 200 0 200 200 0 0 0 3000 0 -
13301 SALMONELLA TYPHI H WIDAL TEST 5 ML VIAL 1 0 1 1 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST 5 ML VIAL 1 0 1 1 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERIL L 0 0 0 0 0 0 0 0 100 0 -
13443 SARUNG TANGAN OBGYN PANJANG STERIL 56PIECES
CM 50 0 50 50 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL 0 0 0 0 0 0 0 0 20 0 -
AK9008969SARUNG TANGAN STERIL NO 7 0 0 100 100 0 0 100 0 500 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 0 0 100 100 50 0 50 0 500 0 -
AK9008971SARUNG TANGAN STERIL NO 8 0 0 50 50 0 0 50 0 500 0 -
12682 SILK SUTURE 3\/0 PIECES 36 0 36 0 0 36 0 50 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 2500 0 2500 800 0 1700 0 2000 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 44 60 104 20 0 84 0 60 0 -
AK9009629SPUIT 3 CC PCS 58 0 58 58 0 0 0 1000 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 5 5 5 0 0 0 0 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 5 5 5 0 0 0 0 0 -
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)PIECES 250 0 250 250 0 0 0 100 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 0 0 0 0 0 0 0 10 0 -
12692 STRIP URIC ACID PIECES 5 5 10 5 0 5 0 0 0 -
10800 SUCRALFATE SIRUP SIRUP 66 0 66 11 0 55 0 100 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 0 0 -
AK9011238TEST STRIP FOR GLUCOSE METER 0 0 0 0 0 0 0 0 0 0 -
11328 THIAMINE (VITAMIN B1) TABLET 50 MG (HCL\/NITRAT)
TABLET 2300 0 2300 600 0 1700 0 2000 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET TABLET
2100 3000 5100 1300 0 3800 0 2000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 0 0 0 0 0 0 0 0 0 -
AK9011358TIP CLEANER 250 ML 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0 -
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 1000 0 1000 200 0 800 0 0 0 -
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS TESTS 0 75 75 75 0 0 0 0 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 0 0 0 0 0 0 0 0 0 -
 11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 711 600 1311 800 0 511 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1 1 MG,SYRUP
Vitamin B2 0.5 MG,
170Vitamin 200
B6 1 MG, Vitamin
370 B12 120
MCG, Vitamin
0 C 10 MG,
350Vitamin D 50
0 MG, DHA
100 8 MG, Lysine
0 - HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG 0 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 4 4 4 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 10 0 10 5 0 5 0 5 0-
12835 VACCINE IPV 5 DS VIAL 31 20 51 20 0 31 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 29 25 54 21 0 33 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 10 0 10 8 0 2 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 0 0 0 0 0 0 0 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 5 0 5 0 0 5 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60 BOTOL
ML 0 0 0 0 0 0 0 100 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 5600 0 5600 600 0 5000 0 0 0-
ACYCLOVIR TABLET 400 MG TABLET 450 0 450 0 450 0 2000 0
METFORMIN HCL 850 MG TABLET 700 0 700 200 500 0 1000 0
REES ECKER 0 0 0 0 0 0 0 10 0
MEPROFEN INJEKSI 0 0 0 0 0 0 0 50 0
VENTOLIN AMPUL 0 0 0 0 0 0 0 50 0
SALBUTAMOL 2 MG TABLET 0 0 0 0 0 0 0 2000 0
CEFADROXYL SYRUP SYRUP 0 0 0 0 0 0 0 100 0
0NDANSENTRON TAB TABLET 0 0 0 0 0 0 0 1000 0
SALEP MATA/TETES MATA 0 0 0 0 0 0 0 200 0

Mengetahui 12 April 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIP.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan May

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MGTABLET 2100 0 2100 100 0 2000 0 1000 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 2000 0-
12530 ADSORBED DT VACCINE VIAL 16 0 16 16 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 757 500 1257 300 0 957 0 0 0-
13369 ALAT SUNTIK 5 ML PIECES 300 500 800 0 0 800 0 0 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 SIRUP
ML 500 0 500 0 0 500 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 10 0 10 0 0 10 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 19 0 19 0 0 19 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 5500 300 5800 0 0 5800 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 3100 2000 5100 1400 0 3700 0 0 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 285 0 285 281 0 4 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 182 200 382 60 0 322 0 0 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 210 0 210 0 0 210 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 3400 3000 6400 1500 0 4900 0 0 0-
446 AMLODIPINE TABLET 5 MG TABLET 2300 2000 4300 700 0 3600 0 0 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML
SIRUP 19 300 319 99 0 220 0 200 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 3400 1000 4400 1400 0 3000 0 0 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 5 0 5 1 0 4 0 0 0-
302 ANTACIDA TABLET TABLET 2800 500 3300 2100 0 1200 0 3000 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIA
SUPPOSITORIA
2 gr 28 0 28 0 0 28 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 37 0 37 0 0 37 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER
PIECES
SIZE L 3 0 3 0 0 3 0 0 0-
 13446 ARM SLING TYPE A DENGAN GESPERPIECES
SIZE M 3 0 3 1 0 2 0 0 0 -
12425 ASAM FOLAT 400 MCG TABLET 2800 3000 5800 1600 0 4200 0 3000 0 -
966 ASAM MEFENAMAT TABLET 500 MG TABLET 1600 4000 5600 1300 0 4300 0 3000 0 -
926 ASCORBIC ACID (VITAMIN C) TABLET
TABLET
50 MG 3800 3000 6800 1800 0 5000 0 0 0 -
76 ASPIRIN (ASETOSAL) TABLET 80 MG
TABLET 2000 0 2000 0 0 2000 0 0 0 -
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 16 0 16 10 0 6 0 0 0 -
1438 BEDAK SALISIL SERBUK 2 % SERBUK 20 50 70 20 0 50 0 50 0 -
1483 BENZOIC ACID|SALICYLIC ACID SALEP
SALEP 5 0 5 0 0 5 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 3800 0 3800 400 0 3400 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 30 25 55 55 0 0 0 200 0 -
12663 BISTURI NO. 15 PIECES 80 0 80 0 0 80 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE
AMPULE1 ML AMPULE21 0 21 0 0 21 0 0 0 -
AK9001917BLOOD LANCET 0 4 0 4 0 0 4 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10INJEKSI
ML 5 0 5 0 0 5 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH SYRINGE
IODOFORM 2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 2300 3000 5300 1900 0 3400 0 3000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES 0 4 0 4 0 0 4 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 4100 1000 5100 800 0 4300 0 0 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 3800 1000 4800 800 0 4000 0 0 0 -
2084 CARBAMAZEPINE TABLET 200 MGTABLET 290 0 290 240 0 50 0 0 0 -
12441 CAT GUT 2\/0 PIECES 96 0 96 24 0 72 0 0 0 -
12442 CAT GUT 3\/0 PIECES 36 120 156 0 0 156 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 3500 1000 4500 1500 0 3000 0 2000 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 10 0 10 0 0 10 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 2 0 2 2 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 2 0 2 2 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 50 200 250 48 0 202 0 100 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 900 0 900 700 0 200 0 4000 0 -
AK9002857CHKM 0 0 0 0 0 0 0 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML
SIRUP 0 0 0 0 0 0 0 100 0 -
14042 CHLORAMPHENICOL TETES TELINGA BOTOL
3% 5 ML BOTOL90 0 90 15 0 75 0 0 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 4900 0 4900 1800 0 3100 0 3000 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML
INJEKSI 5 0 5 0 0 5 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG TABLET
(SEBAGAI HCL) 1800 0 1800 700 0 1100 0 2000 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 3400 0 3400 0 0 3400 0 2000 0 -
3024 CLOBAZAM TABLET 10 MG TABLET 240 0 240 0 0 240 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 445 0 445 0 0 445 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER
TUBEFILLING) 10 GR 0 0 0 0 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 110 0 110 0 0 110 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 SIRUP
ML 39 200 239 0 0 239 0 100 0 -
3207 COTRIMOXAZOLE TABLET 480 MGTABLET 1500 0 1500 500 0 1000 0 3000 0 -
3208 COTRIMOXAZOLE TABLET 960 MGTABLET 0 1000 1000 0 0 1000 0 0 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML
INJEKSI 165 100 265 42 0 223 0 0 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN
TABLET 320 MG (DHP)
9 0 9 0 0 9 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 0 0 0 0 0 0 0 0 -
12596 DENTIN CONDITIONER BOTOL 4 0 4 0 0 4 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN BOX
6 GR 0 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN BOX
6 GR 2 0 2 0 0 2 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/MLINJEKSI 155 300 455 71 0 384 0 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 4900 3000 7900 2100 0 5800 0 0 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 MLENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6 0 6 0 0 6 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 0 0 0 0 0 0 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 140 0 140 0 0 140 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 TABLET
MG 2800 3000 5800 700 0 5100 0 0 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MGTABLET 100 0 100 0 0 100 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML
INJEKSI 240 60 300 0 0 300 0 0 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 2300 1000 3300 700 0 2600 0 2000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION
BOTOL CEMENT (20 GR 0 POWDER0 + 10 ML LIQUID)
0 BOTOL
0 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION
BOTOL CEMENT (20 GR 0 POWDER0 + 10 ML LIQUID)
0 BOTOL
0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5SIRUP
ML 99 0 99 27 0 72 0 0 0 -
4461 ERYTHROMYCIN TABLET 500 MGTABLET 400 500 900 200 0 700 0 1000 0 -
4561 ETHANOL 1000 ML 7 0 7 1 0 6 0 0 0 -
4562 ETHANOL 300 ML 24 0 24 20 0 4 0 0 0 -
 4627 ETHYL CHLORIDE SPRAY SPRAY 6 0 6 0 0 6 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
AK9004498FEEDING TUBE NO 10 0 1 0 1 1 0 0 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSI
INJEKSI
2 MG\/ML 90 0 90 2 0 88 0 0 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 1000 0 1000 300 0 700 0 0 0 -
5126 GARAM ORALIT SERBUK SERBUK 900 0 900 0 0 900 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 0 0 0 0 0 0 0 1000 0 -
5300 GLUCOSE INFUS 5 % INFUS 15 0 15 0 0 15 0 0 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN
SIRUP SIRUP 58 0 58 5 0 53 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 5400 2000 7400 1400 0 6000 0 0 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 7 0 7 0 0 7 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 290 0 290 0 0 290 0 0 0 -
13745 HAND RUB 5 LITER 20 0 20 2 0 18 0 0 0 -
12871 HAND RUB 500 ML 31 0 31 0 0 31 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID
PAKET
IMMUNO TEST FOR
0 THE DETECTION
0 OF HEPATITIS
0 B0 0 0 0 10 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET TABLET
25 MG 600 0 600 0 0 600 0 0 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 76 0 76 34 0 42 0 200 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 2900 2000 4900 800 0 4100 0 0 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 4100 3000 7100 1600 0 5500 0 0 0 -
12358 INFUSET ANAK SET 29 0 29 0 0 29 0 0 0 -
12357 INFUSET DEWASA SET 18 10 28 0 0 28 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOLLIQUID SULPHATE LIQUID
0 0 0 0 0 0 0 30 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOLLIQUID SULPHATE LIQUID
0 0 0 0 0 0 0 30 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOLLIQUID SULPHATE LIQUID
0 0 0 0 0 0 0 30 0 -
6386 ISOSORBIDE DINITRATE TABLET 5TABLET
MG 300 0 300 0 0 300 0 0 0 -
AK9005688IV CATHETER NO 20 0 11 200 211 1 0 210 0 0 0 -
AK9005689IV CATHETER NO 22 0 9 200 209 0 0 209 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 19 200 219 0 0 219 0 0 0 -
 12363 JARUM HECTING OTOT 1\/2 LINGKARAN
SET GR 6 2 0 2 0 0 2 0 0 0 -
13047 KALSIUM HIDROKSIDA PASTA 3 GR TUBE
(CALCIGEL) 1 0 1 0 0 1 0 0 0 -
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 0 0 4 0 0 0 -
13565 KAPAS PEMBALUT 250 gr ROL 9 0 9 4 0 5 0 0 0 -
13979 KASA BARU : KASA HIDROFIL SIZEROLL
4 X 15 CM ROLL 0 0 0 0 0 0 0 20 0 -
14225 KASA HIDROFIL 20 YARD X 80 CMROLL
ROLL 9 0 9 0 0 9 0 10 0 -
12627 KASA STERIL 16 X 16 CM PIECES 0 0 0 0 0 0 0 100 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 25 0 25 5 0 20 0 100 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 50 0 50 50 0 0 0 0 0 -
6575 KETOROLAC INJEKSI 3 % INJEKSI 43 0 43 0 0 43 0 0 0 -
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0 -
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 150 200 350 0 0 350 0 0 0 -
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY)
SYRINGE 8 0 8 0 0 8 0 0 0 -
6906 LIDOCAINE INJEKSI 2% INJEKSI 146 200 346 0 0 346 0 0 0 -
6998 LOPERAMIDE TABLET 2 MG TABLET 1600 0 1600 200 0 1400 0 1000 0 -
7013 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 3000 0 -
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 0 0 0 0 0 0 0 0 -
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0 0 -
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 60 40 100 20 0 80 0 0 0 -
14247 MASKER NON MEDIS PIECES 0 500 500 0 0 500 0 0 0 -
13559 MASKER OKSIGEN ANAK (MAXIFLOW)PIECES 15 0 15 0 0 15 0 0 0 -
13459 MASKER OKSIGEN DEWASA WITHPIECES
TUBING 10 MA-EL 11 0 11 0 0 11 0 0 0 -
AK9006983MASKER PAKAI TALI 0 20 20 40 0 0 40 0 0 0 -
13126 MDT COMBI PB ADULT : RIFAMPICIN
TABLET
BP 300 MG |DAPSON
4 100 MG
0 4 4 0 0 0 0 0 -
7491 METFORMIN HCL TABLET 500 MGTABLET 100 0 100 100 0 0 0 3000 0 -
7536 METHYLERGOMETRINE INJEKSI 0.2 INJEKSI
MG/ML 300 0 300 50 0 250 0 0 0 -
7585 METHYLPREDNISOLONE TABLET 4TABLET
MG 2800 2000 4800 1100 0 3700 0 1000 0 -
7688 METRONIDAZOLE SIRUP 125 MG\/5 SIRUP
ML 115 0 115 8 0 107 0 0 0 -
7697 METRONIDAZOLE TABLET 500 MGTABLET 2700 0 2700 900 0 1800 0 2000 0 -
7727 MICONAZOLE SALEP 2% SALEP 144 0 144 24 0 120 0 0 0 -
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/4
0 BOTOL0 0 0 0 0 0 0 0 -
 13265 MULTIVITAMIN DEWASA TABLET TABLET
(LEXAVIT) : VITAMIN
480A 6000 IU, 0VITAMIN480
D 400 IU, VITAMIN
480 B1 100MG, VITAMIN
0 B2 2,5 MG, 0 VITAMIN
2000 B6 15 MG, 0 VITAMIN
- B12 4 MCG, NICOTINAMIDE 20 MG, CA PANT
12758 NASAL OKSIGEN ANAK PIECES 20 0 20 0 0 20 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 2 0 2 2 0 0 0 20 0-
12889 NATRIUM DIKLOFENAK TABLET 25TABLET
MG 3000 3000 6000 1000 0 5000 0 0 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN
TABLET TABLET
0 0 0 0 0 0 0 1000 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 200 0 200 100 0 100 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 900 1000 1900 1000 0 900 0 3000 0-
13536 ONEMED SABUN ANTIBAKTERI 500BOTOL
ML : Triclosan 3LAS,
8 Sodium Laurenth
0 Sulphate,
8 Cocoamide
8 DEA,0 Disodium 0EDTA, Citric0Acid, Fragrance,
30 Deionized
0 - Water
12471 OXYCAN BOTOL 4 0 4 0 0 4 0 0 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 0 30 0 0 30 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 74 0 74 18 0 56 0 0 0-
8601 PARACETAMOL SIRUP 120 MG\/5SIRUP
ML 140 50 190 102 0 88 0 400 0-
8593 PARACETAMOL TABLET 500 MG TABLET 4500 4000 8500 3200 0 5300 0 4000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 4700 3000 7700 1000 HYDROBROMIDE|GUAIFENESIN
0 6700 0 TABLET1000 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 364 0 364 0 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXT
0 364 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 500 0 500 0 0 500 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 60 0 60 20 0 40 0 30 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 260 0 260 0 0 260 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG 200 0 200 0 0 200 0 0 0-
9392 PIROXICAM TABLET 20 MG TABLET 1700 0 1700 500 0 1200 0 0 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 9 0 9 0 0 9 0 0 0-
AK9008129PLESTERKU 0 10 0 10 0 0 10 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 14 0 14 2 0 12 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 10 0 10 2 0 8 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 3000 3000 6000 0 0 6000 0 0 0-
12384 PRIMAQUINE 16 0 16 0 0 16 0 100 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125SIRUP
MG/5 ML 60 0 60 0 0 60 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 200 0 200 0 0 200 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 3400 3000 6400 900 0 5500 0 2000 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 87 0 87 1 0 86 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 3000 2000 5000 800 0 4200 0 0 0-
12577 REAGEN GOLONGAN DARAH ( ANTICAIRAN
D ) 10 ML 0 0 0 0 0 0 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 0 0 6 0 0 0-
 11899 RETINOL ACETATE TABLET 20000 TABLET
IU 0 0 0 0 0 0 0 100 0 -
12439 RINGER LAKTAT 500 ML BOTOL 66 0 66 15 0 51 0 0 0 -
10173 RISPERIDONE TABLET 2 MG TABLET 530 0 530 0 0 530 0 0 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGASIRUP
CCID50 9 35 44 0 0 44 0 0 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI
TABLETSULFAT) 0 2000 2000 500 0 1500 0 3000 0 -
13301 SALMONELLA TYPHI H WIDAL TEST VIAL
5 ML 0 0 0 0 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST VIAL
5 ML 0 0 0 0 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERILPCS L 0 0 0 0 0 0 0 1000 0 -
13443 SARUNG TANGAN OBGYN PANJANG PIECES
STERIL 56 CM 0 0 0 0 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL PIECES 0 0 0 0 0 0 0 0 0 -
AK9008969SARUNG TANGAN STERIL NO 7 PIECES 100 50 150 0 0 150 0 100 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 PIECES 50 200 250 0 0 250 0 100 0 -
AK9008971SARUNG TANGAN STERIL NO 8 PIECES 50 50 100 0 0 100 0 100 0 -
12682 SILK SUTURE 3\/0 PIECES 36 0 36 5 0 31 0 0 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 1700 2000 3700 1200 0 2500 0 3000 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 84 60 144 75 0 69 0 0 0 -
AK9009629SPUIT 3 CC PIECES 0 0 0 0 0 0 0 1000 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 0 0 0 0 0 0 0 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 0 0 0 0 0 0 0 0 -
12511 STRIP TES KEHAMILAN (ONEMEDPIECES
ULTRAONE) 0 100 100 0 0 100 0 0 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 0 0 0 0 0 0 0 20 0 -
12692 STRIP URIC ACID PIECES 5 0 5 5 0 0 0 20 0 -
10800 SUCRALFATE SIRUP SIRUP 55 100 155 44 0 111 0 0 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 0 0 -
AK9011238TEST STRIP FOR GLUCOSE METER 0 0 0 0 0 0 0 0 10 0 -
11328 THIAMINE (VITAMIN B1) TABLET TABLET
50 MG (HCL\/NITRAT)
1700 2000 3700 1000 0 2700 0 2000 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET 3800 TABLET
2000 5800 1500 0 4300 0 2000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 0 0 0 0 0 0 0 0 0 -
AK9011358TIP CLEANER 250 ML 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0 -
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 800 0 800 100 0 700 0 0 0 -
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS
TESTS 70 0 70 70 0 0 0 0 0 -
13186 TRICRESOL FORMALIN (TKF) 10 MLBOTOL 0 0 0 0 0 0 0 0 0 -
 11625 TRIFLUOPERAZINE TABLET 5 MGTABLET 0 0 0 0 0 0 0 0 0-
11636 TRIHEXYPHENIDYL TABLET 2 MGTABLET 511 0 511 0 0 511 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin
SYRUP
B1 1 MG, Vitamin
350B2 0.5 MG,
100 Vitamin450
B6 1 MG, Vitamin
147 B12 1 0MCG, Vitamin
303 C 10 MG,0 Vitamin D050 MG, DHA
0 -8 MG, Lysine HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG 0 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 0 0 0 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 5 0 5 0 0 5 0 0 0-
12835 VACCINE IPV 5 DS VIAL 31 0 31 31 0 0 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 33 0 33 33 0 0 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DSVIAL 2 30 32 30 0 2 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 0 0 0 0 0 0 10 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 5 0 5 0 0 5 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 BOTOL
ML BOTOL 60 ML 0 0 0 0 0 0 0 100 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 5000 0 5000 300 0 4700 0 0 0-
SRTIP GLUCOSA pcs 0 0 0 0 0 0 0 20 0
KETOKONAZOLE TABLET TABLET 0 0 0 0 0 0 0 1000 0
COMBIVENT 0 0 0 0 0 0 0 30 0
NASAL CANULA DWS PCS 0 0 0 0 0 0 0 20 0
SALBUTAMOL 2 MG TABLET 0 0 0 0 0 0 0 2000 0
SALEP MATA/TETES MATA PCS 0 0 0 0 0 0 0 100 0
REES ECKER PCS 0 0 0 0 0 0 0 10 0
CEFADROXYL SIRUP 0 0 0 0 0 0 0 100 0
ACYCLOVIR TABLET 400 MG TABLET 200 0 200 0 0 200 0 3000 0

Mengetahui Puruk Cahu 30 April 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan June

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 2000 1000 3000 300 0 2700 0 2000 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 3000 0-
12530 ADSORBED DT VACCINE VIAL 0 0 0 0 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 957 0 957 33 0 924 0 0 0-
13369 ALAT SUNTIK 5 ML PIECES 800 0 800 228 0 572 0 0 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 MLSIRUP 500 0 500 300 0 200 0 0 0 exp 300
13349 ALKOHOL 70% 1 LITER BOTOL 10 0 10 3 0 7 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 19 0 19 4 0 15 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 4 4 0 0 4 0 0 0-
12460 ALKOHOL SWAB PIECES 5800 2000 7800 300 0 7500 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 3700 0 3700 1000 0 2700 0 4000 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 4 200 204 40 0 164 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 322 0 322 96 0 226 0 0 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 210 200 410 80 0 330 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 4900 0 4900 1900 0 3000 0 3000 0-
446 AMLODIPINE TABLET 5 MG TABLET 3600 0 3600 1200 0 2400 0 3000 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 MLSIRUP 220 100 320 123 0 197 0 300 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 3000 0 3000 900 0 2100 0 3000 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 4 0 4 0 0 4 0 0 0-
302 ANTACIDA TABLET TABLET 1200 0 1200 600 0 600 0 4000 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIASUPPOSITORIA
2 gr 28 0 28 10 0 18 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 37 0 37 0 0 37 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPERPIECES
SIZE L 3 0 3 0 0 3 0 0 0-
 13446 ARM SLING TYPE A DENGAN GESPER PIECES
SIZE M 2 0 2 0 0 2 0 0 0 -
12425 ASAM FOLAT 400 MCG TABLET 4200 3000 7200 2000 0 5200 0 3000 0 -
966 ASAM MEFENAMAT TABLET 500 MG TABLET 4300 3000 7300 1300 0 6000 0 0 0 -
926 ASCORBIC ACID (VITAMIN C) TABLETTABLET
50 MG 5000 0 5000 1700 0 3300 0 3000 0 -
76 ASPIRIN (ASETOSAL) TABLET 80 MGTABLET 2000 0 2000 0 0 2000 0 0 0 -
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 6 20 26 10 0 16 0 0 0 -
1438 BEDAK SALISIL SERBUK 2 % SERBUK 50 50 100 50 0 50 0 0 0 -
1483 BENZOIC ACID|SALICYLIC ACID SALEP
SALEP 5 0 5 0 0 5 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 3400 0 3400 600 0 2800 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 0 50 50 35 0 15 0 200 0 -
12663 BISTURI NO. 15 PIECES 80 0 80 0 0 80 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE
AMPULE 1 ML AMPULE
21 0 21 0 0 21 0 0 0 -
AK9001917BLOOD LANCET PCS 4 0 4 0 0 4 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 MLINJEKSI 5 0 5 0 0 5 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH SYRINGE
IODOFORM 2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MGTABLET 3400 3000 6400 1800 0 4600 0 3000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES PCS 4 0 4 0 0 4 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 4300 0 4300 700 0 3600 0 2000 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 4000 0 4000 400 0 3600 0 2000 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 50 100 150 0 0 150 0 0 0 -
12441 CAT GUT 2\/0 PIECES 72 0 72 12 0 60 0 0 0 -
12442 CAT GUT 3\/0 PIECES 156 0 156 0 0 156 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 3000 2000 5000 1200 0 3800 0 2000 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 10 0 10 0 0 10 0 0 0 exp.
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 202 100 302 277 0 25 0 100 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 200 0 200 200 0 0 0 4000 0 -
AK9002857CHKM PIECES 0 0 0 0 0 0 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML
SIRUP 0 50 50 0 0 50 0 0 0 -
14042 CHLORAMPHENICOL TETES TELINGABOTOL
3% 5 ML BOTOL 75 0 75 10 0 65 0 0 0 -
2745 CHLORPHENIRAMINE TABLET 4 MGTABLET 3100 3000 6100 1300 0 4800 0 4000 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML
INJEKSI 5 0 5 1 0 4 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI
TABLET HCL) 1100 2000 3100 400 0 2700 0 2000 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 3400 2000 5400 0 0 5400 0 0 0 -
3024 CLOBAZAM TABLET 10 MG TABLET 240 100 340 60 0 280 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 445 400 845 735 0 110 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER TUBE
FILLING) 10 GR 0 0 0 0 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 110 0 110 30 0 80 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 SIRUP
ML 239 100 339 0 0 339 0 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 1000 0 1000 200 0 800 0 3000 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 1000 0 1000 0 0 1000 0 0 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML
INJEKSI 223 0 223 73 0 150 0 300 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN
TABLET 320 MG (DHP) 9 0 9 0 0 9 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 0 0 0 0 0 0 20 0 -
12596 DENTIN CONDITIONER BOTOL 4 0 4 0 0 4 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 BOX
GR 0 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 BOX
GR 2 0 2 0 0 2 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 384 200 584 241 0 343 0 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 5800 0 5800 1300 0 4500 0 3000 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6 0 6 0 0 6 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 0 5 5 0 0 5 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 140 400 540 401 0 139 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 5100 0 5100 500 0 4600 0 0 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 100 0 100 10 0 90 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML
INJEKSI 300 0 300 12 0 288 0 0 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 2600 0 2600 1000 0 1600 0 3000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION
BOTOLCEMENT (20 GR0POWDER +010 ML LIQUID)
0 BOTOL0 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION
BOTOLCEMENT (20 GR0POWDER +010 ML LIQUID)
0 BOTOL0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 72 0 72 34 0 38 0 50 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 700 600 1300 200 0 1100 0 0 0 -
4561 ETHANOL 1000 ML 6 0 6 6 0 0 0 0 0 -
4562 ETHANOL 300 ML 4 0 4 4 0 0 0 0 0 -
 4627 ETHYL CHLORIDE SPRAY SPRAY 6 0 6 0 0 6 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
AK9004498FEEDING TUBE NO 10 PCS 0 0 0 0 0 0 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSIINJEKSI
2 MG\/ML 88 0 88 0 0 88 0 0 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 700 0 700 100 0 600 0 1000 0 -
5126 GARAM ORALIT SERBUK SERBUK 900 1000 1900 30 0 1870 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 0 500 500 100 0 400 0 500 0 -
5300 GLUCOSE INFUS 5 % INFUS 15 0 15 10 0 5 0 20 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN
SIRUP SIRUP 53 0 53 8 0 45 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 6000 0 6000 200 0 5800 0 0 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 7 5 12 8 0 4 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 290 200 490 490 0 0 0 0 0 -
13745 HAND RUB 5 LITER 18 0 18 0 0 18 0 0 0 -
12871 HAND RUB 500 ML 31 0 31 2 0 29 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPIDPAKET
IMMUNO TEST FOR0THE DETECTION
0 OF HEPATITIS
0 B 0 0 0 0 10 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25TABLET
MG 600 0 600 200 0 400 0 200 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 42 200 242 74 0 168 0 0 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 4100 0 4100 1300 0 2800 0 2000 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 5500 0 5500 1100 0 4400 0 2000 0 -
12358 INFUSET ANAK SET 29 0 29 0 0 29 0 20 0 -
12357 INFUSET DEWASA SET 28 0 28 8 0 20 0 20 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL LIQUID
SULPHATE LIQUID
0 0 0 0 0 0 0 60 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MGTABLET 300 0 300 100 0 200 0 500 0 -
AK9005688IV CATHETER NO 20 0 210 0 210 0 0 210 0 0 0 -
AK9005689IV CATHETER NO 22 0 209 0 209 2 0 207 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 219 0 219 2 0 217 0 0 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARAN
SET GR 6 2 0 2 0 0 2 0 0 0 -
13047 KALSIUM HIDROKSIDA PASTA 3 GR TUBE
(CALCIGEL) 1 0 1 0 0 1 0 0 0 -
 12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 0 0 4 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 5 0 5 0 0 5 0 0 0-
13979 KASA BARU : KASA HIDROFIL SIZE 4 ROLL
X 15 CM ROLL 0 0 0 0 0 0 0 20 0-
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL
ROLL 9 0 9 0 0 9 0 0 0-
12627 KASA STERIL 16 X 16 CM PIECES 0 0 0 0 0 0 0 100 0-
6535 KETOCONAZOLE SALEP 2% SALEP 0 0 0 0 0 0 0 0 0-
6535 KETOCONAZOLE SALEP 2% SALEP 20 0 20 15 0 5 0 100 0-
6575 KETOROLAC INJEKSI 3 % INJEKSI 43 0 43 0 0 43 0 0 0-
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0-
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0 0-
13454 LIDOCAINE COMPOSITUM 2% 2 MLAMPUL 350 0 350 117 0 233 0 100 0-
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY)
SYRINGE 8 0 8 0 0 8 0 0 0-
6906 LIDOCAINE INJEKSI 2% INJEKSI 346 0 346 0 0 346 0 0 0-
6998 LOPERAMIDE TABLET 2 MG TABLET 1400 1000 2400 0 0 2400 0 0 0-
7013 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 3000 0-
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 0 0 0 0 0 0 0 0-
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0 0-
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 80 0 80 0 0 80 0 0 0-
14247 MASKER NON MEDIS PIECES 500 0 500 0 0 500 0 0 0-
13559 MASKER OKSIGEN ANAK (MAXIFLOW) PIECES 15 0 15 0 0 15 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBINGPIECES 10 MA-EL 11 0 11 0 0 11 0 0 0-
AK9006983MASKER PAKAI TALI PIECES 40 0 40 20 0 20 0 0 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN TABLET
BP 300 MG |DAPSON
0 100 MG0 0 0 0 0 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 0 0 0 0 0 0 0 3000 0-
7536 METHYLERGOMETRINE INJEKSI 0.2INJEKSI
MG/ML 250 0 250 0 0 250 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 3700 1000 4700 800 0 3900 0 1000 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5SIRUP ML 107 0 107 5 0 102 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 1800 2000 3800 800 0 3000 0 0 0-
7727 MICONAZOLE SALEP 2% SALEP 120 0 120 24 0 96 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/4
0 BOTOL 0 0 0 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT)
TABLET : VITAMIN A06000 IU,480
VITAMIN D480
400 IU, VITAMIN
60 B1 10 MG,
0 VITAMIN
420 B2 2,5 MG,
0 VITAMIN
2000B6 15 MG, 0
VITAMIN
- B12 4 MCG, NICOTINAMIDE 20 MG, CA PANT
12758 NASAL OKSIGEN ANAK PIECES 20 0 20 0 0 20 0 0 0-
 12757 NASAL OKSIGEN DEWASA PIECES 0 20 20 5 0 15 0 10 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MGTABLET 5000 0 5000 900 0 4100 0 0 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN
TABLET TABLET 0 0 0 0 0 0 0 1000 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 100 0 100 80 0 20 0 100 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 900 1000 1900 800 0 1100 0 2000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 BOTOL
ML : Triclosan 3LAS, 0Sodium Laurenth
0 Sulphate,
0 Cocoamide
0 DEA, Disodium
0 EDTA,
0 Citric Acid,
0 Fragrance,
50 Deionized
0 - Water
12471 OXYCAN BOTOL 4 0 4 0 0 4 0 0 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 0 30 0 0 30 0 0 0-
8573 PARACETAMOL DROPS 100 MG/MLDROPS 56 0 56 15 0 41 0 200 0-
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 88 0 88 88 0 0 0 500 0-
8593 PARACETAMOL TABLET 500 MG TABLET 5300 4000 9300 3700 0 5600 0 4000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 6700 1000 7700 900 HYDROBROMIDE|GUAIFENESIN
0 6800 0 TABLET 0 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 364 0 364 227 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXT
0 137 0 300 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 500 0 500 100 0 400 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 40 30 70 17 0 53 0 0 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 260 300 560 180 0 380 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET
TABLET 10 MG 200 0 200 0 0 200 0 0 0-
9392 PIROXICAM TABLET 20 MG TABLET 1200 0 1200 100 0 1100 0 1000 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 9 0 9 2 0 7 0 0 0-
AK9008129PLESTERKU pcs 10 0 10 0 0 10 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 12 0 12 2 0 10 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 8 0 8 2 0 6 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 6000 0 6000 3000 0 3000 0 3000 0-
12384 PRIMAQUINE 16 0 16 14 0 2 0 0 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5
SIRUPML 60 0 60 10 0 50 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 200 0 200 0 0 200 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 5500 2000 7500 3200 0 4300 0 2000 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 86 0 86 6 0 80 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 4200 0 4200 1200 0 3000 0 0 0-
12577 REAGEN GOLONGAN DARAH ( ANTICAIRAN
D ) 10 ML 0 0 0 0 0 0 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 0 0 6 0 0 0-
11899 RETINOL ACETATE TABLET 20000 IUTABLET 0 100 100 0 0 100 0 0 0-
12439 RINGER LAKTAT 500 ML BOTOL 51 0 51 10 0 41 0 20 0-
 10173 RISPERIDONE TABLET 2 MG TABLET 530 600 1130 796 0 334 0 0 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGASIRUP
CCID50 44 15 59 37 0 22 0 0 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI TABLET
SULFAT) 1500 500 2000 600 0 1400 0 3000 0 -
13301 SALMONELLA TYPHI H WIDAL TEST VIAL
5 ML 0 0 0 0 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST VIAL
5 ML 0 0 0 0 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERIL boxL 0 0 0 0 0 0 0 50 0 -
13443 SARUNG TANGAN OBGYN PANJANGPIECESSTERIL 56 CM 0 0 0 0 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL PIECES 0 0 0 0 0 0 0 0 0 -
AK9008969SARUNG TANGAN STERIL NO 7 PIECES 150 50 200 150 0 50 0 200 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 PIECES 250 100 350 250 0 100 0 200 0 -
AK9008971SARUNG TANGAN STERIL NO 8 PIECES 100 0 100 0 0 100 0 100 0 -
12682 SILK SUTURE 3\/0 PIECES 31 0 31 0 0 31 0 0 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 2500 3000 5500 700 0 4800 0 0 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 69 30 99 2 0 97 0 0 0 -
AK9009629SPUIT 3 CC pcs 0 0 0 0 0 0 0 1000 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 0 0 0 0 0 0 5 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 0 0 0 0 0 0 0 0 -
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)
PIECES 100 0 100 0 0 100 0 200 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 0 0 0 0 0 0 0 10 0 -
12692 STRIP URIC ACID PIECES 0 5 5 5 0 0 0 10 0 -
10800 SUCRALFATE SIRUP SIRUP 111 0 111 70 0 41 0 100 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 0 0 -
AK9011238TEST STRIP FOR GLUCOSE METER pcs 0 5 5 5 0 0 0 10 0 -
AK9011238TEST STRIP FOR GLUCOSE METER pcs 0 5 5 5 0 0 0 10 0 -
11328 THIAMINE (VITAMIN B1) TABLET 50TABLET
MG (HCL\/NITRAT)
2700 2000 4700 700 0 4000 0 1000 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET 4300 TABLET
2000 6300 2300 0 4000 0 4000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 0 0 0 0 0 0 0 5 0 -
AK9011358TIP CLEANER 250 ML botol 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 0 -
11534 TRANEXAMIC ACID TABLET 500 MGTABLET 700 0 700 100 0 600 0 0 0 -
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS
TESTS 0 0 0 0 0 0 0 0 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 0 200 200 100 0 100 0 0 0 -
 11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 511 600 1111 890 0 221 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, VitaminSYRUP
B1 1 MG, Vitamin303
B2 0.5 MG, Vitamin
0 B6
303
1 MG, Vitamin
99 B12 1 MCG,
0 Vitamin
204C 10 MG, Vitamin
0 D200
50 MG, DHA 08 MG,
- Lysine HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG pcs 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 0 0 0 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 5 0 5 2 0 3 0 0 0-
12835 VACCINE IPV 5 DS VIAL 0 25 25 0 0 25 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 0 15 15 0 0 15 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 2 20 22 0 0 22 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 0 0 0 0 0 0 10 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 5 0 5 0 0 5 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 MLBOTOL BOTOL 60 ML 0 0 0 0 0 0 0 100 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 4700 0 4700 700 0 4000 0 0 0-
VENTOLIN AMPUL/VIAL 0 0 0 0 0 0 0 50 0-
AMOXICILLIN DROPS PCS 0 0 0 0 0 0 0 100 0
KETOKONAZOLE TABLET TABLET 0 0 0 0 0 0 0 1000 0
SRTIP GLUCOSA pcs 0 0 0 0 0 0 0 20 0
SALBUTAMOL 2 MG TABLET 0 0 0 0 0 0 0 2000 0
SALEP MATA/TETES MATA PCS 0 0 0 0 0 0 0 100 0
REES ECKER PCS 0 0 0 0 0 0 0 10 0
CEFADROXYL SYRUP SIRUP 0 0 0 0 0 0 0 100 0
ACYCLOVIR TABLET 400 MG TABLET 200 0 200 0 0 200 0 3000 0
ANTACIDA SYRUP DOEN SYRUP 0 0 0 0 0 0 0 100 0

Mengetahui 04 Juni 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan July

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 2700 2000 4700 600 0 4100 0 0 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 2000 0-
12530 ADSORBED DT VACCINE VIAL 0 0 0 0 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 924 0 924 187 0 737 0 0 0-
13369 ALAT SUNTIK 5 ML PIECES 572 0 572 0 0 572 0 0 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 200 0 200 0 0 200 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 7 0 7 5 0 2 0 10 0-
13355 ALKOHOL 70% 100 ML BOTOL 15 0 15 0 0 15 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 7500 0 7500 0 0 7500 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 2700 4000 6700 1100 0 5600 0 0 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 164 200 364 185 0 179 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 226 0 226 91 0 135 0 200 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 330 0 330 0 0 330 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 3000 3000 6000 1700 0 4300 0 2000 0-
446 AMLODIPINE TABLET 5 MG TABLET 2400 3000 5400 1200 0 4200 0 0 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 197 0 197 116 0 81 0 300 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 2100 3000 5100 1100 0 4000 0 2000 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 4 0 4 4 0 0 0 0 0 exp jun 24
302 ANTACIDA TABLET TABLET 600 4000 4600 500 0 4100 0 1000 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIA 2SUPPOSITORIA
gr 18 0 18 0 0 18 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 37 0 37 0 0 37 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER SIZEPIECES
L 3 0 3 0 0 3 0 0 0-
13446 ARM SLING TYPE A DENGAN GESPER SIZEPIECES
M 2 0 2 0 0 2 0 0 0-
12425 ASAM FOLAT 400 MCG TABLET 5200 3000 8200 6400 0 1800 0 4000 0 exp juli 24
966 ASAM MEFENAMAT TABLET 500 MG TABLET 6000 0 6000 1500 0 4500 0 0 0-
926 ASCORBIC ACID (VITAMIN C) TABLET 50 TABLET
MG 3300 3000 6300 1600 0 4700 0 3000 0-
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0-
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 16 1 17 0 0 17 0 0 0-
1438 BEDAK SALISIL SERBUK 2 % SERBUK 50 0 50 10 0 40 0 50 0-
 1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 5 0 5 1 0 4 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 2800 0 2800 200 0 2600 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 15 0 15 15 0 0 0 150 0 -
12663 BISTURI NO. 15 PIECES 80 0 80 10 0 70 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINEAMPULE
1 ML AMPULE 21 0 21 0 0 21 0 0 0 -
AK9001917BLOOD LANCET 0 4 0 4 0 0 4 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 ML INJEKSI 5 0 5 0 0 5 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM
SYRINGE2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 4600 3000 7600 3200 0 4400 0 3000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES 0 4 0 4 4 0 0 0 10 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 3600 2000 5600 400 0 5200 0 0 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 3600 2000 5600 800 0 4800 0 0 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 150 0 150 150 0 0 0 0 0 -
12441 CAT GUT 2\/0 PIECES 60 0 60 0 0 60 0 0 0 -
12442 CAT GUT 3\/0 PIECES 156 0 156 0 0 156 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 3800 2000 5800 1100 0 4700 0 0 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 10 0 10 0 0 10 0 0 0 exp
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 25 100 125 0 0 125 0 0 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 3000 0 -
AK9002857CHKM pcs 0 0 0 0 0 0 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5MLSIRUP 50 0 50 5 0 45 0 0 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3% BOTOL
5 ML BOTOL 65 0 65 15 0 50 0 30 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 4800 4000 8800 1700 0 7100 0 2000 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 4 0 4 0 0 4 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI
TABLET
HCL) 2700 2000 4700 800 0 3900 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 5400 0 5400 0 0 5400 0 0 0 -
3024 CLOBAZAM TABLET 10 MG TABLET 280 0 280 100 0 180 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 110 400 510 330 0 180 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING)
TUBE 10 GR 0 0 0 0 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 80 0 80 45 0 35 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 339 0 339 31 0 308 0 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 800 0 800 300 0 500 0 2000 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 1000 0 1000 300 0 700 0 0 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 150 0 150 115 0 35 0 200 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN
TABLET
320 MG (DHP) 9 0 9 9 0 0 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 20 20 20 0 0 0 100 0 -
12596 DENTIN CONDITIONER BOTOL 4 0 4 0 0 4 0 0 0 -
 12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 2 0 2 0 0 2 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 0 0 0 0 0 0 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 343 0 343 0 0 343 0 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 4500 3000 7500 1500 0 6000 0 2000 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6 0 6 0 0 6 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 5 0 5 1 0 4 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 139 400 539 230 0 309 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 4600 0 4600 1200 0 3400 0 2000 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 90 0 90 0 0 90 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 288 0 288 64 0 224 0 0 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 1600 0 1600 300 0 1300 0 2000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
0 + 10 ML
0 LIQUID) 0BOTOL 0 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
0 + 10 ML
0 LIQUID) 0BOTOL 0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 38 0 38 10 0 28 0 50 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 1100 0 1100 400 0 700 0 1000 0 -
4561 ETHANOL 1000 ML botol 0 0 0 0 0 0 0 0 0 -
4562 ETHANOL 300 ML botol 0 0 0 0 0 0 0 0 0 -
4627 ETHYL CHLORIDE SPRAY SPRAY 6 0 6 2 0 4 0 5 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
AK9004498FEEDING TUBE NO 10 pcs 0 0 0 0 0 0 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSI 2 MG\/ML
INJEKSI 88 0 88 3 0 85 0 0 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 600 1000 1600 300 0 1300 0 0 0 -
5126 GARAM ORALIT SERBUK SERBUK 1870 0 1870 0 0 1870 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 400 0 400 400 0 0 0 2000 0 -
5300 GLUCOSE INFUS 5 % INFUS 5 20 25 0 0 25 0 0 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUP
SIRUP 45 0 45 6 0 39 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 5800 0 5800 800 0 5000 0 0 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 4 0 4 1 0 3 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 0 400 400 220 0 180 0 0 0 -
13745 HAND RUB 5 LITER botol 18 0 18 0 0 18 0 0 0 -
12871 HAND RUB 500 ML botol 29 0 29 2 0 27 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNO
PAKETTEST FOR THE 0DETECTION0OF HEPATITIS
0 B 0 0 0 0 0 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MGTABLET 400 200 600 200 0 400 0 500 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 168 0 168 29 0 139 0 100 0 -
 5964 IBUPROFEN TABLET 200 MG TABLET 2800 2000 4800 500 0 4300 0 0 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 4400 2000 6400 1400 0 5000 0 2000 0 -
12358 INFUSET ANAK SET 29 20 49 13 0 36 0 0 0 -
12357 INFUSET DEWASA SET 20 0 20 10 0 10 0 30 0 -
AK9012183Iodoform (Mummifying Pasta) PIECES 1 0 1 0 0 1 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) PIECES 1 0 1 0 0 1 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL LIQUID SULPHATE LIQUID 0 0 0 0 0 0 0 50 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 200 500 700 0 0 700 0 0 0 -
AK9005688IV CATHETER NO 20 PIECES 210 0 210 0 0 210 0 0 0 -
AK9005689IV CATHETER NO 22 PIECES 207 0 207 0 0 207 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 217 0 217 0 0 217 0 0 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARANSET GR 6 2 0 2 0 0 2 0 0 0 -
13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)
TUBE 1 0 1 0 0 1 0 0 0 -
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 2 0 2 0 0 0 -
13565 KAPAS PEMBALUT 250 gr ROL 5 0 5 0 0 5 0 0 0 -
13979 KASA BARU : KASA HIDROFIL SIZE 4 X 15 ROLL
CM ROLL 0 0 0 0 0 0 0 10 0 -
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 9 0 9 0 0 9 0 0 0 -
12627 KASA STERIL 16 X 16 CM PIECES 0 0 0 0 0 0 0 50 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 0 0 0 0 0 0 0 0 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 5 0 5 5 0 0 0 100 0 -
6575 KETOROLAC INJEKSI 3 % INJEKSI 43 0 43 10 0 33 0 0 0 -
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0 -
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 233 100 333 10 0 323 0 0 0 -
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY) SYRINGE 8 0 8 0 0 8 0 0 0 -
6906 LIDOCAINE INJEKSI 2% INJEKSI 346 0 346 17 0 329 0 0 0 -
6998 LOPERAMIDE TABLET 2 MG TABLET 2400 0 2400 200 0 2200 0 0 0 -
7013 LORATADINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 3000 0 -
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 0 0 0 0 0 0 0 0 -
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0 0 -
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 80 0 80 40 0 40 0 50 0 -
14247 MASKER NON MEDIS PIECES 500 0 500 100 0 400 0 0 0 -
13559 MASKER OKSIGEN ANAK (MAXIFLOW) PIECES 15 0 15 11 0 4 0 15 0 -
13459 MASKER OKSIGEN DEWASA WITH TUBING PIECES
10 MA-EL 11 0 11 0 0 11 0 0 0 -
AK9006983MASKER PAKAI TALI PIECES 20 0 20 20 0 0 0 0 0 -
13126 MDT COMBI PB ADULT : RIFAMPICIN BP TABLET
300 MG |DAPSON 100
0 MG 0 0 0 0 0 0 0 0 -
7491 METFORMIN HCL TABLET 500 MG TABLET 0 0 0 0 0 0 0 2000 0 -
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 250 0 250 50 0 200 0 0 0 -
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 3900 1000 4900 1500 0 3400 0 2000 0 -
 7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 102 0 102 14 0 88 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 3000 0 3000 600 0 2400 0 1500 0-
7727 MICONAZOLE SALEP 2% SALEP 96 0 96 24 0 72 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/4 BOTOL
0 0 0 0 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT)
TABLET
: VITAMIN A 6000
420 IU, VITAMIN
0 D 400420
IU, VITAMIN270
B1 10 MG, VITAMIN
0 B2
1502,5 MG, VITAMIN
0 B6
200015 MG, VITAMIN
0 - B12 4 MCG, NICOTINAMIDE 20 MG, CA PANTOTHENA
12758 NASAL OKSIGEN ANAK PIECES 20 0 20 0 0 20 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 15 0 15 7 0 8 0 20 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 4100 0 4100 1150 0 2950 0 3000 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN
TABLET TABLET 0 0 0 0 0 0 0 1000 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 20 100 120 0 0 120 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 1100 0 1100 1100 0 0 0 3000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML :BOTOL
Triclosan 3LAS, Sodium
0 Laurenth0 Sulphate, 0Cocoamide0DEA, Disodium
0 EDTA, Citric
0 Acid, Fragrance,
0 50
Deionized Water
0-
12471 OXYCAN BOTOL 4 0 4 0 0 4 0 0 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 0 30 0 0 30 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 41 0 41 13 0 28 0 100 0-
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 0 0 0 0 0 0 0 400 0-
8593 PARACETAMOL TABLET 500 MG TABLET 5600 4000 9600 3700 0 5900 0 3000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 6800 0 6800 1400
HYDROBROMIDE|GUAIFENESIN
0 5400 TABLET
0 0 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 137 100 237 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETH
0 0 237 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 400 0 400 0 0 400 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 53 0 53 18 0 35 0 30 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 380 0 380 120 0 260 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLETTABLET
10 MG 200 0 200 100 0 100 0 0 0-
9392 PIROXICAM TABLET 20 MG TABLET 1100 1000 2100 700 0 1400 0 0 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 7 0 7 2 0 5 0 10 0-
AK9008129PLESTERKU ktk 10 0 10 0 0 10 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 10 0 10 5 0 5 0 10 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 6 0 6 2 0 4 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 3000 3000 6000 700 0 5300 0 2000 0-
12384 PRIMAQUINE TABLET 2 0 2 2 0 0 0 0 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 SIRUP
ML 50 0 50 15 0 35 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 200 0 200 0 0 200 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 4300 2000 6300 0 0 6300 0 0 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 80 0 80 10 0 70 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 3000 0 3000 700 0 2300 0 0 0-
12577 REAGEN GOLONGAN DARAH ( ANTI D ) 10CAIRAN
ML 0 0 0 0 0 0 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 0 0 6 0 0 0-
11899 RETINOL ACETATE TABLET 20000 IU TABLET 100 0 100 100 0 0 0 0 0-
12439 RINGER LAKTAT 500 ML BOTOL 41 20 61 31 0 30 0 20 0-
10173 RISPERIDONE TABLET 2 MG TABLET 334 200 534 254 0 280 0 0 0-
 10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50 SIRUP 22 20 42 0 0 42 0 0 0-
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT) TABLET 1400 0 1400 700 0 700 0 3000 0-
13301 SALMONELLA TYPHI H WIDAL TEST 5 MLVIAL 0 0 0 0 0 0 0 0 0-
13302 SALMONELLA TYPHI O WIDAL TEST 5 MLVIAL 0 0 0 0 0 0 0 0 0-
AK9008942SARUNG TANGAN KARET NON STERIL L PIECES 0 0 0 0 0 0 0 0 0-
13443 SARUNG TANGAN OBGYN PANJANG STERIL PIECES
56 CM 0 0 0 0 0 0 0 0 0-
AK9008966SARUNG TANGAN STERIL kotak 0 0 0 0 0 0 0 20 0-
AK9008969SARUNG TANGAN STERIL NO 7 PIECES 50 0 50 0 0 50 0 0 0-
AK9008970SARUNG TANGAN STERIL NO 7.5 PIECES 100 200 300 100 0 200 0 0 0-
AK9008971SARUNG TANGAN STERIL NO 8 PIECES 100 0 100 0 0 100 0 0 0-
12682 SILK SUTURE 3\/0 PIECES 31 0 31 0 0 31 0 0 0-
10484 SIMVASTATIN TABLET 20 MG TABLET 4800 0 4800 600 0 4200 0 0 0-
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 97 0 97 35 0 62 0 0 0-
AK9009629SPUIT 3 CC PIECES 0 0 0 0 0 0 0 1000 0-
12598 STRIP HB CEK DIGITAL PIECES 0 5 5 5 0 0 0 0 0-
12598 STRIP HB CEK DIGITAL PIECES 0 5 5 5 0 0 0 0 0-
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 100 0 100 50 0 50 0 100 0-
12592 STRIP TOTAL KOLESTEROL PIECES 0 0 0 0 0 0 0 100 0-
12692 STRIP URIC ACID PIECES 0 0 0 0 0 0 0 100 0-
10800 SUCRALFATE SIRUP SIRUP 41 0 41 41 0 0 0 200 0-
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 0 0-
AK9011238TEST STRIP FOR GLUCOSE METER PIECES 0 0 0 0 0 0 0 0 0-
11328 THIAMINE (VITAMIN B1) TABLET 50 MGTABLET (HCL\/NITRAT) 4000 1000 5000 400 0 4600 0 2000 0 exp juli 24
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET 4000TABLET 0 4000 2100 0 1900 0 3000 0-
13724 TIFOID IgM TEST 25 STRIP STRIP 0 0 0 0 0 0 0 20 0-
AK9011358TIP CLEANER 250 ML PIECES 0 0 0 0 0 0 0 0 0-
AK0602044Tooth shade resin material PIECES 0 0 0 0 0 0 0 0 0-
AK0602044Tooth shade resin material PIECES 0 0 0 0 0 0 0 0 0-
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 600 0 600 0 0 600 0 0 0-
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS TESTS 0 0 0 0 0 0 0 5 0-
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 0 0 0-
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 100 100 200 0 0 200 0 0 0-
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 221 400 621 380 0 241 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1 1SYRUP
MG, Vitamin B2 204
0.5 MG, Vitamin
0 B6 1 MG,
204 Vitamin B12
80 1 MCG, Vitamin
0 C124
10 MG, Vitamin
0 D 50 MG,
300 DHA 8 MG,
0 Lysine
- HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG PIECES 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 0 0 0 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 3 0 3 0 0 3 0 0 0-
12835 VACCINE IPV 5 DS VIAL 25 10 35 0 0 35 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 15 10 25 0 0 25 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 22 5 27 0 0 27 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 0 0 0 0 0 0 0 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0 -
12770 WHITE TIPS 10 uL PIECES 5 0 5 0 0 5 0 0 0 -
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL
BOTOL
60 ML 0 0 0 0 0 0 0 100 0 -
12192 ZINC SULPHATE TABLET 20 MG TABLET 4000 0 4000 200 0 3800 0 0 0 -
ADS 3 CC PIECES 0 0 0 0 0 0 0 700 0
BEROTEC AEROSOL 100 MCG BOTOL 0 0 0 0 0 0 0 10 0
DOMPERIDONE SIRUP BOTOL 0 0 0 0 0 0 0 50 0
MEPROVENT 0 0 0 0 0 0 0 10 0
MULTIVITAMIN (VITSAP) TABLET 0 0 0 0 0 0 0 3000 0
ANTASIDA DOEN SUSPENSI sirup 0 0 0 0 0 0 0 100 0

Mengetahui 04 Juli 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan August

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 4100 0 4100 800 0 3300 0 1000 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 3000 0-
12530 ADSORBED DT VACCINE VIAL 0 0 0 0 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 737 0 737 237 0 500 0 500 0-
13369 ALAT SUNTIK 5 ML PIECES 572 0 572 0 0 572 0 300 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 200 0 200 0 0 200 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 2 10 12 2 0 10 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 15 0 15 5 0 10 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 7500 0 7500 500 0 7000 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 5600 0 5600 1600 0 4000 0 3000 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 179 400 579 320 0 259 0 200 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 135 200 335 199 0 136 0 300 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 330 0 330 0 0 330 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 4300 2000 6300 1800 0 4500 0 3000 0-
446 AMLODIPINE TABLET 5 MG TABLET 4200 0 4200 1200 0 3000 0 3000 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 81 0 81 81 0 0 0 300 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 4000 2000 6000 1100 0 4900 0 3000 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 0 0 0 0 0 0 0 0 0-
302 ANTACIDA TABLET TABLET 4100 1000 5100 1200 0 3900 0 3000 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIA 2 gr SUPPOSITORIA 18 0 18 10 0 8 0 20 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 37 0 37 2 0 35 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER SIZE L PIECES 3 0 3 0 0 3 0 0 0-
13446 ARM SLING TYPE A DENGAN GESPER SIZE M PIECES 2 0 2 0 0 2 0 0 0-
12425 ASAM FOLAT 400 MCG TABLET 1800 4000 5800 5300 0 500 0 5000 0-
966 ASAM MEFENAMAT TABLET 500 MG TABLET 4500 0 4500 1400 0 3100 0 3000 0-
926 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 4700 3000 7700 2700 0 5000 0 4000 0-
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0-
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUTINJEKSI 17 20 37 19 0 18 0 0 0-
1438 BEDAK SALISIL SERBUK 2 % SERBUK 40 50 90 40 0 50 0 50 0-
 1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 4 0 4 0 0 4 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 2600 0 2600 300 0 2300 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 0 0 0 0 0 0 0 500 0 -
12663 BISTURI NO. 15 PIECES 70 0 70 0 0 70 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE 1 MLAMPULE
AMPULE 21 0 21 0 0 21 0 0 0 -
AK9001917BLOOD LANCET 0 4 0 4 1 0 3 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 ML INJEKSI 5 0 5 0 0 5 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM SYRINGE
2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 4400 3000 7400 1900 0 5500 0 3000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES 0 0 0 0 0 0 0 0 10 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 5200 0 5200 700 0 4500 0 2000 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 4800 0 4800 600 0 4200 0 2000 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 0 200 200 200 0 0 0 0 0 -
12441 CAT GUT 2\/0 PIECES 60 0 60 0 0 60 0 0 0 -
12442 CAT GUT 3\/0 PIECES 156 0 156 0 0 156 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 4700 0 4700 1200 0 3500 0 3000 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 0 0 0 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 125 0 125 0 0 125 0 300 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 3000 0 -
AK9002857CHKM 0 0 0 0 0 0 0 0 2 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 45 0 45 10 0 35 0 100 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3% 5 ML BOTOL 50 10 60 0 0 60 0 50 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 7100 2000 9100 3900 0 5200 0 4000 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 4 0 4 0 0 4 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL)
TABLET 3900 0 3900 700 0 3200 0 2000 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 5400 0 5400 2400 0 3000 0 3000 0 -
3024 CLOBAZAM TABLET 10 MG TABLET 180 0 180 30 0 150 0 100 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 180 800 980 820 0 160 0 400 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING) TUBE
10 GR 0 0 0 0 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 35 200 235 35 0 200 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 308 0 308 130 0 178 0 200 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 500 0 500 0 0 500 0 3000 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 700 0 700 100 0 600 0 500 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 35 0 35 35 0 0 0 500 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN 320TABLET
MG (DHP) 0 0 0 0 0 0 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 50 50 20 0 30 0 50 0 -
12596 DENTIN CONDITIONER BOTOL 4 0 4 0 0 4 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 2 0 2 0 0 2 0 0 0 -
 12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 0 0 0 0 0 0 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 343 0 343 0 0 343 0 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 6000 2000 8000 2100 0 5900 0 3000 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 6 0 6 1 0 5 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 4 0 4 0 0 4 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 309 400 709 709 0 0 0 500 0 -
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 3400 2000 5400 1150 0 4250 0 0 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 90 0 90 90 0 0 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 224 0 224 71 0 153 0 0 0 -
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 0 50 50 36 0 14 0 200 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 1300 2000 3300 1700 0 1600 0 3000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENTBOTOL
(20 GR POWDER 0+ 10 ML LIQUID)
0 BOTOL0 0 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENTBOTOL
(20 GR POWDER 0+ 10 ML LIQUID)
0 BOTOL0 0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 28 50 78 9 0 69 0 0 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 700 1000 1700 300 0 1400 0 1000 0 -
4561 ETHANOL 1000 ML 0 0 0 0 0 0 0 0 0 -
4562 ETHANOL 300 ML 0 0 0 0 0 0 0 0 0 -
4627 ETHYL CHLORIDE SPRAY SPRAY 4 5 9 0 0 9 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
12379 EXAMINATION GLOVES SIZE L 0 20 20 10 0 10 0 30 0 -
12380 EXAMINATION GLOVES SIZE M 0 20 20 10 0 10 0 30 0 -
12381 EXAMINATION GLOVES SIZE S 0 10 10 10 0 0 0 30 0 -
AK9004498FEEDING TUBE NO 10 0 0 0 0 0 0 0 0 0 0 -
4737 FENOTEROL HYDROBROMIDE SPRAY 100 MCG/DOSIS
SPRAY 0 10 10 2 0 8 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSI 2 MG\/ML
INJEKSI 85 0 85 3 0 82 0 0 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 1300 0 1300 200 0 1100 0 0 0 -
5126 GARAM ORALIT SERBUK SERBUK 1870 0 1870 70 0 1800 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 0 500 500 0 0 500 0 500 0 -
5300 GLUCOSE INFUS 5 % INFUS 25 0 25 5 0 20 0 0 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUPSIRUP 39 0 39 6 0 33 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 5000 0 5000 800 0 4200 0 2000 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 3 0 3 0 0 3 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 180 800 980 610 0 370 0 100 0 -
13745 HAND RUB 5 LITER 18 8 26 2 0 24 0 0 0 -
12871 HAND RUB 500 ML 27 48 75 10 0 65 0 0 0 -
 13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNOPAKET
TEST FOR THE DETECTION
0 OF HEPATITIS
0 B0 0 0 0 0 5 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 400 100 500 0 0 500 0 0 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 139 96 235 73 0 162 0 100 0 -
13020 IBUPROFEN SIRUP 200 MG\/5 ML BOTOL 0 200 200 140 0 60 0 200 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 4300 0 4300 1100 0 3200 0 2000 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 5000 2000 7000 1200 0 5800 0 1000 0 -
12358 INFUSET ANAK SET 36 0 36 0 0 36 0 0 0 -
12357 INFUSET DEWASA SET 10 20 30 0 0 30 0 10 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPHATE LIQUID
LIQUID 0 5 5 0 0 5 0 20 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPHATE LIQUID
LIQUID 0 5 5 0 0 5 0 20 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 700 0 700 100 0 600 0 0 0 -
AK9005688IV CATHETER NO 20 0 210 0 210 0 0 210 0 0 0 -
AK9005689IV CATHETER NO 22 0 207 0 207 4 0 203 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 217 0 217 17 0 200 0 0 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARAN GR 6SET 0 0 0 0 0 0 0 0 0 -
13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)TUBE 1 0 1 0 0 1 0 0 0 -
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 0 0 4 0 0 0 -
13565 KAPAS PEMBALUT 250 gr ROL 5 0 5 0 0 5 0 5 0 -
13979 KASA BARU : KASA HIDROFIL SIZE 4 X 15 CM ROLL
ROLL 0 5 5 0 0 5 0 10 0 -
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 9 0 9 3 0 6 0 10 0 -
12627 KASA STERIL 16 X 16 CM PIECES 0 30 30 30 0 0 0 100 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 0 0 0 0 0 0 0 100 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 0 20 20 20 0 0 0 100 0 -
6575 KETOROLAC INJEKSI 3 % INJEKSI 33 0 33 0 0 33 0 0 0 -
AK9006180KONDOM 0 0 36 36 0 0 36 0 0 0 -
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0 -
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 323 0 323 20 0 303 0 0 0 -
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY) SYRINGE 8 0 8 0 0 8 0 0 0 -
6906 LIDOCAINE INJEKSI 2% INJEKSI 329 0 329 11 0 318 0 0 0 -
6998 LOPERAMIDE TABLET 2 MG TABLET 2200 0 2200 500 0 1700 0 1000 0 -
7013 LORATADINE TABLET 10 MG TABLET 0 3000 3000 300 0 2700 0 2000 0 -
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 0 0 0 0 0 0 0 0 -
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0 0 -
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 40 40 80 40 0 40 0 100 0 -
14247 MASKER NON MEDIS PIECES 400 0 400 0 0 400 0 0 0 -
 13559 MASKER OKSIGEN ANAK (MAXIFLOW) PIECES 4 10 14 0 0 14 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBING 10 MA-EL
PIECES 11 0 11 0 0 11 0 0 0-
AK9006983MASKER PAKAI TALI 0 0 0 0 0 0 0 0 0 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN BP 300 MG
TABLET
|DAPSON 100 MG0 0 0 0 0 0 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 0 0 0 0 0 0 0 3000 0-
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 200 0 200 0 0 200 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 3400 2000 5400 1500 0 3900 0 2000 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 88 0 88 15 0 73 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 2400 1500 3900 700 0 3200 0 2000 0-
7727 MICONAZOLE SALEP 2% SALEP 72 0 72 0 0 72 0 50 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL100\/4 BOTOL 0 0 0 0 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT) : VITAMIN
TABLET A 6000 IU,150
VITAMIN5010
D 400 IU, VITAMIN
5160 B1 10
300MG, VITAMIN
0 B2 2,54860
MG, VITAMIN0 B6 15 MG,0VITAMIN B12
0 - 4 MCG, NICOTINAMIDE 20 MG, CA PANTOTHENA
12758 NASAL OKSIGEN ANAK PIECES 20 0 20 0 0 20 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 8 100 108 0 0 108 0 0 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 2950 3000 5950 900 0 5050 0 0 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLET
TABLET 0 400 400 400 0 0 0 500 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 120 0 120 0 0 120 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 0 0 0 0 0 0 0 3000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML : Triclosan
BOTOL
3LAS, Sodium Laurenth
0 Sulphate,
182 Cocoamide
182 DEA,
182Disodium EDTA,
0 Citric Acid,
0 Fragrance,
0 Deionized
50 Water 0 -
12471 OXYCAN BOTOL 4 0 4 0 0 4 0 0 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 0 30 0 0 30 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 28 30 58 34 0 24 0 100 0-
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 0 318 318 96 0 222 0 300 0-
8593 PARACETAMOL TABLET 500 MG TABLET 5900 3000 8900 4700 0 4200 0 4000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 5400 0 5400 HYDROBROMIDE|GUAIFENESIN
2100 0 3300 TABLET 0 4000 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 237 0 237 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETH
86 0 151 0 200 0-
AK0903025Patient lubricant 0 0 100 100 0 0 100 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 400 0 400 0 0 400 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 35 30 65 20 0 45 0 30 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 260 200 460 120 0 340 0 100 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET 100 0 100 100 0 0 0 500 0-
9392 PIROXICAM TABLET 20 MG TABLET 1400 0 1400 400 0 1000 0 1000 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 5 10 15 2 0 13 0 0 0-
AK9008129PLESTERKU 0 10 0 10 0 0 10 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 5 10 15 0 0 15 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 4 0 4 0 0 4 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 5300 2000 7300 1500 0 5800 0 2000 0-
12384 PRIMAQUINE 0 0 0 0 0 0 0 0 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 ML SIRUP 35 0 35 35 0 0 0 0 0 ed
9793 PYRANTEL TABLET 125 MG TABLET 200 0 200 200 0 0 0 0 0 ed
 1684 PYRIDOXINE TABLET 10 MG TABLET 6300 0 6300 1400 0 4900 0 3000 0 -
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 70 0 70 30 0 40 0 30 0 -
10014 RANITIDINE TABLET 150 MG TABLET 2300 0 2300 400 0 1900 0 2000 0 -
12577 REAGEN GOLONGAN DARAH ( ANTI D ) 10 MLCAIRAN 0 0 0 0 0 0 0 0 0 -
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 0 0 6 0 0 0 -
11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 0 0 0 0 0 0 0 0 -
11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 112 112 0 0 112 0 0 0 -
11896 RETINOL PALMITATE TABLET 100000 IU TABLET 0 2 2 0 0 2 0 10 0 -
12439 RINGER LAKTAT 500 ML BOTOL 30 20 50 5 0 45 0 0 0 -
10173 RISPERIDONE TABLET 2 MG TABLET 280 500 780 620 0 160 0 300 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50 SIRUP 42 20 62 40 0 22 0 0 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT)TABLET 700 0 700 100 0 600 0 2000 0 -
13301 SALMONELLA TYPHI H WIDAL TEST 5 ML VIAL 0 0 0 0 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST 5 ML VIAL 0 0 0 0 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERIL L 0 0 0 0 0 0 0 0 0 0 -
13443 SARUNG TANGAN OBGYN PANJANG STERIL 56PIECES
CM 0 0 0 0 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL 0 0 0 0 0 0 0 0 0 0 -
AK9008969SARUNG TANGAN STERIL NO 7 0 50 0 50 0 0 50 0 0 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 0 200 0 200 5 0 195 0 0 0 -
AK9008971SARUNG TANGAN STERIL NO 8 0 100 0 100 10 0 90 0 0 0 -
12682 SILK SUTURE 3\/0 PIECES 31 0 31 0 0 31 0 0 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 4200 0 4200 1300 0 2900 0 3000 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 62 0 62 0 0 62 0 0 0 -
AK9009629SPUIT 3 CC 0 0 200 200 30 0 170 0 700 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 10 10 10 0 0 0 10 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 10 10 10 0 0 0 10 0 -
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES 50 100 150 50 0 100 0 0 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 0 0 0 0 0 0 0 30 0 -
12692 STRIP URIC ACID PIECES 0 0 0 0 0 0 0 30 0 -
10800 SUCRALFATE SIRUP SIRUP 0 39 39 39 0 0 0 100 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 0 0 -
AK9011238TEST STRIP FOR GLUCOSE METER 0 0 0 0 0 0 0 0 30 0 -
11328 THIAMINE (VITAMIN B1) TABLET 50 MG (HCL\/NITRAT)
TABLET 4600 2000 6600 5100 0 1500 0 3000 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET TABLET
1900 3000 4900 1300 0 3600 0 2000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 0 5 5 2 0 3 0 5 0 -
AK9011358TIP CLEANER 250 ML 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0 -
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 600 0 600 300 0 300 0 500 0 -
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS TESTS 0 0 0 0 0 0 0 5 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
 11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 200 200 400 290 0 110 0 100 0-
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 241 800 1041 821 0 220 0 200 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1 1 MG,SYRUP
Vitamin B2 0.5 MG,
124Vitamin B6 01 MG, Vitamin
124 B12 1124
MCG, Vitamin
0 C 10 MG, 0Vitamin D 50
0 MG, DHA
2008 MG, Lysine
0 -HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG 0 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 0 0 0 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 3 0 3 3 0 0 0 20 0-
12835 VACCINE IPV 5 DS VIAL 35 15 50 28 0 22 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 25 0 25 0 0 25 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 27 25 52 26 0 26 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 0 0 0 0 0 0 10 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 5 0-
12770 WHITE TIPS 10 uL PIECES 5 0 5 0 0 5 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60BOTOL ML 0 0 0 0 0 0 0 300 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 3800 0 3800 600 0 3200 0 1000 0-
SALBUTAMOL2 MG TABLET 0 0 0 0 0 0 3000 0
CEFADROXIL SYRUP SIRUP 0 0 0 0 0 0 200 0
AMBROXOL TABLET TABLET 0 0 0 0 0 0 0 3000 0
REES ECKER LARUTAN 0 0 0 0 0 0 0 5 0
MASKER BEDAH HEADLOOP KOTAK 0 0 0 0 0 0 0 50 0
KAPAS PUTIH 250 G PCS 0 0 0 0 0 0 0 10 0
ACYCLOVIR TABLET 400 MG TABLET 0 0 0 0 0 0 0 4000 0
SALEP MATA tube 0 0 0 0 0 0 0 200 0
TETES MATA BOTOL 0 0 0 0 0 0 0 200 0

Mengetahui 05 Agustus 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan September

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 3300 0 3300 700 0 2600 0 0 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 3000 0-
12530 ADSORBED DT VACCINE VIAL 0 0 0 0 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 500 500 1000 200 0 800 0 0 0-
13369 ALAT SUNTIK 5 ML PIECES 572 300 872 72 0 800 0 0 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 200 0 200 171 0 29 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 10 0 10 0 0 10 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 10 0 10 0 0 10 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 7000 0 7000 900 0 6100 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 4000 3000 7000 1700 0 5300 0 1500 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 259 200 459 177 0 282 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 136 300 436 31 0 405 0 0 0-
379 AMBROXOL TABLET 30 MG TABLET 0 3000 3000 1200 0 1800 0 3000 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 330 0 330 130 0 200 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 4500 3000 7500 1900 0 5600 0 0 0-
446 AMLODIPINE TABLET 5 MG TABLET 3000 3000 6000 1200 0 4800 0 0 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 0 0 0 0 0 0 0 300 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 4900 3000 7900 2400 0 5500 0 2000 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 0 0 0 0 0 0 0 0 0-
302 ANTACIDA TABLET TABLET 3900 3000 6900 2300 0 4600 0 1000 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIA 2 grSUPPOSITORIA 8 20 28 18 0 10 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 35 0 35 35 0 0 0 10 0 ED
13447 ARM SLING TYPE A DENGAN GESPER SIZE LPIECES 3 0 3 0 0 3 0 0 0-
13446 ARM SLING TYPE A DENGAN GESPER SIZE M PIECES 2 0 2 0 0 2 0 0 0-
12425 ASAM FOLAT 400 MCG TABLET 500 0 500 500 0 0 0 4000 0-
966 ASAM MEFENAMAT TABLET 500 MG TABLET 3100 3000 6100 1900 0 4200 0 2000 0-
926 ASCORBIC ACID (VITAMIN C) TABLET 50 MGTABLET 5000 4000 9000 3700 0 5300 0 3000 0-
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0-
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 18 15 33 10 0 23 0 0 0-
 1438 BEDAK SALISIL SERBUK 2 % SERBUK 50 30 80 0 0 80 0 0 0 -
1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 4 0 4 4 0 0 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 2300 0 2300 800 0 1500 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 0 0 0 0 0 0 0 300 0 -
12663 BISTURI NO. 15 PIECES 70 0 70 70 0 0 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE 1AMPULE
ML AMPULE 21 0 21 21 0 0 0 0 0 -
AK9001917BLOOD LANCET 0 3 0 3 3 0 0 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 ML INJEKSI 5 0 5 5 0 0 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORMSYRINGE
2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 5500 3000 8500 3000 0 5500 0 1000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES 0 0 10 10 10 0 0 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 4500 2000 6500 400 0 6100 0 0 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 4200 2000 6200 1200 0 5000 0 0 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 0 0 0 0 0 0 0 0 0 -
12441 CAT GUT 2\/0 PIECES 60 0 60 0 0 60 0 0 0 -
12442 CAT GUT 3\/0 PIECES 156 0 156 2 0 154 0 0 0 -
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP 0 200 200 79 0 121 0 200 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 3500 3000 6500 2400 0 4100 0 0 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 0 0 0 0 0 0 5 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 125 300 425 0 0 425 0 0 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 0 3000 3000 600 0 2400 0 2000 0 -
AK9002857CHKM 0 0 2 2 1 0 1 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 35 0 35 11 0 24 0 50 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3% 5 MLBOTOL
BOTOL 60 0 60 10 0 50 0 0 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 5200 4000 9200 1200 0 8000 0 0 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 4 0 4 0 0 4 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAITABLET
HCL) 3200 2000 5200 800 0 4400 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 0 2 0 0 2 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 3000 3000 6000 300 0 5700 0 0 0 -
3024 CLOBAZAM TABLET 10 MG TABLET 150 100 250 30 0 220 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 160 400 560 514 0 46 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING)
TUBE
10 GR 0 0 0 0 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 200 0 200 0 0 200 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 178 200 378 0 0 378 0 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 500 0 500 300 0 200 0 2000 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 600 500 1100 200 0 900 0 0 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI 0 0 0 0 0 0 0 500 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN TABLET
320 MG (DHP) 0 18 18 18 0 0 0 0 0 -
12585 Dengue NS1 Antigen TEST 30 50 80 0 0 80 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 50 50 0 0 50 0 0 0 -
 12596 DENTIN CONDITIONER BOTOL 4 0 4 0 0 4 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 0 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 2 0 2 0 0 2 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 343 0 343 0 0 343 0 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 5900 3000 8900 2800 0 6100 0 1000 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 5 0 5 0 0 5 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 4 0 4 1 0 3 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 0 0 0 0 0 0 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 4250 0 4250 1300 0 2950 0 1000 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 0 0 0 0 0 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 153 0 153 63 0 90 0 60 0 -
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 14 200 214 56 0 158 0 100 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 1600 3000 4600 900 0 3700 0 1000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENT
BOTOL (20 GR POWDER
0 + 10 ML0LIQUID) BOTOL
0 0 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION CEMENT
BOTOL (20 GR POWDER
0 + 10 ML0LIQUID) BOTOL
0 0 0 0 0 0 0 -
4306 EPINEPHRINE INJEKSI 1 MG\/ML INJEKSI 0 17 17 17 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 69 0 69 10 0 59 0 0 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 1400 0 1400 500 0 900 0 1000 0 -
4561 ETHANOL 1000 ML 0 0 0 0 0 0 0 0 0 -
4562 ETHANOL 300 ML 0 0 0 0 0 0 0 0 0 -
4627 ETHYL CHLORIDE SPRAY SPRAY 9 0 9 0 0 9 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 0 -
12379 EXAMINATION GLOVES SIZE L 10 34 44 9 0 35 0 0 0 -
12380 EXAMINATION GLOVES SIZE M 10 34 44 37 0 7 0 50 0 -
12381 EXAMINATION GLOVES SIZE S kotak 0 30 30 25 0 5 0 50 0 -
AK9004498FEEDING TUBE NO 10 0 0 0 0 0 0 0 0 0 0 -
4737 FENOTEROL HYDROBROMIDE SPRAY 100 MCG/DOSIS
SPRAY 8 0 8 0 0 8 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSI 2 MG\/ML
INJEKSI 82 0 82 0 0 82 0 0 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 1100 0 1100 600 0 500 0 500 0 -
5126 GARAM ORALIT SERBUK SERBUK 1800 0 1800 700 0 1100 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 500 0 500 200 0 300 0 1000 0 -
5300 GLUCOSE INFUS 5 % INFUS 20 0 20 6 0 14 0 0 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUP 33 0 33 3 0 30 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 4200 2000 6200 1400 0 4800 0 0 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 3 0 3 3 0 0 0 0 0 -
 5642 HALOPERIDOL TABLET 5 MG TABLET 370 100 470 270 0 200 0 0 0 -
13745 HAND RUB 5 LITER 24 0 24 0 0 24 0 0 0 -
12871 HAND RUB 500 ML 65 0 65 17 0 48 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNOPAKET
TEST FOR THE DETECTION
0 145
OF HEPATITIS
145B 20 0 125 0 0 0 -
14215 HIV COMBO TEST KIT KIT 0 50 50 0 0 50 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 500 0 500 0 0 500 0 0 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 162 96 258 95 0 163 0 100 0 -
13020 IBUPROFEN SIRUP 200 MG\/5 ML BOTOL 60 55 115 0 0 115 0 0 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 3200 2000 5200 1300 0 3900 0 0 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 5800 1000 6800 2100 0 4700 0 1000 0 -
12358 INFUSET ANAK SET 36 0 36 0 0 36 0 0 0 -
12357 INFUSET DEWASA SET 30 0 30 0 0 30 0 50 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 0 1 0 0 1 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPHATELIQUID LIQUID 5 0 5 5 0 0 0 40 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 600 0 600 200 0 400 0 500 0 -
AK9005688IV CATHETER NO 20 0 210 0 210 0 0 210 0 0 0 -
AK9005689IV CATHETER NO 22 0 203 0 203 3 0 200 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 200 0 200 0 0 200 0 0 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARAN GR SET
6 0 0 0 0 0 0 0 0 0 -
13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)
TUBE 1 0 1 0 0 1 0 0 0 -
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 0 0 4 0 0 0 -
13565 KAPAS PEMBALUT 250 gr ROL 5 15 20 5 0 15 0 0 0 -
13565 KAPAS PEMBALUT 250 gr ROL 0 15 15 1 0 14 0 0 0 -
13979 KASA BARU : KASA HIDROFIL SIZE 4 X 15 CM
ROLL
ROLL 5 0 5 0 0 5 0 20 0 -
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 0 0 0 0 0 0 0 10 0 -
12627 KASA STERIL 16 X 16 CM PIECES 0 0 0 0 0 0 0 100 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 0 0 0 0 0 0 0 60 0 -
6535 KETOCONAZOLE SALEP 2% SALEP 0 0 0 0 0 0 0 0 0 -
6575 KETOROLAC INJEKSI 3 % INJEKSI 33 0 33 3 0 30 0 0 0 -
AK9006180KONDOM 0 36 0 36 0 0 36 0 0 0 -
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0 -
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0 0 -
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 303 0 303 0 0 303 0 0 0 -
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY) SYRINGE 8 0 8 0 0 8 0 0 0 -
6906 LIDOCAINE INJEKSI 2% INJEKSI 318 0 318 18 0 300 0 0 0 -
6998 LOPERAMIDE TABLET 2 MG TABLET 1700 1000 2700 500 0 2200 0 0 0 -
7013 LORATADINE TABLET 10 MG TABLET 2700 0 2700 700 0 2000 0 2000 0 -
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 0 0 0 0 0 0 0 0 -
 7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0 0-
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 40 80 120 50 0 70 0 0 0-
14247 MASKER NON MEDIS PIECES 400 0 400 0 0 400 0 0 0-
13559 MASKER OKSIGEN ANAK (MAXIFLOW) PIECES 14 0 14 3 0 11 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBING PIECES
10 MA-EL 11 0 11 0 0 11 0 0 0-
AK9006983MASKER PAKAI TALI 0 0 80 80 20 0 60 0 0 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN BP 300
TABLET
MG |DAPSON 100 0MG 0 0 0 0 0 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 0 3000 3000 700 0 2300 0 2000 0-
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/MLINJEKSI 200 0 200 0 0 200 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 3900 2000 5900 1900 0 4000 0 2000 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 73 0 73 13 0 60 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 3200 2000 5200 800 0 4400 0 0 0-
7727 MICONAZOLE SALEP 2% SALEP 72 48 120 24 0 96 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/4 BOTOL 0 0 0 0 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT)TABLET
: VITAMIN A 6000
4860
IU, VITAMIN0D 400 IU,
4860
VITAMIN1440
B1 10 MG, VITAMIN
0 B2
3420
2,5 MG, VITAMIN
0 B6 1000
15 MG, VITAMIN
0 -B12 4 MCG, NICOTINAMIDE 20 MG, CA PANTOTHENA
12758 NASAL OKSIGEN ANAK PIECES 20 0 20 1 0 19 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 108 0 108 105 0 3 0 50 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 5050 0 5050 1000 0 4050 0 0 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLETTABLET 0 0 0 0 0 0 0 0 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 120 0 120 0 0 120 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 0 0 0 0 0 0 0 3500 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML : Triclosan
BOTOL 3LAS, Sodium0Laurenth Sulphate,
0 Cocoamide
0 DEA,
0 Disodium0 EDTA, Citric
0 Acid, Fragrance,
0 Deionized
20 Water
0-
12471 OXYCAN BOTOL 4 0 4 1 0 3 0 0 0 ed
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 0 30 0 0 30 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 24 0 24 21 0 3 0 100 0-
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP 222 100 322 47 0 275 0 0 0-
8593 PARACETAMOL TABLET 500 MG TABLET 4200 4000 8200 4400 0 3800 0 6000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 3300 0 3300 HYDROBROMIDE|GUAIFENESIN
0 0 3300 TABLET0 4000 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 151 200 351 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETH
47 0 304 0 200 0-
AK0903025Patient lubricant 0 100 0 100 0 0 100 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 400 0 400 100 0 300 0 500 0-
9086 PERMETHRIN SALEP 5 % SALEP 45 30 75 45 0 30 0 50 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 340 100 440 60 0 380 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10TABLET
MG 0 500 500 0 0 500 0 0 0-
9392 PIROXICAM TABLET 20 MG TABLET 1000 1000 2000 1200 0 800 0 1000 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 13 0 13 2 0 11 0 0 0-
AK9008129PLESTERKU 0 10 0 10 0 0 10 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 15 0 15 0 0 15 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 4 0 4 0 0 4 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 5800 2000 7800 1100 0 6700 0 0 0-
12384 PRIMAQUINE 0 3 3 0 0 3 0 0 0-
 13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0 -
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 MLSIRUP 0 0 0 0 0 0 0 0 0 -
9793 PYRANTEL TABLET 125 MG TABLET 0 0 0 0 0 0 0 0 0 -
1684 PYRIDOXINE TABLET 10 MG TABLET 4900 3000 7900 600 0 7300 0 0 0 -
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI 0 8 8 4 0 4 0 0 0 -
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 40 30 70 20 0 50 0 0 0 -
10014 RANITIDINE TABLET 150 MG TABLET 1900 2000 3900 1500 0 2400 0 0 0 -
12577 REAGEN GOLONGAN DARAH ( ANTI D ) 10 ML
CAIRAN 0 0 0 0 0 0 0 0 0 -
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 0 0 6 0 0 0 -
11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 0 0 0 0 0 0 0 0 -
11899 RETINOL ACETATE TABLET 20000 IU TABLET 112 0 112 32 0 80 0 0 0 -
11896 RETINOL PALMITATE TABLET 100000 IU TABLET 2 0 2 2 0 0 0 0 0 -
12439 RINGER LAKTAT 500 ML BOTOL 45 0 45 5 0 40 0 20 0 -
10173 RISPERIDONE TABLET 2 MG TABLET 160 300 460 400 0 60 0 0 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50SIRUP 22 15 37 16 0 21 0 0 0 -
10295 SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT)
TABLET 0 3000 3000 700 0 2300 0 2000 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAI SULFAT)
TABLET 600 0 600 400 0 200 0 3000 0 -
13301 SALMONELLA TYPHI H WIDAL TEST 5 ML VIAL 0 0 0 0 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST 5 ML VIAL 0 0 0 0 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERIL L 0 0 0 0 0 0 0 0 0 0 -
13443 SARUNG TANGAN OBGYN PANJANG STERILPIECES
56 CM 0 0 0 0 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL 0 0 0 0 0 0 0 0 0 0 -
AK9008969SARUNG TANGAN STERIL NO 7 0 50 0 50 50 0 0 0 0 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 0 195 0 195 0 0 195 0 0 0 -
AK9008971SARUNG TANGAN STERIL NO 8 0 90 0 90 0 0 90 0 0 0 -
12682 SILK SUTURE 3\/0 PIECES 31 0 31 1 0 30 0 0 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 2900 3000 5900 1300 0 4600 0 0 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 62 0 62 3 0 59 0 0 0 -
AK9009629SPUIT 3 CC 0 170 0 170 20 0 150 0 300 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 19 19 19 0 0 0 0 0 -
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)PIECES 100 0 100 55 0 45 0 100 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 0 15 15 15 0 0 0 30 0 -
12692 STRIP URIC ACID PIECES 0 10 10 10 0 0 0 30 0 -
10800 SUCRALFATE SIRUP SIRUP 0 0 0 0 0 0 0 100 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 5 0 -
AK9011238TEST STRIP FOR GLUCOSE METER 0 0 10 10 10 0 0 0 30 0 -
11328 THIAMINE (VITAMIN B1) TABLET 50 MG (HCL\/NITRAT)
TABLET 1500 0 1500 800 0 700 0 3000 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET 3600
TABLET 2000 5600 4000 0 1600 0 4000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 3 5 8 0 0 8 0 0 0 -
AK9011358TIP CLEANER 250 ML 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 0 0 0 0 0 0 0 0-
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 300 500 800 200 0 600 0 0 0-
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS TESTS 0 0 0 0 0 0 0 0 0-
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 0 0 0-
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 110 100 210 85 0 125 0 0 0-
11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 220 200 420 359 0 61 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1 1 MG,
SYRUP
Vitamin B2 0.5 MG,
0 Vitamin
200B6 1 MG,200
Vitamin B12 01 MCG, Vitamin
0 C 10200
MG, Vitamin0D 50 MG,100
DHA 8 MG, Lysine
0 - HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG PCS 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 0 0 0 0 0 0 2 0-
13617 USG JELLY 250 GR TUBE 0 20 20 0 0 20 0 0 0-
12835 VACCINE IPV 5 DS VIAL 22 0 22 11 0 11 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 25 0 25 25 0 0 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 26 0 26 8 0 18 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 50 50 0 0 50 0 0 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 5 0 5 5 0 0 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOLBOTOL 60 ML 0 300 300 90 0 210 0 100 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 3200 1000 4200 1200 0 3000 0 0 0-
KETOKONAZOLE TABLET TABLET 0 0 0 0 0 0 0 1000 0
BETASONE N SALEP SALEP 0 0 0 0 0 0 0 100 0
ACYCLOVIR TABLET 400 MG TABLET 0 0 0 0 0 0 0 1000 0
METHYL ERGOMETRINE TABLET TABLET 0 0 0 0 0 0 0 1000 0
UNDERPAD 0 0 0 0 0 0 0 20 0
ANTACIDA DOEN SUSPENSI SYRUP 0 0 0 0 0 0 0 100 0
MEPROFEN/VENTOLIN AMP 0 0 0 0 0 0 0 100 0
ALBENDAZOLE TABLET KUNYAH TABLET 0 0 0 0 0 0 0 200 0
ABOCATH NO.18 PCS 0 0 0 0 0 0 0 50 0

Mengetahui 05 September 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan October

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaanPemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 2600 0 2600 700 0 1900 0 0 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 0 0-
120 ACYCLOVIR TABLET 400 MG TABLET 0 6000 6000 0 0 6000 0 0 0-
12530 ADSORBED DT VACCINE VIAL 0 0 0 0 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 800 0 800 400 0 400 0 0 0-
13369 ALAT SUNTIK 5 ML PIECES 800 0 800 0 0 800 0 0 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 29 50 79 79 0 0 0 0 0-
175 ALBENDAZOLE TABLET 400 MG TABLET 0 2000 2000 1100 0 900 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 10 0 10 5 0 5 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 10 0 10 2 0 8 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 6100 0 6100 0 0 6100 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 5300 1500 6800 1400 0 5400 0 0 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 282 200 482 65 0 417 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 405 0 405 49 0 356 0 0 0-
379 AMBROXOL TABLET 30 MG TABLET 1800 3000 4800 1100 0 3700 0 0 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 200 0 200 200 0 0 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 5600 0 5600 2100 0 3500 0 0 0-
446 AMLODIPINE TABLET 5 MG TABLET 4800 0 4800 700 0 4100 0 0 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 0 300 300 115 0 185 0 200 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 5500 2000 7500 2500 0 5000 0 0 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 0 0 0 0 0 0 0 0 0-
302 ANTACIDA TABLET TABLET 4600 1000 5600 2000 0 3600 0 0 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIA SUPPOSITORIA
2 gr 10 0 10 0 0 10 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 0 10 10 0 0 10 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER PIECES
SIZE L 3 0 3 0 0 3 0 0 0-
13446 ARM SLING TYPE A DENGAN GESPER PIECES
SIZE M 2 0 2 0 0 2 0 0 0-
12425 ASAM FOLAT 400 MCG TABLET 0 0 0 0 0 0 0 4000 0-
 966 ASAM MEFENAMAT TABLET 500 MG TABLET 4200 2000 6200 1500 0 4700 0 0 0 -
926 ASCORBIC ACID (VITAMIN C) TABLET 50
TABLET
MG 5300 3000 8300 3100 0 5200 0 0 0 -
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0 -
12992 BAHAN GIGI TEMPORARY FILLING (CEIVITRON)
BOTOL 0 1 1 1 0 0 0 0 0 -
12640 BAHAN PENGISI SALURAN AKAR ROOT PIECES
CANAL SEALING MATERIAL
0 1 1 1 0 0 0 0 0 -
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 23 0 23 23 0 0 0 0 0 -
1438 BEDAK SALISIL SERBUK 2 % SERBUK 80 0 80 20 0 60 0 0 0 -
12282 BENZOCAINE GEL 0 1 1 1 0 0 0 0 0 -
1483 BENZOIC ACID|SALICYLIC ACID SALEPSALEP 0 0 0 0 0 0 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 1500 0 1500 500 0 1000 0 0 0 -
1599 BETAMETHASONE SALEP 0.1% SALEP 0 0 0 0 0 0 0 100 0 -
12663 BISTURI NO. 15 PIECES 0 0 0 0 0 0 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE
AMPULE
1 ML AMPULE 0 0 0 0 0 0 0 0 0 -
AK9001917BLOOD LANCET 0 0 0 0 0 0 0 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 MLINJEKSI 0 0 0 0 0 0 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM
SYRINGE 2g 0 0 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 5500 1000 6500 3900 0 2600 0 0 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES pcs 0 0 0 0 0 0 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 6100 0 6100 400 0 5700 0 0 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 5000 0 5000 200 0 4800 0 0 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 0 400 400 110 0 290 0 0 0 -
12441 CAT GUT 2\/0 PIECES 60 0 60 12 0 48 0 0 0 -
12442 CAT GUT 3\/0 PIECES 154 0 154 10 0 144 0 0 0 -
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP 121 200 321 110 0 211 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 4100 0 4100 800 0 3300 0 0 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 0 0 0 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 425 0 425 0 0 425 0 0 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 2400 2000 4400 1700 0 2700 0 0 0 -
AK9002857CHKM 0 1 0 1 1 0 0 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 24 0 24 18 0 6 0 50 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3% BOTOL
5 ML BOTOL 50 0 50 25 0 25 0 50 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 8000 0 8000 8000 0 0 0 0 0 -
2762 CHLORPROMAZINE HCL TABLET 100 MG TABLET 0 600 600 600 0 0 0 0 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 4 0 4 4 0 0 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI
TABLETHCL) 4400 0 4400 1100 0 3300 0 0 0 -
12571 Cleaner Reagen CAIRAN 2 1 3 3 0 0 0 0 0 -
12571 Cleaner Reagen CAIRAN 0 1 1 1 0 0 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 5700 0 5700 550 0 5150 0 0 0 -
 3024 CLOBAZAM TABLET 10 MG TABLET 220 100 320 320 0 0 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 46 621 667 667 0 0 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER TUBE
FILLING) 10 GR 0 1 1 1 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 200 0 200 200 0 0 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 378 0 378 16 0 362 0 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 200 0 200 200 0 0 0 3000 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 900 0 900 600 0 300 0 2000 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/MLINJEKSI 0 0 0 0 0 0 0 500 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN
TABLET 320 MG (DHP)
0 0 0 0 0 0 0 9 0 -
12585 Dengue NS1 Antigen TEST 80 50 130 130 0 0 0 100 0 -
12585 Dengue NS1 Antigen TEST 50 50 100 100 0 0 0 100 0 -
12596 DENTIN CONDITIONER BOTOL 0 1 1 1 0 0 0 0 0 -
12596 DENTIN CONDITIONER BOTOL 4 1 5 5 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 1 1 1 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 1 1 1 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 2 1 3 3 0 0 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 343 0 343 27 0 316 0 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 6100 1000 7100 2800 0 4300 0 0 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 5 0 5 0 0 5 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 3 0 3 0 0 3 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 0 60 60 0 0 60 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MGTABLET 2950 1000 3950 1250 0 2700 0 0 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 0 0 0 0 0 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 90 60 150 10 0 140 0 0 0 -
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 158 100 258 45 0 213 0 0 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 3700 1000 4700 1000 0 3700 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
0 + 10
1 ML LIQUID)
1 BOTOL 0 0 1 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
0 + 10
1 ML LIQUID)
1 BOTOL 0 0 1 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
0 + 10
1 ML LIQUID)
1 BOTOL 0 0 1 0 0 0 -
4306 EPINEPHRINE INJEKSI 1 MG\/ML INJEKSI 0 0 0 0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 MLSIRUP 59 0 59 19 0 40 0 50 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 900 0 900 500 0 400 0 500 0 -
4561 ETHANOL 1000 ML 0 0 0 0 0 0 0 0 0 -
4562 ETHANOL 300 ML 0 0 0 0 0 0 0 0 0 -
4627 ETHYL CHLORIDE SPRAY SPRAY 9 0 9 0 0 9 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 1 1 0 0 1 0 0 0 -
 4663 EUGENOL LIQUID 10 ML BOTOL 0 1 1 0 0 1 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 1 1 0 0 1 0 0 0 -
12379 EXAMINATION GLOVES SIZE L 35 0 35 10 0 25 0 0 0 -
12380 EXAMINATION GLOVES SIZE M 7 50 57 25 0 32 0 0 0 -
12381 EXAMINATION GLOVES SIZE S 5 50 55 35 0 20 0 0 0 -
AK9004498FEEDING TUBE NO 10 0 0 0 0 0 0 0 0 0 0 -
4737 FENOTEROL HYDROBROMIDE SPRAY SPRAY100 MCG/DOSIS 8 0 8 0 0 8 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSIINJEKSI
2 MG\/ML 82 0 82 32 0 50 0 50 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 500 500 1000 400 0 600 0 500 0 -
5126 GARAM ORALIT SERBUK SERBUK 1100 0 1100 400 0 700 0 0 0 -
12623 GLASS IONOMER PIECES 0 1 1 0 0 1 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 300 0 300 300 0 0 0 2000 0 -
5300 GLUCOSE INFUS 5 % INFUS 14 0 14 7 0 7 0 20 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUPSIRUP 30 0 30 9 0 21 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 4800 0 4800 600 0 4200 0 0 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 0 5 5 0 0 5 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 200 200 400 0 0 400 0 0 0 -
13745 HAND RUB 5 LITER 24 0 24 3 0 21 0 0 0 -
12871 HAND RUB 500 ML 48 0 48 13 0 35 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNO
PAKET TEST FOR125THE DETECTION
0 OF HEPATITIS
125 B 125 0 0 0 100 0 -
14215 HIV COMBO TEST KIT KIT 50 0 50 50 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 500 0 500 300 0 200 0 500 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 163 100 263 195 0 68 0 100 0 -
13020 IBUPROFEN SIRUP 200 MG\/5 ML BOTOL 115 0 115 4 0 111 0 0 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 3900 0 3900 1900 0 2000 0 2000 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 4700 1000 5700 1800 0 3900 0 0 0 -
12358 INFUSET ANAK SET 36 0 36 0 0 36 0 0 0 -
12357 INFUSET DEWASA SET 30 50 80 30 0 50 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 1 2 0 0 2 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 1 1 2 0 0 2 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) 0 0 1 1 0 0 1 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL LIQUID
SULPHATE LIQUID0 0 0 0 0 0 0 50 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MGTABLET 400 0 400 0 0 400 0 0 0 -
AK9005688IV CATHETER NO 20 0 210 0 210 10 0 200 0 0 0 -
AK9005689IV CATHETER NO 22 0 200 0 200 0 0 200 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 200 0 200 20 0 180 0 0 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARAN SET GR 6 0 0 0 0 0 0 0 0 0 -
 13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)
TUBE 1 0 1 1 0 0 0 0 0-
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 4 0 0 4 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 15 0 15 5 0 10 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 14 0 14 4 0 10 0 0 0-
12532 KARBOL DESINFEKTAN 1000 ML BOTOL 0 2 2 0 0 2 0 0 0-
13979 KASA BARU : KASA HIDROFIL SIZE 4 X ROLL
15 CM ROLL 5 20 25 13 0 12 0 0 0-
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 0 0 0 0 0 0 0 0 0-
12627 KASA STERIL 16 X 16 CM PIECES 0 100 100 50 0 50 0 100 0-
6535 KETOCONAZOLE SALEP 2% SALEP 0 60 60 15 0 45 0 100 0-
6535 KETOCONAZOLE SALEP 2% SALEP 0 60 60 15 0 45 0 0 0-
6575 KETOROLAC INJEKSI 3 % INJEKSI 30 0 30 0 0 30 0 0 0-
AK9006180KONDOM 0 36 0 36 0 0 36 0 0 0-
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0-
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0 0-
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 303 0 303 203 0 100 0 300 0-
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY) SYRINGE 8 0 8 8 0 0 0 0 0-
6906 LIDOCAINE INJEKSI 2% INJEKSI 300 0 300 0 0 300 0 100 0-
6998 LOPERAMIDE TABLET 2 MG TABLET 2200 0 2200 200 0 2000 0 0 0-
7013 LORATADINE TABLET 10 MG TABLET 2000 0 2000 400 0 1600 0 0 0-
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 0 0 0 0 0 0 5 0-
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0 0-
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 70 0 70 20 0 50 0 0 0-
14247 MASKER NON MEDIS PIECES 400 0 400 100 0 300 0 0 0-
13559 MASKER OKSIGEN ANAK (MAXIFLOW)PIECES 11 0 11 0 0 11 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBING PIECES10 MA-EL 11 0 11 0 0 11 0 0 0-
AK9006983MASKER PAKAI TALI 0 60 0 60 40 0 20 0 0 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN TABLET
BP 300 MG |DAPSON0 100 MG 0 0 0 0 0 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 2300 2000 4300 1300 0 3000 0 1000 0-
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/MLINJEKSI 200 0 200 0 0 200 0 0 0-
7605 METHYLERGOMETRINE TABLET 0.125TABLET MG 0 1000 1000 0 0 1000 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MGTABLET 4000 2000 6000 1700 0 4300 0 0 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 60 0 60 16 0 44 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 4400 0 4400 800 0 3600 0 0 0-
7727 MICONAZOLE SALEP 2% SALEP 96 0 96 12 0 84 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/40 BOTOL 1 1 1 0 0 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/40 BOTOL 1 1 1 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT)
TABLET: VITAMIN3420
A 6000 IU, VITAMIN
0 D3420
400 IU, VITAMIN
1030 B1 10 MG,
0 VITAMIN
2390B2 2,5 MG,0VITAMIN
2000
B6 15 MG, VITAMIN
0- B12 4 MCG, NICOTINAMIDE 20 MG, CA
 12758 NASAL OKSIGEN ANAK PIECES 19 0 19 0 0 19 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 3 50 53 3 0 50 0 0 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 4050 0 4050 900 0 3150 0 0 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLET TABLET 0 0 0 0 0 0 0 0 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 120 0 120 0 0 120 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 0 0 0 0 0 0 0 4000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML BOTOL
: Triclosan 3LAS, Sodium
0 Laurenth
24 Sulphate,
24 Cocoamide
9 DEA, Disodium
0 EDTA,
15 Citric Acid,
0 Fragrance,
30 Deionized
0 Water
-
AK0605002Oral cavity abrasive polishing agent 0 0 1 1 1 0 0 0 0 0-
12471 OXYCAN BOTOL 0 0 0 0 0 0 0 2 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 0 30 0 0 30 0 0 0-
AK9007766PAPER MOUTH PIECE 25 X 75 MM 0 0 1 1 1 0 0 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 3 0 3 3 0 0 0 100 0-
8601 PARACETAMOL SIRUP 120 MG\/5 MLSIRUP 275 0 275 205 0 70 0 400 0-
8593 PARACETAMOL TABLET 500 MG TABLET 3800 6000 9800 5100 0 4700 0 3000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 3300 4000 7300 100 HYDROBROMIDE|GUAIFENESIN
0 7200 0TABLET 0 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 304 200 504 171 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE
0 333 0 0 0-
AK0903025Patient lubricant 0 100 0 100 0 0 100 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 300 500 800 150 0 650 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 30 50 80 14 0 66 0 0 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 380 100 480 60 0 420 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET TABLET10 MG 500 0 500 400 0 100 0 500 0-
9392 PIROXICAM TABLET 20 MG TABLET 800 1000 1800 700 0 1100 0 0 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 11 0 11 0 0 11 0 0 0-
AK9008129PLESTERKU 0 10 0 10 10 0 0 0 0 0-
12559 POT SPUTUM PIECES 0 28 28 0 0 28 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 15 0 15 5 0 10 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 4 0 4 2 0 2 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 6700 0 6700 1600 0 5100 0 0 0-
12384 PRIMAQUINE 3 0 3 3 0 0 0 0 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 SIRUPML 0 0 0 0 0 0 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 0 0 0 0 0 0 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 7300 0 7300 7300 0 0 0 0 0-
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI 4 8 12 9 0 3 0 10 0-
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI 0 8 8 5 0 3 0 0 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 50 45 95 40 0 55 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 2400 0 2400 1300 0 1100 0 2000 0-
12577 REAGEN GOLONGAN DARAH ( ANTI DCAIRAN ) 10 ML 0 0 0 0 0 0 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 6 0 6 6 0 0 0 0 0-
 11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 0 0 0 0 0 0 0 0 -
11899 RETINOL ACETATE TABLET 20000 IU TABLET 80 0 80 80 0 0 0 0 0 -
11896 RETINOL PALMITATE TABLET 100000 TABLET
IU 0 0 0 0 0 0 0 0 0 -
12439 RINGER LAKTAT 500 ML BOTOL 40 20 60 10 0 50 0 0 0 -
10173 RISPERIDONE TABLET 2 MG TABLET 60 500 560 310 0 250 0 0 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50
SIRUP 21 10 31 0 0 31 0 0 0 -
10295 SALBUTAMOL TABLET 2 MG (SEBAGAI TABLET
SULFAT) 2300 2000 4300 800 0 3500 0 0 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAITABLET
SULFAT) 200 0 200 0 0 200 0 2000 0 -
13301 SALMONELLA TYPHI H WIDAL TEST 5 VIAL
ML 0 0 0 0 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST 5 VIAL
ML 0 0 0 0 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERIL L 0 0 0 0 0 0 0 0 0 0 -
13443 SARUNG TANGAN OBGYN PANJANG STERILPIECES56 CM 0 0 0 0 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL 0 0 0 0 0 0 0 0 0 0 -
AK9008969SARUNG TANGAN STERIL NO 7 0 0 0 0 0 0 0 0 0 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 0 195 0 195 5 0 190 0 0 0 -
AK9008971SARUNG TANGAN STERIL NO 8 0 90 0 90 0 0 90 0 0 0 -
12682 SILK SUTURE 3\/0 PIECES 30 0 30 0 0 30 0 0 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 4600 0 4600 1600 0 3000 0 0 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 59 0 59 19 0 40 0 0 0 -
AK9009629SPUIT 3 CC 0 150 300 450 250 0 200 0 700 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 0 0 0 0 0 0 0 0 -
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)
PIECES 45 0 45 45 0 0 0 250 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 0 30 30 20 0 10 0 50 0 -
12692 STRIP URIC ACID PIECES 0 30 30 10 0 20 0 50 0 -
10800 SUCRALFATE SIRUP SIRUP 0 0 0 0 0 0 0 200 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 4 4 0 0 4 0 0 0 -
AK9011238TEST STRIP FOR GLUCOSE METER 0 0 30 30 15 0 15 0 50 0 -
11328 THIAMINE (VITAMIN B1) TABLET 50 MGTABLET
(HCL\/NITRAT)700 0 700 300 0 400 0 3000 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET 5560 TABLET
4000 9560 7260 0 2300 0 4000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 8 0 8 0 0 8 0 0 0 -
AK9011358TIP CLEANER 250 ML 0 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 1 1 1 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 1 1 1 0 0 0 0 0 -
AK0602044Tooth shade resin material 0 0 1 1 1 0 0 0 0 0 -
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 600 0 600 300 0 300 0 500 0 -
13990 TREPOCHECK : SYPHILIS TEST 25 TESTS
TESTS 0 0 0 0 0 0 0 50 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 1 1 1 0 0 0 0 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 1 1 1 0 0 0 0 0 -
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 125 100 225 60 0 165 0 0 0 -
 11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 61 412 473 330 0 143 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1
SYRUP
1 MG, Vitamin B2
2000.5 MG, 120
Vitamin B6 320
1 MG, Vitamin
120 B12 1 MCG,
0 Vitamin
200
C 10 MG, Vitamin
0 D 50
100MG, DHA 8 0MG,
- Lysine HCl 100 MG, Colostrum Bovine 250
AK9011806URINE BAG 0 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 2 2 2 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 20 0 20 2 0 18 0 0 0-
12835 VACCINE IPV 5 DS VIAL 11 10 21 9 0 12 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 0 15 15 0 0 15 0 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 18 25 43 23 0 20 0 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 50 200 250 250 0 0 0 200 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 0 0 0 0 0 0 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL 60 ML 210 100 310 10 0 300 0 0 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 3000 0 3000 200 0 2800 0 0 0-
STRIP HB DR FAMILY STRIP 0 0 0 0 0 0 0 50 0
SALEP KULIT ANTIBIOTIK TUBE 0 0 0 0 0 0 0 100 0
SALEP MATA ANTIBIOTIK TUBE 0 0 0 0 0 0 0 100 0
COMBIVENT AMPUL 0 0 0 0 0 0 0 50 0
MOMETASONE KRIM KRIM 0 0 0 0 0 0 0 100 0
UNDERPAD 0 0 0 0 0 0 0 50 0
TETES MATA 0 0 0 0 0 0 0 20 0

Mengetahui 03 Oktober 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan NOVEMBER

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 1900 0 1900 200 0 1700 0 1000 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0 0-
120 ACYCLOVIR TABLET 400 MG TABLET 6000 0 6000 750 0 5250 0 0 0-
12530 ADSORBED DT VACCINE VIAL 0 0 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 400 0 400 300 0 100 0 700 0-
13369 ALAT SUNTIK 5 ML PIECES 800 0 800 200 0 600 0 500 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 0 0 0 0 0 0 0 0 0-
175 ALBENDAZOLE TABLET 400 MG TABLET 900 0 900 0 0 900 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 5 0 5 0 0 5 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 8 0 8 0 0 8 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 6100 0 6100 0 0 6100 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 5400 0 5400 1200 0 4200 0 1000 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 417 0 417 0 0 417 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 356 0 356 239 0 117 0 0 0-
379 AMBROXOL TABLET 30 MG TABLET 3700 0 3700 2000 0 1700 0 3000 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 0 0 0 0 0 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 3500 0 3500 2200 0 1300 0 3000 0-
446 AMLODIPINE TABLET 5 MG TABLET 4100 0 4100 700 0 3400 0 2000 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 185 0 185 185 0 0 0 200 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 5000 0 5000 1800 0 3200 0 0 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 0 0 0 0 0 0 0-
302 ANTACIDA TABLET TABLET 3600 0 3600 2500 0 1100 0 0 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIASUPPOSITORIA
2 gr 10 0 10 10 0 0 0 20 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 10 0 10 5 0 5 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER SIZE
PIECES
L 3 0 3 0 0 3 0 0 0-
13446 ARM SLING TYPE A DENGAN GESPER SIZE
PIECES
M 2 0 2 0 0 2 0 0 0-
12425 ASAM FOLAT 400 MCG TABLET 0 0 0 0 0 0 0 4000 0-
 966 ASAM MEFENAMAT TABLET 500 MG TABLET 4700 0 4700 1900 0 2800 0 0 0 -
926 ASCORBIC ACID (VITAMIN C) TABLET 50
TABLET
MG 5200 0 5200 4000 0 1200 0 3000 0 -
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0 -
12992 BAHAN GIGI TEMPORARY FILLING (CEIVITRON)
BOTOL 0 0 0 0 0 0 0 0 -
12640 BAHAN PENGISI SALURAN AKAR ROOTPIECES
CANAL SEALING MATERIAL
0 0 0 0 0 0 0 0 -
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 0 0 0 0 0 0 0 0 -
1438 BEDAK SALISIL SERBUK 2 % SERBUK 60 0 60 20 0 40 0 50 0 -
12282 BENZOCAINE GEL 0 0 0 0 0 0 0 0 0 -
1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 0 0 0 0 0 0 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 1000 0 1000 700 0 300 0 1000 0 ed
1599 BETAMETHASONE SALEP 0.1% SALEP 0 0 0 0 0 0 0 200 0 -
12663 BISTURI NO. 15 PIECES 0 0 0 0 0 0 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE
AMPULE
1 ML AMPULE 0 0 0 0 0 0 0 0 0 -
AK9001917BLOOD LANCET PCS 0 0 0 0 0 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 MLINJEKSI 0 0 0 0 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM
SYRINGE 2g 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 2600 0 2600 1700 0 900 0 4000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES pcs 0 0 0 0 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 5700 0 5700 500 0 5200 0 0 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 4800 0 4800 400 0 4400 0 0 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 290 0 290 290 0 0 0 0 -
12441 CAT GUT 2\/0 PIECES 48 0 48 0 0 48 0 0 0 -
12442 CAT GUT 3\/0 PIECES 144 0 144 5 0 139 0 0 0 -
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP 211 0 211 96 0 115 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 3300 1000 4300 2200 0 2100 0 2000 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 0 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 425 0 425 49 0 376 0 0 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 2700 0 2700 2200 0 500 0 3000 0 -
AK9002857CHKM 0 0 0 0 0 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 6 0 6 6 0 0 0 50 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3% BOTOL
5 ML BOTOL 25 0 25 10 0 15 0 50 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 6000 0 6000 1500 0 4500 0 0 0 -
2762 CHLORPROMAZINE HCL TABLET 100 MG TABLET 0 0 0 0 0 0 0 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 0 0 0 0 0 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI
TABLETHCL) 3300 0 3300 600 0 2700 0 0 0 -
12571 Cleaner Reagen CAIRAN 0 0 0 0 0 0 0 0 0 -
12571 Cleaner Reagen CAIRAN 0 0 0 0 0 0 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 5150 0 5150 450 0 4700 0 0 0 -
 3024 CLOBAZAM TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 0 0 0 0 0 0 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING)
TUBE 10 GR 0 0 0 0 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 362 0 362 33 0 329 0 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 0 0 0 0 0 0 3000 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 300 2000 2300 300 0 2000 0 1000 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/MLINJEKSI 0 0 0 0 0 100 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN
TABLET320 MG (DHP)0 9 9 0 0 9 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 0 0 0 0 0 0 100 0 -
12585 Dengue NS1 Antigen TEST 0 0 0 0 0 0 0 100 0 -
12596 DENTIN CONDITIONER BOTOL 0 0 0 0 0 0 0 0 0 -
12596 DENTIN CONDITIONER BOTOL 0 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 0 0 0 0 0 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 316 0 316 116 0 200 0 100 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 4300 0 4300 2700 0 1600 0 4000 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 5 0 5 0 0 5 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 3 0 3 0 0 3 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 60 0 60 0 0 60 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MGTABLET 2700 0 2700 650 0 2050 0 1000 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 0 0 0 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 140 0 140 100 0 40 0 100 0 -
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 213 0 213 43 0 170 0 0 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 3700 0 3700 1300 0 2400 0 3000 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
1 + 10
0 ML LIQUID)
1 BOTOL 0 0 1 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
1 + 10
0 ML LIQUID)
1 BOTOL 0 0 1 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
1 + 10
0 ML LIQUID)
1 BOTOL 0 0 1 0 0 0 -
4306 EPINEPHRINE INJEKSI 1 MG\/ML INJEKSI 0 0 0 0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 MLSIRUP 40 0 40 6 0 34 0 50 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 400 0 400 0 0 400 0 500 0 -
4561 ETHANOL 1000 ML 0 0 0 0 0 0 0 0 0 -
4562 ETHANOL 300 ML 0 0 0 0 0 0 0 0 0 -
4627 ETHYL CHLORIDE SPRAY SPRAY 9 0 9 0 0 9 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 1 0 1 1 0 0 0 0 0 -
 4663 EUGENOL LIQUID 10 ML BOTOL 1 0 1 1 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 1 0 1 1 0 0 0 0 0 -
12379 EXAMINATION GLOVES SIZE L KOTAK 25 0 25 0 0 25 0 0 0 -
12380 EXAMINATION GLOVES SIZE M KOTAK 32 100 132 82 0 50 0 0 0 -
12381 EXAMINATION GLOVES SIZE S KOTAK 20 0 20 0 0 20 0 0 0 -
AK9004498FEEDING TUBE NO 10 PCS 0 0 20 0 0 20 0 0 0 -
4737 FENOTEROL HYDROBROMIDE SPRAY 100 SPRAYMCG/DOSIS 8 0 8 0 0 8 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSI INJEKSI
2 MG\/ML 50 0 50 0 0 50 0 50 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 600 500 1100 600 0 500 0 500 0 -
5126 GARAM ORALIT SERBUK SERBUK 700 0 700 200 0 500 0 0 0 -
12623 GLASS IONOMER PIECES 1 0 1 1 0 0 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 0 500 500 0 0 500 0 1000 0 -
5300 GLUCOSE INFUS 5 % INFUS 7 20 27 0 0 27 0 20 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUPSIRUP 21 0 21 6 0 15 0 20 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 4200 0 4200 2000 0 2200 0 0 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 5 0 5 0 0 5 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 400 0 400 0 0 400 0 0 0 -
13745 HAND RUB 5 LITER 21 0 21 2 0 19 0 0 0 -
12871 HAND RUB 500 ML 35 0 35 5 0 30 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNO
PAKET TEST FOR THE 0 DETECTION
0 OF HEPATITIS
0 B 0 0 0 0 100 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 200 500 700 0 0 700 0 0 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 68 120 188 44 0 144 0 100 0 -
13020 IBUPROFEN SIRUP 200 MG\/5 ML BOTOL 111 0 111 21 0 90 0 0 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 2000 2000 4000 1500 0 2500 0 2000 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 3900 0 3900 1600 0 2300 0 2000 0 -
12358 INFUSET ANAK SET 36 0 36 1 0 35 0 0 0 -
12357 INFUSET DEWASA SET 50 0 50 10 0 40 0 30 0 -
AK9012183Iodoform (Mummifying Pasta) PCS 2 0 2 2 0 0 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) PCS 2 0 2 2 0 0 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) PCS 1 0 1 1 0 0 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL LIQUID
SULPHATE LIQUID0 0 0 0 0 0 0 0 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MGTABLET 400 0 400 0 0 400 0 0 0 -
AK9005688IV CATHETER NO 20 0 200 0 200 20 0 180 0 0 0 -
AK9005689IV CATHETER NO 22 0 200 0 200 20 0 180 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 180 0 180 80 0 100 0 100 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARAN SET GR 6 0 0 0 0 0 0 0 0 0 -
 13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)
TUBE 0 0 0 0 0 0 0 0 0-
12718 KAPAS BERLEMAK 500 GR PIECES 4 0 14 4 0 10 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 10 0 10 1 0 9 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 10 0 10 1 0 9 0 0 0-
12532 KARBOL DESINFEKTAN 1000 ML BOTOL 2 0 2 0 0 2 0 0 0-
13979 KASA BARU : KASA HIDROFIL SIZE 4 X ROLL
15 CM ROLL 12 0 12 8 0 4 0 0 0-
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 0 360 360 5 0 355 0 0 0-
12627 KASA STERIL 16 X 16 CM PIECES 50 0 50 50 0 0 0 100 0-
6535 KETOCONAZOLE SALEP 2% SALEP 45 100 145 45 0 100 0 100 0-
6535 KETOCONAZOLE SALEP 2% SALEP 45 0 45 15 0 30 0 0 0-
6575 KETOROLAC INJEKSI 3 % INJEKSI 30 0 30 0 0 30 0 0 0-
AK9006180KONDOM PCS 36 0 36 0 0 36 0 0 0-
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0-
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0 0-
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 100 300 400 100 0 300 0 0 0-
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY)SYRINGE 0 0 0 0 0 0 0-
6906 LIDOCAINE INJEKSI 2% INJEKSI 300 100 400 0 0 400 0 100 0-
6998 LOPERAMIDE TABLET 2 MG TABLET 2000 0 2000 1000 0 1000 0 0 0-
7013 LORATADINE TABLET 10 MG TABLET 1600 0 1600 700 0 900 0 2000 0-
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 0 5 5 0 0 5 0 5 0-
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0 0-
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 50 0 50 30 0 20 0 100 0-
14247 MASKER NON MEDIS PIECES 300 0 300 200 0 100 0 100 0-
13559 MASKER OKSIGEN ANAK (MAXIFLOW)PIECES 11 0 11 0 0 11 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBING PIECES
10 MA-EL 11 0 11 0 0 11 0 0 0-
AK9006983MASKER PAKAI TALI PCS 20 0 20 20 0 0 0 50 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN BP TABLET
300 MG |DAPSON0 100 MG 0 0 0 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 3000 1000 4000 700 0 3300 0 2000 0-
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/MLINJEKSI 200 0 200 0 0 200 0 0 0-
7605 METHYLERGOMETRINE TABLET 0.125TABLETMG 1000 0 1000 60 0 940 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MGTABLET 4300 0 4300 2300 0 2000 0 2000 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 44 0 44 15 0 29 0 50 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 3600 0 3600 400 0 3200 0 0 0-
7727 MICONAZOLE SALEP 2% SALEP 84 0 84 0 0 84 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/40 BOTOL 0 0 0 0 0 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/40 BOTOL 0 0 0 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT)
TABLET: VITAMIN2390
A 6000 IU, 2010
VITAMIN D 4400
400 IU, VITAMIN
3199 B1 10 MG,
0 VITAMIN
1201B2 2,5 MG, 0VITAMIN
4000
B6 15 MG, VITAMIN
0- B12 4 MCG, NICOTINAMIDE 20 MG, CA PAN
 12758 NASAL OKSIGEN ANAK PIECES 19 19 0 0 19 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 50 50 0 0 50 0 0 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MGTABLET 3150 3150 900 0 2250 0 0 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLET TABLET 0 0 0 0 0 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 120 120 0 0 120 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 0 0 0 0 0 4000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML BOTOL
: Triclosan 3LAS, Sodium
15 Laurenth
48 Sulphate,
63 Cocoamide
19 DEA, Disodium
0 EDTA,
44 Citric Acid,
0 Fragrance,
50 Deionized0 Water
-
AK0605002Oral cavity abrasive polishing agent BOTOL 0 0 0 0 0 0-
12471 OXYCAN BOTOL 0 2 2 0 0 2 0 2 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 30 0 0 30 0 0 0-
AK9007766PAPER MOUTH PIECE 25 X 75 MM PCS 0 0 0 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 0 0 0 0 100 0-
8601 PARACETAMOL SIRUP 120 MG\/5 MLSIRUP 70 480 550 150 0 400 0 200 0-
8593 PARACETAMOL TABLET 500 MG TABLET 4700 3000 7700 6000 0 1700 0 5000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 7200 0 7200 2900 HYDROBROMIDE|GUAIFENESIN
0 4300 TABLET
0 1000 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 333 0 333 43 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEX
0 290 0 100 0-
AK0903025Patient lubricant 0PCS 100 0 100 0 0 100 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 650 0 650 350 0 300 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 66 0 66 0 0 66 0 0 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 420 0 420 0 0 420 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET TABLET10 MG 100 500 600 0 0 600 0 500 0-
9392 PIROXICAM TABLET 20 MG TABLET 1100 0 1100 500 0 600 0 1000 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 11 0 11 0 0 11 0 0 0-
AK9008129PLESTERKU pcs 0 0 0 0 0 0 0 0-
12559 POT SPUTUM PIECES 28 0 28 0 0 28 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 10 0 10 0 0 10 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 2 0 2 0 0 2 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 5100 0 5100 900 0 4200 0 0 0-
12384 PRIMAQUINE 0 0 0 0 0 0 0 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 SIRUPML 0 0 0 0 0 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 0 0 0 0 0 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 5500 0 5500 400 0 5100 0 0 0-
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI 3 0 3 0 0 3 0 10 0-
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI 3 0 3 0 0 3 0 0 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 55 0 55 55 0 0 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 1100 2000 3100 1500 0 1600 0 1000 0-
12577 REAGEN GOLONGAN DARAH ( ANTI DCAIRAN ) 10 ML 0 0 0 0 0 0 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 0 0 0 0 0 0 0 0 0-
 11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 0 0 0 0 0 0 0 0 -
11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 0 0 0 0 0 0 0 0 -
11896 RETINOL PALMITATE TABLET 100000 TABLET
IU 0 0 0 0 0 0 0 0 0 -
12439 RINGER LAKTAT 500 ML BOTOL 50 0 50 24 0 26 0 20 0 -
10173 RISPERIDONE TABLET 2 MG TABLET 250 0 250 0 0 250 0 0 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50
SIRUP 31 0 31 0 0 31 0 0 0 -
10295 SALBUTAMOL TABLET 2 MG (SEBAGAI TABLET
SULFAT) 3500 0 3500 600 0 2900 0 0 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAITABLETSULFAT) 200 0 200 0 0 200 0 2000 0 -
13301 SALMONELLA TYPHI H WIDAL TEST 5 MLVIAL 0 0 0 0 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST 5 MLVIAL 0 0 0 0 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERILpcs L 0 0 0 0 0 0 0 0 0 -
13443 SARUNG TANGAN OBGYN PANJANG STERILPIECES56 CM 0 0 0 0 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL pcs 0 0 0 0 0 0 0 0 0 -
AK9008969SARUNG TANGAN STERIL NO 7 pcs 0 0 0 0 0 0 0 0 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 pcs 190 0 190 70 0 120 0 0 0 -
AK9008971SARUNG TANGAN STERIL NO 8 pcs 90 0 90 10 0 80 0 0 0 -
12682 SILK SUTURE 3\/0 PIECES 30 0 30 0 0 30 0 0 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 3000 0 3000 1500 0 1500 0 2000 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 40 0 40 0 0 40 0 0 0 -
AK9009629SPUIT 3 CC pcs 200 700 900 200 0 700 0 500 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 0 0 0 0 0 0 0 -
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)
PIECES 0 500 0 500 0 250 0 0 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 10 5 15 0 0 15 0 200 0 -
12692 STRIP URIC ACID PIECES 20 5 25 15 0 10 0 50 0 -
10800 SUCRALFATE SIRUP SIRUP 0 0 0 0 0 0 0 200 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 4 0 0 0 0 0 0 0 -
AK9011238TEST STRIP FOR GLUCOSE METER pcs 15 5 20 5 0 15 0 100 0 -
11328 THIAMINE (VITAMIN B1) TABLET 50 MGTABLET
(HCL\/NITRAT)400 3000 3400 600 0 2800 0 0 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET 2300 TABLET 0 2300 2300 0 0 0 4000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 8 0 8 5 0 3 0 20 0 -
AK9011358TIP CLEANER 250 ML pcs 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 0 -
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 300 500 800 300 0 500 0 500 0 -
13990 TREPOCHECK : SYPHILIS TEST 25 TESTSTESTS 0 0 0 0 50 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 -
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 165 165 0 0 165 0 0 0 -
 11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 143 143 0 0 143 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1
SYRUP
1 MG, Vitamin B2
2000.5 MG, 100
Vitamin B6 300
1 MG, Vitamin
196 B12 1 MCG,
0 Vitamin
104
C 10 MG, Vitamin
0 D 50
200MG, DHA 8 0MG,
- Lysine HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG PCS 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 0 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 18 0 18 7 0 11 0 0 0-
12835 VACCINE IPV 5 DS VIAL 12 0 12 0 0 12 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 15 0 15 15 0 0 15 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 20 0 20 20 0 0 20 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 0 0 0 0 0 0 200 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 0 0 0 0 0 0 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL
BOTOL 60 ML 300 0 300 60 0 240 0 0 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 2800 0 2800 400 0 2400 0 0 0-
STRIP HB DR FAMILY STRIP 0 0 0 0 0 0 0 50 0
SALEP KULIT ANTIBIOTIK TUBE 0 0 0 0 0 0 0 100 0
SALEP MATA ANTIBIOTIK TUBE 0 0 0 0 0 0 0 100 0
COMBIVENT AMPUL 0 50 50 40 0 10 0 100 0
MOMETASONE KRIM KRIM 0 100 100 10 0 90 0 0 0
UNDERPAD 0 100 100 0 0 100 0 0 0
TETES MATA 0 0 0 0 0 50 0
AMBROXOL SIRUP 30 MG/5 ML sirup 0 200 200 43 0 157 0 0 0
AMOXYCILLIN SIRUP 125 MG\/5 ML (SOLFENOX) 0 0 240 17 0 223 0 120 0
BIOCOMBIN 5000 CAIRAN INJ 3 ML INJEKSI 0 500 500 50 0 450 0 0 0
FORNERO TABLET TABLET 0 4000 4000 2600 0 1400 0 3000 0
KASA HIDROFIL 16 X 16 CM PIECES 0 100 100 60 40 100 0
KETOKONAZOLE TAB;ET TABLET 0 0 0 0 0 0 0 1000 0
BIOCOMBIN TABLET TABLET 0 0 0 0 0 0 0 4000 0
GENTAMICIN SALEP SALEP 0 0 0 0 0 0 0 200 0

Mengetahui 06 November 2024

Kepala Puskesmas Puruk Cahu Yang Menyerahkan

dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm

NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Unit Penerima PURUK CAHU Bulan DESEMBER

Kecamatan Murung Tahun 2024
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode Obat Nama Obat Sediaan Stok Awal PenerimaanPersediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum
PermintaanPemberian Keterangan
51 ACETYLCYSTEINE TABLET 200 MG TABLET 1700 1000 2700 300 0 2400 0 0 0-
119 ACYCLOVIR TABLET 200 MG TABLET 0 0 0 0 0 0 0-
120 ACYCLOVIR TABLET 400 MG TABLET 5250 0 5250 200 0 5050 0 0 0-
12530 ADSORBED DT VACCINE VIAL 0 0 0 0 0 0 0-
12448 ALAT SUNTIK 1 ML PIECES 100 700 800 100 0 700 0 0 0-
13369 ALAT SUNTIK 5 ML PIECES 600 500 1100 300 0 800 0 0 0-
168 ALBENDAZOLE SIRUP 200 MG\/5 ML SIRUP 0 0 0 0 0 0 0 0-
175 ALBENDAZOLE TABLET 400 MG TABLET 900 0 900 100 0 800 0 0 0-
13349 ALKOHOL 70% 1 LITER BOTOL 5 0 5 0 0 5 0 0 0-
13355 ALKOHOL 70% 100 ML BOTOL 8 0 8 0 0 8 0 0 0-
14187 ALKOHOL 70% 300 ML BOTOL 0 0 0 0 0 0 0-
12460 ALKOHOL SWAB PIECES 6100 0 6100 100 0 6000 0 0 0-
247 ALLOPURINOL TABLET 100 MG TABLET 4200 1000 5200 1300 0 3900 0 0 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 417 0 417 317 0 100 0 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 117 0 117 54 0 63 0 0 0-
379 AMBROXOL TABLET 30 MG TABLET 1700 0 1700 500 0 1200 0 0 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET 0 0 0 0 0 0 0-
445 AMLODIPINE TABLET 10 MG TABLET 1300 3000 4300 1800 0 2500 0 1000 0-
446 AMLODIPINE TABLET 5 MG TABLET 3400 2000 5400 1900 0 3500 0 0 0-
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 0 0 0 0 0 0 0 0-
511 AMOXYCILLIN TABLET 500 MG TABLET 3200 0 3200 1000 0 2200 0 0 0-
706 AMPICILLIN INJEKSI 1 G\/VIAL INJEKSI 0 0 0 0 0 0 0-
302 ANTACIDA TABLET TABLET 1100 2000 3100 2000 0 1100 0 0 0-
13623 ANTIHEMOROID DOEN SUPPOSITORIASUPPOSITORIA
2 gr 0 0 0 0 0 0 0 0-
847 AQUA PRO INJEKSI INJEKSI INJEKSI 5 0 5 5 0 0 0 0 0-
13447 ARM SLING TYPE A DENGAN GESPER SIZE
PIECES
L 3 0 3 0 0 3 0 0 0-
13446 ARM SLING TYPE A DENGAN GESPER SIZE
PIECES
M 2 0 2 0 0 2 0 0 0-
12425 ASAM FOLAT 400 MCG TABLET 0 1000 1000 0 0 1000 0 4000 0-
 966 ASAM MEFENAMAT TABLET 500 MG TABLET 2800 0 2800 1500 0 1300 0 2000 0 -
926 ASCORBIC ACID (VITAMIN C) TABLET 50
TABLET
MG 1200 3000 4200 2500 0 1700 0 3000 0 -
76 ASPIRIN (ASETOSAL) TABLET 80 MG TABLET 2000 0 2000 0 0 2000 0 0 0 -
12992 BAHAN GIGI TEMPORARY FILLING (CEIVITRON)
BOTOL 0 0 0 0 0 0 0 0 -
12640 BAHAN PENGISI SALURAN AKAR ROOTPIECES
CANAL SEALING MATERIAL
0 0 0 0 0 0 0 0 -
1396 BCG VACCINE INJEKSI 0.75 MG\/ML|PELARUT
INJEKSI 0 0 0 0 0 0 0 0 -
1438 BEDAK SALISIL SERBUK 2 % SERBUK 40 50 90 10 0 80 0 0 0 -
12282 BENZOCAINE GEL 0 0 0 0 0 0 0 0 -
1483 BENZOIC ACID|SALICYLIC ACID SALEP SALEP 0 0 0 0 0 0 0 0 -
1560 BETAHISTINE TABLET 6 MG TABLET 300 1000 1300 670 0 630 0 0 0
1599 BETAMETHASONE SALEP 0.1% SALEP 0 200 200 125 0 75 0 0 0 -
12663 BISTURI NO. 15 PIECES 0 0 0 0 0 0 0 0 -
13718 BIVALENT ORAL POLIOMYELITIS VACCINE
AMPULE
1 ML AMPULE 0 0 0 0 0 0 0 0 -
AK9001917BLOOD LANCET PCS 0 0 0 0 0 0 0 -
1866 CALCIUM GLUCONATE INJEKSI 10 MLINJEKSI 0 0 0 0 0 0 0 -
14053 CALCIUM HYDROXIDE PASTA WITH IODOFORM
SYRINGE 2g 0 0 0 0 0 0 0 -
2005 CALCIUM LACTATE TABLET 500 MG TABLET 900 4000 4900 3600 0 1300 0 3000 0 -
AK9002642CANULA NASAL OKSIGEN NEONATES pcs 0 0 0 0 0 0 0 -
2073 CAPTOPRIL TABLET 12.5 MG TABLET 5200 0 5200 800 0 4400 0 0 0 -
2075 CAPTOPRIL TABLET 25 MG TABLET 4400 0 4400 1500 0 2900 0 0 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 0 0 0 0 0 0 0 -
12441 CAT GUT 2\/0 PIECES 48 0 48 0 0 48 0 0 0 -
12442 CAT GUT 3\/0 PIECES 139 0 139 0 0 139 0 0 0 -
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP 115 0 115 115 0 0 0 0 -
2176 CEFADROXIL TABLET 500 MG TABLET 2100 2000 4100 1300 0 2800 0 0 0 -
2428 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI 0 0 0 0 0 0 0 -
13645 CELLULOID STRIP 100 PIECES STRIP 0 0 0 0 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 376 0 376 195 0 181 0 0 0 -
2546 CETIRIZINE TABLET 10 MG TABLET 500 3000 3500 700 0 2800 0 0 0 -
AK9002857CHKM 0 0 0 0 0 0 0 0 -
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 0 0 0 0 0 0 0 0 -
14042 CHLORAMPHENICOL TETES TELINGA 3% BOTOL
5 ML BOTOL 15 0 15 15 0 0 0 0 0 -
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 4500 0 4500 1700 0 2800 0 0 0 -
2762 CHLORPROMAZINE HCL TABLET 100 MG TABLET 0 0 0 0 0 0 0 0 -
2754 CHLORPROMAZINE INJEKSI 25 MG\/ML INJEKSI 0 0 0 0 0 0 0 0 -
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI
TABLETHCL) 2700 0 2700 700 0 2000 0 0 0 -
12571 Cleaner Reagen CAIRAN 0 0 0 0 0 0 0 0 -
12571 Cleaner Reagen CAIRAN 0 0 0 0 0 0 0 0 -
3018 CLINDAMYCIN TABLET 150 MG TABLET 4700 0 4700 500 0 4200 0 0 0 -
 3024 CLOBAZAM TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 -
3136 CLOZAPINE TABLET 25 MG TABLET 0 0 0 0 0 0 0 0 -
12944 COCOA BUTTER (FOR FUJI IONOMER FILLING)
TUBE 10 GR 0 0 0 0 0 0 0 0 -
3157 CODEINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 -
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 329 0 329 41 0 288 0 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 0 3000 3000 400 0 2600 0 0 0 -
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 2000 1000 3000 0 0 3000 0 0 0 -
11951 CYANOCOBALAMIN INJEKSI 500 MCG/MLINJEKSI 0 0 0 0 0 0 0 -
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN
TABLET320 MG (DHP)9 9 18 9 0 9 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 0 0 0 0 0 0 0 -
12585 Dengue NS1 Antigen TEST 0 0 0 0 0 0 0 0 -
12596 DENTIN CONDITIONER BOTOL 0 0 0 0 0 0 0 0 -
12596 DENTIN CONDITIONER BOTOL 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 0 0 0 0 0 0 0 -
12354 DEVITALISASI PASTA NON ARSEN 6 GRBOX 0 0 0 0 0 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 200 100 300 0 0 300 0 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 1600 4000 5600 2300 0 3300 0 0 0 -
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 1 0 1 0 0 1 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 0 0 0 0 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 5 0 5 0 0 5 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI 3 0 3 0 0 3 0 0 0 -
3642 DIAZEPAM TABLET 5 MG TABLET 60 0 60 60 0 0 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MGTABLET 2050 0 2050 550 0 1500 0 2000 0 -
3756 DIGOXIN TABLET 0.25 MG TABLET 100 0 100 0 0 100 0 0 0 -
3794 DIMENHYDRINATE TABLET 50 MG TABLET 0 0 0 0 0 0 0 -
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 40 100 140 40 0 100 0 0 0 -
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 170 0 170 79 0 91 0 0 0 -
3983 DOMPERIDONE TABLET 10 MG TABLET 2400 3000 5400 800 0 4600 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
1 + 10
0 ML LIQUID)
1 BOTOL 1 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
1 + 10
0 ML LIQUID)
1 BOTOL 1 0 0 0 0 0 -
13951 ENDOSEAL : ROOT CANAL OBTURATION BOTOL
CEMENT (20 GR POWDER
1 + 10
0 ML LIQUID)
1 BOTOL 1 0 0 0 0 0 -
4306 EPINEPHRINE INJEKSI 1 MG\/ML INJEKSI 0 0 0 0 0 0 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 MLSIRUP 34 50 84 10 0 74 0 0 0 -
4461 ERYTHROMYCIN TABLET 500 MG TABLET 400 0 400 100 0 300 0 500 0 -
4561 ETHANOL 1000 ML 0 0 0 0 0 0 0 0 -
4562 ETHANOL 300 ML 0 0 0 0 0 0 0 0 -
4627 ETHYL CHLORIDE SPRAY SPRAY 9 0 9 9 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 -
 4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 -
4663 EUGENOL LIQUID 10 ML BOTOL 0 0 0 0 0 0 0 0 -
12379 EXAMINATION GLOVES SIZE L KOTAK 25 0 25 0 0 25 0 0 0 -
12380 EXAMINATION GLOVES SIZE M KOTAK 50 0 50 10 0 40 0 0 0 -
12381 EXAMINATION GLOVES SIZE S KOTAK 20 0 20 10 0 10 0 0 0 -
AK9004498FEEDING TUBE NO 10 PCS 20 0 20 0 0 20 0 0 0 -
4737 FENOTEROL HYDROBROMIDE SPRAY 100 SPRAYMCG/DOSIS 8 0 8 0 0 8 0 0 0 -
9260 FITOMENADION (VITAMIN K) INJEKSI INJEKSI
2 MG\/ML 50 0 50 0 0 50 0 0 0 -
12686 FOLLEY CATHETER 2 WAY NO. 16 PIECES 5 0 5 0 0 5 0 0 0 -
12688 FOLLEY CATHETER 2 WAY NO. 20 PIECES 0 0 0 0 0 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 500 600 1100 100 0 1000 0 0 0 -
5126 GARAM ORALIT SERBUK SERBUK 500 0 500 0 0 500 0 0 0 -
12623 GLASS IONOMER PIECES 0 0 0 0 0 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 500 0 500 100 0 400 0 0 0 -
5300 GLUCOSE INFUS 5 % INFUS 27 20 47 47 0 0 20 0 -
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRUPSIRUP 15 0 15 8 0 7 0 0 0 -
5539 GUAIFENESIN TABLET 100 MG TABLET 2200 0 2200 500 0 1700 0 0 0 -
5633 HALOPERIDOL INJEKSI 50 MG\/ML INJEKSI 5 0 5 3 0 2 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 400 0 400 300 0 100 0 0 0 -
13745 HAND RUB 5 LITER 19 0 19 4 0 15 0 0 0 -
12871 HAND RUB 500 ML 30 0 30 0 0 30 0 0 0 -
13368 HBsAg (WB Multi): ONE STEP RAPID IMMUNO
PAKET TEST FOR THE 0 DETECTION
0 OF HEPATITIS
0 B 0 0 0 100 0 -
14215 HIV COMBO TEST KIT KIT 0 0 0 0 0 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET 700 0 700 0 0 700 0 0 0 -
5843 HYDROCORTISONE SALEP 2.5 % SALEP 144 96 240 78 0 162 0 0 0 -
13020 IBUPROFEN SIRUP 200 MG\/5 ML BOTOL 90 0 90 43 0 47 0 60 0 -
5964 IBUPROFEN TABLET 200 MG TABLET 2500 2000 4500 1300 0 3200 0 0 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 2300 2000 4300 1100 0 3200 0 0 0 -
12358 INFUSET ANAK SET 35 0 35 0 0 35 0 0 0 -
12357 INFUSET DEWASA SET 40 0 40 10 0 30 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) PCS 0 0 0 0 0 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) PCS 0 0 0 0 0 0 0 0 -
AK9012183Iodoform (Mummifying Pasta) PCS 0 0 0 0 0 0 0 0 -
6238 IPRATROPIUM BROMIDE|SALBUTAMOL LIQUID
SULPHATE LIQUID0 0 0 0 0 0 0 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MGTABLET 400 0 400 0 0 400 0 0 0 -
AK9005688IV CATHETER NO 20 0 180 0 180 0 0 180 0 0 0 -
AK9005689IV CATHETER NO 22 0 180 0 180 20 0 160 0 0 0 -
12484 IV CATHETER NO. 24 PIECES 100 100 200 20 0 180 0 0 0 -
12363 JARUM HECTING OTOT 1\/2 LINGKARAN SET GR 6 0 0 0 0 0 0 0 0 -
 13047 KALSIUM HIDROKSIDA PASTA 3 GR (CALCIGEL)
TUBE 0 0 0 0 0 0 0 0-
12718 KAPAS BERLEMAK 500 GR PIECES 10 0 10 2 0 8 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 9 0 9 0 0 9 0 0 0-
13565 KAPAS PEMBALUT 250 gr ROL 9 0 9 0 0 9 0 0 0-
12532 KARBOL DESINFEKTAN 1000 ML BOTOL 2 0 2 0 0 2 0 0 0-
13979 KASA BARU : KASA HIDROFIL SIZE 4 X ROLL
15 CM ROLL 4 0 4 0 0 4 0 0 0-
14225 KASA HIDROFIL 20 YARD X 80 CM ROLL ROLL 355 0 355 5 0 350 0 0 0-
12627 KASA STERIL 16 X 16 CM PIECES 0 100 100 10 0 90 0 0 0-
6535 KETOCONAZOLE SALEP 2% SALEP 100 100 200 90 0 110 0 0 0-
6535 KETOCONAZOLE SALEP 2% SALEP 30 0 30 30 0 0 0 0 0-
6575 KETOROLAC INJEKSI 3 % INJEKSI 30 0 30 20 0 10 0 30 0-
AK9006180KONDOM PCS 36 0 36 0 0 36 0 0 0-
6697 LAMIVUDINE TABLET 150 MG TABLET 2 0 2 0 0 2 0 0 0-
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0-
12351 LARUTAN HCL 0,1 N 100 ML BOTOL 0 0 0 0 0 0 0 0-
13656 LARUTAN TURK 250 ML BOTOL 0 0 0 0 0 0 0 0-
13454 LIDOCAINE COMPOSITUM 2% 2 ML AMPUL 300 0 300 20 0 280 0 0 0-
12834 LIDOCAINE HCL 2% (XYLOCAINE JELLY)SYRINGE 0 0 0 0 0 0 0-
6906 LIDOCAINE INJEKSI 2% INJEKSI 400 100 500 100 0 400 0 0 0-
6998 LOPERAMIDE TABLET 2 MG TABLET 1000 0 1000 200 0 800 0 0 0-
7013 LORATADINE TABLET 10 MG TABLET 900 0 900 500 0 400 0 0 0-
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 5 5 10 0 0 10 0 0 0-
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 0 0 0 0 0 0 0 0-
12472 MASKER (SURGICAL MASK) 3 Ply PIECES 20 80 100 20 0 80 0 0 0-
14247 MASKER NON MEDIS PIECES 100 0 100 10 0 90 0 0 0-
13559 MASKER OKSIGEN ANAK (MAXIFLOW)PIECES 11 0 11 0 0 11 0 0 0-
13459 MASKER OKSIGEN DEWASA WITH TUBING PIECES
10 MA-EL 11 0 11 0 0 11 0 0 0-
AK9006983MASKER PAKAI TALI PCS 0 0 0 0 0 0 0 0-
13126 MDT COMBI PB ADULT : RIFAMPICIN BP TABLET
300 MG |DAPSON 100 MG 0 0 0 0 0 0 0-
7491 METFORMIN HCL TABLET 500 MG TABLET 3300 2000 5300 2300 0 3000 0 0 0-
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/MLINJEKSI 200 0 200 0 0 200 0 0 0-
7605 METHYLERGOMETRINE TABLET 0.125TABLETMG 940 0 940 250 0 690 0 0 0-
7585 METHYLPREDNISOLONE TABLET 4 MGTABLET 2000 2000 4000 2100 0 1900 0 2000 0-
7688 METRONIDAZOLE SIRUP 125 MG\/5 ML SIRUP 29 50 79 16 0 63 0 0 0-
7697 METRONIDAZOLE TABLET 500 MG TABLET 3200 0 3200 800 0 2400 0 0 0-
7727 MICONAZOLE SALEP 2% SALEP 84 0 84 12 0 72 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/40 BOTOL 0 0 0 0 0 0 0-
14075 MICRO BRUSH (DIS-166|DIS-167|DIS-168|DIS-169)
BOTOL 100\/40 BOTOL 0 0 0 0 0 0 0-
13265 MULTIVITAMIN DEWASA TABLET (LEXAVIT)
TABLET: VITAMIN1201
A 6000 IU, 4020
VITAMIN D 5221
400 IU, VITAMIN
1221 B1 10 MG,
0 VITAMIN
4000B2 2,5 MG, 0VITAMIN B60 15 MG, VITAMIN
0- B12 4 MCG, NICOTINAMIDE 20 MG, CA PAN
 12758 NASAL OKSIGEN ANAK PIECES 19 19 0 0 19 0 0 0-
12757 NASAL OKSIGEN DEWASA PIECES 50 50 0 0 50 0 0 0-
12889 NATRIUM DIKLOFENAK TABLET 25 MGTABLET 2250 2250 750 0 1500 0 1000 0-
8244 NOSCAPINE|CHLORPHENAMINE|GUAIFENESIN TABLET TABLET 0 0 0 0 0 0-
13633 NYSTATIN OVULA 100000 IU\/G OVULA 120 120 0 0 120 0 0 0-
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 4000 4000 1900 0 2100 0 3000 0-
13536 ONEMED SABUN ANTIBAKTERI 500 ML BOTOL
: Triclosan 3LAS, Sodium
44 Laurenth
0 Sulphate,
44 Cocoamide
0 DEA, Disodium
0 EDTA,
44 Citric Acid,
0 Fragrance,
0 Deionized0 Water
-
AK0605002Oral cavity abrasive polishing agent BOTOL 0 0 0 0 0 0-
12471 OXYCAN BOTOL 2 2 0 0 2 0 0 0-
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 30 30 0 0 30 0 0 0-
AK9007766PAPER MOUTH PIECE 25 X 75 MM PCS 0 0 0 0 0 0-
8573 PARACETAMOL DROPS 100 MG/ML DROPS 100 100 20 0 80 0 0 0-
8601 PARACETAMOL SIRUP 120 MG\/5 MLSIRUP 400 200 600 116 0 484 0 0 0-
8593 PARACETAMOL TABLET 500 MG TABLET 1700 5000 6700 3800 0 2900 0 5000 0-
8921 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
TABLET 4300 1000 5300 1300 HYDROBROMIDE|GUAIFENESIN
0 4000 TABLET
0 0 0-
8922 PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEXTROMETHORPHAN
SIRUP 290 100 390 70 HYDROBROMIDE|GUAIFENESIN|PARACETAMOL|PHENYLPROPANOLAMINE|DEXCHLORPHENIRAMINE|DEX
0 320 0 0 0-
AK0903025Patient lubricant 0PCS 100 0 100 0 0 100 0 0 0-
9013 PECTIN|ATTAPULGITE TABLET TABLET 300 0 300 0 0 300 0 0 0-
9086 PERMETHRIN SALEP 5 % SALEP 66 0 66 16 0 50 0 0 0-
9125 PHENOBARBITAL TABLET 30 MG TABLET 420 0 420 120 0 300 0 0 0-
9261 PHYTOMENADIONE (VITAMIN K) TABLET TABLET10 MG 600 500 1100 100 0 1000 0 0 0-
9392 PIROXICAM TABLET 20 MG TABLET 600 1000 1600 1000 0 600 0 0 0-
12368 PLESTER 5 CM X 4.5 M ROLL ROLL 11 0 11 0 0 11 0 0 0-
AK9008129PLESTERKU pcs 0 0 0 0 0 0 0 0-
12559 POT SPUTUM PIECES 28 0 28 28 0 0 0 0 0-
12324 POVIDONE IODINE 10% 300ML CAIRAN 10 0 10 10 0 0 0 0-
12325 POVIDONE IODINE 10% 30ML CAIRAN 2 0 2 2 0 0 0 0-
9583 PREDNISONE TABLET 5 MG TABLET 4200 0 4200 1000 0 3200 0 0 0-
12384 PRIMAQUINE 0 0 0 0 0 0 0 0-
13322 PROPANOLOL TABLET 10 MG TABLET 400 0 400 0 0 400 0 0 0-
9777 PYRANTEL EMBONATE SIRUP 125 MG/5 SIRUPML 0 0 0 0 0 0 0 0-
9793 PYRANTEL TABLET 125 MG TABLET 0 0 0 0 0 0 0 0-
1684 PYRIDOXINE TABLET 10 MG TABLET 5100 0 5100 600 0 4500 0 0 0-
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI 3 16 19 15 0 4 0 0 0-
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI 3 0 3 0 0 3 0 0 0-
9998 RANITIDINE INJEKSI 25 MG/ML INJEKSI 0 0 0 0 0 0 0 0-
10014 RANITIDINE TABLET 150 MG TABLET 1600 1000 2600 1500 0 1100 0 1000 0-
12577 REAGEN GOLONGAN DARAH ( ANTI DCAIRAN ) 10 ML 0 0 0 0 0 0 0 0-
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 0 0 0 0 0 0 0 0-
 11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 0 0 0 0 0 0 0 -
11899 RETINOL ACETATE TABLET 20000 IU TABLET 0 0 0 0 0 0 0 0 -
11896 RETINOL PALMITATE TABLET 100000 TABLET
IU 0 0 0 0 0 0 0 0 -
12439 RINGER LAKTAT 500 ML BOTOL 26 20 46 26 0 20 0 20 0 -
10173 RISPERIDONE TABLET 2 MG TABLET 250 0 250 150 0 100 0 0 0 -
10230 ROTAVIRUS VACCINE SIRUP 1 MEGA CCID50
SIRUP 31 0 31 11 0 20 0 0 0 -
10295 SALBUTAMOL TABLET 2 MG (SEBAGAI TABLET
SULFAT) 2900 0 2900 700 0 2200 0 0 0 -
10307 SALBUTAMOL TABLET 4 MG (SEBAGAITABLETSULFAT) 200 0 200 100 0 100 0 0 0 -
13301 SALMONELLA TYPHI H WIDAL TEST 5 MLVIAL 0 0 0 0 0 0 0 0 -
13302 SALMONELLA TYPHI O WIDAL TEST 5 MLVIAL 0 0 0 0 0 0 0 0 -
AK9008942SARUNG TANGAN KARET NON STERILpcs L 0 0 0 0 0 0 0 0 -
13443 SARUNG TANGAN OBGYN PANJANG STERILPIECES56 CM 0 0 0 0 0 0 0 0 -
AK9008966SARUNG TANGAN STERIL pcs 0 0 0 0 0 0 0 0 -
AK9008969SARUNG TANGAN STERIL NO 7 pcs 0 0 0 0 0 0 0 0 -
AK9008970SARUNG TANGAN STERIL NO 7.5 pcs 120 0 120 0 0 120 0 0 0 -
AK9008971SARUNG TANGAN STERIL NO 8 pcs 80 0 80 0 0 80 0 0 0 -
12682 SILK SUTURE 3\/0 PIECES 30 0 30 0 0 30 0 0 0 -
10484 SIMVASTATIN TABLET 20 MG TABLET 1500 2000 3500 1600 0 1900 0 2000 0 -
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 40 0 40 10 0 30 0 0 0 -
AK9009629SPUIT 3 CC pcs 700 500 1200 500 0 700 0 0 0 -
12598 STRIP HB CEK DIGITAL PIECES 0 0 0 0 0 0 0 -
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)
PIECES 250 0 250 150 0 100 0 0 0 -
12592 STRIP TOTAL KOLESTEROL PIECES 15 120 135 75 0 60 0 200 0 TANPA ALKOHOL SWAB
12692 STRIP URIC ACID PIECES 10 30 40 5 0 35 0 50 0 TANPA ALKOHOL SWAB
10800 SUCRALFATE SIRUP SIRUP 0 200 200 28 0 172 0 0 0 -
10852 SULFADIAZINE SILVER SALEP 1 % SALEP 0 0 0 0 0 0 0 -
AK9011238TEST STRIP FOR GLUCOSE METER pcs 15 30 45 15 0 30 0 30 0 TANPA ALKOHOL SWAB
11328 THIAMINE (VITAMIN B1) TABLET 50 MGTABLET
(HCL\/NITRAT)
2800 0 2800 200 0 2600 0 0 0 -
11270 THIAMINE MONONITRATE|PYRIDOXINE|CYANOCOBALAMIN
TABLET 0 TABLET
4000 4000 2800 0 1200 0 4000 0 -
13724 TIFOID IgM TEST 25 STRIP STRIP 3 0 3 3 0 0 0 20 0 -
AK9011358TIP CLEANER 250 ML pcs 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 -
AK0602044Tooth shade resin material pcs 0 0 0 0 0 0 0 0 -
11534 TRANEXAMIC ACID TABLET 500 MG TABLET 500 500 1000 0 0 1000 0 0 0 -
13990 TREPOCHECK : SYPHILIS TEST 25 TESTSTESTS 0 0 0 0 0 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 -
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0 0 0 -
11625 TRIFLUOPERAZINE TABLET 5 MG TABLET 165 165 65 0 100 0 0 0 -
 11636 TRIHEXYPHENIDYL TABLET 2 MG TABLET 143 143 43 0 100 0 0 0-
12601 TRUVIT: Vitamin A 2.000 IU, Vitamin B1
SYRUP
1 MG, Vitamin B2
1040.5 MG, 240
Vitamin B6 344
1 MG, Vitamin
117 B12 1 MCG,
0 Vitamin
227
C 10 MG, Vitamin
0 D 50 MG,
0 DHA 8 0MG,
- Lysine HCl 100 MG, Colostrum Bovine 250 MG
AK9011806URINE BAG PCS 5 0 5 0 0 5 0 0 0-
13465 URINE TEST STRIP 10 PIECES PIECES 0 0 0 0 0 0 0-
13617 USG JELLY 250 GR TUBE 11 0 11 3 0 8 0 0 0-
12835 VACCINE IPV 5 DS VIAL 12 0 12 2 0 10 0 0 0-
12815 VAKSIN HEPATITIS B REKOMBINAN VIAL 0 0 0 0 0 15 0 0-
13377 VAKSIN MEASLES RUBELLA 10 DS VIAL 0 0 0 0 0 20 0 0-
14070 VIROCHECK : HBsAg 25 TEST TEST 0 0 0 0 0 0 200 0-
14069 VIROCHECK : HIV 1\/2 25 TEST TEST 0 0 0 0 0 0 0 0-
12770 WHITE TIPS 10 uL PIECES 0 0 0 0 0 0 0 0-
13530 ZINC SULPHATE SIRUP 20 MG\/5 ML BOTOL
BOTOL 60 ML 240 0 240 37 0 203 0 0 0-
12192 ZINC SULPHATE TABLET 20 MG TABLET 2400 0 2400 0 0 2400 0 0 0-
STRIP HB DR FAMILY STRIP 0 0 0 0 0 0 20 0
SALEP KULIT ANTIBIOTIK TUBE 0 0 0 0 0 0 100 0
SALEP MATA ANTIBIOTIK TUBE 0 0 0 0 0 0 100 0
COMBIVENT /MEPROFEN AMPUL 10 0 10 0 0 10 0 50 0
MOMETASONE KRIM KRIM 90 0 90 0 0 90 0 0 0
UNDERPAD 100 0 100 0 0 100 0 0 0
TETES MATA 0 0 0 0 50 0
AMBROXOL SIRUP 30 MG/5 ML sirup 157 0 157 7 0 150 0 0 0
AMOXYCILLIN SIRUP 125 MG\/5 ML (SOLFENOX) 223 200 423 156 0 267 0 0 0
BIOCOMBIN 5000 CAIRAN INJ 3 ML INJEKSI 450 0 450 150 0 300 0 0 0
FORNERO TABLET TABLET 1400 0 1400 200 0 1200 0 3000 0
KETOKONAZOLE TAB;ET TABLET 0 0 0 0 0 0 1000 0
GENTAMICIN SALEP SALEP 0 0 0 0 0 0 200 0

12 Desember 2024
Mengetahui
Kepala Puskesmas Puruk Cahu Yang Menyerahkan
 dr. Vidi Ganda Wisnu Putra Apt. Yutin Suratiningsih,S.Farm
NIP. 19810815 201001 1 017 NIPPPK.199307222023212001
ALKOHOL SWAB
ALKOHOL SWAB

ALKOHOL SWAB