Chart Title

8000

7000

6000

5000

Column G
Column H
4000

3000

2000

1000

0
1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101 106 111 116 121 126 131 136 141 146 151 156 161 166 171 176
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT (LPLPO)
PROGRAM JAMINAN PEMELIHARAAN KESEHATAN BAGI MASYARAKAT MISKIN

KODE PUSKESMAS : 25
PUSKESMAS : Kanapa - napa BULAN : Juli
KECAMATAN : Mawasangka TAHUN : 2024
KABUPATEN : Buton Tengah
PROPINSI : Sulawesi Tenggara
PERSEDIAAN PEMAKAIAN
KELAS POSKESDES
NO NAMA OBAT
TERAPI
SATUAN STOK PUSTU POLINDES SISA STOK PERMINTAAN PEMBERIAN KET
PENERIMAAN PERSEDIAAN KAMAR OBAT PUSKEL KANAPA- JUMLAH
AWAL Tanailandu dahiango
NAPA
1 2 3 4 5 6 7 = 5+6 8 9 10 11 12 13 = 8+9+10+11+12 14 = 7 - 13 15 16 17
1 Acyclovir tab 200 mg Tablet 300 300 0 300 0
2 Acyclovir tab 400 mg Tablet 0 0 0 0 0
3 Alkohol Swab Kotak 5 5 5 5 0 20
4 Alkohol 70% 1 L Botol 0 0 0 0 0
5 Alopurinol 300 mg Tablet 800 800 800 800 0 500 800 exp
6 Allopurinol tablet 100 mg Tablet 800 800 0 800 0
7 Ambroksol tab 30 mg Tablet 0 0 0 0 800
8 Aminofilin 200 mg Tablet 0 0 0 0 0
9 Aminofilin injeksi 24 mg/ml Ampul 0 0 0 0 0
10 Amlodipin 10 mg Tablet 660 660 60 60 600 0
11 Amlodipin 5 mg Tablet 700 700 200 200 500 300
12 Amoksisilin kapsul 250 mg Kapsul 0 0 0 0 0
13 Amoksisilin kaplet 500 mg Kaplet 700 700 1400 1100 1100 300 1000
14 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 114 114 22 22 92 0

15 Antasida DOEN I tablet kunyah Tablet 0 0 0 0 0

Botol
16 Antasida DOEN Sirup 0 0 0 0 0
60ml
Anti Bakteri DOEN salep kombinasi: Tube 0 0 0 0 0
17
Basitrasin 500 IU/g + Polimiksin 10.000 IU/g
Antifungi DOEN Kombinasi:
18 Pot 0 0 0 0 0
19 Antihemoroid DOEN kombinasi : Supp 40 40 0 40 0
20 Aqua Pro Injeksi Ampul 0 0 0 0 0
21 Asam asetilsalisilat (Asetosal)100 mg Tablet 0 0 0 0 0
22 Asam Askorbat (Vitamin C) tablet 25 mg Tablet 0 0 0 0 0
23 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 800 800 300 300 500 300
24 Asam Folat Tablet 0 0 0 0 0
25 Asam Mefenamat kaplet 500 mg Kaplet 1200 1200 700 700 500 500
26 Asam Traneksamat Tablet 0 0 0 0 0
27 Azitromicyn Tablet 0 0 0 0 0
28 Bedak salicil Pot 66 66 7 6 13 53
29 Benzatin Penisilin 2,4 juta IU/vial vial 0 0 0 0 0
30 Betahistin 6 mg Tablet 0 0 0 0 0
31 Betametason krim 0.5 % (sebagai Valerat) Tube 0 0 0 0 0
32 Calcii Gluconas Ampul 0 0 0 0 0
34 Ceterizine 10 mg Tablet 600 400 1000 100 100 900 0
35 Ceterizine syrup Botol 16 16 6 6 10 25
36 CHLODINE 0,5 % b/v Hand Rub 5 L Botol 2 2 0 2
 PERSEDIAAN PEMAKAIAN
KELAS POSKESDES
NO NAMA OBAT
TERAPI
SATUAN STOK PUSTU POLINDES SISA STOK PERMINTAAN PEMBERIAN KET
PENERIMAAN PERSEDIAAN KAMAR OBAT PUSKEL KANAPA- JUMLAH
AWAL Tanailandu dahiango
NAPA
1 2 3 4 5 6 7 = 5+6 8 9 10 11 12 13 = 8+9+10+11+12 14 = 7 - 13 15 16 17
37 Deksametason injeksi i.v. 5 mg/ml Ampul 64 64 0 64 0
38 Deksametason tablet 0,5 mg Tablet 1500 1500 500 500 1000 0
39 Desoksimetasone 0,25 krim 15 gr Tube 0 0 0 0 0

40 Diazepam 2,5 mg Tablet 0 0 0 0 0

41 Difenhidramin injeksi i.m. 10 mg/ml (HCl) Ampul 60 60 60 60 0 0 60 exp

42 Domperidon syrup Botol 0 0 0 0 0
43 Domperidon tab 10 mg Tablet 0 300 300 60 60 240 0
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai
44 Ampul 0 0 0 0 0
HCl)
45 Erytromicyn 500 mg Kapsul 0 0 0 0 0
46 Erytromicyn syrup Botol 0 0 0 0 0
botol
47 Etakridin ( Rivanol) 4 5 9 3 3 6 0
300ml
Botol 100
48 Etanol 0 0 0 0 0
ml
Btl, 1000
49 Etanol 0 0 0 0 0
ml
50 Euthyrox Tablet 0 0 0 0 0
51 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 0 0 0 0 0
52 Fenobarbital tablet 30 mg Tablet 1000 1000 0 1000 0
53 Fitomenadion (Vit.K1) 10 mg Tablet 0 0 0 0 0
54 Fitomenadion (Vitamin K1) injeksi 10 mg/ml Ampul 0 0 0 0 0
55 Furosemid 40 mg Tablet 0 0 0 0 0
Garam Oralit I serbuk, kombinasi :
56 Sachet 300 300 0 300 0
57 Gentamicyn salep Mata Tube 24 24 24 24 0 24 24 exp
58 Gentamicyn tetes mata Botol 10 10 10 10 0 24 10 exp
59 Gentamisin injeksi 40 mg/ ml Ampul 25 25 0 25 0
60 Gentamisin salep kulit 0.1% Tube 50 50 0 50 0
61 Glibenklamida tablet 5 mg Tablet 0 0 0 0 0
62 Glimepirid 4 mg Tablet 200 200 0 200 0
63 Glukodex Tablet 0 0 0 0 0
64 Glukosa larutan infus 5 % steril btl 500 ml 0 0 0 0 0
65 Griseofulvin tablet 125 mg Tablet 1400 1400 100 100 1300 0
66 Guaifenesin Tablet 800 1000 1800 200 200 1600 0
67 Halloperidol 5 mg Tablet 0 0 0 0 0
68 Halloperidol 1,5 mg Tablet 0 0 0 0 0
69 Hidroklorotiazida tablet 25 mg Tablet 2100 2100 0 2100 0
70 Hidrokortison krim 2,5 % Tube 62 62 14 14 48 0
71 Ibuprofen syrup Botol 45 45 0 45 0
72 Ibuprofen tablet 200 mg Tablet 200 200 100 100 100 700
73 Ibuprofen tablet 400 mg Tablet 800 800 200 200 600 0
74 Kalsium Lactat (kalk) 500mg Tablet 1100 1100 200 200 900 0
75 Kaptopril tablet 12,5 mg Tablet 0 0 0 0 0
76 Kaptopril tablet 25 mg Tablet 100 100 0 100 300
77 Kaptopril tablet 50 mg Tablet 0 0 0 0 0
 PERSEDIAAN PEMAKAIAN
KELAS POSKESDES
NO NAMA OBAT
TERAPI
SATUAN STOK PUSTU POLINDES SISA STOK PERMINTAAN PEMBERIAN KET
PENERIMAAN PERSEDIAAN KAMAR OBAT PUSKEL KANAPA- JUMLAH
AWAL Tanailandu dahiango
NAPA
1 2 3 4 5 6 7 = 5+6 8 9 10 11 12 13 = 8+9+10+11+12 14 = 7 - 13 15 16 17
78 Erlamycetin tetes telinga Botol 0 0 0 0 24
79 Ketokonazol cream 10 gr Tube 0 0 0 0 0
80 Ketokonazol tablet 200 mg Tablet 400 400 150 150 250 0
81 Ketorolac inj. Ampul 0 0 0 0 0
82 Kloramfenikol salep mata 1% Tube 0 0 0 0 0
83 Kloramfenikol syrup Botol 0 0 0 0 0
84 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 1300 1300 700 700 600 400
85 Klorpromazin tablet salut 100 mg (HCl) Tablet 0 0 0 0 0
86 Klorpromazin inj 5 mg/ml Ampul 0 0 0 0 0
87 Klorpromazin tab salut 25 mg Tablet 0 0 0 0 0
88 Kombinasi ergotamin 1 mg + kafein 50 mg tab Tablet 0 0 0 0 0
89 Kotrimoksazol DOEN I (dewasa) Tablet 700 700 100 100 600 0
90 Kotrimoksazol DOEN II (pediatrik) Tablet 0 0 0 0 0
91 Kotrimoksazol Forte Kaplet 0 0 0 0 0
Kotrimoksazol Suspensi komb:
92 btl 60 ml 45 45 10 10 35 0
93 Lidocain inj 2% (HCl) Ampul 121 121 5 5 116 0
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
94 Ampul 95 95 15 15 80 0
80.000 - 2ml
95 Loperamid tablet 2 mg Tablet 800 800 800 800 0 500 800 exp
96 Loratadin tablet 10 mg Tablet 600 200 800 100 100 700 0
97 Magnesium Sulfat inj (IV) 20% - 25 ml Vial 0 0 0 0 0
98 Magnesium Sulfat inj (IV) 40% - 25 ml Vial 0 0 0 0 0
99 Metformin HCl tablet 500 mg Tablet 600 500 1100 0 1100 0
100 Metamizole tab Tablet 400 400 0 400 0
101 Metilergotamin Maleat 0,125 mg Tablet 400 400 0 400 0
102 Metilprednisolon 4 mg Tablet 500 500 1000 100 100 900 0
103 Metoklopramide inj 10 mg/2 ml Ampul 0 0 0 0 0
104 Metoklopramide tablet 10 mg Tablet 600 600 200 200 400 0
105 Metronidazol tablet 500 mg Tablet 700 200 900 200 200 700 0
106 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 62 62 0 62 0
107 Natrium Diklofenak tablet 25 mg Tablet 0 0 0 0 0
108 Natrium Diklofenak tablet 50 mg Tablet 700 300 1000 600 600 400 300
109 Natrium Klorida larutan infus 0,9 % btl 500 ml 0 0 0 0 0
110 Nifedipin tablet 10 mg Tablet 0 0 0 0 0
111 Nistatin tab salut 500000 IU/gr Tablet 0 0 0 0 0
112 Nistatin vaginal 100000 IU/gr Tablet 0 0 0 0 0

113 Obat Antituberkulosis FDC Kategori 1 paket 0 0 0 0 0

114 Obat Antituberkulosis FDC Kategori 2 paket 0 0 0 0 0

115 Obat Antituberkulosis FDC Kategori Anak paket 0 0 0 0 0
Paket /
116 Obat Antituberkulosis Kategori anak 0 0 0 0 0
dos
117 Oksitosin injeksi 10 IU/ml - 1 ml Ampul 0 30 30 5 5 25 0
118 OTSU MGSO4 20 % Ampul 0 0 0 0 0
119 OTSU MGSO4 40 % Ampul 30 30 0 30 0
 PERSEDIAAN PEMAKAIAN
KELAS POSKESDES
NO NAMA OBAT
TERAPI
SATUAN STOK PUSTU POLINDES SISA STOK PERMINTAAN PEMBERIAN KET
PENERIMAAN PERSEDIAAN KAMAR OBAT PUSKEL KANAPA- JUMLAH
AWAL Tanailandu dahiango
NAPA
1 2 3 4 5 6 7 = 5+6 8 9 10 11 12 13 = 8+9+10+11+12 14 = 7 - 13 15 16 17
121 Omeprazole Kap 20mg Kaplet 1000 1000 500 500 500 600
122 Papaverin Tablet 0 0 0 0 0
123 Paracetamol drip (infus) 1000 mg/100 ml Botol 0 0 0 0 0
124 Parasetamol drops btl 15 ml 0 0 0 0 0
125 Parasetamol sirup 120 mg / 5 ml btl 60 ml 122 122 27 27 95 0
126 Parasetamol tablet 500 mg Tablet 900 900 1800 1300 1300 500 1000
127 Pirantel pamoat susp. 125 mg/5ml Botol 50 50 0 50 0
128 Pirantel tablet score (base) 125 mg Tablet 0 0 0 0 0
129 Piridoksin (Vitamin B6) inj Ampul 0 0 0 0 0
130 Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 1200 1200 600 600 600 600
131 Piroksikam tablet 20 mg Tablet 0 0 0 0 0
132 Povidon Iodida larutan 10% btl 30 ml 0 0 0 0 0
133 Povidon Iodida larutan 10% btl 60 ml 33 33 3 3 30 0
134 Povidon Iodida larutan 10% btl 300 ml 0 0 0 0 0
135 Prednison tablet 5 mg Tablet 400 400 0 400 0
136 Primakuin tablet 15 mg Tablet 0 0 0 0 0
137 Ranitidin inj 25 mg/ml Ampul 22 100 122 1 1 121 0
138 Ranitidin tablet 150 mg Tablet 0 0 0 0 0

139 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul 1000 1000 0 1000 0

140 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 0 0 0 0 0

141 Ringer Laktat larutan infus btl 500 ml 19 19 19 19 0 0

142 Salbutamol 2 mg Tablet 500 500 0 500 0
143 Salbutamol tab 4 mg Tablet 600 600 0 600 0
144 Salbutamol Sulfate Syrup 2 mg/5 ml Btl 0 0 0 0
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Pot 24 24 24 24 0 0
145 Belerang endap 4%

146 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 45 45 6 6 39 0

147 Sefadroksil kapsul 500 mg Kapsul 500 500 300 300 200 300
148 Sefotaksim serbuk inj. 500 mg vial 0 0 0 0 0
Sianokobalamin (vitamin B12) injeksi 500
149 Ampul 0 0 0 0 30
mcg
150 Sianokobalamin (vitamin B12) tab Tablet 400 700 1100 200 200 400 700 0
151 Simvastatin tablet 10 mg Tablet 700 300 1000 0 1000 0
152 Simvastatin tablet 20 mg Tablet 0 0 0 0 0
153 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 2100 2100 100 100 2000 0
154 Tablet tambah darah Sachet 6700 6700 500 300 200 100 1100 5600 0
155 Tetagam inj 250 IU (i.m) Vial 0 0 0 0 0
156 Tetrasiklin kapsul 250 mg Kapsul 0 0 0 0 0
157 Tetrasiklin kapsul 500 mg Kapsul 0 0 0 0 0
Tiamin (Vitamin B1) tablet 50 mg (HCl/
158 Tablet 1000 1000 200 200 800 0
Nitrat)
159 Vitamin B Kompleks tablet Tablet 600 500 1100 100 100 1000 0
160 Zinc tablet 20 mg Tablet 600 300 900 100 100 800 0
 PERSEDIAAN PEMAKAIAN
KELAS POSKESDES
NO NAMA OBAT
TERAPI
SATUAN STOK PUSTU POLINDES SISA STOK PERMINTAAN PEMBERIAN KET
PENERIMAAN PERSEDIAAN KAMAR OBAT PUSKEL KANAPA- JUMLAH
AWAL Tanailandu dahiango
NAPA
1 2 3 4 5 6 7 = 5+6 8 9 10 11 12 13 = 8+9+10+11+12 14 = 7 - 13 15 16 17
161 Becefort tablet 900 200 1100 0 900 0
162 Zink syrup Botol 13 13 5 5 8 0
163 furosemide tab.40 mg tablet 0 0 0 0 0
164 furosemide injeksi 10 mg/ml ampul 0 0 0 0 0
165 acetil cysteine/N-asetil 200mg kapsul 800 800 240 240 560 200
166 Betafort Syr Botol 8 50 58 10 10 48 0
167 Fibumin Botol 40 40 0 40 0
168 DHP-FRIMAL Tablet 0 0 0 0 0
169 Albendazole Tablet 0 0 0 0 0
170 Mineral Mix, kombinasi Sachet 0 0 0 0 0
171 Griseofulvin tablet 500 mg Tablet 0 0 0 0 0
172 Levothyroxine tab 100 mcg Tablet 0 0 0 0 0
173 Phenol Glycerol Botol 36 36 26 26 10 30
174 Ethylclorida Botol 3 2 5 2 2 3 0
175 Oxytetracyclin 3% Salep Kulit Tube 90 90 40 40 50 0
176 Quinine(kina) 200 mg Tablet 0 0 0 0 0
177 Oxytetracyclin 1% Salep Mata Tube 0 0 0 0 0
178 Diazepam injeksi 5 mg/ml Ampul 19 19 1 1 18 0
179 Salep Whitfield Pot 41 41 10 10 31 0
180 Rivanol 300 ml botol 0 0 0 0 0
181 SteriOne 500 ml, Spray Botol 8 8 0 8 0
182 Ambroxol Syrup Botol 0 0 0 0 20
182 Diazepam enema 5 mg/2,5 ml, Tube 12 12 0 12 0
* Perbekalan Kesehatan
183 Alat Suntik Sekali Pakai 1 ml Set 247 247 20 20 227 0
184 Alat Suntik Sekali Pakai 2,5 ml Set 110 100 210 0 210 0
185 Alat Suntik Sekali Pakai 3 ml Set 170 200 370 120 5 125 245 0
186 Alat Suntik Sekali Pakai 5 ml Set 159 159 42 42 117 0
187 Cat Gut No 3/0 Set 28 24 52 9 9 43 0
188 Fixomull Pcs 0 0 0 0 0
189 Foley Catheter no.18 Pcs 0 0 0 0 0
190 Folley Catheter no. 16 Pcs 0 0 0 0 0
191 Hands Scoen No. 7 Set 0 0 0 0 0
192 Hands Scoen No. 7,5 Set 0 0 0 0 0
193 Handscoen L kotak 6 6 2 2 4 5
194 Handscoen M kotak 7 5 7 8 1 9 3 5
195 Handscoen S kotak 0 5 5 1 1 4 1
196 Infus Set Anak Set 0 0 0 0 100
197 Infus Set Dewasa Set 85 100 185 0 185 0
198 Iodium Test set 0 0 0 0 0
199 IV Catheter No. 18 G Set 0 0 0 0 0
200 IV Catheter No. 20 G Set 50 50 100 15 15 85 0
201 IV Catheter No. 22 G Set 50 50 28 28 22 100
 PERSEDIAAN PEMAKAIAN
KELAS POSKESDES
NO NAMA OBAT
TERAPI
SATUAN STOK PUSTU POLINDES SISA STOK PERMINTAAN PEMBERIAN KET
PENERIMAAN PERSEDIAAN KAMAR OBAT PUSKEL KANAPA- JUMLAH
AWAL Tanailandu dahiango
NAPA
1 2 3 4 5 6 7 = 5+6 8 9 10 11 12 13 = 8+9+10+11+12 14 = 7 - 13 15 16 17
202 IV Catheter No. 24 G Set 70 50 120 31 31 89 0
203 Kapas Berlemak 250 gram Bungkus 0 0 0 0 0
204 Kapas Berlemak 500 gram Bungkus 0 0 0 0 0
205 Kapas Pembalut 500 gram Bungkus 0 0 0 0 0
206 Kasa 4 x 3 cm Rol 175 175 0 175 0
Kotak 16
207 Kasa steril 16 X 16 9 9 8 8 1 20
lembar
208 Kasa Hidrofil 4 x 10 cm Roll 50 50 40 40 10 40
Kotak 12
209 Kasa steril 16 X 16 70 50 120 50 50 70 50
lembar
210 Kasa Hidrofil 4 x 15 cm Rol 55 55 5 5 50 0
211 Kasa Hidrofil 2 m x 80 cm Rol 82 82 1 82 0
212 Leukoplast 1625H(3x5) Roll 0 0 0 0 0
213 Alat suntik 0,5 ml Set 0 0 0 0 0
214 Mask Plus 3 Ply Plus Earloop Kotak 2 10 12 6 6 6 3
215 Plesterin non woven roll 5cm x 5 m roll 0 0 0 0 0
216 Plester 5 yard x 2 inchi Rol 11 11 9 9 2 15
217 Silk No. 3/0 dgn jarum bedah Set 0 0 0 0 0
218 Urin Bag Set 5 5 0 5 0
219 Sarung tangan obgyn steril M set 25 25 0 25 0
220 PROTOS LATEX EXA SIZE L box 0 0 0 0
221 Kaca Slide Pcs 0 0 0 0 0
222 Box Septic Box 25 25 0 25 0
223 Umbilical cord klem steril nylon kotak 6 6 0 6 0
224 RDT malaria test 0 0 0 0 0
225 Masker Box 0 0 0 0 0
226 Masker N95 Box 2 2 0 2 0
227 Non woven Fixation / 10 cm x 10 m Pcs 0 0 0 0 0
228 Non woven Fixation / 5 cm x 10 m Pcs 0 0 0 0 0
229 Pot Dahak Pot 0 0 0 0 0
230 Dermafix S IV Roll 0 0 0 0 0
231 Choronacare Ultrasound Gel Botol 7 7 2 2 5 0
232 Hand Sanitizer Gel Botol 21 21 3 3 18
233 Sabun Anti Bakteri 500 ml + dispenser Botol 0 0 0 0 0
234 Kasa Hidrofil 3,,6 m x 10 cm Roll 0 0 0 0 0
235 Box Object Glass Box 0 0 0 0 0
236 Silk BLACK 4/0 DS 16 MM Sachet 0 0 0 0 0
237 U Pad steril Pieces 0 0 0 0 0

* Jenis obat dapat ditambahkan bila belum tercantum dalam daftar

* Obat PKD Kanapa - napa, 31 Juli 2024
* Obat Buffer

Mengetahui / Menyetujui :
 PERSEDIAAN PEMAKAIAN
KELAS POSKESDES
NO NAMA OBAT
TERAPI
SATUAN STOK PUSTU POLINDES SISA STOK PERMINTAAN PEMBERIAN KET
PENERIMAAN PERSEDIAAN KAMAR OBAT PUSKEL KANAPA- JUMLAH
AWAL Tanailandu dahiango
NAPA
1 2 3 4 5 6 7 = 5+6 8 9 10 11 12 13 = 8+9+10+11+12 14 = 7 - 13 15 16 17
Kepala UPTD Puskesmas Kanapa - napa Petugas Gudang Obat Puskesmas

JOB JEKI HAKIMAN, S.Kep.,NS MUHAMMAD AZHARI. S, S.Farm., Apt

NIP. 19870927 201001 1 007 NIP. 199709172024211001