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35.kutabumi-1

The document is an inventory list of medical supplies and medications at a public health center (puskesmas) in 2017. It includes 54 items of medical equipment with their beginning stock levels, and lists various categories of medications - including antibiotics, analgesics, antipyretics, anti-inflammatories, digestives, antispasmodics, and laxatives - with the name of each medication and its form (tablet, capsule, etc.), beginning stock level. The purpose is to track the usage of medical supplies and medications at the public health center over the course of the year.

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oktasani
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
32 views186 pages

35.kutabumi-1

The document is an inventory list of medical supplies and medications at a public health center (puskesmas) in 2017. It includes 54 items of medical equipment with their beginning stock levels, and lists various categories of medications - including antibiotics, analgesics, antipyretics, anti-inflammatories, digestives, antispasmodics, and laxatives - with the name of each medication and its form (tablet, capsule, etc.), beginning stock level. The purpose is to track the usage of medical supplies and medications at the public health center over the course of the year.

Uploaded by

oktasani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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PEMAKAIAN OBAT DINKES PUSKESMAS ...........................

TAHUN 2017

STOK
NO NAMA OBAT SATUAN
AWAL

1 Persediaan Bahan Pakai Habis


Persediaan Peralatan Kesehatan
1 Abbocath jarum infus 18 pieces 0
2 Abbocath jarum infus 20 pieces 0
3 Abbocath jarum infus 22 pieces 0
4 Abbocath jarum infus 24 pieces 0
5 Abbocath jarum infus 26 pieces 0
6 Alat Puyer Set 0
7 Alat suntik 0.05 cc pieces 0
8 Alat suntik 0.5 cc pieces 0
9 Alat suntik 1 cc pieces 300
10 Alat suntik 3 cc pieces 300
11 Alat suntik 5 cc pieces 0
12 Alat suntik 10 cc pieces 0
13 Alat suntik 20 cc pieces 0
14 Bisturi pieces 0
15 Blood Set Set 0
16 Catgut benang bedah no 2/0-3/0 pieces 0
17 Catgut benang bedah no 3/0 Roll 0
18 foley Catheter pieces 0
19 Hand Scond pieces 0
20 Infus set anak pieces 0
21 Infus set dewasa pieces 0
22 Jarum Hecting Kulit pieces 0
23 Jarum Hecting Otot pieces 0
24 Kaca Sediaan pieces 0
25 Kapas pembalut 250 mg Bungkus 0
26 Kasa Hidrofil 36 m x 80 cm Roll 0
27 Kasa Hidrofil Steril Kotak 0
28 Kasa Pembalut Hidrofil 4 x 10 cm Roll 0
29 KasaPembalut Hidrofil 4 x 5 Roll 0
30 Kertas Puyer pieces 0
31 Masker pieces 350
32 Nelaton catheter pieces 9
33 Pembalut gips Roll 0
34 Plester 5 yard x 2 inch Roll 0
35 Plester kertas / MICROPORE pieces 3
36 Pot Sputum pot 6000
37 Safety Box pieces 0
38 Sarung Tangan Panjang Steril pieces 0
39 Silk ( Benang sutera ) no 3/0 pieces 0
40 Underpad pieces 0
41 Urine Bag ( Non Seteril ) pieces 0
42 Wing needle pieces 0
43 Lidi button pieces 0
44 Masker N95 8210 pieces 0
45 Masker nebulizer Anak pieces 0
46 Masker nebulizer dewasa pieces 0
47 NGT pieces 0
48 Oxigen nasal canule anak dan dewasa pieces 0
49 Plastik klip 7 x 10 pieces 0
50 Plastik klip 8 x 13 pieces 0
51 Pot Urine pot 0
52 Pot Fesses pot 0
53 Disposible Lancet pieces 0
54 Pen Lancet pieces 0
55 Catgut Chromic SMI 2/D DS 24 mm pieces 0
56 Catgut Chromic SMI 3/D DS 26 mm pieces 12
57 Catgut Plain SMI 2/D DS 24 mm pieces 12
58 Catgut Plain SMI 3/D DS 24 mm pieces 0
0 0
2 Persediaan Bahan/Material
Bahan Obat-obatan 0 0

OBAT PKD 0 0
A ANTIBIOTIKA 0 0
1 Amoksilin kapsul 250 mg Kapsul 6000
2 Amoksilin tab 500 mg Tablet 2927
3 Amoksisilin s kering 125 mg / 5 cc 60 Ml Botol 144
4 Amoksisilin s kering 250 mg / 5 cc 60 Ml Botol 0
5 Asiklovir tab 200 gr Tablet 1450
6 Asiklovir tab 400mg Tablet 865
7 Azitromisin 500 mg Tablet 970
8 Benzatin Benzil penisilin Vial 0
9 Cefixim 100 mg kapsul kapsul 0
10 Cefixime DS 100 mg/ 5ml Botol 0
11 Doksisiklin kapsul 100 mg Kapsul 110
12 Erytromisin sirup 60 Ml 200mg/5ml Botol 0
13 Erytromycin 250 mg Tablet 0
14 Erytromycin 500 mg Tablet 0
15 Fenoksimetil Penisilin tablet 250 mg Tablet 0
16 Fenoksimetil Penisilin tablet 500 mg Tablet 0
17 Flukonazol kapsul 150 mg Kapsul 740
18 Griseofulvin tablet 125 mg micronized Tablet 0
19 Ketokonazol tablet 200 mg Tablet 0
20 Klindamisin Kapsul 150 mg Kapsul 0
21 Klindamisin Kapsul 300 mg Kapsul 0
22 Kloramfenikol kapsul 250 mg Kapsul 270
23 Kloramfenikol sirup 60 Ml Botol 0
24 Kotrimoksazol Suspensi 60 Ml 40mg/5ml Botol 0
25 Kotrimoksazol Tablet Dewasa Tablet 1926
26 Kotrimoksazol Tablet paed Tablet 0
27 Lincomysin 500 mg Kapsul 0
28 Metronidazol tablet 500 mg Tablet 0
29 Nistatin drop / Mycostatin, candistin, Nymiko Botol 0
30 Nistatin tablet salut gula 500.000 IU/g Tablet 253
31 Nistatin tablet vagina 100.000 IU/g Tablet 500
32 Sefadoksil 500 mg Tablet 0
33 Sefadoksil syrup 125ml/5ml Botol 0
34 Sefadoksil syrup 250ml/5ml Botol 0
35 Seftriaxsone 1 gr inj Vial 0
36 Siproploksasin tab 500 mg Tablet 0
37 Streptomycin inj 1 gram Vial 0
38 Tetrasiklin Kapsul 250 mg Kapsul 0
39 Tetrasiklin Kapsul 500 mg Tablet 0
40 Tiamfenikol kap 500 mg Tablet 0
B ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI 0 0
1 Alopurinol tablet 100 mg Tablet 300
2 Alopurinol tablet 300 mg Tablet 0
3 Antalgin ( Metampiron ) inj 250 mg/ 5 cc Ampul 0
4 Asam Mefenamat 250 Kapsul 0
5 Asam Mefenamat 500 Tablet 0
6 Asetosal Tablet 80 mg (Aspilet) Tablet 170
7 Ibuprofen Supp Supp 0
8 Ibuprofen Suspensi 200mg/5ml Botol 0
9 Ibuprofen tablet 200 mg Tablet 0
10 Ibuprofen tablet 400 mg Tablet 2000
11 Kalium Diclofenak 50 mg Tablet 200
12 Ketoprofen Inj Ampul 0
13 Meloksixam tablet 15 mg Tablet 0
14 Natrium Diclofenac tab 50 mg Tablet 0
15 Parasetamol 100 mg Tablet 0
16 Parasetamol Drop 15 ml Botol 0
17 Parasetamol sirup 120 mg / 5ml (60 Ml) Botol 0
18 Parasetamol tablet 500 mg Tablet 13250
19 Tramadol tablet 50 mg Tablet 50
C DIGESTIVA 0 0
1 Antasida DOEN komb Tablet 7881
2 Antasida sirup 60 Ml Botol 0
3 Lacto B Sachet 0
4 Mesoprostol 200 mg Tablet 0
5 Natrium Bikarbonat tablet 500 mg Tablet 0
6 Omeprazole 20 mg Kapsul 0
7 Ranitidin inj 25 mg/2ml Ampul 0
8 Ranitidin tablet 150 mg Tablet 633
9 Sucraflat sirup Botol 0
10 Vitazym tab Tablet 0
D ANTISPASMODIK 0 0
1 Chlordiazepoxide (Braxidin) Tablet 0
2 Ekstrak Belladon tablet 10 mg Tablet 0
3 Hyoscine-N-Butilbromida/Buscopan tablet Tablet 0
4 Buscopan Inj Ampul 0
5 Papaverin tablet Tablet 707
6 Spasminal Tablet 0
E LAKSATIVA 0 0
1 Bisacodil Tablet 5 mg Tablet 98
2 Bisacodil Tablet 5 mg Suppositoria Suppos 0
3 Laktulosa Syr 3,335g/5ml / Laktulak syrup Botol 0
F ANTIDIARE & ELEKTROLIT 0 0
1 Anti Diare Anak Tablet 450
2 Anti Diare Dewasa Tablet 202
3 Garam Oralit 200 ml air Sachet 0
4 Norit Tablet 0
G ANTIEMESIS 0 0
1 Dimenhidrinat tab 50 mg Tablet 100
2 Domperidon 10 mg tablet Tablet 75
3 Domperidon suspensi 5 mg/ml Botol 23
4 Metoclopramid Inj Ampul 0
5 Metoclopramid Syrup Botol 0
6 Metoclopramid 10 mg Tab Tablet 0
7 Ondansetron injeksi Ampul 0
8 Ondansetron tablet 4 mg Tablet 0
H OBAT METABOLISME (VITAMIN&MINERAL) 0 0
1 Asam Askorbat (VIT C) Tablet 50 mg Tablet 0
2 Asam folat 1 mg Tablet 0
3 Kalsium laktat (Kalk) tablet 500 mg Tablet 0
4 Multivitamin anak 60 Ml Botol 22
5 Multivitamin dewasa Tablet 0
6 Neurobion 5000 injeksi Ampul 0
7 Phitonadione pead injeksi Ampul 0
8 Piracetam 800 mg Tablet 0
9 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 700
10 Sianokobalamin inj 500 mcg/ml-1ml Ampul 0
11 Sianokobalamin tab b12 Tablet 348
12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Ampul 0
13 Tiamin HCL (Vit B1) tablet 50 mg Tablet 500
14 Vitamin B komplek Inj Ampul 0
15 Vitamin B komplek tab Tablet 0
I ANTI ASMA 0 0
1 Aminofilin inj 24 mg / cc Ampul 0
2 Aminofilin tab 200 mg Tablet 0
3 Bisolvon drop Botol 0
4 Bricasma Inj Ampul 0
5 Efedrin HCl tablet 25 mg Tablet 0
6 Salbutamol tablet 4 mg Tablet 408
7 Salbutamol inhalasi ( Ventolin ) Nebule 0
J ANTITUSIVE & EKSPEKTORAN 0 0
1 Ambroksol sirup 60 ml Botol 0
2 Ambroksol tablet Tablet 0
3 Bromhexin tablet 8 mg Tablet 0
4 Dektrometorfan Tablet Tablet 0
5 Dektrometorfan sirup 10 mg/5 ml-60 Ml Botol 0
6 Gliseril Guayakolat tablet 100 mg Tablet 0
7 Kodein fosfat tablet 10 mg Tablet 0
8 Obat batuk anak 60 Ml / bromhexin sirup Botol 0
9 Obat batuk Hitam (OBH) Cairan -100 ml Botol 0
K ANTI ANEMIA 0 0
1 Tambah darah komb : Besi + as folat Tablet 21450
L HEMOSTATIK 0 0
1 Asam Traneksamat 250mg/5ml Ampul 0
2 Asam Traneksamat 250 MG Tablet 0
3 Fitomenadion (Vit K1) inj 10 mg / ml-1ml Ampul 0
4 Fitomenadion (Vit K1) tablet gula 10 mg Tablet 0
M ANTIALERGI/IMUNOLOGIKUM 0 0
1 Anti Histamin/Loratadin Tablet 220
2 Cetirizin sirup 5 mg/5ml 60 ml Botol 22
3 Deksametason inj 5 mg/ml 1 ml Ampul 0
4 Deksametason Tablet 0,5 mg Tablet 754
5 Difenhidramin inj 10 mg/5 ml-1 ml Ampul 0
6 Klorfeniramin maleat (CTM) tablet 4 mg Tablet 0
7 Methylprednisolon 4 mg tablet Tablet
8 Prednison tab 5 mg Tablet 1684
N ANTIKONVULSI/ANTIPARKINSON 0 0
1 Alprazolam tablet 0,5 mg Tablet 0
2 Amitriptilin HCl tab 25 mg Tablet 0
3 Fenitoin Na inj 50 mg/ml-2ml Ampul 0
4 Fenitoin Natrium kapsul 100 mg Kapsul 0
5 Flufenazin inj Ampul 0
6 Karbamazepin tablet 200 mg Tablet 0
7 Triheksifenidil Tablet 2 mg Tablet 180
O ANTIDEPRESAN 0 0
1 Diazepam inj 5 mg/ml - 2 ml Ampul 0
2 Diazepam tablet 2 mg Tablet 0
3 Fenobarbital inj 50 mg/ml-2ml Ampul 0
4 Fenobarbital tablet 30 mg Tablet 0
5 Haloperidol injeksi Ampul 0
6 Haloperidol 5 mg Tab Tablet 0
7 Klorpromazin HCl inj 5 mg/2cc Ampul 0
8 Klorpromazin HCl 100 mg Tablet 0
9 Risperidone 2 mg Tablet 0
10 Stesolid Rectal Supp 0
P ANTIMIGREN 0 0
1 Antimigren DOEN tab Tablet 0
2 Betahistin Mesilat tab 6 mg Tablet 0
Q ANTIDIABETIKUM 0 0
1 Glibenklamid tablet 5 mg Tablet 0
2 Glimepirida 1 mg Tablet 100
3 Metformin Tablet 350
R OBAT KULIT & OBAT LUAR 0 0
1 Asiklovir krim 5 % 5 gr Tube 0
2 Antibakteri DOEN salep komb Tube 25
3 Antifungi DOEN kombinasi salep Pot 25
4 Betametason krim 0,1 % Tube 0
5 Burnazin cream Tube 0
6 Chloramfecort Krim Tube 0
7 Gentamisin salep kulit Tube 0
8 Gentian violet lar 1 % Botol 24
9 GOM Botol 0
10 Hidrokortison krim 2,5 % Tube 48
11 Kassa Penutup luka/lomatule Pieces 0
12 Ketokonazol (cream)10 gr Tube 0
13 Mikonazol krim Tube 86
14 Obat Luka Bakar Tube 0
15 Oksitetrasiklin 3% salep kulit Tube 0
16 Polikresulen ( Albothyl ) Botol 0
17 Salep 2-4 Pot 96
18 Salisil bedak 2 % Kotak 84
19 Scabiecid cream Tube 0
20 Trombophop salep Tube 0
S OBAT TELINGA 0 0
1 Fenol Glicerol Cair Botol 24
2 Kloramfenikol tetes telinga 3 % Botol 20
T OBAT MATA 0 0
1 Atropin sulfat tetes mata 0,5 % Botol 0
2 Cendoxitrol Tetes Mata Botol 0
3 Gentamisin tetes mata Botol 17
4 Kloramfenikol salep mata 1 % Tube 0
5 Obat edema kornea tetes mata/Optalgon Botol 0
6 Oksitetrasiklin salep mata Tube 0
7 Sulfasetamida Na tetes mata Botol 0
8 Tetracain Hcl 0,5 % Tetes Mata Botol 0
9 Timolol 0,5 % Tetes mata Botol 0
U ANTIHAEMORRHOID 0 0
1 Anti Hemoroid DOEN supp Supp 159
2 Anti Hemoroid kapsul Kapsul 0
V KARDIOVASKULUS/ ANTIHIPERTENSI 0 0
1 Amlodipin 5 mg Tablet 0
2 Aspar K Tablet 0
3 Bisoprolol 5 mg Tablet 0
4 Digoksin tablet 0,25 mg Tablet 0
5 Isorbid dinitrat tablet sublingual 5 mg Tablet 40
6 Kaptopril 25 mg Tablet 817
7 Kaptopril 12.5mg Tablet 2199
8 Metildopa/dopamet Tablet 155
9 Nifedipin 10 mg tab Tablet 77
10 Nifedipin 20 mg tab Tablet 0
11 Propanolol HCl tablet 10 mg Tablet 170
12 Reserpin tab 0,25 mg Tablet 0
13 Tensi Gard Tablet 0
W DIURETIKUM 0 0
1 Furosemid tablet 40 mg Tablet 28
2 Hidroklortiazid (HCT) tablet 25 mg Tablet 1167
3 Nefrolit kapsul Kapsul 0
X OKSITOSIKUM 0 0
1 Metilergometrin maleat inj 0,200 mg - 1 ml ampul 0
2 Metilergometrin maleat tab salut 0,125 mg Tablet 0
3 Oksitoksin inj 10 IU/ml - 1 ml ampul 0
4 Syntocinon ampul 0
Y ANTILIPIDEMIKUM 0 0
1 Simvastatin Tablet 10 mg Tablet 0
Z HORMON 0 0
1 Propiltiourasil tablet 100 mg Tablet 300
AA SYOK ANAFILAKTIK 0 0
1 Epinefrin / adrenalin inj 0,1 % - 1ml ampul 0
AB ANTELMINTIK 0 0
1 Pirantel tablet 125 Tablet 46
AC PELARUT & INFUS 0 0
1 Aqua pro inj steril @ 20 cc Botol 0
2 Cairan infus pengganti plasma/gelofusin Botol 0
3 Dekstran 70 lar infus 6 % Botol 0
4 Glukosa lar infus 10 % Botol 0
5 Glukosa lar infus 40 % Botol 0
6 Glukosa lar infus 5 % Botol 0
7 KN - 3B SOL/KK Botol 0
8 Magnesium sulfat inj 25 ml -20 % Ampul 0
9 Magnesium sulfat inj 25 ml -40 % ampul 0
10 Manitol 20 % Botol 0
11 Metronidazole infus 500 mg/100ml Botol 0
12 Natrium Klorida Lar.infus 0,9 % steril Botol 0
13 Parasetamol Infus Botol 0
14 Ringer Laktat Larutan Infus Steril Botol 80
15 Siproploksasin infus Botol 0
AD ANTISEPTIKA & DESINFEKTAN 0 0
1 Bayclin Botol 0
2 Etakridin ( rivanol ) lar 0,1 % 300 cc Botol 10
3 Etanol 70 %1000 ml Botol 0
4 Etanol 70 %100 ml Botol 0
5 Lisol 5 % Botol 0
6 Povidon Iodine 10 % 60 ml Botol 0
7 Povidon Iodine 10 % 300 ml Botol 0
AE KB 0 0
1 Depo progestin/suntik KB Botol 0
AF ANTI INFLUENZA 0 0
1 Obat batuk pilek anak 60 ml (Paracetamol, Botol 0
AG Fenileprin
SERUM Hidroklorida, CTM, Kalium 0 0
1 sulfoguaiakolat)
Serum anti tetanus inj 1.500 IU/amp Vial 0
2 Serum anti tetanus inj 20.000 IU/vial Vial 0
3 Serum antibisa ular Polivalen inj 5 ml Vial 0
AH LAIN-LAIN 0 0
1 Atropin sulfat inj 0,25 mg / ml-1ml ampul 0
2 Atropin Sulfat Tablet 0,5 mg Tablet 0
3 Calsium gluconas inj ampul 0
4 Lidokain Jelly Tube 0
5 Jelly USG Botol 0
6 Natrium tiosulfat inj ampul 0
7 Nalokson Inj 0,4 mg/ml Botol 0
8 Oxycan Botol 3
OBAT PROGRAM 0 0
AI ANTI MALARIA 0 0
1 Artemeter injeksi ampul 0
2 Arterakine tablet Tablet 0
3 Artesunate injeksi ampul 0
4 Kuinin Dihidroklorida injeksi 25%-2 ml ampul 0
AJ GIZI 0 0
1 Zinc suspensi 60 ml Botol 0
2 Mineral Mix Sachet 0
3 Pan entral Sachet 0
4 Retinol ( vit A ) kapsul 100.000 unit Kapsul 0
5 Retinol ( vit A ) kapsul 200.000 unit Kapsul 0
6 Taburia Sachet 0
AK FILARIASIS 0 0
1 Anti Filaria Tablet ( Dietyl Karbamazepin ) Tablet 0
2 Albendazol tab 400 mg Tablet 0
AL ANTI LEPRA 0 0
1 MB Dewasa Blister 0
2 MB Anak Blister 0
3 PB Dewasa Blister 0
4 PB Anak Blister 0
AM OBAT TBC 0 0
1 INH 100 mg Tablet 0
2 Obat Anti Tuberkulosis FDC Kat 1 & 3 Paket 15
3 Obat Anti Tuberkulosis FDC Kat 2 Paket 0
4 Obat Anti Tuberkulosis Kategori Anak Paket 0
5 Obat Anti Tuberkulosis Sisipan Paket 0
AN HEPATITIS 0 0
1 Vaksin HBIg / Hyperhep B Vial 0
AO VAKSIN 0 0
1 Vaksin BCG Vial 0
2 Vaksin Campak Vial 0
3 Vaksin DT Vial 0
4 Vaksin HB COM DPT Vial 0
5 Vaksin HB UNIJECT Syringe 0
6 Vaksin Polio Vial 0
7 Vaksin TT Vial 0
8 Vaksin TD Vial 0
9 Vaksin DPT HB HIB Vial 0
10 Polio IVP Vial 0
AP DENTAL 0 0
1 Air Raksa Dental Use Botol 0
2 Bonding Set 0
3 Carpul pieces 0
4 Celluloid strip pieces 0
5 Composite Set 0
6 Dentorit Botol 0
7 Descotan Forte (gigi) Botol 0
8 Devitalisasi Pasta (Non arsen) Botol 0
9 Etil klorida semprot 100 cc Botol 0
10 Etching/Extra gel Set 0
11 Eugenol Cairan Botol 0
12 Glass Ionomer Cement (GC IX) Botol 0
13 Jarum Citoject pieces 0
14 Kalsium Hidroksida pasta pieces 0
15 Lidokain inj komb ampul 120
16 Lining Cement pieces 0
17 Mata Bor pieces 0
18 Monoklorkamfer mentol cairan Botol 0
19 Mummifying Pasta Botol 0
20 Poles pieces 0
21 Semen seng fosfat serbuk cairan/Glas pieces 0
22 lonomer lineng semen
Serat pembeku darah pot 0
23 Silver amalgam serbuk 65-75 % Set 0
24 Spray pelumas handpiece Botol 0
25 Sulfa Stopping Fletcher(Fletcher) Set 0
26 Tissu steril pembersih alat gigi Botol 0
27 Topikal anestesi Botol 0
28 Trikresol formalin Botol 0
AQ Bahan Kimia 0 0
1 Hidrogen Peroksida (H2O2) Botol 0
2 Oil Imersi Botol 0
3 Oil Imersi Botol 0
4 Reagen Ziehl Neelsen Paket 0
5 Alkohol Swab pieces 0
6 PPD 2 TU Vial 0
7 Test Pack pieces 0
8 Stik Kolesterol pieces 0
9 Stik Asam Urat pieces 0
10 Stik Glukosa pieces 0
11 VIKIA HIV pieces 0
12 DI Anti HIV 1/2 pieces 0
13 Intec HIV III pieces 0
14 SD Bioline HIV Kit.1 Tes 0
15 Oncoprobe HIV.3 Tes 0
16 SD Bioline Shypilis Tes 0
17 RPR Shypilis (plasmatec) + RPR Component Tes 0
18 SD HbsAg Tes 0
AR Obat Tambahan 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
0
0
PENERIMAAN PERSEDIAAN JULI 2017
26 27 28 29 30 1

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 300
0 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
150 500 50
0 9
0 0
0 0
0 3
0 6000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 12
0 12
0 0
0 0

0 0

0 0
0 0
10000 16000
1700 4627 270 285 215 160 190
0 144 4 5 3 4 4
0 0
0 1450 10 10
100 965 10 10
0 970
0 0
0 0
0 0
100 210
50 50
100 100
100 100
0 0
0 0
0 740
100 100
100 100
100 100
150 150
0 270
0 0
0 0
3000 4926 110 100 70 120 80
0 0
0 0
0 0
20 20
0 253 3 10 3 5 6
0 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 300 40 40 16 106
0 0
0 0
0 0
0 0
0 170
0 0
0 0
0 0
0 2000
0 200
0 0
1500 1500
0 0
0 0
0 0
0 0
2000 15250 385 332 311 163
50 100
0 0
0 7881 42 66 48
0 0
0 0
0 0
0 0
300 300
0 0
200 833 18 10 24 12 42
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 707 5
0 0
0 0
0 98 5
0 0
0 0
0 0
0 450 40 20 65 47
0 202 20 20 110 20 10
0 0
0 0
0 0
0 100
0 75 5 10
200 223 1 6 1 1 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
96 118 6 1 1 1
500 500
0 0
0 0
0 0
700 1400 25 27 22
0 0
200 548 20 20 20 20 20
0 0
0 500
0 0
9400 9400
0 0
0 0
100 100
0 0
0 0
0 0
1200 1608 10 10 30 10
0 0
0 0
300 300 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 21450 100 120 360 190 120
0 0
0 0
0 0
0 0
0 0
0 0
300 520
10 32 1 2 3 2
0 0
0 754 134 60 24 131 108
0 0
0 0
300 300
8700 10384 113 78 92 70 60
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 180
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 30
0 0
1200 1200
100 200
500 850 10
0 0
70 70
25 50 5 5
0 25 5 1
0 0
0 0
0 0
0 0
24 48 2
0 0
0 48
0 0
0 0
0 86
0 0
0 0
0 0
0 96
0 84 1 2 2 2 6
0 0
0 0
0 0
0 24
0 20 2
0 0
0 0
0 0
0 17 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 159 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 40
1500 2317 10 30 65 60 70
2500 4699 40 60 20 60 140
100 255
0 77 15
0 0
0 170
0 0
0 0
0 0
0 28
0 1167 5 5
0 0
0 0
0 0
200 200
100 100
0 0
0 0
600 600 5 10 12 4
0 0
0 300
0 0
30 30
0 0
0 46
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
120 200
0 0
0 0
0 0
10 20
100 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 15
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
PEMAKAIAN HARIAN PUSKESMAS
AGU
2 3 4 5 6 7 8 9 10 11

50 50

100 100
450 420 500
80 185 250 220 150 200 120 120 100
1 3 5 4 7 2 3 3 2

10 10
10 10 10 10 10

10
10
10 10

130 140 80 130 150 124 140 150 119

8 3 3 5

60 38

60 60 74

339 175 311 168 347 341 363 451 481


10 10

84 51 71 18 76 56 72 24
28 201 18 46 54 30 54 60

50 10 20 40 16 10 40 20
10 12

10 6
6 6 6 6 6 6 2 6 10

2 2 1 2 3 3

36 33 13 18 15 14

20 25 15 18 15 20 25 30 10
170 160 130

91

40 20 10 8

5 4 5 12 10 3 1 5 6

210 350 120 330 370 360 160

2 1 1 3 4

65 24 22 25 91 14 7

132 126 94 140 163 286 97 148 230


40 20 10

10 20 20 10 20 30

5 5 5 5 5 5 5
1 1 1 2 3 3

2 5 5

2 3 4 2 3 4 6 4 1

2 1 2
2 2 1 2 1
1 1 1 1 2 3

3 3 3 3 5 3

30
30 20 50 50 30 90 86 30 40
50 60 30 50 140 80 120 30 80
10 10 10
20 10

50

10 10 10 15 5 3 1

10 10 10 10 10 10 10 20

3 3
RIAN PUSKESMAS
AGUSTUS 2017
12 13 14 15 16 17 18 19 20 21

50
420 450 450 430 450 500 500
82 100 150 110 190 200 100
3 3 2 6 3 5 4

20 10 10 13
10 20

5
150 120 93 152 120 20 123

5 10

31 54 18 12 24 24 427

30 6 30 36 30

370 480 379 450 440 470 465

72
12 60 12 18 6

5 20 10

10 20 1 1 3

9 6 9 7 6 12 11

10 20 30 30 30 23 32
40

112 227 189 335 210 200 106

5 10 5 15 10 10

30

1 4 3 2

18 11

201 260 195 286 270 280 180


20 10

10 20 10 20 10 20 20

5 2 2 3 1 5 2
5
5 1 2

2 2 1 5

4 2 7 3 5 5 5
2 2 1

40 50 40 40 20 20 40
110 120 140 60 120 40 323
10 10 10 20 10 10 10
5

6 6 21 5 5

25 20 30 50 30 15 20

5 3 2
RATA-RATA
TOTAL JUMLAH HARI PEMAKAIAN
22 23 24 25 PEMAKAIAN

0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
200 4 50
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
200 2 100
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!

0 0 #DIV/0!

0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
400 450 420 500 6340 14 453
130 145 95 120 3967 25 159
3 1 3 3 86 25 3
0 0 #DIV/0!
40 4 10
10 10 143 13 11
30 2 15
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
15 2 8
10 1 10
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
20 2 10
0 0 #DIV/0!
0 0 #DIV/0!
120 20 160 20 2741 25 110
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
61 11 6
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
300 6 50
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
53 6 18 12 873 14 62
0 0 #DIV/0!
0 0 #DIV/0!
18 58 24 48 280 9 31
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
694 500 450 435 9300 24 388
20 2 10
0 0 #DIV/0!
680 12 57
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
705 18 39
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
15 25 10 15 105 8 13
0 0 #DIV/0!
0 0 #DIV/0!
10 2 5
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
413 17 24
202 7 29
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
31 4 8
10 10 6 10 165 25 7
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
22 10 2
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
203 9 23
0 0 #DIV/0!
30 30 20 15 548 25 22
0 0 #DIV/0!
500 4 125
0 0 #DIV/0!
222 1692 9 188
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
138 8 17
0 0 #DIV/0!
0 0 #DIV/0!
10 10 146 19 8
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
2820 13 217
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
1 1 1 32 16 2
0 0 #DIV/0!
20 754 15 50
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
190 273 260 160 4384 25 175
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
100 5 20
0 0 #DIV/0!
10 20 10 10 280 18 16
0 0 #DIV/0!
3 3 26 9 3
50 10 5
25 11 2
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
24 8 3
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
8 1 2 84 24 4
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
5 3 2
10 6 2
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
1 17 11 2
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
40 8 5
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
30 1 30
60 95 85 80 1231 25 49
68 78 130 150 2299 25 92
10 15 135 12 11
50 4 13
0 0 #DIV/0!
50 1 50
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
107 14 8
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
35 30 15 24 415 23 18
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
16 5 3
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
PEMAKAIAN OBAT JKN PUSKESMAS ...........................
TAHUN 2017

STOK
NO NAMA OBAT SATUAN
AWAL

1 Persediaan Bahan Pakai Habis


Persediaan Peralatan Kesehatan
1 Abbocath jarum infus 18 pieces 0
2 Abbocath jarum infus 20 pieces 0
3 Abbocath jarum infus 22 pieces 0
4 Abbocath jarum infus 24 pieces 0
5 Abbocath jarum infus 26 pieces 0
6 Alat Puyer Set 0
7 Alat suntik 0.05 cc pieces 0
8 Alat suntik 0.5 cc pieces 0
9 Alat suntik 1 cc pieces 0
10 Alat suntik 3 cc pieces 0
11 Alat suntik 5 cc pieces 0
12 Alat suntik 10 cc pieces 0
13 Alat suntik 20 cc pieces 0
14 Bisturi pieces 0
15 Blood Set Set 0
16 Catgut benang bedah no 2/0-3/0 pieces 0
17 Catgut benang bedah no 3/0 Roll 0
18 foley Catheter pieces 8
19 Hand Scond pieces 0
20 Infus set anak pieces 0
21 Infus set dewasa pieces 0
22 Jarum Hecting Kulit pieces 0
23 Jarum Hecting Otot pieces 0
24 Kaca Sediaan pieces 0
25 Kapas pembalut 250 mg Bungkus 0
26 Kasa Hidrofil 36 m x 80 cm Roll 0
27 Kasa Hidrofil Steril Kotak 0
28 Kasa Pembalut Hidrofil 4 x 10 cm Roll 0
29 KasaPembalut Hidrofil 4 x 5 Roll 0
30 Kertas Puyer pieces 0
31 Masker pieces 0
32 Nelaton catheter pieces 0
33 Pembalut gips Roll 0
34 Plester 5 yard x 2 inch Roll 0
35 Plester kertas / MICROPORE pieces 0
36 Pot Sputum pot 0
37 Safety Box pieces 0
38 Sarung Tangan Panjang Steril pieces 0
39 Silk ( Benang sutera ) no 3/0 pieces 0
40 Underpad pieces 0
41 Urine Bag ( Non Seteril ) pieces 0
42 Wing needle pieces 0
43 Lidi button pieces 0
44 Masker N95 8210 pieces 0
45 Masker nebulizer Anak pieces 0
46 Masker nebulizer dewasa pieces 0
47 NGT pieces 0
48 Oxigen nasal canule anak dan dewasa pieces 0
49 Plastik klip 7 x 10 pieces 0
50 Plastik klip 8 x 13 pieces 0
51 Pot Urine pot 0
52 Pot Fesses pot 0
53 Disposible Lancet pieces 0
54 Pen Lancet pieces 0
55 Catgut Chromic SMI 2/D DS 24 mm pieces 0
56 Catgut Chromic SMI 3/D DS 26 mm pieces 0
57 Catgut Plain SMI 2/D DS 24 mm pieces 0
58 Catgut Plain SMI 3/D DS 24 mm pieces 0
0 0
2 Persediaan Bahan/Material
Bahan Obat-obatan 0 0

OBAT PKD 0 0
A ANTIBIOTIKA 0 0
1 Amoksilin kapsul 250 mg Kapsul 2000
2 Amoksilin tab 500 mg Tablet 0
3 Amoksisilin s kering 125 mg / 5 cc 60 Ml Botol 0
4 Amoksisilin s kering 250 mg / 5 cc 60 Ml Botol 0
5 Asiklovir tab 200 gr Tablet 0
6 Asiklovir tab 400mg Tablet 0
7 Azitromisin 500 mg Tablet 0
8 Benzatin Benzil penisilin Vial 0
9 Cefixim 100 mg kapsul kapsul 0
10 Cefixime DS 100 mg/ 5ml Botol 0
11 Doksisiklin kapsul 100 mg Kapsul 0
12 Erytromisin sirup 60 Ml 200mg/5ml Botol 0
13 Erytromycin 250 mg Tablet 0
14 Erytromycin 500 mg Tablet 0
15 Fenoksimetil Penisilin tablet 250 mg Tablet 0
16 Fenoksimetil Penisilin tablet 500 mg Tablet 0
17 Flukonazol kapsul 150 mg Kapsul 0
18 Griseofulvin tablet 125 mg micronized Tablet 0
19 Ketokonazol tablet 200 mg Tablet 0
20 Klindamisin Kapsul 150 mg Kapsul 0
21 Klindamisin Kapsul 300 mg Kapsul 0
22 Kloramfenikol kapsul 250 mg Kapsul 0
23 Kloramfenikol sirup 60 Ml Botol 0
24 Kotrimoksazol Suspensi 60 Ml 40mg/5ml Botol 0
25 Kotrimoksazol Tablet Dewasa Tablet 5000
26 Kotrimoksazol Tablet paed Tablet 0
27 Lincomysin 500 mg Kapsul 0
28 Metronidazol tablet 500 mg Tablet 0
29 Nistatin drop / Mycostatin, candistin, Nymiko Botol 0
30 Nistatin tablet salut gula 500.000 IU/g Tablet 0
31 Nistatin tablet vagina 100.000 IU/g Tablet 0
32 Sefadoksil 500 mg Tablet 0
33 Sefadoksil syrup 125ml/5ml Botol 0
34 Sefadoksil syrup 250ml/5ml Botol 0
35 Seftriaxsone 1 gr inj Vial 0
36 Siproploksasin tab 500 mg Tablet 0
37 Streptomycin inj 1 gram Vial 0
38 Tetrasiklin Kapsul 250 mg Kapsul 5060
39 Tetrasiklin Kapsul 500 mg Tablet 4350
40 Tiamfenikol kap 500 mg Tablet 0
B ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI 0 0
1 Alopurinol tablet 100 mg Tablet 0
2 Alopurinol tablet 300 mg Tablet 0
3 Antalgin ( Metampiron ) inj 250 mg/ 5 cc Ampul 0
4 Asam Mefenamat 250 Kapsul 0
5 Asam Mefenamat 500 Tablet 6098
6 Asetosal Tablet 80 mg (Aspilet) Tablet 0
7 Ibuprofen Supp Supp 0
8 Ibuprofen Suspensi 200mg/5ml Botol 0
9 Ibuprofen tablet 200 mg Tablet 0
10 Ibuprofen tablet 400 mg Tablet 0
11 Kalium Diclofenak 50 mg Tablet 0
12 Ketoprofen Inj Ampul 0
13 Meloksixam tablet 15 mg Tablet 0
14 Natrium Diclofenac tab 50 mg Tablet 0
15 Parasetamol 100 mg Tablet 0
16 Parasetamol Drop 15 ml Botol 0
17 Parasetamol sirup 120 mg / 5ml (60 Ml) Botol 0
18 Parasetamol tablet 500 mg Tablet 0
19 Tramadol tablet 50 mg Tablet 0
C DIGESTIVA 0 0
1 Antasida DOEN komb Tablet 3900
2 Antasida sirup 60 Ml Botol 900
3 Lacto B Sachet 0
4 Mesoprostol 200 mg Tablet 0
5 Natrium Bikarbonat tablet 500 mg Tablet 0
6 Omeprazole 20 mg Kapsul 0
7 Ranitidin inj 25 mg/2ml Ampul 0
8 Ranitidin tablet 150 mg Tablet 0
9 Sucraflat sirup Botol 0
10 Vitazym tab Tablet 0
D ANTISPASMODIK 0 0
1 Chlordiazepoxide (Braxidin) Tablet 0
2 Ekstrak Belladon tablet 10 mg Tablet 0
3 Hyoscine-N-Butilbromida/Buscopan tablet Tablet 0
4 Buscopan Inj Ampul 0
5 Papaverin tablet Tablet 0
6 Spasminal Tablet 0
E LAKSATIVA 0 0
1 Bisacodil Tablet 5 mg Tablet 0
2 Bisacodil Tablet 5 mg Suppositoria Suppos 0
3 Laktulosa Syr 3,335g/5ml / Laktulak syrup Botol 0
F ANTIDIARE & ELEKTROLIT 0 0
1 Anti Diare Anak Tablet 0
2 Anti Diare Dewasa Tablet 0
3 Garam Oralit 200 ml air Sachet 0
4 Norit Tablet 0
G ANTIEMESIS 0 0
1 Dimenhidrinat tab 50 mg Tablet 0
2 Domperidon 10 mg tablet Tablet 0
3 Domperidon suspensi 5 mg/ml Botol 0
4 Metoclopramid Inj Ampul 0
5 Metoclopramid Syrup Botol 0
6 Metoclopramid 10 mg Tab Tablet 0
7 Ondansetron injeksi Ampul 0
8 Ondansetron tablet 4 mg Tablet 0
H OBAT METABOLISME (VITAMIN&MINERAL) 0 0
1 Asam Askorbat (VIT C) Tablet 50 mg Tablet 0
2 Asam folat 1 mg Tablet 0
3 Kalsium laktat (Kalk) tablet 500 mg Tablet 0
4 Multivitamin anak 60 Ml Botol 0
5 Multivitamin dewasa Tablet 0
6 Neurobion 5000 injeksi Ampul 0
7 Phitonadione pead injeksi Ampul 0
8 Piracetam 800 mg Tablet 0
9 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 1000
10 Sianokobalamin inj 500 mcg/ml-1ml Ampul 0
11 Sianokobalamin tab b12 Tablet 0
12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Ampul 0
13 Tiamin HCL (Vit B1) tablet 50 mg Tablet 0
14 Vitamin B komplek Inj Ampul 0
15 Vitamin B komplek tab Tablet 0
I ANTI ASMA 0 0
1 Aminofilin inj 24 mg / cc Ampul 0
2 Aminofilin tab 200 mg Tablet 0
3 Bisolvon drop Botol 0
4 Bricasma Inj Ampul 0
5 Efedrin HCl tablet 25 mg Tablet 0
6 Salbutamol tablet 4 mg Tablet 500
7 Salbutamol inhalasi ( Ventolin ) Nebule 0
J ANTITUSIVE & EKSPEKTORAN 0 0
1 Ambroksol sirup 60 ml Botol 0
2 Ambroksol tablet Tablet 0
3 Bromhexin tablet 8 mg Tablet 0
4 Dektrometorfan Tablet Tablet 0
5 Dektrometorfan sirup 10 mg/5 ml-60 Ml Botol 0
6 Gliseril Guayakolat tablet 100 mg Tablet 0
7 Kodein fosfat tablet 10 mg Tablet 0
8 Obat batuk anak 60 Ml / bromhexin sirup Botol 0
9 Obat batuk Hitam (OBH) Cairan -100 ml Botol 0
K ANTI ANEMIA 0 0
1 Tambah darah komb : Besi + as folat Tablet 0
L HEMOSTATIK 0 0
1 Asam Traneksamat 250mg/5ml Ampul 0
2 Asam Traneksamat 250 MG Tablet 0
3 Fitomenadion (Vit K1) inj 10 mg / ml-1ml Ampul 0
4 Fitomenadion (Vit K1) tablet gula 10 mg Tablet 0
M ANTIALERGI/IMUNOLOGIKUM 0 0
1 Anti Histamin/Loratadin Tablet 0
2 Cetirizin sirup 5 mg/5ml 60 ml Botol 0
3 Deksametason inj 5 mg/ml 1 ml Ampul 0
4 Deksametason Tablet 0,5 mg Tablet 0
5 Difenhidramin inj 10 mg/5 ml-1 ml Ampul 0
6 Klorfeniramin maleat (CTM) tablet 4 mg Tablet 75711
7 Methylprednisolon 4 mg tablet Tablet 0
8 Prednison tab 5 mg Tablet 0
N ANTIKONVULSI/ANTIPARKINSON 0 0
1 Alprazolam tablet 0,5 mg Tablet 0
2 Amitriptilin HCl tab 25 mg Tablet 0
3 Fenitoin Na inj 50 mg/ml-2ml Ampul 0
4 Fenitoin Natrium kapsul 100 mg Kapsul 0
5 Flufenazin inj Ampul 0
6 Karbamazepin tablet 200 mg Tablet 0
7 Triheksifenidil Tablet 2 mg Tablet 0
O ANTIDEPRESAN 0 0
1 Diazepam inj 5 mg/ml - 2 ml Ampul 0
2 Diazepam tablet 2 mg Tablet 0
3 Fenobarbital inj 50 mg/ml-2ml Ampul 0
4 Fenobarbital tablet 30 mg Tablet 0
5 Haloperidol injeksi Ampul 0
6 Haloperidol 5 mg Tab Tablet 0
7 Klorpromazin HCl inj 5 mg/2cc Ampul 0
8 Klorpromazin HCl 100 mg Tablet 0
9 Risperidone 2 mg Tablet 0
10 Stesolid Rectal Supp 0
P ANTIMIGREN 0 0
1 Antimigren DOEN tab Tablet 0
2 Betahistin Mesilat tab 6 mg Tablet 0
Q ANTIDIABETIKUM 0 0
1 Glibenklamid tablet 5 mg Tablet 0
2 Glimepirida 1 mg Tablet 0
3 Metformin Tablet 0
R OBAT KULIT & OBAT LUAR 0 0
1 Asiklovir krim 5 % 5 gr Tube 0
2 Antibakteri DOEN salep komb Tube 0
3 Antifungi DOEN kombinasi salep Pot 0
4 Betametason krim 0,1 % Tube 235
5 Burnazin cream Tube 0
6 Chloramfecort Krim Tube 0
7 Gentamisin salep kulit Tube 0
8 Gentian violet lar 1 % Botol 0
9 GOM Botol 0
10 Hidrokortison krim 2,5 % Tube 465
11 Kassa Penutup luka/lomatule Pieces 0
12 Ketokonazol (cream)10 gr Tube 175
13 Mikonazol krim Tube 48
14 Obat Luka Bakar Tube 0
15 Oksitetrasiklin 3% salep kulit Tube 0
16 Polikresulen ( Albothyl ) Botol 0
17 Salep 2-4 Pot 192
18 Salisil bedak 2 % Kotak 0
19 Scabiecid cream Tube 0
20 Trombophop salep Tube 0
S OBAT TELINGA 0 0
1 Fenol Glicerol Cair Botol 0
2 Kloramfenikol tetes telinga 3 % Botol 0
T OBAT MATA 0 0
1 Atropin sulfat tetes mata 0,5 % Botol 0
2 Cendoxitrol Tetes Mata Botol 0
3 Gentamisin tetes mata Botol 0
4 Kloramfenikol salep mata 1 % Tube 0
5 Obat edema kornea tetes mata/Optalgon Botol 0
6 Oksitetrasiklin salep mata Tube 0
7 Sulfasetamida Na tetes mata Botol 0
8 Tetracain Hcl 0,5 % Tetes Mata Botol 0
9 Timolol 0,5 % Tetes mata Botol 0
U ANTIHAEMORRHOID 0 0
1 Anti Hemoroid DOEN supp Supp 0
2 Anti Hemoroid kapsul Kapsul 0
V KARDIOVASKULUS/ ANTIHIPERTENSI 0 0
1 Amlodipin 5 mg Tablet 0
2 Aspar K Tablet 0
3 Bisoprolol 5 mg Tablet 0
4 Digoksin tablet 0,25 mg Tablet 0
5 Isorbid dinitrat tablet sublingual 5 mg Tablet 0
6 Kaptopril 25 mg Tablet 0
7 Kaptopril 12.5mg Tablet 0
8 Metildopa/dopamet Tablet 0
9 Nifedipin 10 mg tab Tablet 0
10 Nifedipin 20 mg tab Tablet 0
11 Propanolol HCl tablet 10 mg Tablet 0
12 Reserpin tab 0,25 mg Tablet 0
13 Tensi Gard Tablet 0
W DIURETIKUM 0 0
1 Furosemid tablet 40 mg Tablet 0
2 Hidroklortiazid (HCT) tablet 25 mg Tablet 0
3 Nefrolit kapsul Kapsul 0
X OKSITOSIKUM 0 0
1 Metilergometrin maleat inj 0,200 mg - 1 ml ampul 0
2 Metilergometrin maleat tab salut 0,125 mg Tablet 0
3 Oksitoksin inj 10 IU/ml - 1 ml ampul 0
4 Syntocinon ampul 0
Y ANTILIPIDEMIKUM 0 0
1 Simvastatin Tablet 10 mg Tablet 0
Z HORMON 0 0
1 Propiltiourasil tablet 100 mg Tablet 0
AA SYOK ANAFILAKTIK 0 0
1 Epinefrin / adrenalin inj 0,1 % - 1ml ampul 0
AB ANTELMINTIK 0 0
1 Pirantel tablet 125 Tablet 0
AC PELARUT & INFUS 0 0
1 Aqua pro inj steril @ 20 cc Botol 0
2 Cairan infus pengganti plasma/gelofusin Botol 0
3 Dekstran 70 lar infus 6 % Botol 0
4 Glukosa lar infus 10 % Botol 0
5 Glukosa lar infus 40 % Botol 0
6 Glukosa lar infus 5 % Botol 0
7 KN - 3B SOL/KK Botol 0
8 Magnesium sulfat inj 25 ml -20 % Ampul 0
9 Magnesium sulfat inj 25 ml -40 % ampul 0
10 Manitol 20 % Botol 0
11 Metronidazole infus 500 mg/100ml Botol 0
12 Natrium Klorida Lar.infus 0,9 % steril Botol 0
13 Parasetamol Infus Botol 0
14 Ringer Laktat Larutan Infus Steril Botol 0
15 Siproploksasin infus Botol 0
AD ANTISEPTIKA & DESINFEKTAN 0 0
1 Bayclin Botol 0
2 Etakridin ( rivanol ) lar 0,1 % 300 cc Botol 0
3 Etanol 70 %1000 ml Botol 0
4 Etanol 70 %100 ml Botol 0
5 Lisol 5 % Botol 0
6 Povidon Iodine 10 % 60 ml Botol 0
7 Povidon Iodine 10 % 300 ml Botol 0
AE KB 0 0
1 Depo progestin/suntik KB Botol 0
AF ANTI INFLUENZA 0 0
1 Obat batuk pilek anak 60 ml (Paracetamol, Botol 0
AG Fenileprin
SERUM Hidroklorida, CTM, Kalium 0 0
1 sulfoguaiakolat)
Serum anti tetanus inj 1.500 IU/amp Vial 0
2 Serum anti tetanus inj 20.000 IU/vial Vial 0
3 Serum antibisa ular Polivalen inj 5 ml Vial 0
AH LAIN-LAIN 0 0
1 Atropin sulfat inj 0,25 mg / ml-1ml ampul 0
2 Atropin Sulfat Tablet 0,5 mg Tablet 0
3 Calsium gluconas inj ampul 0
4 Lidokain Jelly Tube 0
5 Jelly USG Botol 0
6 Natrium tiosulfat inj ampul 0
7 Nalokson Inj 0,4 mg/ml Botol 0
8 Oxycan Botol 0
OBAT PROGRAM 0 0
AI ANTI MALARIA 0 0
1 Artemeter injeksi ampul 0
2 Arterakine tablet Tablet 0
3 Artesunate injeksi ampul 0
4 Kuinin Dihidroklorida injeksi 25%-2 ml ampul 0
AJ GIZI 0 0
1 Zinc suspensi 60 ml Botol 0
2 Mineral Mix Sachet 0
3 Pan entral Sachet 0
4 Retinol ( vit A ) kapsul 100.000 unit Kapsul 0
5 Retinol ( vit A ) kapsul 200.000 unit Kapsul 0
6 Taburia Sachet 0
AK FILARIASIS 0 0
1 Anti Filaria Tablet ( Dietyl Karbamazepin ) Tablet 0
2 Albendazol tab 400 mg Tablet 0
AL ANTI LEPRA 0 0
1 MB Dewasa Blister 0
2 MB Anak Blister 0
3 PB Dewasa Blister 0
4 PB Anak Blister 0
AM OBAT TBC 0 0
1 INH 100 mg Tablet 0
2 Obat Anti Tuberkulosis FDC Kat 1 & 3 Paket 0
3 Obat Anti Tuberkulosis FDC Kat 2 Paket 0
4 Obat Anti Tuberkulosis Kategori Anak Paket 0
5 Obat Anti Tuberkulosis Sisipan Paket 0
AN HEPATITIS 0 0
1 Vaksin HBIg / Hyperhep B Vial 0
AO VAKSIN 0 0
1 Vaksin BCG Vial 0
2 Vaksin Campak Vial 0
3 Vaksin DT Vial 0
4 Vaksin HB COM DPT Vial 0
5 Vaksin HB UNIJECT Syringe 0
6 Vaksin Polio Vial 0
7 Vaksin TT Vial 0
8 Vaksin TD Vial 0
9 Vaksin DPT HB HIB Vial 0
10 Polio IVP Vial 0
AP DENTAL 0 0
1 Air Raksa Dental Use Botol 0
2 Bonding Set 0
3 Carpul pieces 0
4 Celluloid strip pieces 0
5 Composite Set 0
6 Dentorit Botol 0
7 Descotan Forte (gigi) Botol 0
8 Devitalisasi Pasta (Non arsen) Botol 0
9 Etil klorida semprot 100 cc Botol 0
10 Etching/Extra gel Set 0
11 Eugenol Cairan Botol 0
12 Glass Ionomer Cement (GC IX) Botol 0
13 Jarum Citoject pieces 0
14 Kalsium Hidroksida pasta pieces 0
15 Lidokain inj komb ampul 0
16 Lining Cement pieces 0
17 Mata Bor pieces 0
18 Monoklorkamfer mentol cairan Botol 0
19 Mummifying Pasta Botol 0
20 Poles pieces 0
21 Semen seng fosfat serbuk cairan/Glas pieces 0
22 lonomer lineng semen
Serat pembeku darah pot 0
23 Silver amalgam serbuk 65-75 % Set 0
24 Spray pelumas handpiece Botol 0
25 Sulfa Stopping Fletcher(Fletcher) Set 0
26 Tissu steril pembersih alat gigi Botol 0
27 Topikal anestesi Botol 0
28 Trikresol formalin Botol 0
AQ Bahan Kimia 0 0
1 Hidrogen Peroksida (H2O2) Botol 0
2 Oil Imersi Botol 0
3 Oil Imersi Botol 0
4 Reagen Ziehl Neelsen Paket 0
5 Alkohol Swab pieces 0
6 PPD 2 TU Vial 0
7 Test Pack pieces 0
8 Stik Kolesterol pieces 0
9 Stik Asam Urat pieces 0
10 Stik Glukosa pieces 0
11 VIKIA HIV pieces 0
12 DI Anti HIV 1/2 pieces 0
13 Intec HIV III pieces 0
14 SD Bioline HIV Kit.1 Tes 0
15 Oncoprobe HIV.3 Tes 0
16 SD Bioline Shypilis Tes 0
17 RPR Shypilis (plasmatec) + RPR Component Tes 0
18 SD HbsAg Tes 0
AR Obat Tambahan 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
0
0
PENERIMAAN PERSEDIAAN JULI 2017
26 27 28 29 30 1

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
2000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5000
0
0
0
0
0
0
0
0
0
0
0
0
5060
4350
0
0
0
0
0
0
6098 132 90 154 186 85
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3900
900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000
0
0
0
0
0
0
0
0
0
0
0
0
500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
75711 82 133 105 178 6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
235
0
0
0
0
0
465 3
0
175 2 2
48
0
0
0
192
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PEMAKAIAN HARIAN PUSKESMAS
AGU
2 3 4 5 6 7 8 9 10 11
60 20 40 35 50 30 60 38 30
115 283 290 166 251 181 118 150 45
5 4 2 3 5 6 7 3 6

5 2 3 1

3 4 6 2 2
RIAN PUSKESMAS
AGUSTUS 2017
12 13 14 15 16 17 18 19 20 21
50 10 20 40 10 20 10
109 112 20 20 176 50 70
4 5 2 5 7 5

2 3 4 1 5 3

1 1 1 1
RATA-RATA
TOTAL JUMLAH HARI
PEMAKAIAN
22 23 24 25 PEMAKAIAN

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0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
PEMAKAIAN OBAT JAMPERSAL PUSKESMAS ...........................
TAHUN 2017

STOK
NO NAMA OBAT SATUAN PENERIMAAN
AWAL

1 Persediaan Bahan Pakai Habis


Persediaan Peralatan Kesehatan
1 Abbocath jarum infus 18 pieces
2 Abbocath jarum infus 20 pieces
3 Abbocath jarum infus 22 pieces
4 Abbocath jarum infus 24 pieces
5 Abbocath jarum infus 26 pieces
6 Alat Puyer Set
7 Alat suntik 0.05 cc pieces
8 Alat suntik 0.5 cc pieces
9 Alat suntik 1 cc pieces
10 Alat suntik 3 cc pieces
11 Alat suntik 5 cc pieces
12 Alat suntik 10 cc pieces
13 Alat suntik 20 cc pieces
14 Bisturi pieces
15 Blood Set Set
16 Catgut benang bedah no 2/0-3/0 pieces
17 Catgut benang bedah no 3/0 Roll
18 foley Catheter pieces
19 Hand Scond pieces
20 Infus set anak pieces
21 Infus set dewasa pieces
22 Jarum Hecting Kulit pieces
23 Jarum Hecting Otot pieces
24 Kaca Sediaan pieces
25 Kapas pembalut 250 mg Bungkus
26 Kasa Hidrofil 36 m x 80 cm Roll
27 Kasa Hidrofil Steril Kotak
28 Kasa Pembalut Hidrofil 4 x 10 cm Roll
29 KasaPembalut Hidrofil 4 x 5 Roll
30 Kertas Puyer pieces
31 Masker pieces
32 Nelaton catheter pieces
33 Pembalut gips Roll
34 Plester 5 yard x 2 inch Roll
35 Plester kertas / MICROPORE pieces
36 Pot Sputum pot
37 Safety Box pieces
38 Sarung Tangan Panjang Steril pieces
39 Silk ( Benang sutera ) no 3/0 pieces
40 Underpad pieces
41 Urine Bag ( Non Seteril ) pieces
42 Wing needle pieces
43 Lidi button pieces
44 Masker N95 8210 pieces
45 Masker nebulizer Anak pieces
46 Masker nebulizer dewasa pieces
47 NGT pieces
48 Oxigen nasal canule anak dan dewasa pieces
49 Plastik klip 7 x 10 pieces
50 Plastik klip 8 x 13 pieces
51 Pot Urine pot
52 Pot Fesses pot
53 Disposible Lancet pieces
54 Pen Lancet pieces
55 Catgut Chromic SMI 2/D DS 24 mm pieces
56 Catgut Chromic SMI 3/D DS 26 mm pieces
57 Catgut Plain SMI 2/D DS 24 mm pieces
58 Catgut Plain SMI 3/D DS 24 mm pieces
2 Persediaan Bahan/Material 0
Bahan Obat-obatan 0
OBAT PKD 0
A ANTIBIOTIKA 0
1 Amoksilin kapsul 250 mg Kapsul
2 Amoksilin tab 500 mg Tablet
3 Amoksisilin s kering 125 mg / 5 cc 60 Ml Botol
4 Amoksisilin s kering 250 mg / 5 cc 60 Ml Botol
5 Asiklovir tab 200 gr Tablet
6 Asiklovir tab 400mg Tablet
7 Azitromisin 500 mg Tablet
8 Benzatin Benzil penisilin Vial
9 Cefixim 100 mg kapsul kapsul
10 Cefixime DS 100 mg/ 5ml Botol
11 Doksisiklin kapsul 100 mg Kapsul
12 Erytromisin sirup 60 Ml 200mg/5ml Botol
13 Erytromycin 250 mg Tablet
14 Erytromycin 500 mg Tablet
15 Fenoksimetil Penisilin tablet 250 mg Tablet
16 Fenoksimetil Penisilin tablet 500 mg Tablet
17 Flukonazol kapsul 150 mg Kapsul
18 Griseofulvin tablet 125 mg micronized Tablet
19 Ketokonazol tablet 200 mg Tablet
20 Klindamisin Kapsul 150 mg Kapsul
21 Klindamisin Kapsul 300 mg Kapsul
22 Kloramfenikol kapsul 250 mg Kapsul
23 Kloramfenikol sirup 60 Ml Botol
24 Kotrimoksazol Suspensi 60 Ml 40mg/5ml Botol
25 Kotrimoksazol Tablet Dewasa Tablet
26 Kotrimoksazol Tablet paed Tablet
27 Lincomysin 500 mg Kapsul
28 Metronidazol tablet 500 mg Tablet
29 Nistatin drop / Mycostatin, candistin, Nymiko Botol
30 Nistatin tablet salut gula 500.000 IU/g Tablet
31 Nistatin tablet vagina 100.000 IU/g Tablet
32 Sefadoksil 500 mg Tablet
33 Sefadoksil syrup 125ml/5ml Botol
34 Sefadoksil syrup 250ml/5ml Botol
35 Seftriaxsone 1 gr inj Vial
36 Siproploksasin tab 500 mg Tablet
37 Streptomycin inj 1 gram Vial
38 Tetrasiklin Kapsul 250 mg Kapsul
39 Tetrasiklin Kapsul 500 mg Tablet
40 Tiamfenikol kap 500 mg Tablet
B ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI 0
1 Alopurinol tablet 100 mg Tablet
2 Alopurinol tablet 300 mg Tablet
3 Antalgin ( Metampiron ) inj 250 mg/ 5 cc Ampul
4 Asam Mefenamat 250 Kapsul
5 Asam Mefenamat 500 Tablet
6 Asetosal Tablet 80 mg (Aspilet) Tablet
7 Ibuprofen Supp Supp
8 Ibuprofen Suspensi 200mg/5ml Botol
9 Ibuprofen tablet 200 mg Tablet
10 Ibuprofen tablet 400 mg Tablet
11 Kalium Diclofenak 50 mg Tablet
12 Ketoprofen Inj Ampul
13 Meloksixam tablet 15 mg Tablet
14 Natrium Diclofenac tab 50 mg Tablet
15 Parasetamol 100 mg Tablet
16 Parasetamol Drop 15 ml Botol
17 Parasetamol sirup 120 mg / 5ml (60 Ml) Botol
18 Parasetamol tablet 500 mg Tablet
19 Tramadol tablet 50 mg Tablet
C DIGESTIVA 0
1 Antasida DOEN komb Tablet
2 Antasida sirup 60 Ml Botol
3 Lacto B Sachet
4 Mesoprostol 200 mg Tablet
5 Natrium Bikarbonat tablet 500 mg Tablet
6 Omeprazole 20 mg Kapsul
7 Ranitidin inj 25 mg/2ml Ampul
8 Ranitidin tablet 150 mg Tablet
9 Sucraflat sirup Botol
10 Vitazym tab Tablet
D ANTISPASMODIK 0
1 Chlordiazepoxide (Braxidin) Tablet
2 Ekstrak Belladon tablet 10 mg Tablet
3 Hyoscine-N-Butilbromida/Buscopan tablet Tablet
4 Buscopan Inj Ampul
5 Papaverin tablet Tablet
6 Spasminal Tablet
E LAKSATIVA 0
1 Bisacodil Tablet 5 mg Tablet
2 Bisacodil Tablet 5 mg Suppositoria Suppos
3 Laktulosa Syr 3,335g/5ml / Laktulak syrup Botol
F ANTIDIARE & ELEKTROLIT 0
1 Anti Diare Anak Tablet
2 Anti Diare Dewasa Tablet
3 Garam Oralit 200 ml air Sachet
4 Norit Tablet
G ANTIEMESIS 0
1 Dimenhidrinat tab 50 mg Tablet
2 Domperidon 10 mg tablet Tablet
3 Domperidon suspensi 5 mg/ml Botol
4 Metoclopramid Inj Ampul
5 Metoclopramid Syrup Botol
6 Metoclopramid 10 mg Tab Tablet
7 Ondansetron injeksi Ampul
8 Ondansetron tablet 4 mg Tablet
H OBAT METABOLISME (VITAMIN&MINERAL) 0
1 Asam Askorbat (VIT C) Tablet 50 mg Tablet
2 Asam folat 1 mg Tablet
3 Kalsium laktat (Kalk) tablet 500 mg Tablet
4 Multivitamin anak 60 Ml Botol
5 Multivitamin dewasa Tablet
6 Neurobion 5000 injeksi Ampul
7 Phitonadione pead injeksi Ampul
8 Piracetam 800 mg Tablet
9 Piridoksin HCl (Vit B6) tablet 10 mg Tablet
10 Sianokobalamin inj 500 mcg/ml-1ml Ampul
11 Sianokobalamin tab b12 Tablet
12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Ampul
13 Tiamin HCL (Vit B1) tablet 50 mg Tablet
14 Vitamin B komplek Inj Ampul
15 Vitamin B komplek tab Tablet
I ANTI ASMA 0
1 Aminofilin inj 24 mg / cc Ampul
2 Aminofilin tab 200 mg Tablet
3 Bisolvon drop Botol
4 Bricasma Inj Ampul
5 Efedrin HCl tablet 25 mg Tablet
6 Salbutamol tablet 4 mg Tablet
7 Salbutamol inhalasi ( Ventolin ) Nebule
J ANTITUSIVE & EKSPEKTORAN 0
1 Ambroksol sirup 60 ml Botol
2 Ambroksol tablet Tablet
3 Bromhexin tablet 8 mg Tablet
4 Dektrometorfan Tablet Tablet
5 Dektrometorfan sirup 10 mg/5 ml-60 Ml Botol
6 Gliseril Guayakolat tablet 100 mg Tablet
7 Kodein fosfat tablet 10 mg Tablet
8 Obat batuk anak 60 Ml / bromhexin sirup Botol
9 Obat batuk Hitam (OBH) Cairan -100 ml Botol
K ANTI ANEMIA 0
1 Tambah darah komb : Besi + as folat Tablet
L HEMOSTATIK 0
1 Asam Traneksamat 250mg/5ml Ampul
2 Asam Traneksamat 250 MG Tablet
3 Fitomenadion (Vit K1) inj 10 mg / ml-1ml Ampul
4 Fitomenadion (Vit K1) tablet gula 10 mg Tablet
M ANTIALERGI/IMUNOLOGIKUM 0
1 Anti Histamin/Loratadin Tablet
2 Cetirizin sirup 5 mg/5ml 60 ml Botol
3 Deksametason inj 5 mg/ml 1 ml Ampul
4 Deksametason Tablet 0,5 mg Tablet
5 Difenhidramin inj 10 mg/5 ml-1 ml Ampul
6 Klorfeniramin maleat (CTM) tablet 4 mg Tablet
7 Methylprednisolon 4 mg tablet Tablet
8 Prednison tab 5 mg Tablet
N ANTIKONVULSI/ANTIPARKINSON 0
1 Alprazolam tablet 0,5 mg Tablet
2 Amitriptilin HCl tab 25 mg Tablet
3 Fenitoin Na inj 50 mg/ml-2ml Ampul
4 Fenitoin Natrium kapsul 100 mg Kapsul
5 Flufenazin inj Ampul
6 Karbamazepin tablet 200 mg Tablet
7 Triheksifenidil Tablet 2 mg Tablet
O ANTIDEPRESAN 0
1 Diazepam inj 5 mg/ml - 2 ml Ampul
2 Diazepam tablet 2 mg Tablet
3 Fenobarbital inj 50 mg/ml-2ml Ampul
4 Fenobarbital tablet 30 mg Tablet
5 Haloperidol injeksi Ampul
6 Haloperidol 5 mg Tab Tablet
7 Klorpromazin HCl inj 5 mg/2cc Ampul
8 Klorpromazin HCl 100 mg Tablet
9 Risperidone 2 mg Tablet
10 Stesolid Rectal Supp
P ANTIMIGREN 0
1 Antimigren DOEN tab Tablet
2 Betahistin Mesilat tab 6 mg Tablet
Q ANTIDIABETIKUM 0
1 Glibenklamid tablet 5 mg Tablet
2 Glimepirida 1 mg Tablet
3 Metformin Tablet
R OBAT KULIT & OBAT LUAR 0
1 Asiklovir krim 5 % 5 gr Tube
2 Antibakteri DOEN salep komb Tube
3 Antifungi DOEN kombinasi salep Pot
4 Betametason krim 0,1 % Tube
5 Burnazin cream Tube
6 Chloramfecort Krim Tube
7 Gentamisin salep kulit Tube
8 Gentian violet lar 1 % Botol
9 GOM Botol
10 Hidrokortison krim 2,5 % Tube
11 Kassa Penutup luka/lomatule Pieces
12 Ketokonazol (cream)10 gr Tube
13 Mikonazol krim Tube
14 Obat Luka Bakar Tube
15 Oksitetrasiklin 3% salep kulit Tube
16 Polikresulen ( Albothyl ) Botol
17 Salep 2-4 Pot
18 Salisil bedak 2 % Kotak
19 Scabiecid cream Tube
20 Trombophop salep Tube
S OBAT TELINGA 0
1 Fenol Glicerol Cair Botol
2 Kloramfenikol tetes telinga 3 % Botol
T OBAT MATA 0
1 Atropin sulfat tetes mata 0,5 % Botol
2 Cendoxitrol Tetes Mata Botol
3 Gentamisin tetes mata Botol
4 Kloramfenikol salep mata 1 % Tube
5 Obat edema kornea tetes mata/Optalgon Botol
6 Oksitetrasiklin salep mata Tube
7 Sulfasetamida Na tetes mata Botol
8 Tetracain Hcl 0,5 % Tetes Mata Botol
9 Timolol 0,5 % Tetes mata Botol
U ANTIHAEMORRHOID 0
1 Anti Hemoroid DOEN supp Supp
2 Anti Hemoroid kapsul Kapsul
V KARDIOVASKULUS/ ANTIHIPERTENSI 0
1 Amlodipin 5 mg Tablet
2 Aspar K Tablet
3 Bisoprolol 5 mg Tablet
4 Digoksin tablet 0,25 mg Tablet
5 Isorbid dinitrat tablet sublingual 5 mg Tablet
6 Kaptopril 25 mg Tablet
7 Kaptopril 12.5mg Tablet
8 Metildopa/dopamet Tablet
9 Nifedipin 10 mg tab Tablet
10 Nifedipin 20 mg tab Tablet
11 Propanolol HCl tablet 10 mg Tablet
12 Reserpin tab 0,25 mg Tablet
13 Tensi Gard Tablet
W DIURETIKUM 0
1 Furosemid tablet 40 mg Tablet
2 Hidroklortiazid (HCT) tablet 25 mg Tablet
3 Nefrolit kapsul Kapsul
X OKSITOSIKUM 0
1 Metilergometrin maleat inj 0,200 mg - 1 ml ampul
2 Metilergometrin maleat tab salut 0,125 mg Tablet
3 Oksitoksin inj 10 IU/ml - 1 ml ampul
4 Syntocinon ampul
Y ANTILIPIDEMIKUM 0
1 Simvastatin Tablet 10 mg Tablet
Z HORMON 0
1 Propiltiourasil tablet 100 mg Tablet
AA SYOK ANAFILAKTIK 0
1 Epinefrin / adrenalin inj 0,1 % - 1ml ampul
AB ANTELMINTIK 0
1 Pirantel tablet 125 Tablet
AC PELARUT & INFUS 0
1 Aqua pro inj steril @ 20 cc Botol
2 Cairan infus pengganti plasma/gelofusin Botol
3 Dekstran 70 lar infus 6 % Botol
4 Glukosa lar infus 10 % Botol
5 Glukosa lar infus 40 % Botol
6 Glukosa lar infus 5 % Botol
7 KN - 3B SOL/KK Botol
8 Magnesium sulfat inj 25 ml -20 % Ampul
9 Magnesium sulfat inj 25 ml -40 % ampul
10 Manitol 20 % Botol
11 Metronidazole infus 500 mg/100ml Botol
12 Natrium Klorida Lar.infus 0,9 % steril Botol
13 Parasetamol Infus Botol
14 Ringer Laktat Larutan Infus Steril Botol
15 Siproploksasin infus Botol
AD ANTISEPTIKA & DESINFEKTAN 0
1 Bayclin Botol
2 Etakridin ( rivanol ) lar 0,1 % 300 cc Botol
3 Etanol 70 %1000 ml Botol
4 Etanol 70 %100 ml Botol
5 Lisol 5 % Botol
6 Povidon Iodine 10 % 60 ml Botol
7 Povidon Iodine 10 % 300 ml Botol
AE KB 0
1 Depo progestin/suntik KB Botol
AF ANTI INFLUENZA 0
1 Obat batuk pilek anak 60 ml (Paracetamol, Botol
AG Fenileprin
SERUM Hidroklorida, CTM, Kalium 0
sulfoguaiakolat)
1 Serum anti tetanus inj 1.500 IU/amp Vial
2 Serum anti tetanus inj 20.000 IU/vial Vial
3 Serum antibisa ular Polivalen inj 5 ml Vial
AH LAIN-LAIN 0
1 Atropin sulfat inj 0,25 mg / ml-1ml ampul
2 Atropin Sulfat Tablet 0,5 mg Tablet
3 Calsium gluconas inj ampul
4 Lidokain Jelly Tube
5 Jelly USG Botol
6 Natrium tiosulfat inj ampul
7 Nalokson Inj 0,4 mg/ml Botol
8 Oxycan Botol
OBAT PROGRAM 0
AI ANTI MALARIA 0
1 Artemeter injeksi ampul
2 Arterakine tablet Tablet
3 Artesunate injeksi ampul
4 Kuinin Dihidroklorida injeksi 25%-2 ml ampul
AJ GIZI 0
1 Zinc suspensi 60 ml Botol
2 Mineral Mix Sachet
3 Pan entral Sachet
4 Retinol ( vit A ) kapsul 100.000 unit Kapsul
5 Retinol ( vit A ) kapsul 200.000 unit Kapsul
6 Taburia Sachet
AK FILARIASIS 0
1 Anti Filaria Tablet ( Dietyl Karbamazepin ) Tablet
2 Albendazol tab 400 mg Tablet
AL ANTI LEPRA 0
1 MB Dewasa Blister
2 MB Anak Blister
3 PB Dewasa Blister
4 PB Anak Blister
AM OBAT TBC 0
1 INH 100 mg Tablet
2 Obat Anti Tuberkulosis FDC Kat 1 & 3 Paket
3 Obat Anti Tuberkulosis FDC Kat 2 Paket
4 Obat Anti Tuberkulosis Kategori Anak Paket
5 Obat Anti Tuberkulosis Sisipan Paket
AN HEPATITIS 0
1 Vaksin HBIg / Hyperhep B Vial
AO VAKSIN 0
1 Vaksin BCG Vial
2 Vaksin Campak Vial
3 Vaksin DT Vial
4 Vaksin HB COM DPT Vial
5 Vaksin HB UNIJECT Syringe
6 Vaksin Polio Vial
7 Vaksin TT Vial
8 Vaksin TD Vial
9 Vaksin DPT HB HIB Vial
10 Polio IVP Vial
AP DENTAL 0
1 Air Raksa Dental Use Botol
2 Bonding Set
3 Carpul pieces
4 Celluloid strip pieces
5 Composite Set
6 Dentorit Botol
7 Descotan Forte (gigi) Botol
8 Devitalisasi Pasta (Non arsen) Botol
9 Etil klorida semprot 100 cc Botol
10 Etching/Extra gel Set
11 Eugenol Cairan Botol
12 Glass Ionomer Cement (GC IX) Botol
13 Jarum Citoject pieces
14 Kalsium Hidroksida pasta pieces
15 Lidokain inj komb ampul
16 Lining Cement pieces
17 Mata Bor pieces
18 Monoklorkamfer mentol cairan Botol
19 Mummifying Pasta Botol
20 Poles pieces
21 Semen seng fosfat serbuk cairan/Glas pieces
22 lonomer lineng semen
Serat pembeku darah pot
23 Silver amalgam serbuk 65-75 % Set
24 Spray pelumas handpiece Botol
25 Sulfa Stopping Fletcher(Fletcher) Set
26 Tissu steril pembersih alat gigi Botol
27 Topikal anestesi Botol
28 Trikresol formalin Botol
AQ Bahan Kimia 0
1 Hidrogen Peroksida (H2O2) Botol
2 Oil Imersi Botol
3 Oil Imersi Botol
4 Reagen Ziehl Neelsen Paket
5 Alkohol Swab pieces
6 PPD 2 TU Vial
7 Test Pack pieces
8 Stik Kolesterol pieces
9 Stik Asam Urat pieces
10 Stik Glukosa pieces
11 VIKIA HIV pieces
12 DI Anti HIV 1/2 pieces
13 Intec HIV III pieces
14 SD Bioline HIV Kit.1 Tes
15 Oncoprobe HIV.3 Tes
16 SD Bioline Shypilis Tes
17 RPR Shypilis (plasmatec) + RPR Component Tes
18 SD HbsAg Tes
AR Obat Tambahan
1 0
2 0
3 0
4 0
5 0
PERSEDIAAN JULI 2017
26 27 28 29 30 1 2 3

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
PEMAKAIAN HARIAN PUSKESMAS
AGUSTUS 2017
4 5 6 7 8 9 10 11 12 13
GUSTUS 2017
14 15 16 17 18 19 20 21 22 23
JUMLAH RATA-
HARI RATA
TOTAL PEMAK
PEMAK
24 25 AIAN AIAN

0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
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0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
0 0 #DIV/0!
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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO ) PUSKESMAS

INSTANSI : DINAS KESEHATAN


NO. DOK TANGGAL DOKUMEN
PUSKESMAS : KUTABUMI
KECAMATAN : KUTABUMI PELAPORAN BULAN/TAHUN : JULI 2017 PKM
KABUPATEN : TANGERANG PERMINTAAN BULAN/TAHUN : AGUSTUS 2017 IFK

Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
1 Persediaan Bahan Pakai Habis
Persediaan Peralatan Kesehatan
1 Abbocath jarum infus 18 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Abbocath jarum infus 20 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Abbocath jarum infus 22 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Abbocath jarum infus 24 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Abbocath jarum infus 26 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Alat Puyer Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Alat suntik 0.05 cc pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alat suntik 0.5 cc pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Alat suntik 1 cc pieces 300 0 0 0 0 0 300 0 0 0 0 0 0 0 0 300 0 0 0 -300
10 Alat suntik 3 cc pieces 300 0 0 0 0 0 300 0 0 0 0 0 0 0 0 300 0 0 0 -300
11 Alat suntik 5 cc pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Alat suntik 10 cc pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Alat suntik 20 cc pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Bisturi pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Blood Set Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Catgut benang bedah no 2/0-3/0 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Catgut benang bedah no 3/0 Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 foley Catheter pieces 0 8 0 0 0 0 0 8 0 0 0 0 0 0 0 0 8 0 0 -8
19 Hand Scond pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Infus set anak pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Infus set dewasa pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Jarum Hecting Kulit pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Jarum Hecting Otot pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Kaca Sediaan pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kapas pembalut 250 mg Bungkus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Kasa Hidrofil 36 m x 80 cm Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Kasa Hidrofil Steril Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Kasa Pembalut Hidrofil 4 x 10 cm Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 KasaPembalut Hidrofil 4 x 5 Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Kertas Puyer pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
31 Masker pieces 350 0 0 150 0 0 500 0 0 200 0 0 4 0 0 300 0 0 340 40
32 Nelaton catheter pieces 9 0 0 0 0 0 9 0 0 0 0 0 0 0 0 9 0 0 0 -9
33 Pembalut gips Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Plester 5 yard x 2 inch Roll 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Plester kertas / MICROPORE pieces 3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 3 0 0 0 -3
36 Pot Sputum pot 6000 0 0 0 0 0 6000 0 0 200 0 0 2 0 0 5800 0 0 340 -5460
37 Safety Box pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Sarung Tangan Panjang Steril pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Silk ( Benang sutera ) no 3/0 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Underpad pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Urine Bag ( Non Seteril ) pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Wing needle pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Lidi button pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Masker N95 8210 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Masker nebulizer Anak pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Masker nebulizer dewasa pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 NGT pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Oxigen nasal canule anak dan dewasa pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 Plastik klip 7 x 10 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Plastik klip 8 x 13 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Pot Urine pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Pot Fesses pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Disposible Lancet pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 Pen Lancet pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Catgut Chromic SMI 2/D DS 24 mm pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Catgut Chromic SMI 3/D DS 26 mm pieces 12 0 0 0 0 0 12 0 0 0 0 0 0 0 0 12 0 0 0 -12
57 Catgut Plain SMI 2/D DS 24 mm pieces 12 0 0 0 0 0 12 0 0 0 0 0 0 0 0 12 0 0 0 -12
58 Catgut Plain SMI 3/D DS 24 mm pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Persediaan Bahan/Material 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 Bahan Obat-obatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 OBAT PKD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A ANTIBIOTIKA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Amoksilin kapsul 250 mg Kapsul 6000 2000 0 10000 0 0 16000 2000 0 6340 0 0 14 0 0 9660 2000 0 10778 -882
2 Amoksilin tab 500 mg Tablet 2927 0 0 1700 0 0 4627 0 0 3967 0 0 25 0 0 660 0 0 6744 6084
3 Amoksisilin s kering 125 mg / 5 cc 60 Ml Botol 144 0 0 0 0 0 144 0 0 86 0 0 25 0 0 58 0 0 146 88
4 Amoksisilin s kering 250 mg / 5 cc 60 Ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Asiklovir tab 200 gr Tablet 1450 0 0 0 0 0 1450 0 0 40 0 0 4 0 0 1410 0 0 68 -1342
6 Asiklovir tab 400mg Tablet 865 0 0 100 0 0 965 0 0 143 0 0 13 0 0 822 0 0 243 -579
7 Azitromisin 500 mg Tablet 970 0 0 0 0 0 970 0 0 30 0 0 2 0 0 940 0 0 51 -889
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
8 Benzatin Benzil penisilin Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Cefixim 100 mg kapsul kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Cefixime DS 100 mg/ 5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Doksisiklin kapsul 100 mg Kapsul 110 0 0 100 0 0 210 0 0 0 0 0 0 0 0 210 0 0 0 -210
12 Erytromisin sirup 60 Ml 200mg/5ml Botol 0 0 0 50 0 0 50 0 0 0 0 0 0 0 0 50 0 0 0 -50
13 Erytromycin 250 mg Tablet 0 0 0 100 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
14 Erytromycin 500 mg Tablet 0 0 0 100 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
15 Fenoksimetil Penisilin tablet 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Fenoksimetil Penisilin tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Flukonazol kapsul 150 mg Kapsul 740 0 0 0 0 0 740 0 0 15 0 0 2 0 0 725 0 0 26 -700
18 Griseofulvin tablet 125 mg micronized Tablet 0 0 0 100 0 0 100 0 0 10 0 0 1 0 0 90 0 0 17 -73
19 Ketokonazol tablet 200 mg Tablet 0 0 0 100 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
20 Klindamisin Kapsul 150 mg Kapsul 0 0 0 100 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
21 Klindamisin Kapsul 300 mg Kapsul 0 0 0 150 0 0 150 0 0 0 0 0 0 0 0 150 0 0 0 -150
22 Kloramfenikol kapsul 250 mg Kapsul 270 0 0 0 0 0 270 0 0 20 0 0 2 0 0 250 0 0 34 -216
23 Kloramfenikol sirup 60 Ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Kotrimoksazol Suspensi 60 Ml 40mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Kotrimoksazol Tablet Dewasa Tablet 1926 5000 0 3000 0 0 4926 5000 0 2741 0 0 25 0 0 2185 5000 0 4660 -2525
26 Kotrimoksazol Tablet paed Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Lincomysin 500 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Metronidazol tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Nistatin drop / Mycostatin, candistin, Nymiko Botol 0 0 0 20 0 0 20 0 0 0 0 0 0 0 0 20 0 0 0 -20
30 Nistatin tablet salut gula 500.000 IU/g Tablet 253 0 0 0 0 0 253 0 0 61 0 0 11 0 0 192 0 0 104 -88
31 Nistatin tablet vagina 100.000 IU/g Tablet 500 0 0 0 0 0 500 0 0 0 0 0 0 0 0 500 0 0 0 -500
32 Sefadoksil 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Sefadoksil syrup 125ml/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Sefadoksil syrup 250ml/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Seftriaxsone 1 gr inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Siproploksasin tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Streptomycin inj 1 gram Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tetrasiklin Kapsul 250 mg Kapsul 0 5060 0 0 0 0 0 5060 0 0 0 0 0 0 0 0 5060 0 0 -5060
39 Tetrasiklin Kapsul 500 mg Tablet 0 4350 0 0 0 0 0 4350 0 0 0 0 0 0 0 0 4350 0 0 -4350
40 Tiamfenikol kap 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B ANALGETIKA-ANTIPIRETIK-ANTIINFLAMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Alopurinol tablet 100 mg Tablet 300 0 0 0 0 0 300 0 0 300 0 0 6 0 0 0 0 0 510 510
2 Alopurinol tablet 300 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Antalgin ( Metampiron ) inj 250 mg/ 5 cc Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Asam Mefenamat 250 Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Asam Mefenamat 500 Tablet 0 6098 0 0 0 0 0 6098 0 0 1308 0 0 25 0 0 4790 0 2224 -2566
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
6 Asetosal Tablet 80 mg (Aspilet) Tablet 170 0 0 0 0 0 170 0 0 0 0 0 0 0 0 170 0 0 0 -170
7 Ibuprofen Supp Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ibuprofen Suspensi 200mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ibuprofen tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ibuprofen tablet 400 mg Tablet 2000 0 0 0 0 0 2000 0 0 873 0 0 14 0 0 1127 0 0 1484 357
11 Kalium Diclofenak 50 mg Tablet 200 0 0 0 0 0 200 0 0 0 0 0 0 0 0 200 0 0 0 -200
12 Ketoprofen Inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Meloksixam tablet 15 mg Tablet 0 0 0 1500 0 0 1500 0 0 280 0 0 9 0 0 1220 0 0 476 -744
14 Natrium Diclofenac tab 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Parasetamol 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Parasetamol Drop 15 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Parasetamol sirup 120 mg / 5ml (60 Ml) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Parasetamol tablet 500 mg Tablet 13250 0 0 2000 0 0 15250 0 0 9300 0 0 24 0 0 5950 0 0 15810 9860
19 Tramadol tablet 50 mg Tablet 50 0 0 50 0 0 100 0 0 20 0 0 2 0 0 80 0 0 34 -46
C DIGESTIVA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Antasida DOEN komb Tablet 7881 3900 0 0 0 0 7881 3900 0 680 0 0 12 0 0 7201 3900 0 1156 -9945
2 Antasida sirup 60 Ml Botol 0 900 0 0 0 0 0 900 0 0 0 0 0 0 0 0 900 0 0 -900
3 Lacto B Sachet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Mesoprostol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Natrium Bikarbonat tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Omeprazole 20 mg Kapsul 0 0 0 300 0 0 300 0 0 0 0 0 0 0 0 300 0 0 0 -300
7 Ranitidin inj 25 mg/2ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ranitidin tablet 150 mg Tablet 633 0 0 200 0 0 833 0 0 705 0 0 18 0 0 128 0 0 1199 1071
9 Sucraflat sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Vitazym tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
D ANTISPASMODIK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Chlordiazepoxide (Braxidin) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Ekstrak Belladon tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Hyoscine-N-Butilbromida/Buscopan tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Buscopan Inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Papaverin tablet Tablet 707 0 0 0 0 0 707 0 0 105 0 0 8 0 0 602 0 0 179 -424
6 Spasminal Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
E LAKSATIVA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bisacodil Tablet 5 mg Tablet 98 0 0 0 0 0 98 0 0 10 0 0 2 0 0 88 0 0 17 -71
2 Bisacodil Tablet 5 mg Suppositoria Suppos 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Laktulosa Syr 3,335g/5ml / Laktulak syrup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F ANTIDIARE & ELEKTROLIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Anti Diare Anak Tablet 450 0 0 0 0 0 450 0 0 413 0 0 17 0 0 37 0 0 702 665
2 Anti Diare Dewasa Tablet 202 0 0 0 0 0 202 0 0 202 0 0 7 0 0 0 0 0 343 343
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
3 Garam Oralit 200 ml air Sachet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Norit Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G ANTIEMESIS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dimenhidrinat tab 50 mg Tablet 100 0 0 0 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
2 Domperidon 10 mg tablet Tablet 75 0 0 0 0 0 75 0 0 31 0 0 4 0 0 44 0 0 53 9
3 Domperidon suspensi 5 mg/ml Botol 23 0 0 200 0 0 223 0 0 165 0 0 25 0 0 58 0 0 281 223
4 Metoclopramid Inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Metoclopramid Syrup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Metoclopramid 10 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Ondansetron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ondansetron tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
H OBAT METABOLISME (VITAMIN&MINERAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Asam Askorbat (VIT C) Tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Asam folat 1 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kalsium laktat (Kalk) tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Multivitamin anak 60 Ml Botol 22 0 0 96 0 0 118 0 0 22 0 0 10 0 0 96 0 0 37 -59
5 Multivitamin dewasa Tablet 0 0 0 500 0 0 500 0 0 0 0 0 0 0 0 500 0 0 0 -500
6 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Phitonadione pead injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Piracetam 800 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 700 1000 0 700 0 0 1400 1000 0 203 0 0 9 0 0 1197 1000 0 345 -1852
10 Sianokobalamin inj 500 mcg/ml-1ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Sianokobalamin tab b12 Tablet 348 0 0 200 0 0 548 0 0 548 0 0 25 0 0 0 0 0 932 932
12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tiamin HCL (Vit B1) tablet 50 mg Tablet 500 0 0 0 0 0 500 0 0 500 0 0 4 0 0 0 0 0 850 850
14 Vitamin B komplek Inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Vitamin B komplek tab Tablet 0 0 0 9400 0 0 9400 0 0 1692 0 0 9 0 0 7708 0 0 2876 -4832
I ANTI ASMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Aminofilin inj 24 mg / cc Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Aminofilin tab 200 mg Tablet 0 0 0 100 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
3 Bisolvon drop Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bricasma Inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Efedrin HCl tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Salbutamol tablet 4 mg Tablet 408 500 0 1200 0 0 1608 500 0 138 0 0 8 0 0 1470 500 0 235 -1735
7 Salbutamol inhalasi ( Ventolin ) Nebule 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
J ANTITUSIVE & EKSPEKTORAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Ambroksol sirup 60 ml Botol 0 0 0 300 0 0 300 0 0 146 0 0 19 0 0 154 0 0 248 94
2 Ambroksol tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Bromhexin tablet 8 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
4 Dektrometorfan Tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Dektrometorfan sirup 10 mg/5 ml-60 Ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Gliseril Guayakolat tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kodein fosfat tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Obat batuk anak 60 Ml / bromhexin sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Obat batuk Hitam (OBH) Cairan -100 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
K ANTI ANEMIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Tambah darah komb : Besi + as folat Tablet 21450 0 0 0 0 0 21450 0 0 2820 0 0 13 0 0 18630 0 0 4794 -13836
L HEMOSTATIK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Asam Traneksamat 250mg/5ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Asam Traneksamat 250 MG Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Fitomenadion (Vit K1) inj 10 mg / ml-1ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Fitomenadion (Vit K1) tablet gula 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M ANTIALERGI/IMUNOLOGIKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Anti Histamin/Loratadin Tablet 220 0 0 300 0 0 520 0 0 0 0 0 0 0 0 520 0 0 0 -520
2 Cetirizin sirup 5 mg/5ml 60 ml Botol 22 0 0 10 0 0 32 0 0 32 0 0 16 0 0 0 0 0 54 54
3 Deksametason inj 5 mg/ml 1 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Deksametason Tablet 0,5 mg Tablet 754 0 0 0 0 0 754 0 0 754 0 0 15 0 0 0 0 0 1282 1282
5 Difenhidramin inj 10 mg/5 ml-1 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Klorfeniramin maleat (CTM) tablet 4 mg Tablet 0 75711 0 0 0 0 0 75711 0 0 2820 0 0 25 0 0 72891 0 4794 -68097
7 Methylprednisolon 4 mg tablet Tablet 0 0 0 300 0 0 300 0 0 0 0 0 0 0 0 300 0 0 0 -300
8 Prednison tab 5 mg Tablet 1684 0 0 8700 0 0 10384 0 0 4384 0 0 25 0 0 6000 0 0 7453 1453
N ANTIKONVULSI/ANTIPARKINSON 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Alprazolam tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Amitriptilin HCl tab 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Fenitoin Na inj 50 mg/ml-2ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Fenitoin Natrium kapsul 100 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Flufenazin inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Karbamazepin tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Triheksifenidil Tablet 2 mg Tablet 180 0 0 0 0 0 180 0 0 0 0 0 0 0 0 180 0 0 0 -180
O ANTIDEPRESAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Diazepam inj 5 mg/ml - 2 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Diazepam tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Fenobarbital tablet 30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Haloperidol injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Haloperidol 5 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Klorpromazin HCl inj 5 mg/2cc Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Klorpromazin HCl 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
9 Risperidone 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Stesolid Rectal Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P ANTIMIGREN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Antimigren DOEN tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Betahistin Mesilat tab 6 mg Tablet 0 0 0 30 0 0 30 0 0 0 0 0 0 0 0 30 0 0 0 -30
Q ANTIDIABETIKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Glibenklamid tablet 5 mg Tablet 0 0 0 1200 0 0 1200 0 0 100 0 0 5 0 0 1100 0 0 170 -930
2 Glimepirida 1 mg Tablet 100 0 0 100 0 0 200 0 0 0 0 0 0 0 0 200 0 0 0 -200
3 Metformin Tablet 350 0 0 500 0 0 850 0 0 280 0 0 18 0 0 570 0 0 476 -94
R OBAT KULIT & OBAT LUAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Asiklovir krim 5 % 5 gr Tube 0 0 0 70 0 0 70 0 0 26 0 0 9 0 0 44 0 0 44 0
2 Antibakteri DOEN salep komb Tube 25 0 0 25 0 0 50 0 0 50 0 0 10 0 0 0 0 0 85 85
3 Antifungi DOEN kombinasi salep Pot 25 0 0 0 0 0 25 0 0 25 0 0 11 0 0 0 0 0 43 43
4 Betametason krim 0,1 % Tube 0 235 0 0 0 0 0 235 0 0 85 0 0 18 0 0 150 0 145 -6
5 Burnazin cream Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Chloramfecort Krim Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Gentamisin salep kulit Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Gentian violet lar 1 % Botol 24 0 0 24 0 0 48 0 0 24 0 0 8 0 0 24 0 0 41 17
9 GOM Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Hidrokortison krim 2,5 % Tube 48 465 0 0 0 0 48 465 0 0 33 0 0 12 0 48 432 0 56 -424
11 Kassa Penutup luka/lomatule Pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Ketokonazol (cream)10 gr Tube 0 175 0 0 0 0 0 175 0 0 25 0 0 11 0 0 150 0 43 -108
13 Mikonazol krim Tube 86 48 0 0 0 0 86 48 0 0 0 0 0 0 0 86 48 0 0 -134
14 Obat Luka Bakar Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Oksitetrasiklin 3% salep kulit Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Polikresulen ( Albothyl ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Salep 2-4 Pot 96 192 0 0 0 0 96 192 0 0 0 0 0 0 0 96 192 0 0 -288
18 Salisil bedak 2 % Kotak 84 0 0 0 0 0 84 0 0 84 0 0 24 0 0 0 0 0 143 143
19 Scabiecid cream Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Trombophop salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S OBAT TELINGA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Fenol Glicerol Cair Botol 24 0 0 0 0 0 24 0 0 5 0 0 3 0 0 19 0 0 9 -11
2 Kloramfenikol tetes telinga 3 % Botol 20 0 0 0 0 0 20 0 0 10 0 0 6 0 0 10 0 0 17 7
T OBAT MATA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Atropin sulfat tetes mata 0,5 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cendoxitrol Tetes Mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Gentamisin tetes mata Botol 17 0 0 0 0 0 17 0 0 17 0 0 11 0 0 0 0 0 29 29
4 Kloramfenikol salep mata 1 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Obat edema kornea tetes mata/Optalgon Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
6 Oksitetrasiklin salep mata Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Sulfasetamida Na tetes mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Tetracain Hcl 0,5 % Tetes Mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Timolol 0,5 % Tetes mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
U ANTIHAEMORRHOID 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Anti Hemoroid DOEN supp Supp 159 0 0 0 0 0 159 0 0 40 0 0 8 0 0 119 0 0 68 -51
2 Anti Hemoroid kapsul Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
V KARDIOVASKULUS/ ANTIHIPERTENSI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Amlodipin 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Aspar K Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Bisoprolol 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Digoksin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Isorbid dinitrat tablet sublingual 5 mg Tablet 40 0 0 0 0 0 40 0 0 30 0 0 1 0 0 10 0 0 51 41
6 Kaptopril 25 mg Tablet 817 0 0 1500 0 0 2317 0 0 1231 0 0 25 0 0 1086 0 0 2093 1007
7 Kaptopril 12.5mg Tablet 2199 0 0 2500 0 0 4699 0 0 2299 0 0 25 0 0 2400 0 0 3908 1508
8 Metildopa/dopamet Tablet 155 0 0 100 0 0 255 0 0 135 0 0 12 0 0 120 0 0 230 110
9 Nifedipin 10 mg tab Tablet 77 0 0 0 0 0 77 0 0 50 0 0 4 0 0 27 0 0 85 58
10 Nifedipin 20 mg tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Propanolol HCl tablet 10 mg Tablet 170 0 0 0 0 0 170 0 0 50 0 0 1 0 0 120 0 0 85 -35
12 Reserpin tab 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Tensi Gard Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
W DIURETIKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Furosemid tablet 40 mg Tablet 28 0 0 0 0 0 28 0 0 0 0 0 0 0 0 28 0 0 0 -28
2 Hidroklortiazid (HCT) tablet 25 mg Tablet 1167 0 0 0 0 0 1167 0 0 107 0 0 14 0 0 1060 0 0 182 -878
3 Nefrolit kapsul Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
X OKSITOSIKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Metilergometrin maleat inj 0,200 mg - 1 ml ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Metilergometrin maleat tab salut 0,125 mg Tablet 0 0 0 200 0 0 200 0 0 0 0 0 0 0 0 200 0 0 0 -200
3 Oksitoksin inj 10 IU/ml - 1 ml ampul 0 0 0 100 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
4 Syntocinon ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Y ANTILIPIDEMIKUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Simvastatin Tablet 10 mg Tablet 0 0 0 600 0 0 600 0 0 415 0 0 23 0 0 185 0 0 706 521
Z HORMON 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Propiltiourasil tablet 100 mg Tablet 300 0 0 0 0 0 300 0 0 0 0 0 0 0 0 300 0 0 0 -300
AA SYOK ANAFILAKTIK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Epinefrin / adrenalin inj 0,1 % - 1ml ampul 0 0 0 30 0 0 30 0 0 0 0 0 0 0 0 30 0 0 0 -30
AB ANTELMINTIK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Pirantel tablet 125 Tablet 46 0 0 0 0 0 46 0 0 16 0 0 5 0 0 30 0 0 27 -3
AC PELARUT & INFUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
1 Aqua pro inj steril @ 20 cc Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Cairan infus pengganti plasma/gelofusin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dekstran 70 lar infus 6 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Glukosa lar infus 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Glukosa lar infus 40 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Glukosa lar infus 5 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 KN - 3B SOL/KK Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Magnesium sulfat inj 25 ml -20 % Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Magnesium sulfat inj 25 ml -40 % ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Manitol 20 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Metronidazole infus 500 mg/100ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Natrium Klorida Lar.infus 0,9 % steril Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Parasetamol Infus Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Ringer Laktat Larutan Infus Steril Botol 80 0 0 120 0 0 200 0 0 0 0 0 0 0 0 200 0 0 0 -200
15 Siproploksasin infus Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AD ANTISEPTIKA & DESINFEKTAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Bayclin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Etakridin ( rivanol ) lar 0,1 % 300 cc Botol 10 0 0 10 0 0 20 0 0 0 0 0 0 0 0 20 0 0 0 -20
3 Etanol 70 %1000 ml Botol 0 0 0 100 0 0 100 0 0 0 0 0 0 0 0 100 0 0 0 -100
4 Etanol 70 %100 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Lisol 5 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Povidon Iodine 10 % 60 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Povidon Iodine 10 % 300 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AE KB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Depo progestin/suntik KB Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AF ANTI INFLUENZA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Obat batuk pilek anak 60 ml (Paracetamol, F Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AG SERUM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Serum anti tetanus inj 1.500 IU/amp Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Serum anti tetanus inj 20.000 IU/vial Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Serum antibisa ular Polivalen inj 5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AH LAIN-LAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Atropin sulfat inj 0,25 mg / ml-1ml ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Atropin Sulfat Tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Calsium gluconas inj ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Lidokain Jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Jelly USG Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Natrium tiosulfat inj ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Nalokson Inj 0,4 mg/ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
8 Oxycan Botol 3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 3 0 0 0 -3
0 OBAT PROGRAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AI ANTI MALARIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Artemeter injeksi ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Arterakine tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Artesunate injeksi ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Kuinin Dihidroklorida injeksi 25%-2 ml ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AJ GIZI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Zinc suspensi 60 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Mineral Mix Sachet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Pan entral Sachet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Retinol ( vit A ) kapsul 100.000 unit Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Retinol ( vit A ) kapsul 200.000 unit Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Taburia Sachet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AK FILARIASIS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Anti Filaria Tablet ( Dietyl Karbamazepin ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Albendazol tab 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AL ANTI LEPRA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 MB Dewasa Blister 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 MB Anak Blister 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 PB Dewasa Blister 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 PB Anak Blister 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AM OBAT TBC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 INH 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Obat Anti Tuberkulosis FDC Kat 1 & 3 Paket 15 0 0 0 0 0 15 0 0 0 0 0 0 0 0 15 0 0 0 -15
3 Obat Anti Tuberkulosis FDC Kat 2 Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Obat Anti Tuberkulosis Kategori Anak Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Obat Anti Tuberkulosis Sisipan Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AN HEPATITIS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Vaksin HBIg / Hyperhep B Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AO VAKSIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Vaksin BCG Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Vaksin Campak Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Vaksin DT Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Vaksin HB COM DPT Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Vaksin HB UNIJECT Syringe 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Vaksin Polio Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Vaksin TT Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Vaksin TD Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
9 Vaksin DPT HB HIB Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Polio IVP Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AP DENTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Air Raksa Dental Use Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Bonding Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Carpul pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Celluloid strip pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Composite Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Dentorit Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Descotan Forte (gigi) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Devitalisasi Pasta (Non arsen) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Etil klorida semprot 100 cc Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Etching/Extra gel Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Eugenol Cairan Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Glass Ionomer Cement (GC IX) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Jarum Citoject pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kalsium Hidroksida pasta pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Lidokain inj komb ampul 120 0 0 0 0 0 120 0 0 0 0 0 0 0 0 120 0 0 0 -120
16 Lining Cement pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Mata Bor pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Monoklorkamfer mentol cairan Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Mummifying Pasta Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Poles pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Semen seng fosfat serbuk cairan/Glas lono pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Serat pembeku darah pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Silver amalgam serbuk 65-75 % Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Spray pelumas handpiece Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Sulfa Stopping Fletcher(Fletcher) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Tissu steril pembersih alat gigi Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Topikal anestesi Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Trikresol formalin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AQ Bahan Kimia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Hidrogen Peroksida (H2O2) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Oil Imersi Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Oil Imersi Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Reagen Ziehl Neelsen Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Alkohol Swab pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 PPD 2 TU Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Test Pack pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
8 Stik Kolesterol pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Stik Asam Urat pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Stik Glukosa pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 VIKIA HIV pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 DI Anti HIV 1/2 pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Intec HIV III pieces 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 SD Bioline HIV Kit.1 Tes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Oncoprobe HIV.3 Tes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 SD Bioline Shypilis Tes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 RPR Shypilis (plasmatec) + RPR Componen Tes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 SD HbsAg Tes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Iodina Tes 10 ml Kit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AR Obat Tambahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Simvastatin Tablet 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Kloramfenikol tetes mata 0.5%/Decacetin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Albendazol Sirup 200mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Depakote 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Clozapine 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Onzapin 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Formal 100 Sachet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

BAYAR BPJS KARTU LANSIA KADER JUMLAH


JUMLAH KUNJUNGAN
SEHAT 0

Mengetahui: Yang menyerahkan Yang menerima Tangerang, .................................................


Kepala UPT Instalasi Farmasi Petugas UPT Instalasi Farmasi Petugas Gudang Obat Yang Meminta
Kabupaten Tangerang Kabupaten Tangerang UPT Puskesmas ........................ Kepala UPT Puskesmas .................................
Satuan Stok Awal Penerimaan Persediaan Pemakaian Jumlah Hari Pakai Stok Akhir
NO Nama Obat Stok Opt Permintaan
Kemasan DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain DINKES JKN Lain-lain
............................................................... ………………………………………. ............................................................... ..........................................................................
R PERMINTAAN OBAT ( LPLPO ) PUSKESMAS

TANGGAL DOKUMEN

Pemberian
Pemberian

100

10000
Pemberian

2000
Pemberian

10

800

200

16800

2500

1000
600
Pemberian

200

100
300

500

1500

2000

200
500
500
Pemberian

1000

192

60

2500

3000
Pemberian

125
72

24

24

200

48
Pemberian

100
2000
3000
200
200

900
Pemberian

10

24
Pemberian
Pemberian
Pemberian

Tangerang, .................................................
Yang Meminta
Kepala UPT Puskesmas .................................
Pemberian

..........................................................................

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