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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O ) KODE PUSKESMAS PUSKESMAS KECAMATAN KAB/KODYA PROPINSI NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
NAMA OBAT 2 OBAT DAU ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg AMINOPHILLIN INJEKSI AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
: : : : :
S P P J
O A A A
P A'AH D E M A W U M E K A S A N W A T IM UR
KELAS TERAPI 3
SATU -AN 4
3 3 3 3 3 3 6 6 1 1 9 9 9 2 2
2 2 2 2 2 2 1 1 3 3
6 6
1 1
6 6 6 6 6 6 6 6 2 1 1 2 2
2 2 2 2 2 2 2 2 3 2 2 5 5
1 1 1 1 1 1 1 1 2
1 1
BH BH BH BH BH BH TAB BTL TAB TAB TAB BTL BTL TAB AMP
KAP KAP BTL BTL VIAL KAP BTL VIAL TAB TAB AMP 1 BTL 1 TAB
STOCK AWAL 5
265 90
Laporan LPLPO Permintaan Obat : FEBRUA TAHUN : 2018 RUANG FARMASI
PENERI -MAAN 6
100
40 90 100 152 20 8
360 1,600 51 32
190
350
PERSEDIAAN 7 365 90 40 450 100 1,752 71 40 540
PEMAKAIAN 8
100 30
200 792 49 28
254
SISA STOCK 9 265 60 40 250 100 960 22 12 286
STOCK OPT. 10
PERMINT AAN 11
PKD 12
100
100
400
360
1000 20 20
1,600 51 32
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70
2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP BETAHISTIN MESILAT 6 mg BETAMETHASONE CREAM BIO ATP KAPLET CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFADROXYL 125 mg CEFADROXYL 500 MG CEFOTAXIM 1 GR INJ CLINDAMYCYN 500 MG DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECTAL DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ DURADRIL / ADIDRYL INJ
KELAS TERAPI 3 1 8 1 8 2 5 2 O 3 O 2 9 2 9 1 2 1 2 2 3 2 1 1 4 1 4 6 6 6 6 6 6 6 2 6 2 1 O
3 3 3 3
4 1 1 1 1 1 1 1 1
SATU -AN 4 POT TUBE SUP FLS BTL TAB TAB TAB TAB AMP BTL KAP KAP TAB TAB TUBE VIAL VIAL BTL
STOCK AWAL 5
PENERI -MAAN 6 25
400
157 321 61
900
130 1
8
1 1 1 3 1 6
7 7 7 2 1 22
1 1 2 2 5 5 1 3 3
6 6 3 3
7
4 TUBE 3 TAB 3 TAB 3 TAB BH TAB 6 KPL
VIAL TAB 5 TAB 5 AMP TAB TAB AMP SUP 2 TAB AMP VIAL
85
100
691 265
1,200
115 34 143
7 100
340
300
PERSEDIAAN 7 25 400 1,057 321 61 130 185 1,891 265 115 41 243 640 -
PEMAKAIAN 8
185
674 30 51
18 100 1,514 105
115 7 219
390
SISA STOCK 9 25 215 383 291 10 112 85 377 160 34 24 250 -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
20
25
500
400
1000
900
200
100
1500
1,200
10 200
7 100
500
300
PE M B E R IAN ASKES BF 13 14
71 EPHEDRIN 25 mg
1
77
2 TAB
-
-
KELAS TERAPI 1 2 3 72 ERITROMICYN 250 MG 6 22 73 ERITROMICYN 500 MG 6 22 74 ERITROMICYN SYIRUP 6 22 75 EPHINEPRINE INJ 3 76 ETAKRIDIN LAR (RIVANOL) 0,1% 1 3 77 ETANOL 70% 1 3 78 ETHIL KLORIDA 2 1 79 EXTRACT BELADON 2 5 80 FENITOIN 30/100 MG 5 81 FENOBARBITAL 30/100MG mg 5 82 FENOBARBITAL INJ. 5 83 FENOL GLISEROL TT 10% 2 3 84 FENOXIPENICILIN 500 MG 6 2 85 FENOXIPENICILIN 250 MG 6 2 86 FITOMENADION 10 mg TAB 1 O 87 FITOMENADION INJEKSI 1 O 88 FUROSEMIDE 40 mg 1 5 89 FUROSEMIDE INJEKSI 1 5 90 GARAM ORALIT 200 2 O 91 GENTAMICYN 80 MG INJ. 6 22 92 GENTAMICYN SK 2 1 93 GENTAMICYN TM 2 1 94 GENTIAN VIOLET 1 % 1 4 95 GLIBENCLAMIDE 5mg 1 62 96 GLISERIL GUAIACOLAT 100 mg 2 6 97 GLISERIN 2 5 98 GLUCOSE 5 % INFUS 2 O 99 GLUCOSE 10 % INFUS 2 O 100 GLUCOSE 40 % INFUS 2 O 101 GRISEOFULVIN 500 mg 6 4 102 GRISEOFULVIN 125 mg 6 4 103 HALOPERIDOL 1,5 mg 2 3 104 HALOPERIDOL 2 mg 2 3 105 HALOPERIDOL 5 mg 2 3 106 HALOPERIDOL INJEKSI 2 3 107 HISCOPAN 108 HIDROCORTISONE 2,5% 1 8 109 HIDROKLORTIAZID (HCT) 25 mg 1 5 NO
NAMA OBAT
4 4 4 2 2 4
2 1 1 2 2
1 5 1 1 2 1 3 6 2 2 2
4 4 4 4 4
SATU -AN 4 KAP KAP BTL AMP BTL BTL BTL TAB KAP TAB AMP BTL KPL KPL TAB AMP TAB AMP SAK VIAL TUBE BTL BTL TAB TAB BTL FLS FLS FLS TAB TAB TAB TAB TAB AMP TAB TUBE TAB
STOCK AWAL 5
PENERI -MAAN 6
100 250 319
320 200
24
8 615
100
PERSEDIAAN 7 (100) (250) (319) (320) (200) (24) (8) (715)
PEMAKAIAN 8
60 75 48
180 118
3 30
SISA STOCK 9 (160) (325) (367) (500) (318) (24) (11) (745)
STOCK OPT. 10
PERMINT AAN 11
PKD 12
500
200
200
100
PE M B E R IAN ASKES BF 13 14
NO 1 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147
NAMA OBAT 2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg KALIUM PERMANGANAT KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 500 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
KELAS SATU TERAPI -AN 3 4 1 2 TAB 1 2 TAB 1 2 BTL 3 2 SET 3 2 SET 1 6 3 KAP 1 7 1 TAB 3 2 BH 3 2 BH 3 2 BH 3 2 BH 2 9 TAB 5 TAB 1 3 1 BTL 3 2 BKS 3 2 BKS 3 2 ROL 3 2 BKS 3 2 ROL 3 2 ROL BKS 3 2 BKS 6 4 1 TAB 6 4 1 TUBE 1 2 AMP 1 2 TAB 6 22 4 KAP 6 6 2 2 2 2 6 3 2 2
22 22 12 12 5 5 22 3 3
2 2 1 1 1 1 2
KAP BTL TUBE TUBE BTL BTL VIAL TAB 4 TAB 4 TAB
STOCK AWAL 5 170
PENERI -MAAN 6 2,300
9
25
209
100
210
616 4
105 16 8 7
19 24 14
120
1,000
PERSEDIAAN 7 2,470 34 309 210 616 4 105 35 32 21 1,120 -
PEMAKAIAN 8 2,149 13
105
10
476 2
51 12 7 9
997
SISA STOCK 9 321 21 204 200 140 2 54 23 25 12 123 -
STOCK OPT. 10
PERMINT AAN 11 3000
PKD 12 2,300
20
25
100
100
20 24 10
19 24 14
1500
1,000
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184
2 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 % LARUTAN ETANOL ASAM LARUTAN GIEMSA STAIN LARUTAN METHILEN BLUE LARUTAN TURK LARUTAN ETER ALKOHOL LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL LIDOCAIN INJ /COMB 2 % LISOL 50 % MAGNESIUM SULFAS INJ.20% MAGNESIUM SULFAS INJ.40% MAGNESIUM SULFAS SERBUK. MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 TAB METIL ERGOMETRIN INJEKSI METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPRAM METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
KELAS TERAPI 3 2 3 6 22 6 22 6 22 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 5 5 4 2 6 1 6 1 1 62 1 62 2 2 2 2 2 5 2 5 2 5 2 5 6 22 6 22 6 22 6 22 1 8 2 O 4 1
4 3 3 3
1 1 1 1 1 1 2 2 2 2 7 7 7 7 3 2
SATU -AN 4 AMP TAB TAB BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL AMP BTL VIAL VIAL BKS TAB BTL TAB TAB TAB AMP TAB BTL AMP BTL TAB TAB FLS BTL TUBE FLS TAB
STOCK AWAL 5
687 42
PENERI -MAAN 6
14
1,000
2 430 20
9 200
9
PERSEDIAAN 7 687 56 1,000 11 430 220 9 -
PEMAKAIAN 8
SISA STOCK 9
20 20
1 70 30
5
667 36 1,000 10 360 190 4 -
STOCK OPT. 10
PERMINT AAN 11
PE M B E R IAN ASKES BF 13 14
PKD 12
10
14
1000
1,000
10
9
200
200
10
9
NO
NAMA OBAT
1 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221
2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DROP OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC SU PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD POLIKRESULEN / ALBOTYL POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB PROPANOLOL HCL 10 MG PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
KELAS TERAPI 3 1 2 1 2 1 7 6 4 6 4 2 6 6 22 1 8 2 1 2 2
1 1 1 1 1 1 1 3 2 2 6 6 3 1 1 1 1 1 1 1 1 1 6 2 2
3 2 2 2 2 2 2 2 9 9 1 1 2 3 3 3 3 3 6 7 7 6 2 5 5
3 2 1 3 1 2 2 1
2
1 1 1 1 1 1 1 5 2 2 4 1 1 1
SATU -AN 4 TAB TAB TAB VGTAB BTL BTL VIAL TUBE TUBE AMP AMP TAB TAB TAB TAB SUPP BTL BTL TAB ROL TAB TAB TAB BTL ROL BTL BTL BTL BTL BTL TAB TAB TAB TAB VIAL KAP AMP
STOCK AWAL 5
PENERI -MAAN 6
443
210
200
7
40
200
850 98
280
100
PERSEDIAAN 7 443 410 47 200 850 98 380 -
PEMAKAIAN 8
71
317
35
71
80
380
SISA STOCK 9 372 93 12 129 770 98 -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
500
200
20
40
200
200
200
100
PE M B E R IAN ASKES BF 13 14
NO 1 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258
KELAS TERAPI 2 3 RETINOL 100.000 IU 2 9 RETINOL 200.000 IU 2 9 RIFAMPICIN 450 mg 6 3 RINGER LACTAT INFUS 2 O SALBUTAMOL SIRUP 2 6 SALBUTAMOL 2 mg 2 6 SALBUTAMOL 4 mg 2 6 SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 1 8 SALICYL BEDAK 2% 1 8 SALICYL SPIRITUS 10% 1 8 SABU I 2 7 SERUM ANTI TETANUS 1500 UI 2 7 SERUM ANTI TETANUS 20,000 UI 2 7 SERUM ANTI DIPTHERI 2 7 SIANOKOBALAMIN HCL/B12 INJ 1 O SIANOKOBALAMIN HCL/B12 TA 6 22 SILK 3 2 SULFASETAMID Na TM 0,5 % 2 1 TAB.TAMBAH DARAH/ HEMAFO 1 O TTD CAMABION TETRACAIN TTS MATA 2 1 TETRACYCLIN HCL 250 mg 6 22 TETRACYCLIN HCL 500 mg 6 22 THIAMIN HCL ( B1 ) INJEKSI 2 9 THIAMIN HCL ( B1 ) 50 MG 2 9 TRIHEXYPENIDIL 2 mg 9 VIT.B.COMPLEX INJEKSI 2 9 VIT.B.COMPLEX TAB 2 9 OBAT GIGI AIR RAKSA DENTAL USE 1 4 CITODUR 1 4 COMPOSITE SET 1 4 DENTORIT 1 4 DEVITALISASI PASTA 1 4 EUGENOL CAIRAN 1 4 FORMOKRESOL 1 4 GLASS IONOMER SEMEN 1 4 NAMA OBAT
2 2 1 1 1
SATU -AN 4 KAP KAP KAP FLS BTL TAB TAB
5 8 8 1 1 1 1 1 3
POT DUS BTL VIAL AMP VIAL VIAL AMP TAB BH 2 BTL 1 DRAGE
STOCK AWAL 5
14 4
650
80 1 BTL 1 KAP 1 KAP AMP TAB TAB VIAL TAB 1 1 1 1 1 1 1 1
BTL SET SET SET SET BTL BTL SET
PENERI -MAAN 6
60
325 653
600
730
1,000
PERSEDIAAN 7 14 4 650 140 325 1,253 1,730 -
PEMAKAIAN 8
SISA STOCK 9
4 4
558
45
20 546
1,020
10 92 95 305 707 710 -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
90
60
500
600
1000
1,000
PE M B E R IAN ASKES BF 13 14
KELAS TERAPI 1 2 3 259 KALSIUM HIDROXIDA PASTA 1 4 KLORFENOL CAMFER MENTOL 260 1 4 (CHKM) 252 MUMMYING PASTA/IODOFORM 1 4 253 PUPERIL 1 4 254 SEMEN SENG FOSFAT SERB+CAIRA 1 4 255 SILVER AMALGAM 1 4 256 SPON GELATIN 1 4 257 TEMPORARY FLETCHER 1 4 258 TRIKRESOL FORMALIN/TKF 1 4 OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 ANTI MIGRAIN/ERGOTAMINE 267 CAFFEINE 268 ANTRAIN/NORAGES/ PROGESIK INJ 269 BECEFORT 270 BECEFORT SYIRUP BENODON / XYLOMIDON 271 INJEKSI 272 BETAHISTIN MESILAT 6 mg 273 BICOLAX 274 BIONIC DROPS 275 BIOPLACENTON SK 276 BOX SLIDES 277 BROMHEXIN / BRONKIS 278 CALSIUM GLUCONAS INJEKSI 279 CETERIZINE 10 MG 280 CETERIZINE SYR 281 CIMETIDIN 200 mg 282 CLOBAZAM 10 MG 283 COMBIVENT NEBULASER NO
NAMA OBAT
1 1 1 1 2 1 1 1 2
SATU -AN 4 SET BTL SET SET SET SET BH SET BTL AMP TAB BTL TAB TAB TAB BTL TAB TAB TAB AMP TAB BTL VIAL TAB TAB KPL BTL TUBE KTK TAB BTL CAP BTL TAB
STOCK AWAL 5
9
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
3
(3) -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321
KELAS SATU TERAPI -AN 3 4 DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN) 6 1 2 TAB DOMPERIDONE srp DOMPERIDONE 10 MG 2 5 2 TAB DOMPERIDONE SUSPENSI AMP DOXICILIN 100 MG TAB FLUDANE BTL FLUDANE SYIRUP KAP FOLLEY CATETER NO 16 KAP FOLLEY CATETER NO 18 BTL FOLLEY CATETER NO 20 3 2 BH FOLLEY CATETER NO 24 3 2 BH GEMFIBROZIL 300 MG 3 2 BH GLIMEPIRIDE 1 MG 3 2 BH GLIMEPIRIDE 2 MG KAP GLIMEPIRIDE 3 MG TAB GLIMEPIRIDE 4 MG TAB HAND SCOEN 7 -7,5 TAB HISBISCRUB TAB INFUS ASERING 3 2 BH INFUS KA-EN 3 B BTL KACA SLIDES BTL KALIUM DIKLOFENAK 25 MG BTL KALIUM DIKLOFENAK 50 MG KTK KALOBA KAP KLINDAMYCIN 300 KAP LANSOPRAZOL 30 MG FLS LANTUS SOL PEN 100 IU/ML INJ KAP LINCOMYCIN 500 mg KAP LISINOPRIL 5 MG KTK LISINOPRIL 10 MG KAP LOPERAMID 2 MG/LEXADIUM TAB LORATADIN 10 MG TAB MASKER TAB MECOBALAMIN 500 mg TAB MELOKSIKAM 7,5 MG 3 2 BH METFORMIN 500 MG KAP NAMA OBAT
STOCK AWAL 5
PENERI -MAAN 6 100
7 200
25
149 360 490
1,000 500 700
190 210
1,000
PERSEDIAAN 7 0 100 0 32 200 0 0 0 0 0 0 0 0 0 1149 860 1190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 210 0 0 0 1000
PEMAKAIAN 8 12 10 20
400 659 227
60 80
704
SISA STOCK 9 0 88 0 22 180 0 0 0 0 0 0 0 0 0 749 201 963 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 130 0 0 0 296
STOCK OPT. 10
PERMINT AAN 11
PKD 12
100
100
20
25
1500 500 500
1,000 500 700
PE M B E R IAN ASKES BF 13 14
NO 1 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362
NAMA OBAT
KELAS TERAPI 3
2 METFORMIN 850 MG KLORAMFENIKOL 250 mg METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML INJ 6 2 OBAT KATEGORI ANAK 6 2 OBAT KATEGORI I 6 2 OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG 1 3 PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD 1 7 THIAMPHENICOL 500 MG 1 7 THIAMPHENICOL SIRUP 1 5 TRAMADOL 150 mg TRAMADOL INJEKSI TRIFLUOPERAZINE 5 MG 3 2 URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
SATU -AN 4
TAB VIAL TAB KPL 2 VIAL 2 VIAL 2 VIAL
STOCK AWAL 5
PENERI -MAAN 6
400
PAKET PAKET PAKET PAKET
KAP TAB TAB TAB BTL 1 BTL TAB TAB AMP CAP CAP BTL BTL TAB KAP KAP BTL 8 TAB 8 TAB TAB KAP KAP BH TAB TAB SET SET
43 460
30
PERSEDIAAN 7 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 460 0 0 0 30 0 0 0
PEMAKAIAN 8
380
10 40
40 3
100 50
140 53
33 5
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 420 0 0 0 30 0 0 0 107 48
100 30
100 50
PE M B E R IAN ASKES BF 13 14
NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
NAMA OBAT
KELAS TERAPI 3
2 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg BENODON / DURADRIL INJ. BETAHISTIN MESILAT 6 MG BETAMETHASONE CREAM BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CEFADROXIL 125 MG CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8 -
32
430
SISA STOCK 9
STOCK OPT. 10 -
-
31
(31) -
430
380
50
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO 1 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79
NAMA OBAT
KELAS TERAPI
2 CIPROFLOXACIN 500 mg CLINDAMYCYN 300 MG CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL
SATU -AN
STOCK AWAL 190 500
400
PENERI -MAAN
PERSEDIAAN 190 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN 80 60
210
SISA STOCK 110 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0
STOCK OPT.
PERMINT AAN
PKD
PE M B E R IAN ASKES BF
NO 1 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117
NAMA OBAT
KELAS TERAPI
2 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI METILPREDNISOLON 4 MG METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP MICONAZOLE 2% CREAM NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG
SATU -AN
STOCK AWAL
1595 1505
PENERI -MAAN
PERSEDIAAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1595 1505 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN
580 70
SISA STOCK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1015 1435 0 0 0 0 0 0 0 0 0 0
STOCK OPT.
PERMINT AAN
PKD
PE M B E R IAN ASKES BF
NO
NAMA OBAT
1
2
118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147
PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg NTOLIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI THIAMPHENICOL 500 MG THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8 -
2256
175 500
300
2,256 475 500 -
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
141
350 105
2,115 125 395 -
500
300
PE M B E R IAN ASKES BF 13 14
NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
NAMA OBAT 2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
CATGUT CHROMIC 2/0- 3/0 HR 2426 MM PLAIN 2/0- 3/0 Ds 24-26 CATGUT MM
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP) HAND SCOEN STERIL (PF) INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1
2
37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63
KASA 4 X 15 CM KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN TEST TRIP CHOLESTEROL (EASY TOUCH) TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY TOUCH)
UNDERPAD URINE BAG
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1
2 REAGEN
64 65 66 67 68 69 70 71 72 73 74
ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN
75 TRIGLISERIDE 76 URIC ACID
77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE DENTAL GYPSUM TIPE II (PUTIH) DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1 94 95 96 97 98 99 100 101 102 103 104
2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
105 106 107 108 109 110 111 112
GOLONGAN DARAH A AB B O THYPOID AO THYPOID BO THYPOID H THYPOID O
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1
2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
ASKES
JUMLAH
PKD 12
PE M B E R IAN ASKES BF 13 14
BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5 HYPAFIX / ULTRAVIX 2,5X5 INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR UMUM JUMLAH KUNJUNGAN RESEP
BAYAR
TIDAK BAYAR
MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
Rp.
YANG MENER BIDAN DES
ASI
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN
JML
KET 17
E M B E R IAN LAIN
JML
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
YANG MENERIMA BIDAN DESA
KET 17
LAPORAN PEMAKAIAN DAN LEMBAR ( L P L P O ) KODE PUSKESMAS PUSKESMAS KECAMATAN KAB/KODYA PROPINSI NO 1
NAMA OBAT
: S P P J
O A A A
P D M W
A'AH E M A W U E K A S A N A T IM UR SATU -AN 4
KELAS TERAPI 3
STOCK PENERI AWAL -MAAN 5 6
1 2 3 4 5 6 7 8
2 OBAT DAU ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP
3 3 3 3 3 3 6 6
2 2 2 2 2 2 1 1
BH BH BH BH BH BH 1 TAB 1 BTL
9
ALLOPURINOL 100 MG
1
3
TAB
265
10 11 12 13 14
ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg
1 9 9 9 2
3
90
6
TAB TAB BTL BTL 1 TAB
15
AMINOPHILLIN INJEKSI
2
6
1 AMP
16 17 18 19 20 21 22 23 24 25 26 27 28 29
AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
6 6 6 6 6 6 6 6 2 1 1 2 2
2 2 2 2 2 2 2 2 3 2 2 5 5
1 1 1 1 1 1 1 1 2
KAP KAP BTL BTL VIAL KAP BTL VIAL TAB TAB AMP 1 BTL 1 TAB
100
40 90 100 152 20 8
360 1,600 51 32
190
350
NO
NAMA OBAT
KELAS TERAPI
1 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP
3
49
BETAHISTIN MESILAT 6 mg
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69
BETAMETHASONE CREAM BIO ATP KAPLET CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFADROXYL 125 mg CEFADROXYL 500 MG CEFOTAXIM 1 GR INJ CLINDAMYCYN 500 MG DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECT DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ
1 1 2 2 O 3 O 2 2 1 1 2 2 1 1 6 6 6 6 6 1 O
8 8 5
9 9 2 2 3 1 4 4 6 6 6 2 2
3 3 3 3
4 1 1 1 1 1 1 1 1
SATU -AN 4 POT TUBE SUP FLS BTL TAB TAB TAB TAB AMP BTL KAP KAP TAB TAB TUBE VIAL VIAL BTL
STOCK PENERI AWAL -MAAN 5 6 25
400
157 321 61
900
130 1 1 1 1 3 1 6
1 1 2 2 5 5 1 3
8 7 7 7 2 1 22
6 6 3 3
7
4 TUBE 3 TAB 3 TAB 3 TAB BH TAB 6 KPL
VIAL TAB 5 TAB 5 AMP TAB TAB AMP SUP 2 TAB AMP
85
100
691 265
1,200
115 34 143
7 100
340
300
70
DURADRIL / ADIDRYL INJ
3
71
EPHEDRIN 25 mg
1
NO
NAMA OBAT
1 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109
2 ERITROMICYN 250 MG ERITROMICYN 500 MG ERITROMICYN SYIRUP EPHINEPRINE INJ ETAKRIDIN LAR (RIVANOL) 0 ETANOL 70% ETHIL KLORIDA EXTRACT BELADON FENITOIN 30/100 MG FENOBARBITAL 30/100MG mg FENOBARBITAL INJ. FENOL GLISEROL TT 10% FENOXIPENICILIN 500 MG FENOXIPENICILIN 250 MG FITOMENADION 10 mg TAB FITOMENADION INJEKSI FUROSEMIDE 40 mg FUROSEMIDE INJEKSI GARAM ORALIT 200 GENTAMICYN 80 MG INJ. GENTAMICYN SK GENTAMICYN TM GENTIAN VIOLET 1 % GLIBENCLAMIDE 5mg GLISERIL GUAIACOLAT 100 GLISERIN GLUCOSE 5 % INFUS GLUCOSE 10 % INFUS GLUCOSE 40 % INFUS GRISEOFULVIN 500 mg GRISEOFULVIN 125 mg HALOPERIDOL 1,5 mg HALOPERIDOL 2 mg HALOPERIDOL 5 mg HALOPERIDOL INJEKSI HISCOPAN HIDROCORTISONE 2,5% HIDROKLORTIAZID (HCT) 25
NO
NAMA OBAT
VIAL 77
KELAS TERAPI 6 6 6 3 1 1 2 2 5 5 5 2 6 6 1 1 1 1 2 6 2 2 1 1 2 2 2 2 2 6 6 2 2 2 2 1 1
3 22 22 22 3 3 1 5
3 2 2 O O 5 5 O 22 1 1 4 62 6 5 O O O 4 4 3 3 3 3 8 5
KELAS TERAPI
2 TAB SATU -AN 4 4 KAP 4 KAP 4 BTL AMP 2 BTL 2 BTL BTL 4 TAB KAP TAB AMP 2 BTL 1 KPL 1 KPL 2 TAB 2 AMP TAB AMP 1 SAK 5 VIAL 1 TUBE 1 BTL 2 BTL 1 TAB 3 TAB 6 BTL 2 FLS 2 FLS 2 FLS TAB TAB 4 TAB 4 TAB 4 TAB 4 AMP TAB 4 TUBE TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6
100 250 319
320 200
24
8 615 100 STOCK PENERI AWAL -MAAN
NO
NAMA OBAT
KELAS TERAPI
1 110 111 112 113 114 115 116 117 118 119 120 121 122
2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg
1 1 1 3 3 1 1 3 3 3 3 2 5
2 2 2 2 2 6 7 2 2 2 2 9
123
KALIUM PERMANGANAT
1
3
1 BTL
124 125 126 127 128 129 130 131 132
3 3 3 3 3 3
2 2 2 2 2 2
3 6
2 4
BKS BKS ROL BKS ROL ROL BKS BKS 1 TAB
6
4
1 TUBE
1 1 6
2 2 22
AMP TAB 4 KAP
6 6 2 2 2 2
22 22 12 12 5 5
2 2 1 1 1 1
6
22
2 VIAL
145 146 147
KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 500 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
3 2 2
3 3
NO
NAMA OBAT
133 134 135 136 137 138 139 140 141 142 143 144
3
SATU -AN 4 TAB TAB BTL SET SET 3 KAP 1 TAB BH BH BH BH TAB TAB
KELAS TERAPI
KAP BTL TUBE TUBE BTL BTL
TAB 4 TAB 4 TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6 170 2,300 9
25
209
100
210
616 4
105 16 8 7
19 24 14
120
1,000
STOCK PENERI AWAL -MAAN
1 148 149 150 151 152 153 154
2 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 %
2 6 6 6 3 3 3
3 22 22 22 1 1 1
155
LARUTAN ETANOL ASAM
3
1
BTL
156
LARUTAN GIEMSA STAIN
3
1
BTL
157
LARUTAN METHILEN BLUE
3
1
BTL
158
LARUTAN TURK
3
1
BTL
159
LARUTAN ETER ALKOHOL
3
1
BTL
160 161 162
LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL
3 3 3
1 1 1
BTL BTL BTL
163
LIDOCAIN INJ /COMB 2 %
2
1
AMP
164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184
LISOL 50 % MAGNESIUM SULFAS INJ.20 MAGNESIUM SULFAS INJ.40 MAGNESIUM SULFAS SERBU MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 METIL ERGOMETRIN INJEKS METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPR METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
NO
NAMA OBAT
3
5 5 4 6 6 1 1 2 2 2 2 2 2 6 6 6 6 1 2 O 4
2 1 1 62 62 2 2 5 5 5 5 22 22 22 22 8 1
KELAS TERAPI
4 3 3 3
1 1 1 1 1 1 2 2 2 2 7 7 7 7 3 2
4 AMP TAB TAB BTL BTL BTL BTL
BTL VIAL VIAL BKS TAB BTL TAB TAB TAB AMP TAB BTL AMP BTL TAB TAB FLS BTL TUBE FLS TAB SATU -AN
5
6
687 42
14
1,000
2 430 20
9 200
9
STOCK PENERI AWAL -MAAN
1 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209
2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DR OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD
210
3
4 TAB TAB TAB VGTAB BTL BTL VIAL TUBE TUBE AMP AMP TAB TAB TAB TAB SUPP BTL BTL TAB ROL TAB TAB TAB BTL ROL
5
6
1 1 1 6 6 2 6 1 2 2
2 2 7 4 4 6 22 8 1 2
1 1 1 1 1 1 1 3 2 2 6 6 3
3 2 2 2 2 2 2 2 9 9 1 1 2
2
POLIKRESULEN / ALBOTYL
1
3
1 BTL
211 212 213 214 215
POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB
1 1 1 1 1
3 3 3 3 6
1 1 1 1 5
BTL BTL BTL BTL TAB
850
216
PROPANOLOL HCL 10 MG
1
7
2 TAB
98
217 218 219 220 221
PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
1 1 6 2 2
7 6 2 5 5
2 4 1 1 1
NO 1 222 223
NAMA OBAT 2 RETINOL 100.000 IU RETINOL 200.000 IU
KELAS TERAPI 3 2 2
9 9
3 2 1 3 1 2 2 1
1 1
TAB TAB VIAL KAP AMP SATU -AN 4 KAP KAP
443
210
200
7
40
200
280
100
STOCK PENERI AWAL -MAAN 5 6
224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258
RIFAMPICIN 450 mg 6 3 RINGER LACTAT INFUS 2 O SALBUTAMOL SIRUP 2 6 SALBUTAMOL 2 mg 2 6 SALBUTAMOL 4 mg 2 6 SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 1 8 SALICYL BEDAK 2% 1 8 SALICYL SPIRITUS 10% 1 8 SABU I 2 7 SERUM ANTI TETANUS 1500 2 7 SERUM ANTI TETANUS 20,000 2 7 SERUM ANTI DIPTHERI 2 7 SIANOKOBALAMIN HCL/B12 I 1 O SIANOKOBALAMIN HCL/B12 6 22 SILK 3 2 SULFASETAMID Na TM 0,5 % 2 1 TAB.TAMBAH DARAH/ HEMA 1 O TTD CAMABION TETRACAIN TTS MATA 2 1 TETRACYCLIN HCL 250 mg 6 22 TETRACYCLIN HCL 500 mg 6 22 THIAMIN HCL ( B1 ) INJEKSI 2 9 THIAMIN HCL ( B1 ) 50 MG 2 9 TRIHEXYPENIDIL 2 mg 9 VIT.B.COMPLEX INJEKSI 2 9 VIT.B.COMPLEX TAB 2 9 OBAT GIGI AIR RAKSA DENTAL USE 1 4 CITODUR 1 4 COMPOSITE SET 1 4 DENTORIT 1 4 DEVITALISASI PASTA 1 4 EUGENOL CAIRAN 1 4 FORMOKRESOL 1 4 GLASS IONOMER SEMEN 1 4
POT DUS BTL VIAL AMP VIAL VIAL AMP TAB BH 2 BTL 1 DRAGE 1 BTL 1 KAP 1 KAP AMP TAB TAB VIAL TAB
1
4
1 BTL
1 1 1
4 4 4
1 SET 1 SET 2 SET
1 259
2 KALSIUM HIDROXIDA PASTA KLORFENOL CAMFER MENTOL (CHKM) MUMMYING PASTA/IODOFO PUPERIL
3
14 4
650
80
4
KELAS TERAPI
SEMEN SENG FOSFAT SERB+CA
5 8 8 1 1 1 1 1 3
1
NAMA OBAT
252 253 254
KAP FLS BTL TAB TAB
BTL SET SET SET SET BTL BTL SET SATU -AN 4 1 SET
NO
260
2 2 1 1 1
60
325 653
600
730
1,000
1 1 1 1 1 1 1 1
STOCK PENERI AWAL -MAAN 5 6
255 SILVER AMALGAM 256 SPON GELATIN 257 TEMPORARY FLETCHER 258 TRIKRESOL FORMALIN/TKF OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 267 268 269 270
1 1 1 1
4 4 4 4
1 1 1 2
SET BH SET BTL AMP TAB BTL TAB TAB TAB BTL TAB
ANTI MIGRAIN/ERGOTAMINE CAFFEINE
TAB
ANTRAIN/NORAGES/ PROGESIK INJ BECEFORT BECEFORT SYIRUP BENODON / XYLOMIDON INJEKSI
TAB AMP TAB
272
BETAHISTIN MESILAT 6 mg
VIAL
273 274 275 276 277
TAB TAB KPL BTL TUBE
279 280 281 282
BICOLAX BIONIC DROPS BIOPLACENTON SK BOX SLIDES BROMHEXIN / BRONKIS CALSIUM GLUCONAS INJEKSI CETERIZINE 10 MG CETERIZINE SYR CIMETIDIN 200 mg CLOBAZAM 10 MG
283
COMBIVENT NEBULASER
TAB
271
278
NO
NAMA OBAT
BTL
KTK TAB BTL CAP BTL
KELAS TERAPI 3
284 285 286 287 288
DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN 6 DOMPERIDONE srp DOMPERIDONE 10 MG 2
SATU -AN 4
9
STOCK PENERI AWAL -MAAN 5 6 100
1 5
2 TAB 2 TAB
7 200
25
289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321
DOMPERIDONE SUSPENSI DOXICILIN 100 MG FLUDANE FLUDANE SYIRUP FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 20 FOLLEY CATETER NO 24 GEMFIBROZIL 300 MG GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HAND SCOEN 7 -7,5 HISBISCRUB INFUS ASERING INFUS KA-EN 3 B KACA SLIDES KALIUM DIKLOFENAK 25 MG KALIUM DIKLOFENAK 50 MG KALOBA KLINDAMYCIN 300 LANSOPRAZOL 30 MG LANTUS SOL PEN 100 IU/ML INJ LINCOMYCIN 500 mg LISINOPRIL 5 MG LISINOPRIL 10 MG LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG MASKER MECOBALAMIN 500 mg MELOKSIKAM 7,5 MG METFORMIN 500 MG
NO
3 3 3 3
2 2 2 2
3
2
149 360 490
1,000 500 700
KAP
3
2
KELAS TERAPI NAMA OBAT
1 323 324 325 326 327
AMP TAB BTL KAP KAP BTL BH BH BH BH KAP TAB TAB TAB TAB BH BTL BTL BTL KTK KAP KAP FLS
2 3 METFORMIN 850 MG KLORAMFENIKOL 250 mg METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML
KAP KTK KAP TAB TAB TAB TAB BH KAP
SATU -AN 4
TAB VIAL TAB
190 210
1,000
STOCK PENERI AWAL -MAAN 5
6
400
328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351
1
353
NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML OBAT KATEGORI ANAK OBAT KATEGORI I OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD
1
7
8 TAB
354
THIAMPHENICOL 500 MG
1
7
8 TAB
355 356 357
THIAMPHENICOL SIRUP TRAMADOL 150 mg TRAMADOL INJEKSI
1
5
TAB KAP KAP
352
6 6 6
2 2 2
PAKET PAKET PAKET PAKET
3
358 359 360 361 362
KELAS TERAPI TRIFLUOPERAZINE 5 MG URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
KAP TAB TAB TAB BTL 1 BTL TAB TAB AMP CAP CAP BTL BTL TAB KAP KAP
43 460
BTL
NAMA OBAT NO
KPL 2 VIAL 2 VIAL 2 VIAL
3 3
2
SATU -AN 4 BH TAB TAB SET SET
30
STOCK PENERI AWAL -MAAN 5 6
40 3
100 50
NAMA OBAT NO 1 1 2 3 4 5 6 7 8 9 10 11
2 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg
27
BENODON / DURADRIL INJ.
28
BETAHISTIN MESILAT 6 MG
29
BETAMETHASONE CREAM
30 31 32 33 34 35 36 37
BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CEFADROXIL 125 MG CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP NAMA OBAT
NO 38 39 40 41 42 43 44 45 46 47 48 49 50
KELAS TERAPI 2 CIPROFLOXACIN 500 mg CLINDAMYCYN 300 MG CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg
32
430
SATU -AN
STOCK PENERI AWAL -MAAN 190 500
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL NAMA OBAT
NO 78 79 80 81 82 83 84 85 86 87 88 89 90
KELAS TERAPI 2 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI
400
SATU -AN
STOCK PENERI AWAL -MAAN
91
METILPREDNISOLON 4 MG
92 93 94 95 96 97 98 99 100 101
METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP
102
MICONAZOLE 2% CREAM
103 104 105 106 107 108 109 110 111 112 113 114 115
NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP
1595 1505
PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG NAMA OBAT
NO 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130
2 PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg LIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
2256
175 500
300
131 132 133 134 135 136 137 138
SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI
139
THIAMPHENICOL 500 MG
140 141 142 143 144 145
THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
NAMA OBAT NO 1 2 3 4 5 6 7 8 9
2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
11
CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM
12 13 14 15 16 17
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18
10
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
18 19 20 21
FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST
23
HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP)
24
HAND SCOEN STERIL (PF)
25 26 27 28 29 30 31
INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
22
32 33 34 35 36
NAMA OBAT NO 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55
KELAS TERAPI 2 KASA 4 X 15 CM 3 KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
56 57 58
STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN
59
TEST TRIP CHOLESTEROL (EASY TOUCH) TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY TOUCH)
60 61 62 63
UNDERPAD URINE BAG
NAMA OBAT NO 1
KELAS TERAPI
71 72 73 74 75 76
2 REAGEN ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN TRIGLISERIDE URIC ACID
77 78 79
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER
64 65 66 67 68 69 70
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
80 81 82 83 84 85 86 87 88 89 90 91 92 93
CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE DENTAL GYPSUM TIPE II (PUTIH) DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
NAMA OBAT NO 1 94 95 96 97 98 99 100 101 102 103 104
KELAS TERAPI 2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
GOLONGAN DARAH 105 106 107 108 109 110 111
A AB B O THYPOID AO THYPOID BO THYPOID H
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
112
THYPOID O
NAMA OBAT NO 1
KELAS TERAPI
1 2 3 4 5 6 7 8
2 BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5
9
HYPAFIX / ULTRAVIX 2,5X5
10 11 12 13 14 15 16 17 18 19 20 21 22 23
INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
UMUM JUMLAH KUNJUNGAN RESEP MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
BAYAR
YANG MENYERA KEPALA UPT INSTALA
HENDRA RUSMIYA NIP.19820507200
AKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O )
Laporan LPLPO Permintaan Obat : MARET TAHUN : 2018 RUANG FARMASI PERSEDIAAN 7
PEMAKAIAN 8
-
SISA STOCK 9
PKD 12
-
365
100
265
90 40
30
60 40
450 100 1,752 71 40 540
STOCK PERMIN OPT. TAAN 10 11
100
100
400
360
200 792 49 28
254
250 100 960 22 12 286
1000 20 20
1,600 51 32
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 25 400 1,057 321 61 -
PEMAKAIAN 8
130
18
185 1,891 265 115 41 243 640 -
185
674 30 51
100 1,514 105
115 7 219
390
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 25 20 215 500 383 1000 291 10 -
PKD 12 25
400
900
112 85 377 160 34 24 250 -
200
100
1500
1,200
10 200
7 100
500
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
PERSEDIAAN 7 (100) (250) (319) (320) (200) (24) (8) (715) PERSEDIAAN
PEMAKAIAN 8
60 75 48
180 118
3 30 PEMAKAIAN
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 (160) (325) (367) (500) (318) 500 (24) (11) (745) 200 SISA STOCK PERMIN STOCK OPT. TAAN
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
200
100 PE M B E R IAN
JML 16
PERSEDIAAN 7 2,470 34 309 210 -
PEMASISA STOCK PERMIN KAIAN STOCK OPT. TAAN 8 9 10 11 2,149 321 3000 13 21 20 105 204 100 10 200 -
-
-
616
476
140
4
2
2
105 35 32 21 -
51 12 7 9
1,120 PERSEDIAAN
54 23 25 12 -
PKD 12 2,300
ASKES 13
BF 14
LAIN 15
JML 16
PE M B E R IAN ASKES BF LAIN
JML
25
100
20 24 10
19 24 14
123 1500 SISA STOCK PERMIN STOCK OPT. TAAN
1,000
997
PEMAKAIAN
PKD
7
8 687 56 -
9
20 20
10 667 36 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,000 11 430 220 9 PERSEDIAAN
1 70 30
5
PEMAKAIAN
11
12
10
1,000 1000 10 10 360 190 200 4 10 SISA STOCK PERMIN STOCK OPT. TAAN
13
14
15
16
14
1,000
9 200
9
PKD
PE M B E R IAN ASKES BF LAIN
JML
7
8 443 410 47 200 -
9
71
317
35
71
10 372 93 12 129 -
-
-
850
770
80
98
98
380 PERSEDIAAN 7 -
-
380 PEMAKAIAN 8
11
12
13
500
200
20
40
200
200
200
100
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
PKD 12
14
15
PE M B E R IAN ASKES BF LAIN 13 14 15
16
JML 16
14 4 650 140 325 1,253 1,730 PERSEDIAAN 7
4 4
558
45
20 546
1,020
PEMAKAIAN 8
10 92 95 90 305 707 500 710 1000 SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
60
600
1,000
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
3
(3) -
PERSEDIAAN 7 0 100 0 32 200
PEMAKAIAN 8
SISA STOCK 9 0 12 88 0 10 22 20 180
STOCK PERMIN OPT. TAAN 10 11 100
PKD 12 100
20
25
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
0 0 0 0 0 0 0 0 0 1149 860 1190 0 0 0 0 0 0 0 0 0 0 0
400 659 227
0 0 0 0 0 0 0 0 0 749 201 963 0 0 0 0 0 0 0 0 0 0 0
0
0
0 0 0 190 210 0 0 0 1000
0 0 0 130 130 0 0 0 296
0 PERSEDIAAN 7 0 0 400 0 0
60 80
704
1500 500 500
PEMAKAIAN
SISA STOCK
8
9
380
STOCK PERMIN OPT. TAAN 10
0 0 20 0 0
11
1,000 500 700
PKD 12
PE M B E R IAN ASKES BF LAIN 13
14
15
JML 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 460 0
10 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 420 0
0
0
0
0
30
30
0 0 0
0 0 0
PERSEDIAAN 7 140 53 -
PEMAKAIAN 8
33 5
SISA STOCK 9 107 48 -
STOCK PERMIN OPT. TAAN 10 11
100 30
PKD 12
100 50
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 -
PEMAKAIAN 8
SISA STOCK 9 -
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
31
(31) -
-
-
-
-
-
-
430 -
50 -
PERSEDIAAN 190 500 0 0 0 0 0 0 0 0 0 0 0
380
PEMASISA KAIAN STOCK 80 110 60 440 0 0 0 0 0 0 0 0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 0 0 0 0 0 0 0 0
210
PEMAKAIAN
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0 SISA STOCK 0 0 0 0 0 0 0 0
0
0
0 0 0 0
0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0
0
1595 1505 0 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 7 2,256 475 500 -
580 70
PEMAKAIAN 8
141
350 105
1015 1435 0 0 0 0 0 0 0 0 0 0 0 SISA STOCK 9 2,115 125 395 -
STOCK PERMIN OPT. TAAN 10 11
500
PKD 12
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
-
-
-
-
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
BAYAR
UMUM TIDAK BAYAR
ASKES
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
JUMLAH
Rp.
YANG MENERIMA BIDAN DESA
KET 17
KET 17
KET 17
KET
KET 17
KET
17
KET
17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
LAPORAN PEMAKAIAN DAN LEMBAR ( L P L P O ) KODE PUSKESMAS PUSKESMAS KECAMATAN KAB/KODYA PROPINSI NO 1
NAMA OBAT
: S P P J
O A A A
P D M W
A'AH E M A W U E K A S A N A T IM UR SATU -AN 4
KELAS TERAPI 3
STOCK PENERI AWAL -MAAN 5 6
1 2 3 4 5 6 7 8
2 OBAT DAU ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP
3 3 3 3 3 3 6 6
2 2 2 2 2 2 1 1
BH BH BH BH BH BH 1 TAB 1 BTL
9
ALLOPURINOL 100 MG
1
3
TAB
265
10 11 12 13 14
ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg
1 9 9 9 2
3
90
6
TAB TAB BTL BTL 1 TAB
15
AMINOPHILLIN INJEKSI
2
6
1 AMP
16 17 18 19 20 21 22 23 24 25 26 27 28 29
AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
6 6 6 6 6 6 6 6 2 1 1 2 2
2 2 2 2 2 2 2 2 3 2 2 5 5
1 1 1 1 1 1 1 1 2
KAP KAP BTL BTL VIAL KAP BTL VIAL TAB TAB AMP 1 BTL 1 TAB
100
40 90 100 152 20 8
360 1,600 51 32
190
350
NO
NAMA OBAT
KELAS TERAPI
1 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP
3
49
BETAHISTIN MESILAT 6 mg
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69
BETAMETHASONE CREAM BIO ATP KAPLET CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFADROXYL 125 mg CEFADROXYL 500 MG CEFOTAXIM 1 GR INJ CLINDAMYCYN 500 MG DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECT DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ
1 1 2 2 O 3 O 2 2 1 1 2 2 1 1 6 6 6 6 6 1 O
8 8 5
9 9 2 2 3 1 4 4 6 6 6 2 2
3 3 3 3
4 1 1 1 1 1 1 1 1
SATU -AN 4 POT TUBE SUP FLS BTL TAB TAB TAB TAB AMP BTL KAP KAP TAB TAB TUBE VIAL VIAL BTL
STOCK PENERI AWAL -MAAN 5 6 25
400
157 321 61
900
130 1 1 1 1 3 1 6
1 1 2 2 5 5 1 3
8 7 7 7 2 1 22
6 6 3 3
7
4 TUBE 3 TAB 3 TAB 3 TAB BH TAB 6 KPL
VIAL TAB 5 TAB 5 AMP TAB TAB AMP SUP 2 TAB AMP
85
100
691 265
1,200
115 34 143
7 100
340
300
70
DURADRIL / ADIDRYL INJ
3
71
EPHEDRIN 25 mg
1
NO
NAMA OBAT
1 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109
2 ERITROMICYN 250 MG ERITROMICYN 500 MG ERITROMICYN SYIRUP EPHINEPRINE INJ ETAKRIDIN LAR (RIVANOL) 0 ETANOL 70% ETHIL KLORIDA EXTRACT BELADON FENITOIN 30/100 MG FENOBARBITAL 30/100MG mg FENOBARBITAL INJ. FENOL GLISEROL TT 10% FENOXIPENICILIN 500 MG FENOXIPENICILIN 250 MG FITOMENADION 10 mg TAB FITOMENADION INJEKSI FUROSEMIDE 40 mg FUROSEMIDE INJEKSI GARAM ORALIT 200 GENTAMICYN 80 MG INJ. GENTAMICYN SK GENTAMICYN TM GENTIAN VIOLET 1 % GLIBENCLAMIDE 5mg GLISERIL GUAIACOLAT 100 GLISERIN GLUCOSE 5 % INFUS GLUCOSE 10 % INFUS GLUCOSE 40 % INFUS GRISEOFULVIN 500 mg GRISEOFULVIN 125 mg HALOPERIDOL 1,5 mg HALOPERIDOL 2 mg HALOPERIDOL 5 mg HALOPERIDOL INJEKSI HISCOPAN HIDROCORTISONE 2,5% HIDROKLORTIAZID (HCT) 25
NO
NAMA OBAT
VIAL 77
KELAS TERAPI 6 6 6 3 1 1 2 2 5 5 5 2 6 6 1 1 1 1 2 6 2 2 1 1 2 2 2 2 2 6 6 2 2 2 2 1 1
3 22 22 22 3 3 1 5
3 2 2 O O 5 5 O 22 1 1 4 62 6 5 O O O 4 4 3 3 3 3 8 5
KELAS TERAPI
2 TAB SATU -AN 4 4 KAP 4 KAP 4 BTL AMP 2 BTL 2 BTL BTL 4 TAB KAP TAB AMP 2 BTL 1 KPL 1 KPL 2 TAB 2 AMP TAB AMP 1 SAK 5 VIAL 1 TUBE 1 BTL 2 BTL 1 TAB 3 TAB 6 BTL 2 FLS 2 FLS 2 FLS TAB TAB 4 TAB 4 TAB 4 TAB 4 AMP TAB 4 TUBE TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6
100 250 319
320 200
24
8 615 100 STOCK PENERI AWAL -MAAN
NO
NAMA OBAT
KELAS TERAPI
1 110 111 112 113 114 115 116 117 118 119 120 121 122
2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg
1 1 1 3 3 1 1 3 3 3 3 2 5
2 2 2 2 2 6 7 2 2 2 2 9
123
KALIUM PERMANGANAT
1
3
1 BTL
124 125 126 127 128 129 130 131 132
3 3 3 3 3 3
2 2 2 2 2 2
3 6
2 4
BKS BKS ROL BKS ROL ROL BKS BKS 1 TAB
6
4
1 TUBE
1 1 6
2 2 22
AMP TAB 4 KAP
6 6 2 2 2 2
22 22 12 12 5 5
2 2 1 1 1 1
6
22
2 VIAL
145 146 147
KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 500 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
3 2 2
3 3
NO
NAMA OBAT
133 134 135 136 137 138 139 140 141 142 143 144
3
SATU -AN 4 TAB TAB BTL SET SET 3 KAP 1 TAB BH BH BH BH TAB TAB
KELAS TERAPI
KAP BTL TUBE TUBE BTL BTL
TAB 4 TAB 4 TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6 170 2,300 9
25
209
100
210
616 4
105 16 8 7
19 24 14
120
1,000
STOCK PENERI AWAL -MAAN
1 148 149 150 151 152 153 154
2 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 %
2 6 6 6 3 3 3
3 22 22 22 1 1 1
155
LARUTAN ETANOL ASAM
3
1
BTL
156
LARUTAN GIEMSA STAIN
3
1
BTL
157
LARUTAN METHILEN BLUE
3
1
BTL
158
LARUTAN TURK
3
1
BTL
159
LARUTAN ETER ALKOHOL
3
1
BTL
160 161 162
LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL
3 3 3
1 1 1
BTL BTL BTL
163
LIDOCAIN INJ /COMB 2 %
2
1
AMP
164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184
LISOL 50 % MAGNESIUM SULFAS INJ.20 MAGNESIUM SULFAS INJ.40 MAGNESIUM SULFAS SERBU MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 METIL ERGOMETRIN INJEKS METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPR METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
NO
NAMA OBAT
3
5 5 4 6 6 1 1 2 2 2 2 2 2 6 6 6 6 1 2 O 4
2 1 1 62 62 2 2 5 5 5 5 22 22 22 22 8 1
KELAS TERAPI
4 3 3 3
1 1 1 1 1 1 2 2 2 2 7 7 7 7 3 2
4 AMP TAB TAB BTL BTL BTL BTL
BTL VIAL VIAL BKS TAB BTL TAB TAB TAB AMP TAB BTL AMP BTL TAB TAB FLS BTL TUBE FLS TAB SATU -AN
5
6
687 42
14
1,000
2 430 20
9 200
9
STOCK PENERI AWAL -MAAN
1 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209
2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DR OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD
210
3
4 TAB TAB TAB VGTAB BTL BTL VIAL TUBE TUBE AMP AMP TAB TAB TAB TAB SUPP BTL BTL TAB ROL TAB TAB TAB BTL ROL
5
6
1 1 1 6 6 2 6 1 2 2
2 2 7 4 4 6 22 8 1 2
1 1 1 1 1 1 1 3 2 2 6 6 3
3 2 2 2 2 2 2 2 9 9 1 1 2
2
POLIKRESULEN / ALBOTYL
1
3
1 BTL
211 212 213 214 215
POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB
1 1 1 1 1
3 3 3 3 6
1 1 1 1 5
BTL BTL BTL BTL TAB
850
216
PROPANOLOL HCL 10 MG
1
7
2 TAB
98
217 218 219 220 221
PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
1 1 6 2 2
7 6 2 5 5
2 4 1 1 1
NO 1 222 223
NAMA OBAT 2 RETINOL 100.000 IU RETINOL 200.000 IU
KELAS TERAPI 3 2 2
9 9
3 2 1 3 1 2 2 1
1 1
TAB TAB VIAL KAP AMP SATU -AN 4 KAP KAP
443
210
200
7
40
200
280
100
STOCK PENERI AWAL -MAAN 5 6
224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258
RIFAMPICIN 450 mg 6 3 RINGER LACTAT INFUS 2 O SALBUTAMOL SIRUP 2 6 SALBUTAMOL 2 mg 2 6 SALBUTAMOL 4 mg 2 6 SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 1 8 SALICYL BEDAK 2% 1 8 SALICYL SPIRITUS 10% 1 8 SABU I 2 7 SERUM ANTI TETANUS 1500 2 7 SERUM ANTI TETANUS 20,000 2 7 SERUM ANTI DIPTHERI 2 7 SIANOKOBALAMIN HCL/B12 I 1 O SIANOKOBALAMIN HCL/B12 6 22 SILK 3 2 SULFASETAMID Na TM 0,5 % 2 1 TAB.TAMBAH DARAH/ HEMA 1 O TTD CAMABION TETRACAIN TTS MATA 2 1 TETRACYCLIN HCL 250 mg 6 22 TETRACYCLIN HCL 500 mg 6 22 THIAMIN HCL ( B1 ) INJEKSI 2 9 THIAMIN HCL ( B1 ) 50 MG 2 9 TRIHEXYPENIDIL 2 mg 9 VIT.B.COMPLEX INJEKSI 2 9 VIT.B.COMPLEX TAB 2 9 OBAT GIGI AIR RAKSA DENTAL USE 1 4 CITODUR 1 4 COMPOSITE SET 1 4 DENTORIT 1 4 DEVITALISASI PASTA 1 4 EUGENOL CAIRAN 1 4 FORMOKRESOL 1 4 GLASS IONOMER SEMEN 1 4
POT DUS BTL VIAL AMP VIAL VIAL AMP TAB BH 2 BTL 1 DRAGE 1 BTL 1 KAP 1 KAP AMP TAB TAB VIAL TAB
1
4
1 BTL
1 1 1
4 4 4
1 SET 1 SET 2 SET
1 259
2 KALSIUM HIDROXIDA PASTA KLORFENOL CAMFER MENTOL (CHKM) MUMMYING PASTA/IODOFO PUPERIL
3
14 4
650
80
4
KELAS TERAPI
SEMEN SENG FOSFAT SERB+CA
5 8 8 1 1 1 1 1 3
1
NAMA OBAT
252 253 254
KAP FLS BTL TAB TAB
BTL SET SET SET SET BTL BTL SET SATU -AN 4 1 SET
NO
260
2 2 1 1 1
60
325 653
600
730
1,000
1 1 1 1 1 1 1 1
STOCK PENERI AWAL -MAAN 5 6
255 SILVER AMALGAM 256 SPON GELATIN 257 TEMPORARY FLETCHER 258 TRIKRESOL FORMALIN/TKF OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 267 268 269 270
1 1 1 1
4 4 4 4
1 1 1 2
SET BH SET BTL AMP TAB BTL TAB TAB TAB BTL TAB
ANTI MIGRAIN/ERGOTAMINE CAFFEINE
TAB
ANTRAIN/NORAGES/ PROGESIK INJ BECEFORT BECEFORT SYIRUP BENODON / XYLOMIDON INJEKSI
TAB AMP TAB
272
BETAHISTIN MESILAT 6 mg
VIAL
273 274 275 276 277
TAB TAB KPL BTL TUBE
279 280 281 282
BICOLAX BIONIC DROPS BIOPLACENTON SK BOX SLIDES BROMHEXIN / BRONKIS CALSIUM GLUCONAS INJEKSI CETERIZINE 10 MG CETERIZINE SYR CIMETIDIN 200 mg CLOBAZAM 10 MG
283
COMBIVENT NEBULASER
TAB
271
278
NO
NAMA OBAT
BTL
KTK TAB BTL CAP BTL
KELAS TERAPI 3
284 285 286 287 288
DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN 6 DOMPERIDONE srp DOMPERIDONE 10 MG 2
SATU -AN 4
9
STOCK PENERI AWAL -MAAN 5 6 100
1 5
2 TAB 2 TAB
7 200
25
289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321
DOMPERIDONE SUSPENSI DOXICILIN 100 MG FLUDANE FLUDANE SYIRUP FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 20 FOLLEY CATETER NO 24 GEMFIBROZIL 300 MG GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HAND SCOEN 7 -7,5 HISBISCRUB INFUS ASERING INFUS KA-EN 3 B KACA SLIDES KALIUM DIKLOFENAK 25 MG KALIUM DIKLOFENAK 50 MG KALOBA KLINDAMYCIN 300 LANSOPRAZOL 30 MG LANTUS SOL PEN 100 IU/ML INJ LINCOMYCIN 500 mg LISINOPRIL 5 MG LISINOPRIL 10 MG LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG MASKER MECOBALAMIN 500 mg MELOKSIKAM 7,5 MG METFORMIN 500 MG
NO
3 3 3 3
2 2 2 2
3
2
149 360 490
1,000 500 700
KAP
3
2
KELAS TERAPI NAMA OBAT
1 323 324 325 326 327
AMP TAB BTL KAP KAP BTL BH BH BH BH KAP TAB TAB TAB TAB BH BTL BTL BTL KTK KAP KAP FLS
2 3 METFORMIN 850 MG KLORAMFENIKOL 250 mg METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML
KAP KTK KAP TAB TAB TAB TAB BH KAP
SATU -AN 4
TAB VIAL TAB
190 210
1,000
STOCK PENERI AWAL -MAAN 5
6
400
328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351
1
353
NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML OBAT KATEGORI ANAK OBAT KATEGORI I OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD
1
7
8 TAB
354
THIAMPHENICOL 500 MG
1
7
8 TAB
355 356 357
THIAMPHENICOL SIRUP TRAMADOL 150 mg TRAMADOL INJEKSI
1
5
TAB KAP KAP
352
6 6 6
2 2 2
PAKET PAKET PAKET PAKET
3
358 359 360 361 362
KELAS TERAPI TRIFLUOPERAZINE 5 MG URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
KAP TAB TAB TAB BTL 1 BTL TAB TAB AMP CAP CAP BTL BTL TAB KAP KAP
43 460
BTL
NAMA OBAT NO
KPL 2 VIAL 2 VIAL 2 VIAL
3 3
2
SATU -AN 4 BH TAB TAB SET SET
30
STOCK PENERI AWAL -MAAN 5 6
40 3
100 50
NAMA OBAT NO 1 1 2 3 4 5 6 7 8 9 10 11
2 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg
27
BENODON / DURADRIL INJ.
28
BETAHISTIN MESILAT 6 MG
29
BETAMETHASONE CREAM
30 31 32 33 34 35 36 37
BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CEFADROXIL 125 MG CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP NAMA OBAT
NO 38 39 40 41 42 43 44 45 46 47 48 49 50
KELAS TERAPI 2 CIPROFLOXACIN 500 mg CLINDAMYCYN 300 MG CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg
32
430
SATU -AN
STOCK PENERI AWAL -MAAN 190 500
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL NAMA OBAT
NO 78 79 80 81 82 83 84 85 86 87 88 89 90
KELAS TERAPI 2 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI
400
SATU -AN
STOCK PENERI AWAL -MAAN
91
METILPREDNISOLON 4 MG
92 93 94 95 96 97 98 99 100 101
METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP
102
MICONAZOLE 2% CREAM
103 104 105 106 107 108 109 110 111 112 113 114 115
NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP
1595 1505
PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG NAMA OBAT
NO 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130
2 PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg LIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
2256
175 500
300
131 132 133 134 135 136 137 138
SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI
139
THIAMPHENICOL 500 MG
140 141 142 143 144 145
THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
NAMA OBAT NO 1 2 3 4 5 6 7 8 9
2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
11
CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM
12 13 14 15 16 17
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18
10
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
18 19 20 21
FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST
23
HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP)
24
HAND SCOEN STERIL (PF)
25 26 27 28 29 30 31
INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
22
32 33 34 35 36
NAMA OBAT NO 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55
KELAS TERAPI 2 KASA 4 X 15 CM 3 KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
56 57 58
STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN
59
TEST TRIP CHOLESTEROL (EASY TOUCH) TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY TOUCH)
60 61 62 63
UNDERPAD URINE BAG
NAMA OBAT NO 1
KELAS TERAPI
71 72 73 74 75 76
2 REAGEN ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN TRIGLISERIDE URIC ACID
77 78 79
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER
64 65 66 67 68 69 70
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
80 81 82 83 84 85 86 87 88 89 90 91 92 93
CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE DENTAL GYPSUM TIPE II (PUTIH) DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
NAMA OBAT NO 1 94 95 96 97 98 99 100 101 102 103 104
KELAS TERAPI 2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
GOLONGAN DARAH 105 106 107 108 109 110 111
A AB B O THYPOID AO THYPOID BO THYPOID H
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
112
THYPOID O
NAMA OBAT NO 1
KELAS TERAPI
1 2 3 4 5 6 7 8
2 BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5
9
HYPAFIX / ULTRAVIX 2,5X5
10 11 12 13 14 15 16 17 18 19 20 21 22 23
INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
UMUM JUMLAH KUNJUNGAN RESEP MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
BAYAR
YANG MENYERA KEPALA UPT INSTALA
HENDRA RUSMIYA NIP.19820507200
AKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O )
Laporan LPLPO Permintaan Obat : APRIL TAHUN : 2018 RUANG FARMASI PERSEDIAAN 7
PEMAKAIAN 8
-
SISA STOCK 9
PKD 12
-
365
100
265
90 40
30
60 40
450 100 1,752 71 40 540
STOCK PERMIN OPT. TAAN 10 11
100
100
400
360
200 792 49 28
254
250 100 960 22 12 286
1000 20 20
1,600 51 32
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 25 400 1,057 321 61 -
PEMAKAIAN 8
130
18
185 1,891 265 115 41 243 640 -
185
674 30 51
100 1,514 105
115 7 219
390
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 25 20 215 500 383 1000 291 10 -
PKD 12 25
400
900
112 85 377 160 34 24 250 -
200
100
1500
1,200
10 200
7 100
500
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
PERSEDIAAN 7 (100) (250) (319) (320) (200) (24) (8) (715) PERSEDIAAN
PEMAKAIAN 8
60 75 48
180 118
3 30 PEMAKAIAN
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 (160) (325) (367) (500) (318) 500 (24) (11) (745) 200 SISA STOCK PERMIN STOCK OPT. TAAN
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
200
100 PE M B E R IAN
JML 16
PERSEDIAAN 7 2,470 34 309 210 -
PEMASISA STOCK PERMIN KAIAN STOCK OPT. TAAN 8 9 10 11 2,149 321 3000 13 21 20 105 204 100 10 200 -
-
-
616
476
140
4
2
2
105 35 32 21 -
51 12 7 9
1,120 PERSEDIAAN
54 23 25 12 -
PKD 12 2,300
ASKES 13
BF 14
LAIN 15
JML 16
PE M B E R IAN ASKES BF LAIN
JML
25
100
20 24 10
19 24 14
123 1500 SISA STOCK PERMIN STOCK OPT. TAAN
1,000
997
PEMAKAIAN
PKD
7
8 687 56 -
9
20 20
10 667 36 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,000 11 430 220 9 PERSEDIAAN
1 70 30
5
PEMAKAIAN
11
12
10
1,000 1000 10 10 360 190 200 4 10 SISA STOCK PERMIN STOCK OPT. TAAN
13
14
15
16
14
1,000
9 200
9
PKD
PE M B E R IAN ASKES BF LAIN
JML
7
8 443 410 47 200 -
9
71
317
35
71
10 372 93 12 129 -
-
-
850
770
80
98
98
380 PERSEDIAAN 7 -
-
380 PEMAKAIAN 8
11
12
13
500
200
20
40
200
200
200
100
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
PKD 12
14
15
PE M B E R IAN ASKES BF LAIN 13 14 15
16
JML 16
14 4 650 140 325 1,253 1,730 PERSEDIAAN 7
4 4
558
45
20 546
1,020
PEMAKAIAN 8
10 92 95 90 305 707 500 710 1000 SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
60
600
1,000
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
3
(3) -
PERSEDIAAN 7 0 100 0 32 200
PEMAKAIAN 8
SISA STOCK 9 0 12 88 0 10 22 20 180
STOCK PERMIN OPT. TAAN 10 11 100
PKD 12 100
20
25
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
0 0 0 0 0 0 0 0 0 1149 860 1190 0 0 0 0 0 0 0 0 0 0 0
400 659 227
0 0 0 0 0 0 0 0 0 749 201 963 0 0 0 0 0 0 0 0 0 0 0
0
0
0 0 0 190 210 0 0 0 1000
0 0 0 130 130 0 0 0 296
0 PERSEDIAAN 7 0 0 400 0 0
60 80
704
1500 500 500
PEMAKAIAN
SISA STOCK
8
9
380
STOCK PERMIN OPT. TAAN 10
0 0 20 0 0
11
1,000 500 700
PKD 12
PE M B E R IAN ASKES BF LAIN 13
14
15
JML 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 460 0
10 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 420 0
0
0
0
0
30
30
0 0 0
0 0 0
PERSEDIAAN 7 140 53 -
PEMAKAIAN 8
33 5
SISA STOCK 9 107 48 -
STOCK PERMIN OPT. TAAN 10 11
100 30
PKD 12
100 50
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 -
PEMAKAIAN 8
SISA STOCK 9 -
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
31
(31) -
-
-
-
-
-
-
430 -
50 -
PERSEDIAAN 190 500 0 0 0 0 0 0 0 0 0 0 0
380
PEMASISA KAIAN STOCK 80 110 60 440 0 0 0 0 0 0 0 0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 0 0 0 0 0 0 0 0
210
PEMAKAIAN
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0 SISA STOCK 0 0 0 0 0 0 0 0
0
0
0 0 0 0
0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0
0
1595 1505 0 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 7 2,256 475 500 -
580 70
PEMAKAIAN 8
141
350 105
1015 1435 0 0 0 0 0 0 0 0 0 0 0 SISA STOCK 9 2,115 125 395 -
STOCK PERMIN OPT. TAAN 10 11
500
PKD 12
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
-
-
-
-
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
BAYAR
UMUM TIDAK BAYAR
ASKES
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
JUMLAH
Rp.
YANG MENERIMA BIDAN DESA
KET 17
KET 17
KET 17
KET
KET 17
KET
17
KET
17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
REKAPITULASI SISA OBAT PUSKESMAS DAN JARINGANNYA L P L P O JULI 2017
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
NAMA OBAT 2 ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg AMINOPHILLIN INJEKSI AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11 500
12
13
14
15
200
GUDAN JUMLAH G 16 17 700 -
PUSTU / POLINDES NO 1 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65
NAMA OBAT 2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP BETAMETHASONE CREAM CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFOTAXIM 1 GR INJ DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECTAL DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ DURADRIL / ADIDRYL INJ EPHEDRIN 25 mg
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN JUMLAH G 16 17
NO
NAMA OBAT
1 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102
2 ERITROMICYN 250 MG ERITROMICYN 500 MG ERITROMICYN SYIRUP EPHINEPRINE INJ ETAKRIDIN LAR (RIVANOL) 0,1% ETANOL 70% ETHIL KLORIDA EXTRACT BELADON FENITOIN 30/100 MG FENOBARBITAL 30/100MG mg FENOBARBITAL INJ. FENOL GLISEROL TT 10% FENOXIPENICILIN 500 MG FENOXIPENICILIN 250 MG FITOMENADION 10 mg TAB FITOMENADION INJEKSI FUROSEMIDE 40 mg FUROSEMIDE INJEKSI GARAM ORALIT 200 GENTAMICYN 80 MG INJ. GENTAMICYN SK GENTAMICYN TM GENTIAN VIOLET 1 % GLIBENCLAMIDE 5mg GLISERIL GUAIACOLAT 100 mg GLISERIN GLUCOSE 5 % INFUS GLUCOSE 10 % INFUS GLUCOSE 40 % INFUS GRISEOFULVIN 500 mg GRISEOFULVIN 125 mg HALOPERIDOL 1,5 mg HALOPERIDOL 2 mg HALOPERIDOL 5 mg HALOPERIDOL INJEKSI HIDROCORTISONE 2,5% HIDROKLORTIAZID (HCT) 25 mg
A 5
B 6
C 7
PUSTU / POLINDES D E 8 9
F 10
G 11
H 12
BP 13
INDUK JUMLAH UGD APOTIK GUDANG 14 15 16 17
PUSTU / POLINDES NO 1 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139
NAMA OBAT 2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg KALIUM PERMANGANAT KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176
NAMA OBAT
A
2 5 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 % LARUTAN ETANOL ASAM LARUTAN GIEMSA STAIN LARUTAN METHILEN BLUE LARUTAN TURK LARUTAN ETER ALKOHOL LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL LIDOCAIN INJ /COMB 2 % LISOL 50 % MAGNESIUM SULFAS INJ.20% MAGNESIUM SULFAS INJ.40% MAGNESIUM SULFAS SERBUK. MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 TAB METIL ERGOMETRIN INJEKSI METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPRAM SYIRUP METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
INDUK
B
C
D
E
F
G
H
BP
UGD
APOTIK
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213
NAMA OBAT 2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DROP OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC SUPP PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD POLIKRESULEN / ALBOTYL POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB PROPANOLOL HCL 10 MG PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 RETINOL 100.000 IU RETINOL 200.000 IU RIFAMPICIN 450 mg RINGER LACTAT INFUS SALBUTAMOL SIRUP SALBUTAMOL 2 mg SALBUTAMOL 4 mg SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 SALICYL BEDAK 2% SALICYL SPIRITUS 10% SABU I SERUM ANTI TETANUS 1500 UI SERUM ANTI TETANUS 20,000 UI SERUM ANTI DIPTHERI SIANOKOBALAMIN HCL/B12 INJ. SIANOKOBALAMIN HCL/B12 TAB SILK SULFASETAMID Na TM 0,5 % TAB.TAMBAH DARAH/ HEMAFORT TETRACAIN TTS MATA TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) INJEKSI THIAMIN HCL ( B1 ) 50 MG TRIHEXYPENIDIL 2 mg VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB OBAT GIGI AIR RAKSA DENTAL USE CITODUR COMPOSITE SET DENTORIT DEVITALISASI PASTA EUGENOL CAIRAN FORMOKRESOL GLASS IONOMER SEMEN
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO
NAMA OBAT
1 2 250 KALSIUM HIDROXIDA PASTA KLORFENOL CAMFER MENTOL 251 (CHKM) 252 MUMMYING PASTA/IODOFORM 253 PUPERIL 254 SEMEN SENG FOSFAT SERB+CAIRAN 255 SILVER AMALGAM 256 SPON GELATIN 257 TEMPORARY FLETCHER 258 TRIKRESOL FORMALIN/TKF OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 267 AMLODIPIN 10 MG ANTI MIGRAIN/ERGOTAMINE
268 CAFFEINE 269 ANTRAIN/NORAGES/ PROGESIK INJ 270 BECEFORT 271 BECEFORT SYIRUP BENODON / XYLOMIDON 272 INJEKSI 273 BETAHISTIN MESILAT 6 mg 274 BICOLAX 275 BIO ATP KAPLET 276 BIONIC DROPS 277 BIOPLACENTON SK 278 BOX SLIDES 279 BROMHEXIN / BRONKIS 280 CALSIUM GLUCONAS INJEKSI 281 CETERIZINE 10 MG 282 CETERIZINE SYR 283 CIMETIDIN 200 mg 284 CLOBAZAM 10 MG 285 COMBIVENT NEBULASER
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN) DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI DOXICILIN 100 MG FLUDANE FLUDANE SYIRUP FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 20 FOLLEY CATETER NO 24 GEMFIBROZIL 300 MG GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HAND SCOEN 7 -7,5 HISBISCRUB INFUS ASERING INFUS KA-EN 3 B KACA SLIDES KALIUM DIKLOFENAK 25 MG KALIUM DIKLOFENAK 50 MG KALOBA KLINDAMYCIN 300 LANSOPRAZOL 30 MG LANTUS SOL PEN 100 IU/ML INJ LINCOMYCIN 500 mg LISINOPRIL 5 MG LISINOPRIL 10 MG LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG MASKER MECOBALAMIN 500 mg MELOKSIKAM 7,5 MG METFORMIN 500 MG
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359
NAMA OBAT
A
2 5 METFORMIN 850 MG METILPREDNISOLON INJEKSI METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML INJ 10 ML OBAT KATEGORI ANAK OBAT KATEGORI I OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD THIAMPHENICOL 500 MG THIAMPHENICOL SIRUP TRAMADOL 150 mg TRAMADOL INJEKSI
INDUK
B
C
D
E
F
G
H
BP
UGD
APOTIK
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 360 361 362 363 364 365 366 367
NAMA OBAT 2 TRANFUSSION BLOOD SET TRIFLUOPERAZIN 5 MG TRIFLUOPERAZINE 5 MG URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg BENODON / DURADRIL INJ. BETAHISTIN MESILAT 6 MG BETAMETHASONE CREAM BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 61 63 64 65 66 67 68 69 70 71 72 73 74 75 76
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 CIPROFLOXACIN 500 mg CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI METILPREDNISOLON 4 MG METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP MICONAZOLE 2% CREAM NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP
6
7
8
9
10
11
12
13
14
15
PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144
NAMA OBAT 2 PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg ENTOLIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI THIAMPHENICOL 500 MG THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
NAMA OBAT 2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP) HAND SCOEN STERIL (PF) INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58
NAMA OBAT 2 KASA 4 X 15 CM KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN TEST TRIP CHOLESTEROL (EASY
59 TOUCH) 60 TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY 61 TOUCH) 62 UNDERPAD 63 URINE BAG
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO
NAMA OBAT
1
2 REAGEN
64 65 66 67 68 69 70 71 72 73 74 75 76
ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN TRIGLISERIDE URIC ACID
77 78 79 80 81 82 83 84 85
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE
86 DENTAL GYPSUM TIPE II (PUTIH) 87 88 89 90 91 92 93
DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO
NAMA OBAT
1 94 95 96 97 98 99 100 101 102 103 104
2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
105 106 107 108 109 110 111 112
GOLONGAN DARAH A AB B O THYPOID AO THYPOID BO THYPOID H THYPOID O
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
NAMA OBAT 2 BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5 HYPAFIX / ULTRAVIX 2,5X5 INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
ASKES
JUMLAH
BAYAR
UMUM TIDAK BAYAR
MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
GUDAN G 16
Rp.
YANG MENERIMA BIDAN DESA
JUMLAH 17
NAMA OBAT 2 OBAT DAU ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg AMINOPHILLIN INJEKSI AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
: : : : :
S P P J
O A A A
P A'AH D E M A W U M E K A S A N W A T IM UR
KELAS TERAPI 3
SATU -AN 4
3 3 3 3 3 3 6 6 1 1 9 9 9 2 2
2 2 2 2 2 2 1 1 3 3
6 6
1 1
6 6 6 6 6 6 6 6 2 1 1 2 2
2 2 2 2 2 2 2 2 3 2 2 5 5
1 1 1 1 1 1 1 1 2
1 1
BH BH BH BH BH BH TAB BTL TAB TAB TAB BTL BTL TAB AMP
KAP KAP BTL BTL VIAL KAP BTL VIAL TAB TAB AMP 1 BTL 1 TAB
STOCK AWAL 5
265 90
Laporan LPLPO Permintaan Obat : FEBRUA TAHUN : 2018 RUANG FARMASI
PENERI -MAAN 6
100
40 90 100 152 20 8
360 1,600 51 32
190
350
PERSEDIAAN 7 365 90 40 450 100 1,752 71 40 540
PEMAKAIAN 8
100 30
200 792 49 28
254
SISA STOCK 9 265 60 40 250 100 960 22 12 286
STOCK OPT. 10
PERMINT AAN 11
PKD 12
100
100
400
360
1000 20 20
1,600 51 32
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70
2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP BETAHISTIN MESILAT 6 mg BETAMETHASONE CREAM BIO ATP KAPLET CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFADROXYL 125 mg CEFADROXYL 500 MG CEFOTAXIM 1 GR INJ CLINDAMYCYN 500 MG DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECTAL DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ DURADRIL / ADIDRYL INJ
KELAS TERAPI 3 1 8 1 8 2 5 2 O 3 O 2 9 2 9 1 2 1 2 2 3 2 1 1 4 1 4 6 6 6 6 6 6 6 2 6 2 1 O
3 3 3 3
4 1 1 1 1 1 1 1 1
SATU -AN 4 POT TUBE SUP FLS BTL TAB TAB TAB TAB AMP BTL KAP KAP TAB TAB TUBE VIAL VIAL BTL
STOCK AWAL 5
PENERI -MAAN 6 25
400
157 321 61
900
130 1
8
1 1 1 3 1 6
7 7 7 2 1 22
1 1 2 2 5 5 1 3 3
6 6 3 3
7
4 TUBE 3 TAB 3 TAB 3 TAB BH TAB 6 KPL
VIAL TAB 5 TAB 5 AMP TAB TAB AMP SUP 2 TAB AMP VIAL
85
100
691 265
1,200
115 34 143
7 100
340
300
PERSEDIAAN 7 25 400 1,057 321 61 130 185 1,891 265 115 41 243 640 -
PEMAKAIAN 8
185
674 30 51
18 100 1,514 105
115 7 219
390
SISA STOCK 9 25 215 383 291 10 112 85 377 160 34 24 250 -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
20
25
500
400
1000
900
200
100
1500
1,200
10 200
7 100
500
300
PE M B E R IAN ASKES BF 13 14
71 EPHEDRIN 25 mg
1
77
2 TAB
-
-
KELAS TERAPI 1 2 3 72 ERITROMICYN 250 MG 6 22 73 ERITROMICYN 500 MG 6 22 74 ERITROMICYN SYIRUP 6 22 75 EPHINEPRINE INJ 3 76 ETAKRIDIN LAR (RIVANOL) 0,1% 1 3 77 ETANOL 70% 1 3 78 ETHIL KLORIDA 2 1 79 EXTRACT BELADON 2 5 80 FENITOIN 30/100 MG 5 81 FENOBARBITAL 30/100MG mg 5 82 FENOBARBITAL INJ. 5 83 FENOL GLISEROL TT 10% 2 3 84 FENOXIPENICILIN 500 MG 6 2 85 FENOXIPENICILIN 250 MG 6 2 86 FITOMENADION 10 mg TAB 1 O 87 FITOMENADION INJEKSI 1 O 88 FUROSEMIDE 40 mg 1 5 89 FUROSEMIDE INJEKSI 1 5 90 GARAM ORALIT 200 2 O 91 GENTAMICYN 80 MG INJ. 6 22 92 GENTAMICYN SK 2 1 93 GENTAMICYN TM 2 1 94 GENTIAN VIOLET 1 % 1 4 95 GLIBENCLAMIDE 5mg 1 62 96 GLISERIL GUAIACOLAT 100 mg 2 6 97 GLISERIN 2 5 98 GLUCOSE 5 % INFUS 2 O 99 GLUCOSE 10 % INFUS 2 O 100 GLUCOSE 40 % INFUS 2 O 101 GRISEOFULVIN 500 mg 6 4 102 GRISEOFULVIN 125 mg 6 4 103 HALOPERIDOL 1,5 mg 2 3 104 HALOPERIDOL 2 mg 2 3 105 HALOPERIDOL 5 mg 2 3 106 HALOPERIDOL INJEKSI 2 3 107 HISCOPAN 108 HIDROCORTISONE 2,5% 1 8 109 HIDROKLORTIAZID (HCT) 25 mg 1 5 NO
NAMA OBAT
4 4 4 2 2 4
2 1 1 2 2
1 5 1 1 2 1 3 6 2 2 2
4 4 4 4 4
SATU -AN 4 KAP KAP BTL AMP BTL BTL BTL TAB KAP TAB AMP BTL KPL KPL TAB AMP TAB AMP SAK VIAL TUBE BTL BTL TAB TAB BTL FLS FLS FLS TAB TAB TAB TAB TAB AMP TAB TUBE TAB
STOCK AWAL 5
PENERI -MAAN 6
100 250 319
320 200
24
8 615
100
PERSEDIAAN 7 (100) (250) (319) (320) (200) (24) (8) (715)
PEMAKAIAN 8
60 75 48
180 118
3 30
SISA STOCK 9 (160) (325) (367) (500) (318) (24) (11) (745)
STOCK OPT. 10
PERMINT AAN 11
PKD 12
500
200
200
100
PE M B E R IAN ASKES BF 13 14
NO 1 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147
NAMA OBAT 2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg KALIUM PERMANGANAT KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 500 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
KELAS SATU TERAPI -AN 3 4 1 2 TAB 1 2 TAB 1 2 BTL 3 2 SET 3 2 SET 1 6 3 KAP 1 7 1 TAB 3 2 BH 3 2 BH 3 2 BH 3 2 BH 2 9 TAB 5 TAB 1 3 1 BTL 3 2 BKS 3 2 BKS 3 2 ROL 3 2 BKS 3 2 ROL 3 2 ROL BKS 3 2 BKS 6 4 1 TAB 6 4 1 TUBE 1 2 AMP 1 2 TAB 6 22 4 KAP 6 6 2 2 2 2 6 3 2 2
22 22 12 12 5 5 22 3 3
2 2 1 1 1 1 2
KAP BTL TUBE TUBE BTL BTL VIAL TAB 4 TAB 4 TAB
STOCK AWAL 5 170
PENERI -MAAN 6 2,300
9
25
209
100
210
616 4
105 16 8 7
19 24 14
120
1,000
PERSEDIAAN 7 2,470 34 309 210 616 4 105 35 32 21 1,120 -
PEMAKAIAN 8 2,149 13
105
10
476 2
51 12 7 9
997
SISA STOCK 9 321 21 204 200 140 2 54 23 25 12 123 -
STOCK OPT. 10
PERMINT AAN 11 3000
PKD 12 2,300
20
25
100
100
20 24 10
19 24 14
1500
1,000
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184
2 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 % LARUTAN ETANOL ASAM LARUTAN GIEMSA STAIN LARUTAN METHILEN BLUE LARUTAN TURK LARUTAN ETER ALKOHOL LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL LIDOCAIN INJ /COMB 2 % LISOL 50 % MAGNESIUM SULFAS INJ.20% MAGNESIUM SULFAS INJ.40% MAGNESIUM SULFAS SERBUK. MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 TAB METIL ERGOMETRIN INJEKSI METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPRAM METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
KELAS TERAPI 3 2 3 6 22 6 22 6 22 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 3 1 2 1 5 5 4 2 6 1 6 1 1 62 1 62 2 2 2 2 2 5 2 5 2 5 2 5 6 22 6 22 6 22 6 22 1 8 2 O 4 1
4 3 3 3
1 1 1 1 1 1 2 2 2 2 7 7 7 7 3 2
SATU -AN 4 AMP TAB TAB BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL BTL AMP BTL VIAL VIAL BKS TAB BTL TAB TAB TAB AMP TAB BTL AMP BTL TAB TAB FLS BTL TUBE FLS TAB
STOCK AWAL 5
687 42
PENERI -MAAN 6
14
1,000
2 430 20
9 200
9
PERSEDIAAN 7 687 56 1,000 11 430 220 9 -
PEMAKAIAN 8
SISA STOCK 9
20 20
1 70 30
5
667 36 1,000 10 360 190 4 -
STOCK OPT. 10
PERMINT AAN 11
PE M B E R IAN ASKES BF 13 14
PKD 12
10
14
1000
1,000
10
9
200
200
10
9
NO
NAMA OBAT
1 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221
2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DROP OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC SU PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD POLIKRESULEN / ALBOTYL POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB PROPANOLOL HCL 10 MG PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
KELAS TERAPI 3 1 2 1 2 1 7 6 4 6 4 2 6 6 22 1 8 2 1 2 2
1 1 1 1 1 1 1 3 2 2 6 6 3 1 1 1 1 1 1 1 1 1 6 2 2
3 2 2 2 2 2 2 2 9 9 1 1 2 3 3 3 3 3 6 7 7 6 2 5 5
3 2 1 3 1 2 2 1
2
1 1 1 1 1 1 1 5 2 2 4 1 1 1
SATU -AN 4 TAB TAB TAB VGTAB BTL BTL VIAL TUBE TUBE AMP AMP TAB TAB TAB TAB SUPP BTL BTL TAB ROL TAB TAB TAB BTL ROL BTL BTL BTL BTL BTL TAB TAB TAB TAB VIAL KAP AMP
STOCK AWAL 5
PENERI -MAAN 6
443
210
200
7
40
200
850 98
280
100
PERSEDIAAN 7 443 410 47 200 850 98 380 -
PEMAKAIAN 8
71
317
35
71
80
380
SISA STOCK 9 372 93 12 129 770 98 -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
500
200
20
40
200
200
200
100
PE M B E R IAN ASKES BF 13 14
NO 1 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258
KELAS TERAPI 2 3 RETINOL 100.000 IU 2 9 RETINOL 200.000 IU 2 9 RIFAMPICIN 450 mg 6 3 RINGER LACTAT INFUS 2 O SALBUTAMOL SIRUP 2 6 SALBUTAMOL 2 mg 2 6 SALBUTAMOL 4 mg 2 6 SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 1 8 SALICYL BEDAK 2% 1 8 SALICYL SPIRITUS 10% 1 8 SABU I 2 7 SERUM ANTI TETANUS 1500 UI 2 7 SERUM ANTI TETANUS 20,000 UI 2 7 SERUM ANTI DIPTHERI 2 7 SIANOKOBALAMIN HCL/B12 INJ 1 O SIANOKOBALAMIN HCL/B12 TA 6 22 SILK 3 2 SULFASETAMID Na TM 0,5 % 2 1 TAB.TAMBAH DARAH/ HEMAFO 1 O TTD CAMABION TETRACAIN TTS MATA 2 1 TETRACYCLIN HCL 250 mg 6 22 TETRACYCLIN HCL 500 mg 6 22 THIAMIN HCL ( B1 ) INJEKSI 2 9 THIAMIN HCL ( B1 ) 50 MG 2 9 TRIHEXYPENIDIL 2 mg 9 VIT.B.COMPLEX INJEKSI 2 9 VIT.B.COMPLEX TAB 2 9 OBAT GIGI AIR RAKSA DENTAL USE 1 4 CITODUR 1 4 COMPOSITE SET 1 4 DENTORIT 1 4 DEVITALISASI PASTA 1 4 EUGENOL CAIRAN 1 4 FORMOKRESOL 1 4 GLASS IONOMER SEMEN 1 4 NAMA OBAT
2 2 1 1 1
SATU -AN 4 KAP KAP KAP FLS BTL TAB TAB
5 8 8 1 1 1 1 1 3
POT DUS BTL VIAL AMP VIAL VIAL AMP TAB BH 2 BTL 1 DRAGE
STOCK AWAL 5
14 4
650
80 1 BTL 1 KAP 1 KAP AMP TAB TAB VIAL TAB 1 1 1 1 1 1 1 1
BTL SET SET SET SET BTL BTL SET
PENERI -MAAN 6
60
325 653
600
730
1,000
PERSEDIAAN 7 14 4 650 140 325 1,253 1,730 -
PEMAKAIAN 8
SISA STOCK 9
4 4
558
45
20 546
1,020
10 92 95 305 707 710 -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
90
60
500
600
1000
1,000
PE M B E R IAN ASKES BF 13 14
KELAS TERAPI 1 2 3 259 KALSIUM HIDROXIDA PASTA 1 4 KLORFENOL CAMFER MENTOL 260 1 4 (CHKM) 252 MUMMYING PASTA/IODOFORM 1 4 253 PUPERIL 1 4 254 SEMEN SENG FOSFAT SERB+CAIRA 1 4 255 SILVER AMALGAM 1 4 256 SPON GELATIN 1 4 257 TEMPORARY FLETCHER 1 4 258 TRIKRESOL FORMALIN/TKF 1 4 OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 ANTI MIGRAIN/ERGOTAMINE 267 CAFFEINE 268 ANTRAIN/NORAGES/ PROGESIK INJ 269 BECEFORT 270 BECEFORT SYIRUP BENODON / XYLOMIDON 271 INJEKSI 272 BETAHISTIN MESILAT 6 mg 273 BICOLAX 274 BIONIC DROPS 275 BIOPLACENTON SK 276 BOX SLIDES 277 BROMHEXIN / BRONKIS 278 CALSIUM GLUCONAS INJEKSI 279 CETERIZINE 10 MG 280 CETERIZINE SYR 281 CIMETIDIN 200 mg 282 CLOBAZAM 10 MG 283 COMBIVENT NEBULASER NO
NAMA OBAT
1 1 1 1 2 1 1 1 2
SATU -AN 4 SET BTL SET SET SET SET BH SET BTL AMP TAB BTL TAB TAB TAB BTL TAB TAB TAB AMP TAB BTL VIAL TAB TAB KPL BTL TUBE KTK TAB BTL CAP BTL TAB
STOCK AWAL 5
9
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
3
(3) -
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321
KELAS SATU TERAPI -AN 3 4 DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN) 6 1 2 TAB DOMPERIDONE srp DOMPERIDONE 10 MG 2 5 2 TAB DOMPERIDONE SUSPENSI AMP DOXICILIN 100 MG TAB FLUDANE BTL FLUDANE SYIRUP KAP FOLLEY CATETER NO 16 KAP FOLLEY CATETER NO 18 BTL FOLLEY CATETER NO 20 3 2 BH FOLLEY CATETER NO 24 3 2 BH GEMFIBROZIL 300 MG 3 2 BH GLIMEPIRIDE 1 MG 3 2 BH GLIMEPIRIDE 2 MG KAP GLIMEPIRIDE 3 MG TAB GLIMEPIRIDE 4 MG TAB HAND SCOEN 7 -7,5 TAB HISBISCRUB TAB INFUS ASERING 3 2 BH INFUS KA-EN 3 B BTL KACA SLIDES BTL KALIUM DIKLOFENAK 25 MG BTL KALIUM DIKLOFENAK 50 MG KTK KALOBA KAP KLINDAMYCIN 300 KAP LANSOPRAZOL 30 MG FLS LANTUS SOL PEN 100 IU/ML INJ KAP LINCOMYCIN 500 mg KAP LISINOPRIL 5 MG KTK LISINOPRIL 10 MG KAP LOPERAMID 2 MG/LEXADIUM TAB LORATADIN 10 MG TAB MASKER TAB MECOBALAMIN 500 mg TAB MELOKSIKAM 7,5 MG 3 2 BH METFORMIN 500 MG KAP NAMA OBAT
STOCK AWAL 5
PENERI -MAAN 6 100
7 200
25
149 360 490
1,000 500 700
190 210
1,000
PERSEDIAAN 7 0 100 0 32 200 0 0 0 0 0 0 0 0 0 1149 860 1190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 210 0 0 0 1000
PEMAKAIAN 8 12 10 20
400 659 227
60 80
704
SISA STOCK 9 0 88 0 22 180 0 0 0 0 0 0 0 0 0 749 201 963 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130 130 0 0 0 296
STOCK OPT. 10
PERMINT AAN 11
PKD 12
100
100
20
25
1500 500 500
1,000 500 700
PE M B E R IAN ASKES BF 13 14
NO 1 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362
NAMA OBAT
KELAS TERAPI 3
2 METFORMIN 850 MG KLORAMFENIKOL 250 mg METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML INJ 6 2 OBAT KATEGORI ANAK 6 2 OBAT KATEGORI I 6 2 OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG 1 3 PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD 1 7 THIAMPHENICOL 500 MG 1 7 THIAMPHENICOL SIRUP 1 5 TRAMADOL 150 mg TRAMADOL INJEKSI TRIFLUOPERAZINE 5 MG 3 2 URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
SATU -AN 4
TAB VIAL TAB KPL 2 VIAL 2 VIAL 2 VIAL
STOCK AWAL 5
PENERI -MAAN 6
400
PAKET PAKET PAKET PAKET
KAP TAB TAB TAB BTL 1 BTL TAB TAB AMP CAP CAP BTL BTL TAB KAP KAP BTL 8 TAB 8 TAB TAB KAP KAP BH TAB TAB SET SET
43 460
30
PERSEDIAAN 7 0 0 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 460 0 0 0 30 0 0 0
PEMAKAIAN 8
380
10 40
40 3
100 50
140 53
33 5
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 420 0 0 0 30 0 0 0 107 48
100 30
100 50
PE M B E R IAN ASKES BF 13 14
NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
NAMA OBAT
KELAS TERAPI 3
2 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg BENODON / DURADRIL INJ. BETAHISTIN MESILAT 6 MG BETAMETHASONE CREAM BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CEFADROXIL 125 MG CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8 -
32
430
SISA STOCK 9
STOCK OPT. 10 -
-
31
(31) -
430
380
50
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO 1 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79
NAMA OBAT
KELAS TERAPI
2 CIPROFLOXACIN 500 mg CLINDAMYCYN 300 MG CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL
SATU -AN
STOCK AWAL 190 500
400
PENERI -MAAN
PERSEDIAAN 190 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN 80 60
210
SISA STOCK 110 440 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0
STOCK OPT.
PERMINT AAN
PKD
PE M B E R IAN ASKES BF
NO 1 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117
NAMA OBAT
KELAS TERAPI
2 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI METILPREDNISOLON 4 MG METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP MICONAZOLE 2% CREAM NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG
SATU -AN
STOCK AWAL
1595 1505
PENERI -MAAN
PERSEDIAAN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1595 1505 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN
580 70
SISA STOCK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1015 1435 0 0 0 0 0 0 0 0 0 0
STOCK OPT.
PERMINT AAN
PKD
PE M B E R IAN ASKES BF
NO
NAMA OBAT
1
2
118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147
PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg NTOLIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI THIAMPHENICOL 500 MG THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8 -
2256
175 500
300
2,256 475 500 -
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
141
350 105
2,115 125 395 -
500
300
PE M B E R IAN ASKES BF 13 14
NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
NAMA OBAT 2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
CATGUT CHROMIC 2/0- 3/0 HR 2426 MM PLAIN 2/0- 3/0 Ds 24-26 CATGUT MM
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP) HAND SCOEN STERIL (PF) INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1
2
37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63
KASA 4 X 15 CM KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN TEST TRIP CHOLESTEROL (EASY TOUCH) TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY TOUCH)
UNDERPAD URINE BAG
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1
2 REAGEN
64 65 66 67 68 69 70 71 72 73 74
ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN
75 TRIGLISERIDE 76 URIC ACID
77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE DENTAL GYPSUM TIPE II (PUTIH) DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1 94 95 96 97 98 99 100 101 102 103 104
2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
105 106 107 108 109 110 111 112
GOLONGAN DARAH A AB B O THYPOID AO THYPOID BO THYPOID H THYPOID O
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
PKD 12
PE M B E R IAN ASKES BF 13 14
NO
NAMA OBAT
1
2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
KELAS TERAPI 3
SATU -AN 4
STOCK AWAL 5
PENERI -MAAN 6
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK OPT. 10
PERMINT AAN 11
ASKES
JUMLAH
PKD 12
PE M B E R IAN ASKES BF 13 14
BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5 HYPAFIX / ULTRAVIX 2,5X5 INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR UMUM JUMLAH KUNJUNGAN RESEP
BAYAR
TIDAK BAYAR
MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
Rp.
YANG MENER BIDAN DES
ASI
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN
JML
KET 17
E M B E R IAN LAIN
JML
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
KET 17
E M B E R IAN LAIN 15
JML 16
YANG MENERIMA BIDAN DESA
KET 17
LAPORAN PEMAKAIAN DAN LEMBAR ( L P L P O ) KODE PUSKESMAS PUSKESMAS KECAMATAN KAB/KODYA PROPINSI NO 1
NAMA OBAT
: S P P J
O A A A
P D M W
A'AH E M A W U E K A S A N A T IM UR SATU -AN 4
KELAS TERAPI 3
STOCK PENERI AWAL -MAAN 5 6
1 2 3 4 5 6 7 8
2 OBAT DAU ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP
3 3 3 3 3 3 6 6
2 2 2 2 2 2 1 1
BH BH BH BH BH BH 1 TAB 1 BTL
9
ALLOPURINOL 100 MG
1
3
TAB
265
10 11 12 13 14
ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg
1 9 9 9 2
3
90
6
TAB TAB BTL BTL 1 TAB
15
AMINOPHILLIN INJEKSI
2
6
1 AMP
16 17 18 19 20 21 22 23 24 25 26 27 28 29
AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
6 6 6 6 6 6 6 6 2 1 1 2 2
2 2 2 2 2 2 2 2 3 2 2 5 5
1 1 1 1 1 1 1 1 2
KAP KAP BTL BTL VIAL KAP BTL VIAL TAB TAB AMP 1 BTL 1 TAB
100
40 90 100 152 20 8
360 1,600 51 32
190
350
NO
NAMA OBAT
KELAS TERAPI
1 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP
3
49
BETAHISTIN MESILAT 6 mg
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69
BETAMETHASONE CREAM BIO ATP KAPLET CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFADROXYL 125 mg CEFADROXYL 500 MG CEFOTAXIM 1 GR INJ CLINDAMYCYN 500 MG DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECT DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ
1 1 2 2 O 3 O 2 2 1 1 2 2 1 1 6 6 6 6 6 1 O
8 8 5
9 9 2 2 3 1 4 4 6 6 6 2 2
3 3 3 3
4 1 1 1 1 1 1 1 1
SATU -AN 4 POT TUBE SUP FLS BTL TAB TAB TAB TAB AMP BTL KAP KAP TAB TAB TUBE VIAL VIAL BTL
STOCK PENERI AWAL -MAAN 5 6 25
400
157 321 61
900
130 1 1 1 1 3 1 6
1 1 2 2 5 5 1 3
8 7 7 7 2 1 22
6 6 3 3
7
4 TUBE 3 TAB 3 TAB 3 TAB BH TAB 6 KPL
VIAL TAB 5 TAB 5 AMP TAB TAB AMP SUP 2 TAB AMP
85
100
691 265
1,200
115 34 143
7 100
340
300
70
DURADRIL / ADIDRYL INJ
3
71
EPHEDRIN 25 mg
1
NO
NAMA OBAT
1 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109
2 ERITROMICYN 250 MG ERITROMICYN 500 MG ERITROMICYN SYIRUP EPHINEPRINE INJ ETAKRIDIN LAR (RIVANOL) 0 ETANOL 70% ETHIL KLORIDA EXTRACT BELADON FENITOIN 30/100 MG FENOBARBITAL 30/100MG mg FENOBARBITAL INJ. FENOL GLISEROL TT 10% FENOXIPENICILIN 500 MG FENOXIPENICILIN 250 MG FITOMENADION 10 mg TAB FITOMENADION INJEKSI FUROSEMIDE 40 mg FUROSEMIDE INJEKSI GARAM ORALIT 200 GENTAMICYN 80 MG INJ. GENTAMICYN SK GENTAMICYN TM GENTIAN VIOLET 1 % GLIBENCLAMIDE 5mg GLISERIL GUAIACOLAT 100 GLISERIN GLUCOSE 5 % INFUS GLUCOSE 10 % INFUS GLUCOSE 40 % INFUS GRISEOFULVIN 500 mg GRISEOFULVIN 125 mg HALOPERIDOL 1,5 mg HALOPERIDOL 2 mg HALOPERIDOL 5 mg HALOPERIDOL INJEKSI HISCOPAN HIDROCORTISONE 2,5% HIDROKLORTIAZID (HCT) 25
NO
NAMA OBAT
VIAL 77
KELAS TERAPI 6 6 6 3 1 1 2 2 5 5 5 2 6 6 1 1 1 1 2 6 2 2 1 1 2 2 2 2 2 6 6 2 2 2 2 1 1
3 22 22 22 3 3 1 5
3 2 2 O O 5 5 O 22 1 1 4 62 6 5 O O O 4 4 3 3 3 3 8 5
KELAS TERAPI
2 TAB SATU -AN 4 4 KAP 4 KAP 4 BTL AMP 2 BTL 2 BTL BTL 4 TAB KAP TAB AMP 2 BTL 1 KPL 1 KPL 2 TAB 2 AMP TAB AMP 1 SAK 5 VIAL 1 TUBE 1 BTL 2 BTL 1 TAB 3 TAB 6 BTL 2 FLS 2 FLS 2 FLS TAB TAB 4 TAB 4 TAB 4 TAB 4 AMP TAB 4 TUBE TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6
100 250 319
320 200
24
8 615 100 STOCK PENERI AWAL -MAAN
NO
NAMA OBAT
KELAS TERAPI
1 110 111 112 113 114 115 116 117 118 119 120 121 122
2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg
1 1 1 3 3 1 1 3 3 3 3 2 5
2 2 2 2 2 6 7 2 2 2 2 9
123
KALIUM PERMANGANAT
1
3
1 BTL
124 125 126 127 128 129 130 131 132
3 3 3 3 3 3
2 2 2 2 2 2
3 6
2 4
BKS BKS ROL BKS ROL ROL BKS BKS 1 TAB
6
4
1 TUBE
1 1 6
2 2 22
AMP TAB 4 KAP
6 6 2 2 2 2
22 22 12 12 5 5
2 2 1 1 1 1
6
22
2 VIAL
145 146 147
KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 500 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
3 2 2
3 3
NO
NAMA OBAT
133 134 135 136 137 138 139 140 141 142 143 144
3
SATU -AN 4 TAB TAB BTL SET SET 3 KAP 1 TAB BH BH BH BH TAB TAB
KELAS TERAPI
KAP BTL TUBE TUBE BTL BTL
TAB 4 TAB 4 TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6 170 2,300 9
25
209
100
210
616 4
105 16 8 7
19 24 14
120
1,000
STOCK PENERI AWAL -MAAN
1 148 149 150 151 152 153 154
2 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 %
2 6 6 6 3 3 3
3 22 22 22 1 1 1
155
LARUTAN ETANOL ASAM
3
1
BTL
156
LARUTAN GIEMSA STAIN
3
1
BTL
157
LARUTAN METHILEN BLUE
3
1
BTL
158
LARUTAN TURK
3
1
BTL
159
LARUTAN ETER ALKOHOL
3
1
BTL
160 161 162
LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL
3 3 3
1 1 1
BTL BTL BTL
163
LIDOCAIN INJ /COMB 2 %
2
1
AMP
164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184
LISOL 50 % MAGNESIUM SULFAS INJ.20 MAGNESIUM SULFAS INJ.40 MAGNESIUM SULFAS SERBU MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 METIL ERGOMETRIN INJEKS METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPR METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
NO
NAMA OBAT
3
5 5 4 6 6 1 1 2 2 2 2 2 2 6 6 6 6 1 2 O 4
2 1 1 62 62 2 2 5 5 5 5 22 22 22 22 8 1
KELAS TERAPI
4 3 3 3
1 1 1 1 1 1 2 2 2 2 7 7 7 7 3 2
4 AMP TAB TAB BTL BTL BTL BTL
BTL VIAL VIAL BKS TAB BTL TAB TAB TAB AMP TAB BTL AMP BTL TAB TAB FLS BTL TUBE FLS TAB SATU -AN
5
6
687 42
14
1,000
2 430 20
9 200
9
STOCK PENERI AWAL -MAAN
1 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209
2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DR OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD
210
3
4 TAB TAB TAB VGTAB BTL BTL VIAL TUBE TUBE AMP AMP TAB TAB TAB TAB SUPP BTL BTL TAB ROL TAB TAB TAB BTL ROL
5
6
1 1 1 6 6 2 6 1 2 2
2 2 7 4 4 6 22 8 1 2
1 1 1 1 1 1 1 3 2 2 6 6 3
3 2 2 2 2 2 2 2 9 9 1 1 2
2
POLIKRESULEN / ALBOTYL
1
3
1 BTL
211 212 213 214 215
POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB
1 1 1 1 1
3 3 3 3 6
1 1 1 1 5
BTL BTL BTL BTL TAB
850
216
PROPANOLOL HCL 10 MG
1
7
2 TAB
98
217 218 219 220 221
PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
1 1 6 2 2
7 6 2 5 5
2 4 1 1 1
NO 1 222 223
NAMA OBAT 2 RETINOL 100.000 IU RETINOL 200.000 IU
KELAS TERAPI 3 2 2
9 9
3 2 1 3 1 2 2 1
1 1
TAB TAB VIAL KAP AMP SATU -AN 4 KAP KAP
443
210
200
7
40
200
280
100
STOCK PENERI AWAL -MAAN 5 6
224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258
RIFAMPICIN 450 mg 6 3 RINGER LACTAT INFUS 2 O SALBUTAMOL SIRUP 2 6 SALBUTAMOL 2 mg 2 6 SALBUTAMOL 4 mg 2 6 SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 1 8 SALICYL BEDAK 2% 1 8 SALICYL SPIRITUS 10% 1 8 SABU I 2 7 SERUM ANTI TETANUS 1500 2 7 SERUM ANTI TETANUS 20,000 2 7 SERUM ANTI DIPTHERI 2 7 SIANOKOBALAMIN HCL/B12 I 1 O SIANOKOBALAMIN HCL/B12 6 22 SILK 3 2 SULFASETAMID Na TM 0,5 % 2 1 TAB.TAMBAH DARAH/ HEMA 1 O TTD CAMABION TETRACAIN TTS MATA 2 1 TETRACYCLIN HCL 250 mg 6 22 TETRACYCLIN HCL 500 mg 6 22 THIAMIN HCL ( B1 ) INJEKSI 2 9 THIAMIN HCL ( B1 ) 50 MG 2 9 TRIHEXYPENIDIL 2 mg 9 VIT.B.COMPLEX INJEKSI 2 9 VIT.B.COMPLEX TAB 2 9 OBAT GIGI AIR RAKSA DENTAL USE 1 4 CITODUR 1 4 COMPOSITE SET 1 4 DENTORIT 1 4 DEVITALISASI PASTA 1 4 EUGENOL CAIRAN 1 4 FORMOKRESOL 1 4 GLASS IONOMER SEMEN 1 4
POT DUS BTL VIAL AMP VIAL VIAL AMP TAB BH 2 BTL 1 DRAGE 1 BTL 1 KAP 1 KAP AMP TAB TAB VIAL TAB
1
4
1 BTL
1 1 1
4 4 4
1 SET 1 SET 2 SET
1 259
2 KALSIUM HIDROXIDA PASTA KLORFENOL CAMFER MENTOL (CHKM) MUMMYING PASTA/IODOFO PUPERIL
3
14 4
650
80
4
KELAS TERAPI
SEMEN SENG FOSFAT SERB+CA
5 8 8 1 1 1 1 1 3
1
NAMA OBAT
252 253 254
KAP FLS BTL TAB TAB
BTL SET SET SET SET BTL BTL SET SATU -AN 4 1 SET
NO
260
2 2 1 1 1
60
325 653
600
730
1,000
1 1 1 1 1 1 1 1
STOCK PENERI AWAL -MAAN 5 6
255 SILVER AMALGAM 256 SPON GELATIN 257 TEMPORARY FLETCHER 258 TRIKRESOL FORMALIN/TKF OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 267 268 269 270
1 1 1 1
4 4 4 4
1 1 1 2
SET BH SET BTL AMP TAB BTL TAB TAB TAB BTL TAB
ANTI MIGRAIN/ERGOTAMINE CAFFEINE
TAB
ANTRAIN/NORAGES/ PROGESIK INJ BECEFORT BECEFORT SYIRUP BENODON / XYLOMIDON INJEKSI
TAB AMP TAB
272
BETAHISTIN MESILAT 6 mg
VIAL
273 274 275 276 277
TAB TAB KPL BTL TUBE
279 280 281 282
BICOLAX BIONIC DROPS BIOPLACENTON SK BOX SLIDES BROMHEXIN / BRONKIS CALSIUM GLUCONAS INJEKSI CETERIZINE 10 MG CETERIZINE SYR CIMETIDIN 200 mg CLOBAZAM 10 MG
283
COMBIVENT NEBULASER
TAB
271
278
NO
NAMA OBAT
BTL
KTK TAB BTL CAP BTL
KELAS TERAPI 3
284 285 286 287 288
DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN 6 DOMPERIDONE srp DOMPERIDONE 10 MG 2
SATU -AN 4
9
STOCK PENERI AWAL -MAAN 5 6 100
1 5
2 TAB 2 TAB
7 200
25
289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321
DOMPERIDONE SUSPENSI DOXICILIN 100 MG FLUDANE FLUDANE SYIRUP FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 20 FOLLEY CATETER NO 24 GEMFIBROZIL 300 MG GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HAND SCOEN 7 -7,5 HISBISCRUB INFUS ASERING INFUS KA-EN 3 B KACA SLIDES KALIUM DIKLOFENAK 25 MG KALIUM DIKLOFENAK 50 MG KALOBA KLINDAMYCIN 300 LANSOPRAZOL 30 MG LANTUS SOL PEN 100 IU/ML INJ LINCOMYCIN 500 mg LISINOPRIL 5 MG LISINOPRIL 10 MG LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG MASKER MECOBALAMIN 500 mg MELOKSIKAM 7,5 MG METFORMIN 500 MG
NO
3 3 3 3
2 2 2 2
3
2
149 360 490
1,000 500 700
KAP
3
2
KELAS TERAPI NAMA OBAT
1 323 324 325 326 327
AMP TAB BTL KAP KAP BTL BH BH BH BH KAP TAB TAB TAB TAB BH BTL BTL BTL KTK KAP KAP FLS
2 3 METFORMIN 850 MG KLORAMFENIKOL 250 mg METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML
KAP KTK KAP TAB TAB TAB TAB BH KAP
SATU -AN 4
TAB VIAL TAB
190 210
1,000
STOCK PENERI AWAL -MAAN 5
6
400
328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351
1
353
NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML OBAT KATEGORI ANAK OBAT KATEGORI I OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD
1
7
8 TAB
354
THIAMPHENICOL 500 MG
1
7
8 TAB
355 356 357
THIAMPHENICOL SIRUP TRAMADOL 150 mg TRAMADOL INJEKSI
1
5
TAB KAP KAP
352
6 6 6
2 2 2
PAKET PAKET PAKET PAKET
3
358 359 360 361 362
KELAS TERAPI TRIFLUOPERAZINE 5 MG URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
KAP TAB TAB TAB BTL 1 BTL TAB TAB AMP CAP CAP BTL BTL TAB KAP KAP
43 460
BTL
NAMA OBAT NO
KPL 2 VIAL 2 VIAL 2 VIAL
3 3
2
SATU -AN 4 BH TAB TAB SET SET
30
STOCK PENERI AWAL -MAAN 5 6
40 3
100 50
NAMA OBAT NO 1 1 2 3 4 5 6 7 8 9 10 11
2 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg
27
BENODON / DURADRIL INJ.
28
BETAHISTIN MESILAT 6 MG
29
BETAMETHASONE CREAM
30 31 32 33 34 35 36 37
BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CEFADROXIL 125 MG CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP NAMA OBAT
NO 38 39 40 41 42 43 44 45 46 47 48 49 50
KELAS TERAPI 2 CIPROFLOXACIN 500 mg CLINDAMYCYN 300 MG CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg
32
430
SATU -AN
STOCK PENERI AWAL -MAAN 190 500
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL NAMA OBAT
NO 78 79 80 81 82 83 84 85 86 87 88 89 90
KELAS TERAPI 2 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI
400
SATU -AN
STOCK PENERI AWAL -MAAN
91
METILPREDNISOLON 4 MG
92 93 94 95 96 97 98 99 100 101
METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP
102
MICONAZOLE 2% CREAM
103 104 105 106 107 108 109 110 111 112 113 114 115
NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP
1595 1505
PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG NAMA OBAT
NO 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130
2 PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg LIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
2256
175 500
300
131 132 133 134 135 136 137 138
SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI
139
THIAMPHENICOL 500 MG
140 141 142 143 144 145
THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
NAMA OBAT NO 1 2 3 4 5 6 7 8 9
2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
11
CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM
12 13 14 15 16 17
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18
10
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
18 19 20 21
FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST
23
HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP)
24
HAND SCOEN STERIL (PF)
25 26 27 28 29 30 31
INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
22
32 33 34 35 36
NAMA OBAT NO 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55
KELAS TERAPI 2 KASA 4 X 15 CM 3 KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
56 57 58
STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN
59
TEST TRIP CHOLESTEROL (EASY TOUCH) TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY TOUCH)
60 61 62 63
UNDERPAD URINE BAG
NAMA OBAT NO 1
KELAS TERAPI
71 72 73 74 75 76
2 REAGEN ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN TRIGLISERIDE URIC ACID
77 78 79
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER
64 65 66 67 68 69 70
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
80 81 82 83 84 85 86 87 88 89 90 91 92 93
CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE DENTAL GYPSUM TIPE II (PUTIH) DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
NAMA OBAT NO 1 94 95 96 97 98 99 100 101 102 103 104
KELAS TERAPI 2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
GOLONGAN DARAH 105 106 107 108 109 110 111
A AB B O THYPOID AO THYPOID BO THYPOID H
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
112
THYPOID O
NAMA OBAT NO 1
KELAS TERAPI
1 2 3 4 5 6 7 8
2 BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5
9
HYPAFIX / ULTRAVIX 2,5X5
10 11 12 13 14 15 16 17 18 19 20 21 22 23
INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
UMUM JUMLAH KUNJUNGAN RESEP MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
BAYAR
YANG MENYERA KEPALA UPT INSTALA
HENDRA RUSMIYA NIP.19820507200
AKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O )
Laporan LPLPO Permintaan Obat : MARET TAHUN : 2018 RUANG FARMASI PERSEDIAAN 7
PEMAKAIAN 8
-
SISA STOCK 9
PKD 12
-
365
100
265
90 40
30
60 40
450 100 1,752 71 40 540
STOCK PERMIN OPT. TAAN 10 11
100
100
400
360
200 792 49 28
254
250 100 960 22 12 286
1000 20 20
1,600 51 32
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 25 400 1,057 321 61 -
PEMAKAIAN 8
130
18
185 1,891 265 115 41 243 640 -
185
674 30 51
100 1,514 105
115 7 219
390
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 25 20 215 500 383 1000 291 10 -
PKD 12 25
400
900
112 85 377 160 34 24 250 -
200
100
1500
1,200
10 200
7 100
500
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
PERSEDIAAN 7 (100) (250) (319) (320) (200) (24) (8) (715) PERSEDIAAN
PEMAKAIAN 8
60 75 48
180 118
3 30 PEMAKAIAN
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 (160) (325) (367) (500) (318) 500 (24) (11) (745) 200 SISA STOCK PERMIN STOCK OPT. TAAN
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
200
100 PE M B E R IAN
JML 16
PERSEDIAAN 7 2,470 34 309 210 -
PEMASISA STOCK PERMIN KAIAN STOCK OPT. TAAN 8 9 10 11 2,149 321 3000 13 21 20 105 204 100 10 200 -
-
-
616
476
140
4
2
2
105 35 32 21 -
51 12 7 9
1,120 PERSEDIAAN
54 23 25 12 -
PKD 12 2,300
ASKES 13
BF 14
LAIN 15
JML 16
PE M B E R IAN ASKES BF LAIN
JML
25
100
20 24 10
19 24 14
123 1500 SISA STOCK PERMIN STOCK OPT. TAAN
1,000
997
PEMAKAIAN
PKD
7
8 687 56 -
9
20 20
10 667 36 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,000 11 430 220 9 PERSEDIAAN
1 70 30
5
PEMAKAIAN
11
12
10
1,000 1000 10 10 360 190 200 4 10 SISA STOCK PERMIN STOCK OPT. TAAN
13
14
15
16
14
1,000
9 200
9
PKD
PE M B E R IAN ASKES BF LAIN
JML
7
8 443 410 47 200 -
9
71
317
35
71
10 372 93 12 129 -
-
-
850
770
80
98
98
380 PERSEDIAAN 7 -
-
380 PEMAKAIAN 8
11
12
13
500
200
20
40
200
200
200
100
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
PKD 12
14
15
PE M B E R IAN ASKES BF LAIN 13 14 15
16
JML 16
14 4 650 140 325 1,253 1,730 PERSEDIAAN 7
4 4
558
45
20 546
1,020
PEMAKAIAN 8
10 92 95 90 305 707 500 710 1000 SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
60
600
1,000
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
3
(3) -
PERSEDIAAN 7 0 100 0 32 200
PEMAKAIAN 8
SISA STOCK 9 0 12 88 0 10 22 20 180
STOCK PERMIN OPT. TAAN 10 11 100
PKD 12 100
20
25
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
0 0 0 0 0 0 0 0 0 1149 860 1190 0 0 0 0 0 0 0 0 0 0 0
400 659 227
0 0 0 0 0 0 0 0 0 749 201 963 0 0 0 0 0 0 0 0 0 0 0
0
0
0 0 0 190 210 0 0 0 1000
0 0 0 130 130 0 0 0 296
0 PERSEDIAAN 7 0 0 400 0 0
60 80
704
1500 500 500
PEMAKAIAN
SISA STOCK
8
9
380
STOCK PERMIN OPT. TAAN 10
0 0 20 0 0
11
1,000 500 700
PKD 12
PE M B E R IAN ASKES BF LAIN 13
14
15
JML 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 460 0
10 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 420 0
0
0
0
0
30
30
0 0 0
0 0 0
PERSEDIAAN 7 140 53 -
PEMAKAIAN 8
33 5
SISA STOCK 9 107 48 -
STOCK PERMIN OPT. TAAN 10 11
100 30
PKD 12
100 50
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 -
PEMAKAIAN 8
SISA STOCK 9 -
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
31
(31) -
-
-
-
-
-
-
430 -
50 -
PERSEDIAAN 190 500 0 0 0 0 0 0 0 0 0 0 0
380
PEMASISA KAIAN STOCK 80 110 60 440 0 0 0 0 0 0 0 0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 0 0 0 0 0 0 0 0
210
PEMAKAIAN
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0 SISA STOCK 0 0 0 0 0 0 0 0
0
0
0 0 0 0
0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0
0
1595 1505 0 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 7 2,256 475 500 -
580 70
PEMAKAIAN 8
141
350 105
1015 1435 0 0 0 0 0 0 0 0 0 0 0 SISA STOCK 9 2,115 125 395 -
STOCK PERMIN OPT. TAAN 10 11
500
PKD 12
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
-
-
-
-
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
BAYAR
UMUM TIDAK BAYAR
ASKES
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
JUMLAH
Rp.
YANG MENERIMA BIDAN DESA
KET 17
KET 17
KET 17
KET
KET 17
KET
17
KET
17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
LAPORAN PEMAKAIAN DAN LEMBAR ( L P L P O ) KODE PUSKESMAS PUSKESMAS KECAMATAN KAB/KODYA PROPINSI NO 1
NAMA OBAT
: S P P J
O A A A
P D M W
A'AH E M A W U E K A S A N A T IM UR SATU -AN 4
KELAS TERAPI 3
STOCK PENERI AWAL -MAAN 5 6
1 2 3 4 5 6 7 8
2 OBAT DAU ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP
3 3 3 3 3 3 6 6
2 2 2 2 2 2 1 1
BH BH BH BH BH BH 1 TAB 1 BTL
9
ALLOPURINOL 100 MG
1
3
TAB
265
10 11 12 13 14
ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg
1 9 9 9 2
3
90
6
TAB TAB BTL BTL 1 TAB
15
AMINOPHILLIN INJEKSI
2
6
1 AMP
16 17 18 19 20 21 22 23 24 25 26 27 28 29
AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
6 6 6 6 6 6 6 6 2 1 1 2 2
2 2 2 2 2 2 2 2 3 2 2 5 5
1 1 1 1 1 1 1 1 2
KAP KAP BTL BTL VIAL KAP BTL VIAL TAB TAB AMP 1 BTL 1 TAB
100
40 90 100 152 20 8
360 1,600 51 32
190
350
NO
NAMA OBAT
KELAS TERAPI
1 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP
3
49
BETAHISTIN MESILAT 6 mg
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69
BETAMETHASONE CREAM BIO ATP KAPLET CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFADROXYL 125 mg CEFADROXYL 500 MG CEFOTAXIM 1 GR INJ CLINDAMYCYN 500 MG DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECT DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ
1 1 2 2 O 3 O 2 2 1 1 2 2 1 1 6 6 6 6 6 1 O
8 8 5
9 9 2 2 3 1 4 4 6 6 6 2 2
3 3 3 3
4 1 1 1 1 1 1 1 1
SATU -AN 4 POT TUBE SUP FLS BTL TAB TAB TAB TAB AMP BTL KAP KAP TAB TAB TUBE VIAL VIAL BTL
STOCK PENERI AWAL -MAAN 5 6 25
400
157 321 61
900
130 1 1 1 1 3 1 6
1 1 2 2 5 5 1 3
8 7 7 7 2 1 22
6 6 3 3
7
4 TUBE 3 TAB 3 TAB 3 TAB BH TAB 6 KPL
VIAL TAB 5 TAB 5 AMP TAB TAB AMP SUP 2 TAB AMP
85
100
691 265
1,200
115 34 143
7 100
340
300
70
DURADRIL / ADIDRYL INJ
3
71
EPHEDRIN 25 mg
1
NO
NAMA OBAT
1 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109
2 ERITROMICYN 250 MG ERITROMICYN 500 MG ERITROMICYN SYIRUP EPHINEPRINE INJ ETAKRIDIN LAR (RIVANOL) 0 ETANOL 70% ETHIL KLORIDA EXTRACT BELADON FENITOIN 30/100 MG FENOBARBITAL 30/100MG mg FENOBARBITAL INJ. FENOL GLISEROL TT 10% FENOXIPENICILIN 500 MG FENOXIPENICILIN 250 MG FITOMENADION 10 mg TAB FITOMENADION INJEKSI FUROSEMIDE 40 mg FUROSEMIDE INJEKSI GARAM ORALIT 200 GENTAMICYN 80 MG INJ. GENTAMICYN SK GENTAMICYN TM GENTIAN VIOLET 1 % GLIBENCLAMIDE 5mg GLISERIL GUAIACOLAT 100 GLISERIN GLUCOSE 5 % INFUS GLUCOSE 10 % INFUS GLUCOSE 40 % INFUS GRISEOFULVIN 500 mg GRISEOFULVIN 125 mg HALOPERIDOL 1,5 mg HALOPERIDOL 2 mg HALOPERIDOL 5 mg HALOPERIDOL INJEKSI HISCOPAN HIDROCORTISONE 2,5% HIDROKLORTIAZID (HCT) 25
NO
NAMA OBAT
VIAL 77
KELAS TERAPI 6 6 6 3 1 1 2 2 5 5 5 2 6 6 1 1 1 1 2 6 2 2 1 1 2 2 2 2 2 6 6 2 2 2 2 1 1
3 22 22 22 3 3 1 5
3 2 2 O O 5 5 O 22 1 1 4 62 6 5 O O O 4 4 3 3 3 3 8 5
KELAS TERAPI
2 TAB SATU -AN 4 4 KAP 4 KAP 4 BTL AMP 2 BTL 2 BTL BTL 4 TAB KAP TAB AMP 2 BTL 1 KPL 1 KPL 2 TAB 2 AMP TAB AMP 1 SAK 5 VIAL 1 TUBE 1 BTL 2 BTL 1 TAB 3 TAB 6 BTL 2 FLS 2 FLS 2 FLS TAB TAB 4 TAB 4 TAB 4 TAB 4 AMP TAB 4 TUBE TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6
100 250 319
320 200
24
8 615 100 STOCK PENERI AWAL -MAAN
NO
NAMA OBAT
KELAS TERAPI
1 110 111 112 113 114 115 116 117 118 119 120 121 122
2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg
1 1 1 3 3 1 1 3 3 3 3 2 5
2 2 2 2 2 6 7 2 2 2 2 9
123
KALIUM PERMANGANAT
1
3
1 BTL
124 125 126 127 128 129 130 131 132
3 3 3 3 3 3
2 2 2 2 2 2
3 6
2 4
BKS BKS ROL BKS ROL ROL BKS BKS 1 TAB
6
4
1 TUBE
1 1 6
2 2 22
AMP TAB 4 KAP
6 6 2 2 2 2
22 22 12 12 5 5
2 2 1 1 1 1
6
22
2 VIAL
145 146 147
KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 500 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
3 2 2
3 3
NO
NAMA OBAT
133 134 135 136 137 138 139 140 141 142 143 144
3
SATU -AN 4 TAB TAB BTL SET SET 3 KAP 1 TAB BH BH BH BH TAB TAB
KELAS TERAPI
KAP BTL TUBE TUBE BTL BTL
TAB 4 TAB 4 TAB SATU -AN
STOCK PENERI AWAL -MAAN 5 6 170 2,300 9
25
209
100
210
616 4
105 16 8 7
19 24 14
120
1,000
STOCK PENERI AWAL -MAAN
1 148 149 150 151 152 153 154
2 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 %
2 6 6 6 3 3 3
3 22 22 22 1 1 1
155
LARUTAN ETANOL ASAM
3
1
BTL
156
LARUTAN GIEMSA STAIN
3
1
BTL
157
LARUTAN METHILEN BLUE
3
1
BTL
158
LARUTAN TURK
3
1
BTL
159
LARUTAN ETER ALKOHOL
3
1
BTL
160 161 162
LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL
3 3 3
1 1 1
BTL BTL BTL
163
LIDOCAIN INJ /COMB 2 %
2
1
AMP
164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184
LISOL 50 % MAGNESIUM SULFAS INJ.20 MAGNESIUM SULFAS INJ.40 MAGNESIUM SULFAS SERBU MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 METIL ERGOMETRIN INJEKS METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPR METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
NO
NAMA OBAT
3
5 5 4 6 6 1 1 2 2 2 2 2 2 6 6 6 6 1 2 O 4
2 1 1 62 62 2 2 5 5 5 5 22 22 22 22 8 1
KELAS TERAPI
4 3 3 3
1 1 1 1 1 1 2 2 2 2 7 7 7 7 3 2
4 AMP TAB TAB BTL BTL BTL BTL
BTL VIAL VIAL BKS TAB BTL TAB TAB TAB AMP TAB BTL AMP BTL TAB TAB FLS BTL TUBE FLS TAB SATU -AN
5
6
687 42
14
1,000
2 430 20
9 200
9
STOCK PENERI AWAL -MAAN
1 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209
2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DR OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD
210
3
4 TAB TAB TAB VGTAB BTL BTL VIAL TUBE TUBE AMP AMP TAB TAB TAB TAB SUPP BTL BTL TAB ROL TAB TAB TAB BTL ROL
5
6
1 1 1 6 6 2 6 1 2 2
2 2 7 4 4 6 22 8 1 2
1 1 1 1 1 1 1 3 2 2 6 6 3
3 2 2 2 2 2 2 2 9 9 1 1 2
2
POLIKRESULEN / ALBOTYL
1
3
1 BTL
211 212 213 214 215
POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB
1 1 1 1 1
3 3 3 3 6
1 1 1 1 5
BTL BTL BTL BTL TAB
850
216
PROPANOLOL HCL 10 MG
1
7
2 TAB
98
217 218 219 220 221
PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
1 1 6 2 2
7 6 2 5 5
2 4 1 1 1
NO 1 222 223
NAMA OBAT 2 RETINOL 100.000 IU RETINOL 200.000 IU
KELAS TERAPI 3 2 2
9 9
3 2 1 3 1 2 2 1
1 1
TAB TAB VIAL KAP AMP SATU -AN 4 KAP KAP
443
210
200
7
40
200
280
100
STOCK PENERI AWAL -MAAN 5 6
224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258
RIFAMPICIN 450 mg 6 3 RINGER LACTAT INFUS 2 O SALBUTAMOL SIRUP 2 6 SALBUTAMOL 2 mg 2 6 SALBUTAMOL 4 mg 2 6 SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 1 8 SALICYL BEDAK 2% 1 8 SALICYL SPIRITUS 10% 1 8 SABU I 2 7 SERUM ANTI TETANUS 1500 2 7 SERUM ANTI TETANUS 20,000 2 7 SERUM ANTI DIPTHERI 2 7 SIANOKOBALAMIN HCL/B12 I 1 O SIANOKOBALAMIN HCL/B12 6 22 SILK 3 2 SULFASETAMID Na TM 0,5 % 2 1 TAB.TAMBAH DARAH/ HEMA 1 O TTD CAMABION TETRACAIN TTS MATA 2 1 TETRACYCLIN HCL 250 mg 6 22 TETRACYCLIN HCL 500 mg 6 22 THIAMIN HCL ( B1 ) INJEKSI 2 9 THIAMIN HCL ( B1 ) 50 MG 2 9 TRIHEXYPENIDIL 2 mg 9 VIT.B.COMPLEX INJEKSI 2 9 VIT.B.COMPLEX TAB 2 9 OBAT GIGI AIR RAKSA DENTAL USE 1 4 CITODUR 1 4 COMPOSITE SET 1 4 DENTORIT 1 4 DEVITALISASI PASTA 1 4 EUGENOL CAIRAN 1 4 FORMOKRESOL 1 4 GLASS IONOMER SEMEN 1 4
POT DUS BTL VIAL AMP VIAL VIAL AMP TAB BH 2 BTL 1 DRAGE 1 BTL 1 KAP 1 KAP AMP TAB TAB VIAL TAB
1
4
1 BTL
1 1 1
4 4 4
1 SET 1 SET 2 SET
1 259
2 KALSIUM HIDROXIDA PASTA KLORFENOL CAMFER MENTOL (CHKM) MUMMYING PASTA/IODOFO PUPERIL
3
14 4
650
80
4
KELAS TERAPI
SEMEN SENG FOSFAT SERB+CA
5 8 8 1 1 1 1 1 3
1
NAMA OBAT
252 253 254
KAP FLS BTL TAB TAB
BTL SET SET SET SET BTL BTL SET SATU -AN 4 1 SET
NO
260
2 2 1 1 1
60
325 653
600
730
1,000
1 1 1 1 1 1 1 1
STOCK PENERI AWAL -MAAN 5 6
255 SILVER AMALGAM 256 SPON GELATIN 257 TEMPORARY FLETCHER 258 TRIKRESOL FORMALIN/TKF OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 267 268 269 270
1 1 1 1
4 4 4 4
1 1 1 2
SET BH SET BTL AMP TAB BTL TAB TAB TAB BTL TAB
ANTI MIGRAIN/ERGOTAMINE CAFFEINE
TAB
ANTRAIN/NORAGES/ PROGESIK INJ BECEFORT BECEFORT SYIRUP BENODON / XYLOMIDON INJEKSI
TAB AMP TAB
272
BETAHISTIN MESILAT 6 mg
VIAL
273 274 275 276 277
TAB TAB KPL BTL TUBE
279 280 281 282
BICOLAX BIONIC DROPS BIOPLACENTON SK BOX SLIDES BROMHEXIN / BRONKIS CALSIUM GLUCONAS INJEKSI CETERIZINE 10 MG CETERIZINE SYR CIMETIDIN 200 mg CLOBAZAM 10 MG
283
COMBIVENT NEBULASER
TAB
271
278
NO
NAMA OBAT
BTL
KTK TAB BTL CAP BTL
KELAS TERAPI 3
284 285 286 287 288
DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN 6 DOMPERIDONE srp DOMPERIDONE 10 MG 2
SATU -AN 4
9
STOCK PENERI AWAL -MAAN 5 6 100
1 5
2 TAB 2 TAB
7 200
25
289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321
DOMPERIDONE SUSPENSI DOXICILIN 100 MG FLUDANE FLUDANE SYIRUP FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 20 FOLLEY CATETER NO 24 GEMFIBROZIL 300 MG GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HAND SCOEN 7 -7,5 HISBISCRUB INFUS ASERING INFUS KA-EN 3 B KACA SLIDES KALIUM DIKLOFENAK 25 MG KALIUM DIKLOFENAK 50 MG KALOBA KLINDAMYCIN 300 LANSOPRAZOL 30 MG LANTUS SOL PEN 100 IU/ML INJ LINCOMYCIN 500 mg LISINOPRIL 5 MG LISINOPRIL 10 MG LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG MASKER MECOBALAMIN 500 mg MELOKSIKAM 7,5 MG METFORMIN 500 MG
NO
3 3 3 3
2 2 2 2
3
2
149 360 490
1,000 500 700
KAP
3
2
KELAS TERAPI NAMA OBAT
1 323 324 325 326 327
AMP TAB BTL KAP KAP BTL BH BH BH BH KAP TAB TAB TAB TAB BH BTL BTL BTL KTK KAP KAP FLS
2 3 METFORMIN 850 MG KLORAMFENIKOL 250 mg METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML
KAP KTK KAP TAB TAB TAB TAB BH KAP
SATU -AN 4
TAB VIAL TAB
190 210
1,000
STOCK PENERI AWAL -MAAN 5
6
400
328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351
1
353
NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML OBAT KATEGORI ANAK OBAT KATEGORI I OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD
1
7
8 TAB
354
THIAMPHENICOL 500 MG
1
7
8 TAB
355 356 357
THIAMPHENICOL SIRUP TRAMADOL 150 mg TRAMADOL INJEKSI
1
5
TAB KAP KAP
352
6 6 6
2 2 2
PAKET PAKET PAKET PAKET
3
358 359 360 361 362
KELAS TERAPI TRIFLUOPERAZINE 5 MG URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
KAP TAB TAB TAB BTL 1 BTL TAB TAB AMP CAP CAP BTL BTL TAB KAP KAP
43 460
BTL
NAMA OBAT NO
KPL 2 VIAL 2 VIAL 2 VIAL
3 3
2
SATU -AN 4 BH TAB TAB SET SET
30
STOCK PENERI AWAL -MAAN 5 6
40 3
100 50
NAMA OBAT NO 1 1 2 3 4 5 6 7 8 9 10 11
2 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg
27
BENODON / DURADRIL INJ.
28
BETAHISTIN MESILAT 6 MG
29
BETAMETHASONE CREAM
30 31 32 33 34 35 36 37
BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CEFADROXIL 125 MG CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP NAMA OBAT
NO 38 39 40 41 42 43 44 45 46 47 48 49 50
KELAS TERAPI 2 CIPROFLOXACIN 500 mg CLINDAMYCYN 300 MG CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg
32
430
SATU -AN
STOCK PENERI AWAL -MAAN 190 500
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL NAMA OBAT
NO 78 79 80 81 82 83 84 85 86 87 88 89 90
KELAS TERAPI 2 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI
400
SATU -AN
STOCK PENERI AWAL -MAAN
91
METILPREDNISOLON 4 MG
92 93 94 95 96 97 98 99 100 101
METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP
102
MICONAZOLE 2% CREAM
103 104 105 106 107 108 109 110 111 112 113 114 115
NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP
1595 1505
PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG NAMA OBAT
NO 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130
2 PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg LIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
2256
175 500
300
131 132 133 134 135 136 137 138
SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI
139
THIAMPHENICOL 500 MG
140 141 142 143 144 145
THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
NAMA OBAT NO 1 2 3 4 5 6 7 8 9
2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
11
CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM
12 13 14 15 16 17
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18
10
KELAS TERAPI 3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
18 19 20 21
FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST
23
HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP)
24
HAND SCOEN STERIL (PF)
25 26 27 28 29 30 31
INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
22
32 33 34 35 36
NAMA OBAT NO 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55
KELAS TERAPI 2 KASA 4 X 15 CM 3 KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
56 57 58
STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN
59
TEST TRIP CHOLESTEROL (EASY TOUCH) TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY TOUCH)
60 61 62 63
UNDERPAD URINE BAG
NAMA OBAT NO 1
KELAS TERAPI
71 72 73 74 75 76
2 REAGEN ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN TRIGLISERIDE URIC ACID
77 78 79
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER
64 65 66 67 68 69 70
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
80 81 82 83 84 85 86 87 88 89 90 91 92 93
CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE DENTAL GYPSUM TIPE II (PUTIH) DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
NAMA OBAT NO 1 94 95 96 97 98 99 100 101 102 103 104
KELAS TERAPI 2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
GOLONGAN DARAH 105 106 107 108 109 110 111
A AB B O THYPOID AO THYPOID BO THYPOID H
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
112
THYPOID O
NAMA OBAT NO 1
KELAS TERAPI
1 2 3 4 5 6 7 8
2 BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5
9
HYPAFIX / ULTRAVIX 2,5X5
10 11 12 13 14 15 16 17 18 19 20 21 22 23
INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR
3
SATU -AN 4
STOCK PENERI AWAL -MAAN 5 6
UMUM JUMLAH KUNJUNGAN RESEP MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
BAYAR
YANG MENYERA KEPALA UPT INSTALA
HENDRA RUSMIYA NIP.19820507200
AKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O )
Laporan LPLPO Permintaan Obat : APRIL TAHUN : 2018 RUANG FARMASI PERSEDIAAN 7
PEMAKAIAN 8
-
SISA STOCK 9
PKD 12
-
365
100
265
90 40
30
60 40
450 100 1,752 71 40 540
STOCK PERMIN OPT. TAAN 10 11
100
100
400
360
200 792 49 28
254
250 100 960 22 12 286
1000 20 20
1,600 51 32
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 25 400 1,057 321 61 -
PEMAKAIAN 8
130
18
185 1,891 265 115 41 243 640 -
185
674 30 51
100 1,514 105
115 7 219
390
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 25 20 215 500 383 1000 291 10 -
PKD 12 25
400
900
112 85 377 160 34 24 250 -
200
100
1500
1,200
10 200
7 100
500
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
PERSEDIAAN 7 (100) (250) (319) (320) (200) (24) (8) (715) PERSEDIAAN
PEMAKAIAN 8
60 75 48
180 118
3 30 PEMAKAIAN
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 (160) (325) (367) (500) (318) 500 (24) (11) (745) 200 SISA STOCK PERMIN STOCK OPT. TAAN
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
200
100 PE M B E R IAN
JML 16
PERSEDIAAN 7 2,470 34 309 210 -
PEMASISA STOCK PERMIN KAIAN STOCK OPT. TAAN 8 9 10 11 2,149 321 3000 13 21 20 105 204 100 10 200 -
-
-
616
476
140
4
2
2
105 35 32 21 -
51 12 7 9
1,120 PERSEDIAAN
54 23 25 12 -
PKD 12 2,300
ASKES 13
BF 14
LAIN 15
JML 16
PE M B E R IAN ASKES BF LAIN
JML
25
100
20 24 10
19 24 14
123 1500 SISA STOCK PERMIN STOCK OPT. TAAN
1,000
997
PEMAKAIAN
PKD
7
8 687 56 -
9
20 20
10 667 36 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,000 11 430 220 9 PERSEDIAAN
1 70 30
5
PEMAKAIAN
11
12
10
1,000 1000 10 10 360 190 200 4 10 SISA STOCK PERMIN STOCK OPT. TAAN
13
14
15
16
14
1,000
9 200
9
PKD
PE M B E R IAN ASKES BF LAIN
JML
7
8 443 410 47 200 -
9
71
317
35
71
10 372 93 12 129 -
-
-
850
770
80
98
98
380 PERSEDIAAN 7 -
-
380 PEMAKAIAN 8
11
12
13
500
200
20
40
200
200
200
100
SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
PKD 12
14
15
PE M B E R IAN ASKES BF LAIN 13 14 15
16
JML 16
14 4 650 140 325 1,253 1,730 PERSEDIAAN 7
4 4
558
45
20 546
1,020
PEMAKAIAN 8
10 92 95 90 305 707 500 710 1000 SISA STOCK PERMIN STOCK OPT. TAAN 9 10 11 -
60
600
1,000
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
3
(3) -
PERSEDIAAN 7 0 100 0 32 200
PEMAKAIAN 8
SISA STOCK 9 0 12 88 0 10 22 20 180
STOCK PERMIN OPT. TAAN 10 11 100
PKD 12 100
20
25
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
0 0 0 0 0 0 0 0 0 1149 860 1190 0 0 0 0 0 0 0 0 0 0 0
400 659 227
0 0 0 0 0 0 0 0 0 749 201 963 0 0 0 0 0 0 0 0 0 0 0
0
0
0 0 0 190 210 0 0 0 1000
0 0 0 130 130 0 0 0 296
0 PERSEDIAAN 7 0 0 400 0 0
60 80
704
1500 500 500
PEMAKAIAN
SISA STOCK
8
9
380
STOCK PERMIN OPT. TAAN 10
0 0 20 0 0
11
1,000 500 700
PKD 12
PE M B E R IAN ASKES BF LAIN 13
14
15
JML 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 460 0
10 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 420 0
0
0
0
0
30
30
0 0 0
0 0 0
PERSEDIAAN 7 140 53 -
PEMAKAIAN 8
33 5
SISA STOCK 9 107 48 -
STOCK PERMIN OPT. TAAN 10 11
100 30
PKD 12
100 50
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7 -
PEMAKAIAN 8
SISA STOCK 9 -
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
31
(31) -
-
-
-
-
-
-
430 -
50 -
PERSEDIAAN 190 500 0 0 0 0 0 0 0 0 0 0 0
380
PEMASISA KAIAN STOCK 80 110 60 440 0 0 0 0 0 0 0 0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 0 0 0 0 0 0 0 0
210
PEMAKAIAN
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 190 0 0 0 0 0 0 0 0 0 0 SISA STOCK 0 0 0 0 0 0 0 0
0
0
0 0 0 0
0 0 0 0
STOCK PERMIN OPT. TAAN
PKD
PE M B E R IAN ASKES BF LAIN
JML
0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0
0
1595 1505 0 0 0 0 0 0 0 0 0 0 0 PERSEDIAAN 7 2,256 475 500 -
580 70
PEMAKAIAN 8
141
350 105
1015 1435 0 0 0 0 0 0 0 0 0 0 0 SISA STOCK 9 2,115 125 395 -
STOCK PERMIN OPT. TAAN 10 11
500
PKD 12
300
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
-
-
-
-
-
-
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
PERSEDIAAN 7
PEMAKAIAN 8
SISA STOCK 9
STOCK PERMIN OPT. TAAN 10 11
PKD 12
PE M B E R IAN ASKES BF LAIN 13 14 15
JML 16
BAYAR
UMUM TIDAK BAYAR
ASKES
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
JUMLAH
Rp.
YANG MENERIMA BIDAN DESA
KET 17
KET 17
KET 17
KET
KET 17
KET
17
KET
17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
KET 17
REKAPITULASI SISA OBAT PUSKESMAS DAN JARINGANNYA L P L P O JULI 2017
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
NAMA OBAT 2 ALAT SUNTIK 0,05 ML ALAT SUNTIK 0,5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5 / 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALBENDAZOLE 400 MG ALBENDAZOLE SYIRUP ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMBROXOL DROP AMBROXOL SYIRUP AMINOPHILLIN 200 mg AMINOPHILLIN INJEKSI AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP AMOKSISILIN 1 GR INJEKSI AMPICILIN 500 mg AMPICILIN SYIRUP AMPICILIN 1 GR INJEKSI AMITRIPTILIN 25 MG ANTALGIN 500 mg ANTALGIN INJ ANTASIDA DOEN SYIRUP ANTASIDA DOEN
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11 500
12
13
14
15
200
GUDAN JUMLAH G 16 17 700 -
PUSTU / POLINDES NO 1 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65
NAMA OBAT 2 ANTIFUNGI SALEP ANTI BACTERI DOEN SK ANTI HAEMOROID AQUA PRO INJEKSI AQUADEST 500 ML ASAM ASCORBAT 250 MG ASAM ASCORBAT 50 MG ASETOSAL 100 MG ASETOSAL 500 mg ATROPIN SULFAS INJ ATROPIN SULFAS TM ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASIKLOVIR 200 mg ASIKLOVIR 400 mg ASIKLOVIR CREAM BENZATIN BEN.P 1,2 JT BENZATIN BEN.P 2,4 JT BESI SIRUP BETAMETHASONE CREAM CAPTOPRIL 12,5 MG CAPTOPRIL 25 MG CAPTOPRIL 50 MG CAT GUT + JARUM BEDAH CODEIN 10 MG CIPROFLOXACIN 500 mg CEFOTAXIM 1 GR INJ DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIAZEPAM 5 mg DIAZEPAM 2 mg DIAZEPAM INJEKSI DIAZEPAM /STESOLID RECTAL DIGOXIN 0,25 DIFENHIDRAMIN HCL INJ DURADRIL / ADIDRYL INJ EPHEDRIN 25 mg
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN JUMLAH G 16 17
NO
NAMA OBAT
1 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102
2 ERITROMICYN 250 MG ERITROMICYN 500 MG ERITROMICYN SYIRUP EPHINEPRINE INJ ETAKRIDIN LAR (RIVANOL) 0,1% ETANOL 70% ETHIL KLORIDA EXTRACT BELADON FENITOIN 30/100 MG FENOBARBITAL 30/100MG mg FENOBARBITAL INJ. FENOL GLISEROL TT 10% FENOXIPENICILIN 500 MG FENOXIPENICILIN 250 MG FITOMENADION 10 mg TAB FITOMENADION INJEKSI FUROSEMIDE 40 mg FUROSEMIDE INJEKSI GARAM ORALIT 200 GENTAMICYN 80 MG INJ. GENTAMICYN SK GENTAMICYN TM GENTIAN VIOLET 1 % GLIBENCLAMIDE 5mg GLISERIL GUAIACOLAT 100 mg GLISERIN GLUCOSE 5 % INFUS GLUCOSE 10 % INFUS GLUCOSE 40 % INFUS GRISEOFULVIN 500 mg GRISEOFULVIN 125 mg HALOPERIDOL 1,5 mg HALOPERIDOL 2 mg HALOPERIDOL 5 mg HALOPERIDOL INJEKSI HIDROCORTISONE 2,5% HIDROKLORTIAZID (HCT) 25 mg
A 5
B 6
C 7
PUSTU / POLINDES D E 8 9
F 10
G 11
H 12
BP 13
INDUK JUMLAH UGD APOTIK GUDANG 14 15 16 17
PUSTU / POLINDES NO 1 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139
NAMA OBAT 2 IBUPROFEN 200 mg IBUPROFEN 400 mg IBUPROFEN SIRUP INFUS SET ANAK INFUS SET DEWASA IODIOL CAP.LUNAK ISOSORBID 5 MG IV. CATHETER NO. 18 IV. CATHETER NO. 20 IV. CATHETER NO. 22 IV. CATHETER NO. 24 KALSIUM LACTAT 500 mg KARBAMAZEPIN 200 mg KALIUM PERMANGANAT KAPAS BERLEMAK 500 GR KAPAS PEMBALUT 250 GR KASA BESAR ( 80X40 ) KASA 2MX 80CM KASA 4 X 15 CM KASA 4 X 3 CM KASA STERIL 16X16 CM KASA KOMPRES 40X40 KETOKONAZOLE 200 mg KETOKONAZOLE KRIM 2 % KETOPROFEN INJ 100 MG KETOPROFEN 100 MG KLINDAMYCIN 150 mg KLORAMFENIKOL 250 mg KLORAMPHENICOL SYIRUP KLORAMPHENICOL SM KLORAMPHENICOL SK KLORAMPHENICOL TM 0,5 % KLORAMPHENICOL TT 3% KLORAMPHENICOL INJ/CLORAMIDINE KLORFENIRAMIN/ CTM 4 mg KLORPROMAZIN 25mg KLORPROMAZIN 100mg
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176
NAMA OBAT
A
2 5 KLORPROMAZIN INJ. KOTRIMOXAZOL 120 mg KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LARUTAN BENEDICT LARUTAN CARBOLFUKSIN LARUTAN EOSIN 2 % LARUTAN ETANOL ASAM LARUTAN GIEMSA STAIN LARUTAN METHILEN BLUE LARUTAN TURK LARUTAN ETER ALKOHOL LARUTAN EDTA LARUTAN HCL 0,1 N LARUTAN METANOL LIDOCAIN INJ /COMB 2 % LISOL 50 % MAGNESIUM SULFAS INJ.20% MAGNESIUM SULFAS INJ.40% MAGNESIUM SULFAS SERBUK. MEBENDAZOLE 100 MG MEBENDAZOLE SIRUP METFORMIN 500 mg METFORMIN 850 mg METHIL ERGOMETRIN 0,125 TAB METIL ERGOMETRIN INJEKSI METOKLORPAMIDE 5 MG METOKLORPAMIDE 10 MG METOKLORPAMIDE INJEKSI METOKLORPAMIDE/LEXAPRAM SYIRUP METRONIDAZOLE 250 mg METRONIDAZOLE 500 mg METRONIDAZOLE INFUS METRONIDAZOLE SYIRUP MICONAZOLE 2% CREAM Na Cl INFUS NA. BIC 500 MG
INDUK
B
C
D
E
F
G
H
BP
UGD
APOTIK
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213
NAMA OBAT 2 NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN 10 Mg NISTATIN VAG. 100.000 IU NISTATIN/ KANDISTATIN DROP OBAT BATUK HITAM SYIRUP OXITETRA INJEKSI OXITETRA SK OXITETRA SM OXITOCIN INJ PAPAVERIN INJEKSI PAPAVERIN 40 MG PARAFORMALDEHID 1gram PARASETAMOL 100 MG PARASETAMOL 500 mg PARASETAMOL/PROPYRETIC SUPP PARASETAMOL DROP PARASETAMOL SIRUP PENILBUTAZON 200 MG PEMBALUT GIPS PIRIDOXIN HCl 10 mg TAB PIRIDOXIN HCl 25 mg TAB PIRANTEL 125 MG PIRANTEL SIRUP PLESTER 5 YARD POLIKRESULEN / ALBOTYL POVIDON YODIDA 30 ML POVIDON YODIDA 60 mL POVIDON YODIDA 300 ML POVIDON YODIDA 1 LITER PREDNISON TAB PROPANOLOL HCL 10 MG PROPANOLOL HCl 40 mg PTU 100 mg PPC INJEKSI RANITIDIN 150 mg RANITIDIN INJEKSI
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 RETINOL 100.000 IU RETINOL 200.000 IU RIFAMPICIN 450 mg RINGER LACTAT INFUS SALBUTAMOL SIRUP SALBUTAMOL 2 mg SALBUTAMOL 4 mg SALBUTAMOL/ VENTOLIN NEBULASER SALEP 2-4 SALICYL BEDAK 2% SALICYL SPIRITUS 10% SABU I SERUM ANTI TETANUS 1500 UI SERUM ANTI TETANUS 20,000 UI SERUM ANTI DIPTHERI SIANOKOBALAMIN HCL/B12 INJ. SIANOKOBALAMIN HCL/B12 TAB SILK SULFASETAMID Na TM 0,5 % TAB.TAMBAH DARAH/ HEMAFORT TETRACAIN TTS MATA TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) INJEKSI THIAMIN HCL ( B1 ) 50 MG TRIHEXYPENIDIL 2 mg VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB OBAT GIGI AIR RAKSA DENTAL USE CITODUR COMPOSITE SET DENTORIT DEVITALISASI PASTA EUGENOL CAIRAN FORMOKRESOL GLASS IONOMER SEMEN
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO
NAMA OBAT
1 2 250 KALSIUM HIDROXIDA PASTA KLORFENOL CAMFER MENTOL 251 (CHKM) 252 MUMMYING PASTA/IODOFORM 253 PUPERIL 254 SEMEN SENG FOSFAT SERB+CAIRAN 255 SILVER AMALGAM 256 SPON GELATIN 257 TEMPORARY FLETCHER 258 TRIKRESOL FORMALIN/TKF OBAT OBAT PENUNJANG+LAIN LAIN 259 ASAM TRANEXAMAT INJEKSI 260 ADONA AC 17 10 mg / SALDONA 261 ALKOHOL SWAB 262 ALPRAZOLAM 0,25 MG 263 ALPRAZOLAM 0,5 MG 264 ALUDONA 265 AMINOFLUID CAIRAN 266 AMLODIPIN 5 267 AMLODIPIN 10 MG ANTI MIGRAIN/ERGOTAMINE
268 CAFFEINE 269 ANTRAIN/NORAGES/ PROGESIK INJ 270 BECEFORT 271 BECEFORT SYIRUP BENODON / XYLOMIDON 272 INJEKSI 273 BETAHISTIN MESILAT 6 mg 274 BICOLAX 275 BIO ATP KAPLET 276 BIONIC DROPS 277 BIOPLACENTON SK 278 BOX SLIDES 279 BROMHEXIN / BRONKIS 280 CALSIUM GLUCONAS INJEKSI 281 CETERIZINE 10 MG 282 CETERIZINE SYR 283 CIMETIDIN 200 mg 284 CLOBAZAM 10 MG 285 COMBIVENT NEBULASER
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 DIETILKARBAMAZIN SITRAT 100 MG DIMENHIDRINAT 50 MG DIOVAN 80 MG ( VALSARTAN) DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI DOXICILIN 100 MG FLUDANE FLUDANE SYIRUP FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 20 FOLLEY CATETER NO 24 GEMFIBROZIL 300 MG GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HAND SCOEN 7 -7,5 HISBISCRUB INFUS ASERING INFUS KA-EN 3 B KACA SLIDES KALIUM DIKLOFENAK 25 MG KALIUM DIKLOFENAK 50 MG KALOBA KLINDAMYCIN 300 LANSOPRAZOL 30 MG LANTUS SOL PEN 100 IU/ML INJ LINCOMYCIN 500 mg LISINOPRIL 5 MG LISINOPRIL 10 MG LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG MASKER MECOBALAMIN 500 mg MELOKSIKAM 7,5 MG METFORMIN 500 MG
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359
NAMA OBAT
A
2 5 METFORMIN 850 MG METILPREDNISOLON INJEKSI METILPREDNISOLON 4 MG MINUSCRUB SABUN NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML NOVO RAPID FLEXPEN NOVO RAPID VIAL 100 IU/ML INJ 10 ML OBAT KATEGORI ANAK OBAT KATEGORI I OBAT KATEGORI II OBAT SISIPAN OCUGARD OFLOXACIN 200 mg OFLOXACIN 400 MG OMEPRAZOLE 20 mg PAN AMIN G INFUS PERHIDROL 3 % PIRACETAM 400 MG PIRACETAM 800 MG PIRACETAM INJEKSI PIROKSIKAM 10 MG PIROKSIKAM 20 MG PONDEX SYRUP POT DAHAK PRENATIN PLUS SCABIMITE CREAM SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING SIMVASTATIN 10 Mg SIMVASTATIN 20 Mg SPIROLACTONE 100 MG TAB TENSIGARD THIAMPHENICOL 500 MG THIAMPHENICOL SIRUP TRAMADOL 150 mg TRAMADOL INJEKSI
INDUK
B
C
D
E
F
G
H
BP
UGD
APOTIK
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 360 361 362 363 364 365 366 367
NAMA OBAT 2 TRANFUSSION BLOOD SET TRIFLUOPERAZIN 5 MG TRIFLUOPERAZINE 5 MG URINE BAG ZEIL NELSON ZINK 20 MG TAB ZINKID SIRUP ZINKID DROP
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 OBAT KAPITASI ACARBOSE 100 MG ALLOPURINOL 100 MG ALLOPURINOL 300 MG AMBROXOL 30 MG AMINOPHILIN 200 AMINOPHILIN INJ AMLODIPIN 5 MG AMLODIPIN 10 MG AMOKSISILIN 250 mg AMOKSISILIN 500 mg AMOXICILIN 1 GR INJ AMOXICILIN 125 mg SYIRUP AMOXICILIN 250 mg SYIRUP ANTALGIN TAB ANTALGIN INJEKSI ANTRAIN/NORAGES/ PROGESOL INJ. ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET ANTI BACTERI DOEN SK ANTI HEMOROID SUP 2 G AQUA PRO INJEKSI ASAM FOLAT 1 MG ASAM MEFENAMAT 250 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT INJEKSI ASIKLOVIR 200 Mg ASIKLOVIR 400 Mg BENODON / DURADRIL INJ. BETAHISTIN MESILAT 6 MG BETAMETHASONE CREAM BISOPROLOL 2,5 MG CAPTOPRIL 12,5 Mg CAPTOPRIL 25 Mg CAPTOPRIL 50 MG CEFOTAKSIM 1 G INJEKSI CETERIZINE 10 MG CETERIZINE SIRUP
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 61 63 64 65 66 67 68 69 70 71 72 73 74 75 76
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 CIPROFLOXACIN 500 mg CITERIZINE SYR DEXAMETHASONE 0,5 TAB DEXAMETHASONE INJEKSI DIFENHIDRAMIN HCL INJ DOMPERIDONE 10 MG DOMPERIDONE SUSPENSI EPHINEPRINE INJ ERITROMICIN 250 MG ERITROMICIN 500 MG ERITROMICYN SYRUP 200 MG/5ML FITOMINADION 10 mg FITOMINADION INJEKSI FLUDANE FLUDANE SIRUP FUROSEMIDE 40 Mg FUROSEMIDE INJEKSI GEMFIBROZIL 300 MG GENTAMICIN TM GLIBENCLAMIDE 5Mg GLIMEPIRIDE 1 MG GLIMEPIRIDE 2 MG GLIMEPIRIDE 3 MG GLIMEPIRIDE 4 MG HALOPERIDOL 2 / LODOMER HCT 25 MG HIDROCORTISONE CREAM 2,5% IBU PROFEN 200 MG IBU PROFEN 400 Mg IBU PROFEN SYR 100 MG ISOSORBIDE 5 MG KALSIUM LACTAT 500 MG KETOKONAZOLE 200 Mg KETOKONAZOLE CREAM 5 G KETOPROFEN INJ 100 MG KETOROLAC INJEKSI KLINDAMISIN KAPS 300 MG KLORAMPHENICOL 250 MG KAPSUL KLORAMPHENICOL 500 MG KAPSUL
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114
NAMA OBAT
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
2 5 KLORAMPHENICOL INJEKSI KLORAMPHENICOL TM 0,5 % (RECO) KLORAMPHENICOL TT 3% KLORAMPHENICOL SYIRUP KLORPHENIRAMIN MALEAT 4 MG KOTRIMOXAZOL 120 MG KOTRIMOXAZOL 480 mg KOTRIMOXAZOLE SYIRUP LIDOCAIN COMB 2 % INJEKSI LOPERAMID 2 MG/LEXADIUM LORATADIN 10 MG METFORMIN 500 MG METIL ERGOMETRIN INJEKSI METILPREDNISOLON 4 MG METILPREDNISOLON INJ METOKLOPRAMIDE DROP METOKLOPRAMIDE/GAVISTAL DROP METOKLORPAMIDE 5 MG (METOLON) METOKLORPAMIDE/LEXAPRAM SIRUP METOKLORPAMIDE/METOLON INJ METRONIDAZOLE 250 MG METRONIDAZOLE 500 Mg METRONIDAZOLE INFUS METRONIDAZOLE SIRUP MICONAZOLE 2% CREAM NA.DIKLOFENAC 25 mg NA.DIKLOFENAC 50 mg NIFEDIPIN OCUGARD OMEPRAZOLE 20 MG OXITOCIN INJ PARASETAMOL 100 mg PARASETAMOL 500 mg PARASETAMOL DROP PARASETAMOL SIRUP
6
7
8
9
10
11
12
13
14
15
PARASETAMOL SUPP (PROPYRETIC)
PIRACETAM 400 MG PIRACETAM 800 MG
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144
NAMA OBAT 2 PIRACETAM INJEKSI PIRIDOXIN 10 MG PIROKSIKAM 10 MG PIROKSIKAM 20 MG PREDNISON TABLET 5 MG RANITIDIN 150 mg RANITIDIN INJEKSI SALBUTAMOL 2 mg SALBUTAMOL 4 mg ENTOLIN/ COMBIVENT NEBULASER
SALEP 2-4 SALICYL BEDAK 2% SEFADROXIL 250 CAPSUL SEFADROXIL 500 CAPSUL SEFADROXIL SYIRUP KERING SERUM ANTI TETANUS 1500 UI SIANOKOBALAMIN HCL/B12 INJ. SIKSONOAT INJ SIMVASTATIN 20 Mg TETRACYCLIN HCL 250 mg TETRACYCLIN HCL 500 mg THIAMIN HCL ( B1 ) 50 MG THIAMIN HCL ( B1 ) INJEKSI THIAMPHENICOL 500 MG THIAMPHENICOL SIRUP TRAMADOL INJEKSI VIT.B.COMPLEX INJEKSI VIT.B.COMPLEX TAB ZINK SYR ZINKC 20 MG TAB
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
NAMA OBAT 2 BHP KAPITASI ALAT SUNTIK 0.0 ML ALAT SUNTIK 0.5 ML ALAT SUNTIK 1 ML ALAT SUNTIK 2,5/ 3 ML ALAT SUNTIK 5 ML ALAT SUNTIK 10 ML ALKOHOL 70 % 1 LITER ALKOHOL SWAB ANTISEPTIK GEL 500 CC
CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM
COVER GLASS CYBOW (URINE TEST) DERMAFIX 10 X 8 DERMAFIX 5 X 7 FOLLEY CATETER NO 16 FOLLEY CATETER NO 18 FOLLEY CATETER NO 22 FOLLEY CATETER NO 24 GEL DOPLER GLUCO PROTEIN URINE TEST HAND CRUB 'COTISOFT' 500ML HAND SCOEN (PP) HAND SCOEN STERIL (PF) INFUS SET ANAK INFUS SET DEWASA IV DRESSING IV. CATHETER NO 18 IV. CATHETER NO 20 IV. CATHETER NO 22 IV. CATHETER NO 24 JELLY /CATHEJELL LIDOCAIN KAPAS PEMBALUT 250 GR KAPAS PEMBALUT 500 GR KASA BESAR ( 80X40 ) KASA 2M X 80CM
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58
NAMA OBAT 2 KASA 4 X 15 CM KASA 4 X 3 CM KASA KOMPRES 40X40 KASA STERIL 16 X 16 LISOL MASKER MESS OBJEK GLASS FROSTED PLESTER 2.5 X 4.5 PLESTER 7.5 CM X 4.5 CM PLESTER E CARE POVIDON YODIDA 30 ML POVIDON YODIDA 300 ML POVIDON YODIDA 60 ML POVIDON YODIDA 1 LITER SILK BLACK 2/0 - 3/0 DS 24-26 MM SILK BLACK 2/0 - 3/0 HR 24-26 MM STIK ASAM URAT BENECHECK STIK GULA DARAH BENECHECK STIK KOLESTEROL BENECHECK TALI PUSAT STERIL-umbilical cord TEST KEHAMILAN TEST TRIP CHOLESTEROL (EASY
59 TOUCH) 60 TEST TRIP GLUKOSA (EASY TOUCH) TEST TRIP URID ASID (EASY 61 TOUCH) 62 UNDERPAD 63 URINE BAG
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO
NAMA OBAT
1
2 REAGEN
64 65 66 67 68 69 70 71 72 73 74 75 76
ALBUMIN BILIRUBIN CHOLESTEROL CREATININ GOT (ASAT) GPT(ALAT) HDL CHOLESTEROL (DIRECT) HEMOGLOBIN GLUCOSE LDL TOTAL PROTEIN TRIGLISERIDE URIC ACID
77 78 79 80 81 82 83 84 85
OBAT KAPITASI GIGI ALGINAT ALVOGIL ARTICULATING PAPER CALCIUM HYDROXIDE PASTE CAVITON CELLULOID STRIP CHKM COTTON ROLL CRESHOPENE
86 DENTAL GYPSUM TIPE II (PUTIH) 87 88 89 90 91 92 93
DENTAL GYPSUM TIPE III (BIRU) DEVITALISASI PASTA EUGENOL FORMOKRESOL GIC ANTERIOR GIC POSTERIOR GUTTA PERCAPA NO 45-80
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO
NAMA OBAT
1 94 95 96 97 98 99 100 101 102 103 104
2 GUTTA PERCAPA NO 15-40 KOMPOSITE ANTERIOR KOMPOSITE POSTERIOR PAPER POINT NO 15-40 PAPER POINT NO 45-80 PUPERIL SALIVA EJECTOR SPONGOSTON DENTAL STAIN REMOVER TRIKRESOL FORMALIN ZINC PHOSPATE
105 106 107 108 109 110 111 112
GOLONGAN DARAH A AB B O THYPOID AO THYPOID BO THYPOID H THYPOID O
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
GUDAN G 16
JUMLAH 17
PUSTU / POLINDES NO 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
NAMA OBAT 2 BHP NON KAPITASI ALAT SUNTIK 1 ML ALAT SUNTIK 3 ML ALAT SUNTIK 5 ML ALKOHOL 1 LT ALKOHOL SWAB FOLLEY CATETER NO16 FOLLEY CATETER NO18 HAND SCOEN 7 / 7,5 HYPAFIX / ULTRAVIX 2,5X5 INFUS SET ANAK INFUS SET DEWASA IV. CATETER NO. 18 IV. CATETER NO. 20 IV. CATETER NO. 22 IV. CATETER NO. 24 KASA 3,6X10 KASA 40X40 KASA BESAR 80X40 LISOL MASKER POVIDON 1 LTR URINE BAG KAPAS PEMBALUT 250 GR
INDUK
A
B
C
D
E
F
G
H
BP
UGD
APOTIK
5
6
7
8
9
10
11
12
13
14
15
ASKES
JUMLAH
BAYAR
UMUM TIDAK BAYAR
MENGETAHUI/MENYETUJUI KEPALA PUSKESMAS SOPAAH
YANG MENYERAHKAN KEPALA UPT INSTALASI FARMASI
Hj.AMBARWATI,SST,SH,M.Si NIP.19660424190012001
HENDRA RUSMIYATI,Amd.kep NIP.198205072008012007
GUDAN G 16
Rp.
YANG MENERIMA BIDAN DESA
JUMLAH 17
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