Laporan Obat Bulanan Dau Dan Kapitasi.xlsx

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OBAT BULAN JANUARI 2018 MUTASI PENERIMAAN 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

JENIS OBAT

2

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk

SAT UAN

SISA STOK

3

0 275 90 0 0 0 0 170 320 25 32 0 0 0 0 54 331 0 10 14 0 0 0 0 0 0 45 51 335 61 0 50 0 229 0

JUMLAH

I

II

III

IV

4

5

6

7

100

100 900 51

100

450 16

300

600 800

PERSE DIAAN 8

0 375 90 0 0 0 0 270 1220 76 32 0 0 100 0 54 331 0 460 30 0 0 0 0 0 0 345 51 335 61 0 650 0 1029 0

JUMLAH PENGELUARAN TANGGAL 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

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

10

10 10 3

94 20 5

2 25 1 1

20 20 4

20

60 1

10 4 20 30 10 20 10 30 20 12 1 1

25 40 10 10

5

20

20

4 5

11 10 14

10

10

20

10

1

6

26

10 40

20 20

20 10 20 20 10 20 65 20 40 20 16 1 1 1 1 2 2 2 2 1

10

20 10

30

10

20 10

20 10

10 10

10

30

10 10

2

1

40 2 1

1

10 1

4

10

31

2

55 15 80 105 3 1 1 2 1 3

10

20

15 10 33

20

20

20 10 40 20 2 2 6

55 4 1

40 4 1

45

1

10 1

10 6

6 16

10 30 10 20 20 20 10 11

3 10 22 1 1 1

10 2

1

20 20 2

10 1

17

1

40

48 31 10 20

10

20

20

35

10 10

18

25

75 82 60 63 52

4

20 13 1

1

5

30

30 65 75 53

20 50

13

5 18

5

5

20 20

10

30

40

40

40

10

10

25 62

18

26

40

3

22

65

36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

NO

1

51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73

Betahistin mesylate Bio ATP Bronkris Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin

JENIS OBAT

2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk

160 20 0 0 294 265 60 0 342 0 0 0 3 3 0

SAT UAN

SISA STOK 3

1088 98 0 0 135 0 0 0 6 206 0 0 5 0 0 0 215 0 0 0 15 0

160 120 0 0 1194 265 160 0 442 0 0 0 13 3 300

100

900 100 100

10 300 MUTASI PENERIMAAN II

III

IV

4

5

6

7

7

200

10

PERSE DIAAN 8

1088 598 0 0 0 135 0 0 0 13 206 0 0 5 0 0 0 215 0 0 0 215 0

10 5

55

20

100 35 15 10

15 10

20

65 35 30 10

5

45

20

10 10 30

10

10 10

20

9

20 20 20

2 10 20 30 20

15

20

10

10 20 20

20

JUMLAH

I

500

10

10 10 20

10

54

15

10

10 10

20

10 10

20

65 10

20

1 20

5

10 10

20

1

10 10 15 10

40

JUMLAH PENGELUARAN TANGGAL 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

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

75 30 20 30 45 36 5 13

20 10

20

30 7

10 30 10 19 6

13 26

30

10 15 15 20 19 37 22 32 8 12

20 21 22

30 27

20 12

20 22

5

18

38

10

1

1

10

1

1

1

10

2

10

5

1

8

15

10

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

Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

24 73 0 0 0 207 48 180 0 35 0 24 0 1 180 60 520 0

11

210 0 110 0 0 60 65 9 3 2 0 721

31 373 0 0 0 207 205 180 0 310 100 24 0 12 180 60 1920 0 26 210 0 210 0 0 195 65 24 27 11 0 2221

7 300

157

275 100

11

1400

15 100

135 15 24 9 1500

MUTASI PENERIMAAN NO

1

105 106 107 108 109 110

JENIS OBAT

2

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab

SAT UAN

SISA STOK

3

II

III

IV

3

4

5

6

7

550 0 2 -6 0 616

200

PERSE DIAAN 8

750 0 52 -6 0 616

10

3

5

28 30

30 10

30 30

2

30

1

110

60 30 105 150

5

20

19

10 10

10 20

1

1 10

20

5

10

60 20 13 20 27

1

10 115 55 60 25

5

20 10

30

10 10

50

25

55 20 40 60 10 20

1

1

145 50

1

90 100 120

1

1

50

2

3

20 100

2

2

1

5

20 20

1

1

80

52

1

20

20 15 2

2 2

15 1

1

1

2

125 39 50 60

38

45

50

10

10

10

10 2 1

50 50 109 110

JUMLAH

I

50

18

53

1 1

1 3

3

1 1

4

90 89 75 59 66 28 50 70 158 60

73

59 105

52 50

JUMLAH PENGELUARAN TANGGAL 1

2

3

4

9

10

11

12

5

6

7

8

13

14

15

16

10 1

1

9

10

11

12

13

14

15

16

17

17

18

19

20

21

22

23

24

25

20

18

19

20

21

26

27

28

29

13 2

2

1

1

10

1

22

23

24

25

26

27

28

29

30

30

31

32

33

34

35

36

37

38

10

10

20

1

10

111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151

Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion

13 0 50 220 290 330 470 3 155 520 100 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 124 5 0

200

5

600 50

0

69 72 0 0 100

300

13 0 250 220 290 330 470 3 155 520 100 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 5 0 0 0 724 55 0 0 69 372 0 0 100

1

1

2

5 10

1

10 30

10

6 30 90

10 10

30

10

10

10

10 1

10

15

2 8

10

5

20 10 20 20

20 30

2

6 30

10

10 1

10 10

10 1

10

30

15

2 1

1

10 12 14 2 2 2

2 3

4 1

10 10 10 10

20

20 1

26 5

10

15

20

10

49 1 7

22 1

15 10 62 23 3 7 2

10 1

4

2

72 10

10 20

10

10 10 20 20 10 10

5

10 10 12 10

40

30

2

1

10 3

15 14 4

15 40

152 153 154 155

Poncofen Prednison Propanolol Ranitidin

0 750 98 20

0 750 98 720

700

MUTASI PENERIMAAN NO

1

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

JENIS OBAT

2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4 Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

SAT UAN

SISA STOK 3

0 100 0 23 11 65 360 0 0 0 0 65 0 30 20 325 0 0 40 0 0 325 0 11 0 65

II

III

IV

4

5

6

7

65

200

20

20 50

20 10

10 22

50

14

10

10 30

22

JUMLAH

I

200

20

PERSE DIAAN 8

0 300 0 23 11 65 360 0 0 0 0 130 0 30 20 325 0 0 40 0 0 525 0 11 0 65

32 20 12 10

36 20

3

20

15

10 22

JUMLAH PENGELUARAN TANGGAL 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

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

3

12

1

1 1

10

5

1 1

1 1

1 2

2 1 2

1 1

3

1

20

25 15

1 2 1

1

1

20 1 14

10 20 10

5

10

10

5

10 10 10

10

10

10

10

10 1

10

1 5

1

15

40 35 10

1

1

10 10

5

1

40

15 1

10

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

31 39

10 117 2

10

11

60 44

JUMLAH PENGELUARA N 40

0 200 30 5 0 0 0 170 1078 56 24 0 0 100 0 14 331 0 270 30 0 0 0 0 0 0 345 51 14 30 0 497 0 899 0

NILAI HARGA SISA SATUAN

PERSEDIAAN

OBAT 41

0 175 60 -5 0 0 0 100 142 20 8 0 0 0 0 40 0 0 190 0 0 0 0 0 0 0 0 0 321 31 0 153 0 130 0

42

43

30 35 0 0 614 20 45 0 299 0 0 0 4 0 300

31 39

32

10

JUMLAH PENGELUARA N 40

438 524 0 0 10 0 0 0 0 6 0 0 0 0 0 0 0 45 0 0 0 35 0

130 85 0 0 580 245 115 0 143 0 0 0 9 3 0 HARGA SISA SATUAN

NILAI PERSEDIAAN

OBAT 41

650 74 0 0 -10 135 0 0 0 7 206 0 0 5 0 0 0 170 0 0 0 180 0

42

43

10

90

2

106

31 39

0 54 0 0 0 58 100 100 0 140 100 0 0 5 65 0 1750 0 17 1 0 0 0 0 90 65 8 20 3 0 2101

JUMLAH PENGELUARA N

31 319 0 0 0 149 105 80 0 170 0 24 0 7 115 60 170 0 9 209 0 210 0 0 105 0 16 7 8 0 120

NILAI HARGA SISA SATUAN

PERSEDIAAN

OBAT

40

41

63 0 10 0 0 40

687 0 42 -6 0 576

42

43

10 20

1

30 1

45

9 0 60 10 290 0 70 3 20 90 80 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 5 0 0 0 514 48 0 0 0 372 0 0 0

4 0 190 210 0 330 400 0 135 430 20 0 0 0 0 0 0 0 0 0 0 0 0 174 -2 -1 0 0 0 0 0 0 210 7 0 0 69 0 0 0 100

12

31 39

20

1

0 80 0 440

JUMLAH PENGELUARA N 40

0 130 0 9 7 26 40 0 0 0 0 50 0 30 0 0 0 0 10 0 0 200 0 8 0 25

0 670 98 280

NILAI HARGA SISA SATUAN

PERSEDIAAN

OBAT 41

0 170 0 14 4 39 320 0 0 0 0 80 0 0 20 325 0 0 30 0 0 325 0 3 0 40

42

43

APOTIK PUSKES DAFTAR MUTASI PERSE BULAN FEBRUAR MUTASI PENERIMAAN 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 40 41 42 43 44 45 46 47 48 49 50

JENIS OBAT

2

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin

SAT UAN

SISA STOK 3

0 175 90 0 0 0 0 100 142 20 8 0 0 0 0 40 0 0 190 0 0 0 0 0 0 0 0 0 321 61 0 153 0 130 0 130 85 0 0 580 265 115 0 143 34 0 0 9 0 0

JUMLAH

I

II

III

IV

4

5

6

7

100

1600 51 32

360 350

25

400

900 1000

100

1200

100 7

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

8

9

10

11

12

13

14

15

16

17

18

19

0 275 90 0 0 0 0 100 1742 71 40 0 0 0 0 40 360 0 540 0 0 25 0 0 0 0 400 0 321 61 0 1053 0 1130 0 130 185 0 0 1780 265 115 0 243 41 0 0 9 0 0

10

10 2 2

10

17 40 5 2 3 1

10

3 3

10

70

40

1

2

10 10 10

5

10 2 1

10

75 2 3

10

35 10 1 2 2 2

10

10

4 2

10

1

10 20

20

10

3

2

20

5

20 10 20 10

20

10

5

10 10

10

20

10 65

9

19

13

4 49

20

10 30 30

50 60

25

20

42 73

17

10

3 20

10

10 35

10

30

20

10

10 20

10

40

40

1

1

101

20 1

25 20 10 10

30

9

NO

1

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 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

JENIS OBAT

2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

SAT UAN

SISA STOK 3

650 240 0 0 -10 0 0 0 0 7 200 0 0 0 0 0 0 170 0 0 0 180 0 31 319 0 0 0 149 105 80 0 310 0 24 0 8 115 0 170 0 9

MUTASI PENERIMAAN

JUMLAH

I

II

III

IV

4

5

6

7

300

100 25

1000 500 200

500

200

100 2300

5

209 100 0 210 0 0 105 0 16 19 7 14 8 24 0 120 1000

20

PERSE DIAAN

1

2

3

4

5

8

9

10

11

12

13

650 540 0 0 -10 0 0 0 100 32 200 0 0 0 0 0 0 170 0 0 0 180 0 31 319 0 0 0 1149 605 780 0 310 200 24 0 8 215 0 2470 0 34 309 0 210 0 0 105 0 35 21 32 0 1120

20 20

6

7

8

9

10

11

14

15

16

17

18

19

30 30 40 20 45

5 5

20 10

25 8

1

1

1 10

1

20 11

20 20 7 23

5

5

5

4

30

30

80

190

10

8 7 30

1 10 40 90 2

204 240

1

70 60 2

10

20

1 1

1 1 2

1 2

31 76

50

1 20

30 1 1 34

1 47

38 48

4

MUTASI PENERIMAAN NO

1

105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155

JENIS OBAT

2

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin

SAT UAN

SISA STOK 3

687 0 42 -6 0 576 4 0 190 210 0 330 400 0 135 430 20 0 0 0 0 0 0 0 0 0 0 0 0 174 -2 -1 0 0 0 0 0 0 210 7 0 0 69 0 0 0 100 0 670 98 280

JUMLAH

I

II

III

IV

4

5

6

7

14

1000

200

200 20

200

100

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

8

9

10

11

12

13

14

15

16

17

18

19

1

1

687 0 56 -6 0 576 4 0 190 210 1000 330 400 0 135 430 220 0 0 0 0 0 0 0 0 0 0 0 0 174 -2 -1 0 0 0 0 0 0 410 27 0 0 69 200 0 0 100 0 670 98 380

1

5 1 10

10 10 30

20

24

10

10

30

30

3

10

1

20

10 60

40

25

10

20 10 10

1 1

1

20

30 2

40 3

41

10

1

10

15

10

3

1

3

7

20 28 20 13

20 23

10 50

3

25

3

10

MUTASI PENERIMAAN NO

1

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

JENIS OBAT

2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4 Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

SAT UAN

SISA STOK 3

JUMLAH

I

II

III

IV

4

5

6

7

0 170 0 14 4 39 320 0 0 0 0 80 60 0 0 20 325 0 0 30 0 0 325 600 0 3 50 0 40 100

300

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

8

9

10

11

12

13

14

15

16

17

18

19

0 470 0 14 4 39 320 0 0 0 0 140 0 0 20 325 0 0 30 0 0 925 0 53 0 140

40

15

1

21

10

10

1 1 2

1

1 1

10

22

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

20

30

5

15

1 5

10

10

20

1

1

10

KESMAS SEDIAAN OBAT UARI 2018 JUMLAH PENGELUARAN TANGGAL 12 20

10

13 21

15

14 22

15 23

20

16 24

17 25

18 26

30

19 27

20 28

21 29

22

23

30

31

15

10

50 20 15 2 1

50 40 1 2 1

24

25

32

26

33

34

27 35

28 36

29 37

30

31

38

39

10

40 5 1

25 3 2

10 30

40 50

50

3

4

65 1

75 30

10 10

20 20 1 3 1 1

10 10

25

10

3 30

10 10

5

10

5

10

25

50

55 35

40

51 45

20

50

20 21 20 30 120

60

40 10 10

10 120 93 30 67 20 22 49 12 10 10 10 10 10 10

120

20 30

30 680 60

26

85

25

10

5 49 66 10 10

10

20

10 10

6

15

20

20

20

10

3

5 10

28 20 10 10

40

26 1

1

3

25

1

1

10

10

10

10

10 10 3

NILAI

JUMLAH PENGELUARA N

SISA

40

41

0 100 30 0 0 0 0 0 792 49 28 0 0 0 0 0 200 0 254 0 0 0 0 0 0 0 185 0 30 51 0 674 0 1020 0 18 100 0 0 1514 105 115 0 219 7 0 0 3 0 0

HARGA SATUAN

PERSEDIAAN

OBAT

0 175 60 0 0 0 0 100 950 22 12 0 0 0 0 40 160 0 286 0 0 25 0 0 0 0 215 0 291 10 0 379 0 110 0 112 85 0 0 266 160 0 0 24 34 0 0 6 0 0

42

43

JUMLAH PENGELUARAN TANGGAL 12

13

20

14

21

55 33

22

20

15 23

16 24

70 80 12 30

17 25

51

18 26

19 27

14 6

20 28

21 29

15 3 6

22

23

30

31

20 8

2

24

25

32

33

10

10

26

27

34

28

35

40 20

36

10 26 20

3

6

6 1

2 10

15 10

5

4

30 60

270 20 360 30 210

10

20

10

1

1

10 15

5 10

10

5

5

10 94 10

22

10

20 30

25

33

45 40

35

30 10

90 30

1

176

1

10

5

30 530 130

44

1 5

90 20 30 1

10 10 1

2

30 2

1

1

95 10

1 2 1

1

53

20

1

1

1 1

1

1 2

1 1

1 43 45

97

69 54 36

66

3

12

18

87 50

29 37

4

30 38

31 39

JUMLAH PENGELUARA N

SISA

40

41

558 390 0 0 3 0 0 0 12 10 20 0 0 0 0 0 0 75 0 0 0 0 0 0 48 0 0 0 400 659 227 0 180 118 0 0 3 30 0 2149 0 13 105 0 10 0 0 51 0 12 9 7 0 997

HARGA SATUAN

NILAI PERSEDIAAN

OBAT

92 150 0 0 -13 0 0 0 88 22 180 0 0 0 0 0 0 95 0 0 0 180 0 31 271 0 0 0 749 -54 553 0 130 82 24 0 5 185 0 321 0 21 204 0 200 0 0 54 0 23 12 25 0 123

42

43

JUMLAH PENGELUARAN TANGGAL 12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

0

4

-10

0

0

15

561

2

2

0

0

55

135

20

30

180

450 30

704

296

10

320

148

252

1

1 10

10

5 15

15

20

30

10 10

5

10 30

10

10

1 5 30 10

10 2

15

2

1

-1

5

130

70

360

35

185

5

-5

0

0

0

0

0

0

0

0

0

0

0

0

0 50

40 150 40

30 20 50

10 10

10

30 10

10 3

20

1

30

0

2

13

-15

1

5

-6

0

0

20

10 20

-10

0

0

20

5

10 20

25

1

1

2

2

1

4

30 20

20

0

0

0

0

0

0 93

1

4

33

-6

0

0

0

0

10

20 10

-1

317

48 10

0

1

12

10

30 40 23

0

20

10

10

10

10

143

3

20

-645

31

1

3

33

0

645

0 30

30

42

667 49

1

10

40

41

30

12

PERSEDIAAN

OBAT

7

1

4

50

40

HARGA SATUAN

0 1

10

SISA

20

20

NILAI

JUMLAH PENGELUARA N

0

69

71

129

0

0

0

0

40

60

0

0

239

431

0

98

382

-2

43

JUMLAH PENGELUARAN TANGGAL 12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

20

62

10

60

1

50 10

1

1 1 1

5

26

20

1

1

1

330

10

14

1

84

10

31

-31

1

5

9

4

0

8

31

6

314

0

0

0

0

0

0

0

0

45

95

0

0

0

0

0

20

20

305

0

0

0

0

0

30

0

0

0

0

10

50

1 10

42

386

20

10

41

10

1

10

40

3

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

546

PERSEDIAAN

OBAT

0

1

15

SISA

HARGA SATUAN

0

1 1

NILAI

JUMLAH PENGELUARA N

379

0

0

5

48

0

0

28

112

43

APOTIK PUSKE DAFTAR MUTASI PERS BULAN MARE NO

JENIS 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 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup

SAT UAN

SISA STOK 3

0 265 60 0 0 0 0 100 960 22 12 0 0 0 0 40 250 0 286 0 0 25 0 0 0 0 215 0 291 10 0 383 0 710 0 117 85 0 0 377 160 0 0 24 34 0 0 6

MUTASI PENERIMAAN

JUMLAH

I

II

III

IV

PERSE DIAAN

4

5

6

7

8

30

21

300 470 50

200 200

400 500

100

532

0 265 60 0 30 0 0 100 960 22 33 0 0 0 0 40 550 0 756 50 0 25 0 0 0 0 415 0 491 10 0 783 0 1210 0 117 85 0 0 477 160 0 0 556 34 0 0 6

1 9

2 10

10

20 15

4 12

5 13

10 10 10 10

5

30 1 2

3 11

6 14

7 15

10

8 16

9 17

10 18

10

10

10

55

35

45 10

11 19

3

10 20 1

20

25 1 2

10 30 60

30 10 10 10 4 1

10

1

60

70

10

30

10 1

2

60

10

40

7 1

5

20

20

20

20 20

10

1

40

10

10 20

32 108 11 20 12

30

30

20

20 10

30

10

10

10

5 30

2

10 1

30 20 5

80

10 1

1

2

10 1

1

30

1

49 Cetirizien tab 50 Clindamicin NO 1

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 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

0 0

0 0

JENIS OBAT 2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500

SAT UAN

SISA STOK 3

92 250 0 0 0 0 0 0 88 22 180 0 0 0 0 0 0 175 0 0 0 180 0 31 271 0 0 0 749 541 963 0 140 82 24 0 5 685 0 321 0

0

204 0 200 0 0 54 0

MUTASI PENERIMAAN I

II

III

IV

4

5

6

7

250 500

10

173

400 100 600 20 500

12

800 1100 70

JUMLAH PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

8

9

10

11

12

13

14

15

16

17

18

19

342 750 0 0 0 0 0 0 88 32 180 0 0 0 0 0 0 175 0 0 0 180 0 31 444 0 0 0 1149 641 1563 0 160 582 24 0 17 685 0 1121 1100 0 274 0 200 0 0 54 0

30 10

20 30 20 38 20 10 21

10

15

37

10 10

20

15 5

10

10

10 10

5

30

10

10 10 10 10

10

10

3

6

4

5

10

10

10 12

10 12

20 10 7 10

10

10

1 20

10

10 10

4

30 10 20 20 20 60

20

10 20

60 10

10 30 10

20

10 10 10 10

10

10

10

10 10

5

66 65 30

22

10 10 10 20 53 16 24 4

30 15 10 10 70 20

10

100 101 102 103 104

Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

NO

JENIS OBAT

1

2

105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6

23 12 25 0 123 SAT UAN

SISA STOK 3

667 0 36 0 0 140 2 0 130 170 296 0 20 10 0 360 190 4 0 0 0 0 0 0 0 0 0 0 0 372 0 0 0 0 0 0 0 0 100 12 0

0

0 168

23 22 25 0 1773

10

1650 MUTASI PENERIMAAN

1 1

1

1 1

2

1 58

35 40 10 35

20

46

15

37 10

20

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

10

10

10

20

10

10

80 500 100

1080 70

667 0 36 0 0 140 2 0 130 170 376 0 520 10 100 360 190 4 0 0 0 0 0 0 0 0 0 0 0 372 0 0 0 0 0 0 0 0 1180 82 0 0 0 168

30 30

20 30 90

20

10

10

10 10

20 10

10

10 1

10

42 3

3

45

10

1

2

21

50 2

10

149 150 151 152 153 154 155

Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin

0 0 40 0 770 98 0

0 0 140 0 770 98 0

100

MUTASI PENERIMAAN NO

1

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

JENIS OBAT

2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4 Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

SAT UAN

SISA STOK 3

0 0 0 10 0 33 420 0 0 0 0 95 0 0 0 305 0 0 30 0 0 707 0 48 0 107

I

II

III

IV

4

5

6

7

120

100

5

10

10

JUMLAH PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

8

9

10

11

12

13

14

15

16

17

18

19

20

10

10

15

0 0 0 10 0 33 420 0 0 0 0 215 0 0 0 305 0 0 30 0 0 807 0 48 0 107

1 1 10

10

1

10 10 10

5

10

20

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

70

20 30 20

30

20

30 1

5

30

20

40

30

PUSKESMAS I PERSEDIAAN OBAT MARET 2018 JUMLAH PENGELUARAN TANGGAL 12 20

13 21

55

14 22

15 23

16 24

17 25

18 26

30 90 50

40

40 2

50

20 28

21 29

15 10 15

3

20

19 27

2

1

10

2 10 1

22 30

23 31

24 32

25 33

40 15

15 15

1

1

26 34

10 15

27 35

28 36

10 30 45

29 37

30 38

40

1

30 30 3

32

20

20

30 10 3 2

32

1

15

15 30 10

16

5

5

21

24

10 30

30

40 10 25 20 30 57 40 16

10 20

20

30

35

20

20 40 30 30 40 50 40 16

19 10

17

15

10

60

20

30 105

10 20

14

10 10

50

40 40

50

5

7

11 1

1

2

10

31 39

JUMLAH PENGELUARA N

SISA

HARGA SATUAN

40

41

42

0 90 0 0 8 0 0 35 695 3 16 0 0 0 0 0 550 0 338 18 0 1 0 0 0 0 176 0 20 10 0 623 0 835 0 15 0 0 0 477 5 0 0 41 12 0 0 2

0 175 60 0 22 0 0 65 265 19 17 0 0 0 0 40 0 0 418 32 0 24 0 0 0 0 239 0 471 0 0 160 0 375 0 102 85 0 0 0 155 0 0 515 22 0 0 4

NILAI PERSEDIAAN

OBAT 43

0 0 JUMLAH PENGELUARAN TANGGAL 12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

3 60

40 24

2

10

5 11 10 73 10 20 30 24 10 20

1

2

2

1

1

2

15

1

4 5 10 20

13

13

1 10

10

5

10 10

10

10

3

10

19

19

1

1

10

10 45 31 10

1 2

13

1

1 15

13 10

10

10

4

10

10

10

10

6

3

30 20

10

20 23

10 37

6 10 10 10 10 10 10 10

30 30

2

10 40 10

1 10

8

41 31 34

2 15

5

10 10

10 20

90 10 70 10 30 10 10 10 10 70 20 85

5

10

10 10 10 10 10 10

10

10 60

10 22 79 23

10

4

10

20 13

1 5 10 30 50

56

1

1

9

1 6 30

10

10

10

5 20 30

0 0

JUMLAH PENGELUARA N

SISA

40

41

223 616 0 0 0 0 0 0 15 16 57 0 0 0 0 0 0 100 0 0 0 10 0 0 276 0 0 0 96 225 133 0 160 582 4 0 10 175 0 450 665 0 170 0 0 0 0 24 0

119 134 0 0 0 0 0 0 73 16 123 0 0 0 0 0 0 75 0 0 0 170 0 31 168 0 0 0 1053 416 1430 0 0 0 20 0 7 510 0 671 435 0 104 0 200 0 0 30 0

NILAI

HARGA SATUAN

PERSEDIAAN

42

43

OBAT

1 1

2 1

46

23

1

1

1

3

1 1

1

70 70 63 10 20 87 32 56

67 33

34

34

30

41 104

65

7 13 2 0 1241

30

JUMLAH PENGELUARAN TANGGAL 12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

1

10

1

10 1

5

80

1

5

5

5 30

10

10

6

10

10

10

10

20

15

4

3

33

0

0

0

0

50

90

2

0

160 0

0

0

20

180

15

29 30 15

20

5

38

38

39

35

2

7

1

1

1

1

1

4

10

0

376

10

2

667

0

60

1

40

43

10

10 15

42

0

30 15

41

40

20 15 15

PERSEDIAAN

0

2 10

10

2

10

SISA

90

5

1

10

30

20

10

10

1

10

40

50

NILAI

HARGA SATUAN

0 5

1

3

1

JUMLAH PENGELUARA N

16 9 23 0 532

340 8

60

40

60

300

120

70

3

1

0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 0 0

557

623

40

42

0

0

0

0

0

0

10

158

OBAT

0 10

10

10

20

JUMLAH PENGELUARAN TANGGAL 12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

1

1

1

10

20

10

30

30 10 10 15

10

20 30 20 30 25 30 30

10

20

1 10

5

5

50

30

30

20

10

35

1 5

5

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

0

0

0

45

95

0

0

30

740

0

98

0

0 NILAI

JUMLAH PENGELUARA N

SISA

40

41

HARGA SATUAN

PERSEDIAAN

OBAT 42

0

0

0

0

0

0

3

7

0

0

3

30

105

315

0

0

0

0

0

0

0

0

195

20

0

0

0

0

0

0

0

305

0

0

0

0

0

30

0

0

0

0

720

87

0

0

3

45

0

0

30

77

43

PUSKESMAS SOP BULAN

: MARET 2018

LAPORAN OBAT KAPITASI JUMLAH

NO

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

JENIS OBAT

ANTASIDADOEN SIRUP AMOKXICILIN 500 mg AMOKXICILIN SYR 125 ACYCLOVIR 200 MG ACYCLOVIR 400 MG ANTASIDA TAB CLINDAMICIN 300 MG CEFADROXIL SYR 125 MG CETIRIZINE 10 MG CHLORAMEX CAP 500 MG CIPROFLOXAXIN 500 MG CEFADROXIL 500 MG CAPTOPRIL 25 MG CALCIUM LAKTAT DOMPERIDONE TAB 10 MG ERITROMICYN 500 MG FITOMENADION TAB GLIMEPERIDE 3 MG IBU PROFEN SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG KOTRIMOKSAZOL SIRUP KLORAMFENIKOL SYR 125 MG LEXAPRAM SYR LOPERAMIDE 2 MG MEFENAMAT ACID 500 MG METOKLOPRAMID 5 MG NA DIKLOFENAK 25 MG NA DIKLOFENAK 50 MG NIFEDIPINE TAB PARACETAMOL SYR PARACETAMOL 500 MG PREDNISONE 5 MG RANITIDINE TAB 150 MG SALBUTAMOL 2 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG SALISIYSL TALK TETRACYCLINE TAB VITAMIN B COMPLEK

SAT UAN

STOK AWAL

PENERI MAAN

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

0 700

700

580

580

70

70

350

200

550

31

31

500

500

20

10

20

40

15

5

5

5

20

5

0 365

365

210

210 600

600

5

10

5

5

5

20

20

30

0

105

1000

1105

50

20

105

10

20

20

0 0 0 0

400

400 21

21

1 1

2

1

1

1

1

0 80

80

0 0 60

60

0

100

100 0

759

759

50

50

10

20

50

10

20

20

30

0 0

141

141

0

0

900

1280

10

390

390

10

210

210

1

200

200

10

10

380

0 0

30

1

20 20 1

20

20

20

10

10

5 1

20

10

10

20

30

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59

CEFOTAXIME INJ LIDOKAIN INJ DIPENHIDRAMIN INJ TRANEXAMIDE ACID INJ SIKZONOAT INJ DILUENT 20 LTR DIATRO LYSE 1 LTR DIATRO CLEANER 1 LTR DIATRO CNT NRML CBC 3 DIFF 2 ML LEOKOPLAST (1X5) BD SYRINGE 0,05 ML BD SYRINGE 0,005 ML MICRODRIP OTSU Y-SET ADAPTOR CAT GUT CHROMIC CAT GUT PLAIN SILK BLACK CYBOW (URINE TEST) SPUIT 1 CC SPUIT 5 CC SPUIT 3 CC KAPAS PEMBALUT 250 GR

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

60

0 JUMLAH

NO

JENIS OBAT

SAT PENERI UAN SISA STOK MAAN

PERSE DIAAN

61 KASA 2 X 80 62 KASA 16 X 16

0

63 KASA 4 X 15 64 KASA 40 X 40

0

65 MASKER 66 ECODINE 1 LTR

0 0 50

50 0

67 ALKOHOL 70% 68 ULTRA ONE TEST HAMIL

0

69 GLUCO + PROTEIN TEST 70 GLUCOSA EASY

0

71 CHOLESTEROL EASY 72 URIC ACID EASY

0

73 HAND SCOON 7 74 HAND SCOON 7,5

0

75 UNDER PAD 76 ANTICEPTIC GEL

0

77 VOLLEY CATETER 16 78 VOLLEY CATETER 18

0

0 0 0 0 0 0

79 VOLLEY CATETER 24 80 DERMAFIX 10 X 8

0

81 DERMAFIX 5 X 7 82 KAPAS PEMBALUT 500 GR

0

83 KASA 80 X 40 84 KASA 4 X 3

0

85 TALI PUSAT STERIL 86 URINE BAG

0

87 IV CATETER 18 88 IV CATETER 20

0

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

0 0 0 0 0

SOPA'AH JUMLAH PENGELUARAN TANGGAL 12

13

14

15

16

17

18

19

20

21

20 40

30

31

23

24

25

26

40

27

28

29

30

31

20

10

10

5

5

10

10

1

55

10

30

10

0

700

0

580

0

70

110

440 31

0

0

5

55

310

0

210

10

115

485

0

0

370

735

0

0

0

0

0

0

0

0

0

400

8

13

0

0

0

80

0

0

0

0

0

60

0

0

0

100

0

0

310

449

0

50

0

0

0

0

0

141

0

0

710

570

16

374

93

117

45

155

3

7

0

0

0

0

10

10

35 20 30

0

350

20

20

0

0

10

20

5

20

75

10

SISA STOK

150

10 5

20

22

JUMLAH PENGELUARA N

20

10

20

10

20

10

10

10

20

20

3

3

10

10

20

21

52

40

20

27

30

20

JUMLAH PENGELUARAN TANGGAL

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

JUMLAH PENGELUARA N

SISA STOK

0

0

0

82

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OB BULAN APRIL 2018 NO

JENIS 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 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup

SAT UAN

SISA STOK 3

0 175 60 0 22 0 0 65 265 19 17 0 0 0 0 40 0 0 418 32 0 24 0 0 0 0 239 0 471 0 0 160 0 375 0 102 85 0 0 0 155 0 0 515 22 0 0 4

MUTASI PENERIMAAN

JUMLAH

I

II

III

IV

PERSE DIAAN

4

5

6

7

8

170 1000

500

1000 500 3 200

JUMLAH P 1 9

2 10

3 11

4 12

5 13

6 14

0 175 10 60 0 22 0 0 65 10 265 20 10 20 20 20 19 1 17 1 0 0 0 0 40 170 20 20 10 10 10 10 0 1418 35 20 20 40 72 32 1 2 0 24 0 0 0 500 10 10 10 5 239 27 0 471 0 0 1160 10 10 15 30 10 0 875 17 50 24 15 23 3 1 302 10 85 0 0 0 155 0 0 515 10 22 1 0 0 4

7 15

8 16

9 17

10 18

11 19

12 20

13 21

30 30 20 10 30 10 15 20 1

10 10 5

10

20

10 4

45

15

9 10

15 10

40

41

50

40

17

30

5

45

10 1

20

49 Cetirizien tab 50 Clindamicin

0 0

0 0

NO 1

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 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102

JENIS OBAT 2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK

SAT UAN

SISA STOK 3

119 134 0 0 0 0 0 0 73 16 123 0 0 0 0 0 0 75 0 0 0 170 0 31 168 0 0 0 1053 416 1430 0 0 0 20 0 7 510 0 671 435 0 104 0 200 0 0 30 0 16 9 23

MUTASI PENERIMAAN I

II

III

IV

4

5

6

7

129 200

100 200

100

200 30 100 200 200 1100

200 10

JUMLAH

JUMLAH P

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

12

13

8

9

10

11

12

13

14

15

16

17

18

19

20

21

248 334 0 0 0 0 0 0 173 16 323 0 0 0 0 0 0 175 0 0 0 170 0 31 168 0 0 0 1053 616 1430 0 30 0 120 0 7 710 0 871 1535 0 104 0 200 0 0 230 0 16 19 23

25

10 3 10

8

20 1 2 20 16 10 30

5

20 1 30

10

20 10 28

5

3

3

60 6 5

20

5

8 20

5

1 12

10 10 20 10 50 10 40 40 30

1 2

7

10

40

125

1 1

1

5 10 1

103 Kloramfenicol TT 104 Kloramfeniramin Maleat 4 mg

0 532 800

0 1332

83 25 72 13 70 14

33

55

NO

JENIS OBAT

1

2

105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison

SAT UAN

SISA STOK 3

MUTASI PENERIMAAN I

II

III

IV

4

5

6

7

667 0 33 0 0 90 0 10 0 40 200 160 0 500 0 340 8 40 300 70 1 0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 0 0 623 500 42 0 0 0 158 0 0 95 0 740

JUMLAH

JUMLAH P

PERSE DIAAN

1

2

3

8

9

10

11

667 0 33 0 0 90 10 0 240 160 500 0 340 8 40 300 70 1 0 0 0 0 0 0 0 0 0 0 0 362 0 0 0 0 0 0 0 0 1123 42 0 0 0 158 0 0 95 0 740

4

5

6

7

8

9

10

11

12

12

13

14

15

16

17

18

19

20

10

13 21

12

2

1

1

10

10 10 15

16

6

130

10 10

10

40 25 30 13 50 22 4 2

5

23 1

30 1

20

3

20

10 20

15

154 Propanolol 155 Ranitidin

0 0

0 0

NO 1

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

JENIS OBAT 2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4 Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

SAT UAN

SISA STOK 3

MUTASI PENERIMAAN

JUMLAH

JUMLAH P

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

12

13

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

0 0 0 7 0 30 315 0 0 0 0 20 215 0 0 0 305 0 0 30 0 0 87 890 0 45 0 77

0 0 0 7 0 30 315 0 0 0 0 235 0 0 0 305 0 0 30 0 0 977 0 45 0 77

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

20

10

2 1

2 2 2 10

10

25 40 10

10

10 22

15

20 20 10 20

10

1

1

20

30

IK PUSKESMAS ASI PERSEDIAAN OBAT AN APRIL 2018 JUMLAH PENGELUARAN TANGGAL 14 22

15 23

16 24

17 25

18 26

19 27

20 28

21 29

22 30

23 31

24 32

25 33

26 34

27 35

28 36

29 37

30 38

10

10 20 10

10 2

3

1

1

1

10 10

10

10 30 50 67 70 25 2 2 2 2

60 5

2 10

10 10 10 20

5 31

5

9 10

70 33 10 26 25 80

20 50 20

40 20

40

51 32 72 27 20 17

30

1

1

10 35

70 20 30 60 10 30 1 1 1 1 1 3 1

20

20

6

20 35

5 117 40 15

15 81 1 10 10 10 15

10

10

20 1

10 25 10 20 40 1

4

20

10 20 20

6

10 10

30 20 1

30 1 2

JML PENGELU ARAN 31 40 39

0 20 0 0 0 0 0 50 265 10 3 0 0 0 0 0 155 0 829 28 0 1 0 0 0 181 108 0 20 0 0 675 0 738 2 165 10 0 0 0 0 0 0 295 6 0 0 2

SISA 41

NILAI HARGA SATUAN PERSEDIA AN OBAT 42

43

0 0

JUMLAH PENGELUARAN TANGGAL 14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

20 2

20 30 30 56 30 2 10 20

10 10 20 10 21 15 2 20 13

16

20 2

43

1 10

1 2

10

6

15

5

10

5

5

3

25 10

20

10

10

2 20

2 10

15

3

5

10 10

15

90 20

20

5

5

35 20 10 10 10

10

10

7

10

30 20 30 50 40 60 70 40 30

10 10 20 10 20 40 10 30 36 56 10

90

10 10 10 10

15 33 30 10 20 10 10

1 1

30

1 1

1 1

1

3

1 1

2

JML PENGELU ARAN 31 40 39

186 209 0 0 0 0 0 0 96 12 201 0 0 0 0 0 0 62 0 0 0 20 0 0 76 0 0 0 10 140 136 0 30 0 13 0 2 178 0 205 897 0 10 0 113 0 0 90 0 2 11 5

SISA 41

NILAI HARGA SATUAN PERSEDIA AN OBAT 42

43

5

85 40 50 35 67 55

12 44 70 12 33 15

70

0 958

JUMLAH PENGELUARAN TANGGAL 14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

10 1

10 1

1

1

20

30 20

10

10

10

10

28

30 10 10 10 1

1

5

10

20 10

1

25 20 40 20 17 22 20 1 2 1 2 1 1

10 45 26 34 10 30 4 2 2 2 1 1

10

4

30 15

2

10 40

2

45 1

4

10

10 5 5

20

JML PENGELU ARAN 31 40 39

32 0 5 0 0 20 3 0 65 50 31 0 194 0 10 70 55 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 597 29 0 0 0 92 0 0 88 0 65

SISA 41

NILAI HARGA SATUAN PERSEDIA AN OBAT 42

43

0 0

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

JML PENGELU ARAN 31

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

JUMLAH PENGELUARAN TANGGAL

10 40 12

30

20 30 46 10

10

50 15 1

1

1

10 1

1 1

2

2

4

15 30 40 40

20

10

15

10

10 20 10 10 50 1

12 10 12 45 96

1 10

15

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

10

40

SISA 41

NILAI HARGA SATUAN PERSEDIA AN OBAT 42

43

PUSKESMAS SOPA'A BULAN

: APRIL 2018

LAPORAN OBAT KAPITASI JUMLAH

NO

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

JENIS OBAT

ANTASIDADOEN SIRUP AMOKXICILIN 500 mg AMOKXICILIN SYR 125 ACYCLOVIR 200 MG ACYCLOVIR 400 MG ANTASIDA TAB CLINDAMICIN 300 MG CEFADROXIL SYR 125 MG CETIRIZINE 10 MG CHLORAMEX CAP 500 MG CIPROFLOXAXIN 500 MG CEFADROXIL 500 MG CAPTOPRIL 25 MG CALCIUM LAKTAT DOMPERIDONE TAB 10 MG ERITROMICYN 500 MG FITOMENADION TAB GLIMEPERIDE 3 MG IBU PROFEN SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG KOTRIMOKSAZOL SIRUP KLORAMFENIKOL SYR 125 MG LEXAPRAM SYR LOPERAMIDE 2 MG MEFENAMAT ACID 500 MG METOKLOPRAMID 5 MG NA DIKLOFENAK 25 MG NA DIKLOFENAK 50 MG NIFEDIPINE TAB PARACETAMOL SYR PARACETAMOL 500 MG PREDNISONE 5 MG RANITIDINE TAB 150 MG SALBUTAMOL 2 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG SALISIYSL TALK

SAT UAN

STOK AWAL

PENERI MAAN

PERSE DIAAN

0

0

700

700

580

580

70

70

440

440

31

31

350

350

0

0

310

310

210

210

485

485

0

0

735 0 0 0 0 400 13 0 80 0 0 60 0 100 0 449 50 0 0 141 0 570 374 117 155 7

735

JUM 1

2

65

3

4

5

6

10

30

40

20

23

20

20

5

10

20

20

10

10

10

10

10

30

10

10

10

41

25

7

8

9

10

11

12

13

95

15 10

20

110

74

0 0 0 0 400 13

1

1

1

0 80 0 0 60 0 100 0 449

10

20

10

35

20

30

50 0 0 141 0 570 374 117 155 7

2

10

20

25

22

50

30

39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62

TETRACYCLINE TAB VITAMIN B COMPLEK CEFOTAXIME INJ LIDOKAIN INJ DIPENHIDRAMIN INJ TRANEXAMIDE ACID INJ SIKZONOAT INJ DILUENT 20 LTR DIATRO LYSE 1 LTR DIATRO CLEANER 1 LTR DIATRO CNT NRML CBC 3 DIFF 2 ML LEOKOPLAST (1X5) BD SYRINGE 0,05 ML BD SYRINGE 0,005 ML MICRODRIP OTSU Y-SET ADAPTOR CAT GUT CHROMIC CAT GUT PLAIN SILK BLACK CYBOW (URINE TEST) SPUIT 1 CC SPUIT 5 CC SPUIT 3 CC KAPAS PEMBALUT 250 GR

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

63

0 JUMLAH

NO

JENIS OBAT

SAT PENERI UAN SISA STOK MAAN

64 KASA 2 X 80 65 KASA 16 X 16 66 KASA 4 X 15 67 KASA 40 X 40 68 MASKER 69 ECODINE 1 LTR 70 ALKOHOL 70% 71 ULTRA ONE TEST HAMIL 72 GLUCO + PROTEIN TEST 73 GLUCOSA EASY 74 CHOLESTEROL EASY 75 URIC ACID EASY 76 HAND SCOON 7 77 HAND SCOON 7,5 78 UNDER PAD

50

PERSE DIAAN

0 0 0 0 50 0 0 0 0 0 0 0 0 0 0

JUM

79 ANTICEPTIC GEL 80 VOLLEY CATETER 16 81 VOLLEY CATETER 18 82 VOLLEY CATETER 24 83 DERMAFIX 10 X 8 84 DERMAFIX 5 X 7 85 KAPAS PEMBALUT 500 GR 86 KASA 80 X 40 87 KASA 4 X 3

0 0 0 0 0 0 0 0 0

88 TALI PUSAT STERIL 89 URINE BAG

0

90 IV CATETER 18 91 IV CATETER 20

0

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

0 0

MAS SOPA'AH JUMLAH PENGELUARAN TANGGAL 14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

JUMLAH PENGELUARA SISA STOK N 0

30

10

20

55

30

50

40

40

30

10

40

20

30

688 0 0 0 0

20

20

20

140

15

135

0

10

20

10

10

0

20

90

70

735

0

40

80

40

30

10

30

30

60

15

10

40

0 0 0 0 0

1

1

6

1

0 0 0 0 0 0 0 0

40

10

60

20

10

305

10

0 0 0 0 0

20

60

20

36

50

20

20

40

6

10

43

454 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PENGELUARAN TANGGAL

JUMLAH PENGELUARA SISA STOK N

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 82

0 0 0 0 0 0 0 0 0 0 0 0 0

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 NO

DILUENT 20 LTR DIATRO LYSE 1 LTR DIATRO CLEANER 1 LTR DIATRO CNT NRML CBC 3 DIFF 2 ML LEOKOPLAST (1X5) BD SYRINGE 0,05 ML BD SYRINGE 0,005 ML MICRODRIP OTSU Y-SET ADAPTOR CAT GUT CHROMIC CAT GUT PLAIN SILK BLACK CYBOW (URINE TEST) SPUIT 1 CC SPUIT 5 CC SPUIT 3 CC KAPAS PEMBALUT 250 GR JENIS OBAT

65 KASA 2 X 80 66 KASA 16 X 16 67 KASA 4 X 15 68 KASA 40 X 40

69 MASKER 70 ECODINE 1 LTR 71 ALKOHOL 70% 72 ULTRA ONE TEST HAMIL 73 GLUCO + PROTEIN TEST 74 GLUCOSA EASY 75 CHOLESTEROL EASY 76 URIC ACID EASY 77 HAND SCOON 7 78 HAND SCOON 7,5 79 UNDER PAD 80 ANTICEPTIC GEL 81 VOLLEY CATETER 16 82 VOLLEY CATETER 18

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0 0

SAT PENERI UAN SISA STOK MAAN

50

0 JUMLAH

0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PENGELUARAN TANGGAL

83 VOLLEY CATETER 24 84 DERMAFIX 10 X 8 85 DERMAFIX 5 X 7 86 KAPAS PEMBALUT 500 GR 87 KASA 80 X 40 88 KASA 4 X 3

0 0 0 0 0 0

89 TALI PUSAT STERIL 90 URINE BAG

0

91 IV CATETER 18 92 IV CATETER 20

0

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

0 0

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JUMLAH PENGELUARA 0N

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

d. Kep 010

0 0 0 0 0 0 0 0 0 0

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OBAT BULAN MEI 2018 NO

JENIS 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 24 25 26 27 28 29

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200

SAT UAN

SISA STOK 3

MUTASI PENERIMAAN

JUMLAH

I

II

III

IV

PERSE DIAAN

4

5

6

7

8

0 155 60 0 22 0 0 15 0 9 14 0 0 0 0 40 15 300 0 589 4 25 0 23 0 0 0 319 131 200 0 451

0 155 60 0 22 0 0 15 0 9 14 0 0 0 0 40 315 0 589 29 0 23 0 0 0 319 331 0 451

JUMLAH PENGELUARAN TANGGAL 1 9

2 10

3 11

4 12

5 13

6 14

7 15

8 16

10

17 40

10 60 1

10 18

11 19

12 20

13 21

14 22

15 23

10

1 3

1

9 17

16 24

17 25

10 2

19 27

10

1

10 10

18 26

25

6

40 30 40

16 1 35 10 10 10 16

5 10 15 15

1

30 130 30 70 2

1

30

10

15 20 35

11 30 25

16 10

20 28

30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 NO 1

51 52 53 54 55 56 57 58 59 60 61

Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin JENIS OBAT 2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab

0 0 485 0 137 500 1 137 300 75 200 0 0 0 155 0 0 220 16 0 0 2 20 0 0

0 0 485 0 637 1 437 275 0 0 0 155 0 0 220 16 0 0 22 0 0

20 41 40 20

20 10

20 20 20

50 10

90

30

20 20

30 60 31

60 34

73 43 20 16

9 56 22 5 10

10 10 10 20 1

62 125 600 0 0 0 0 0 0 77 4 20 122 200

20

20

10

1 10

5 20

10 35 10 1

2

JUMLAH

SAT UAN

10

10

10 10 1

JUMLAH PENGELUARAN TANGGAL

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

62 725 0 0 0 0 0 0 77 24 322

10 5 12 3

16

20 15

26

13 15

2

10 2

1 1 10 30

1 20 15

10

20 20

62 63 64 65 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

Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup

0 0 0 0 0 0 113 0 0 0 150 0 31 92 0 0 0 100 476 35 0 0 0 107 0 5 532 0 666 638 0 94 0 87 0 10

100

300 500

182 300

300

0 0 0 0 0 0 113 0 0 0 150 0 31 192 0 0 0 400 476 535 0 0 0 107 0 5 714 0 666 938 0 94 0 387 0 10

2 10

10 10

10

10

6

10

10 8

10

10

5

5

65 80

10

10

6 30

60

10

30 30 15 10 10 10

15 5 10 20 10 10

1 10 10 1 50 30 45 20

40 10 30 30

20 70 10 45

33

20 20

20 70 20

80 10 20 20 26 10 20

20 1

10

98 99 100 101 102 103 104 NO

Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg JENIS OBAT

1

2

105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak

140 0 14 8 10 18 0 216 1400

140 0 14 18 18 0 1616

10 2

10

10

1

635 0 28 0 0 70 7 0 175 110 469 330 146 8 30 230 15 0 0 0 0 0 0 0

1

2

500 5

300 300

520

1

1

1 96 100 94 50 30 40 72 30 30 40 34 30 30 100

20 60 40 40 30

JUMLAH PENGELUARAN TANGGAL

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

8

9

10

11

12

13

14

15

16

17

18

635 0 28 0 0 570 12 0 175 110 769 330 446 8 30 230 535 0 0 0 0 0 0 0

10 10 2

1

JUMLAH

SAT UAN

30

11

12

13

14

15

16

17

18

19

20

19

20

21

22

23

24

25

26

27

28

20 2

1

1

1

1

7 2

1 5

10

10

20 30 40 40 50 30 20 30 30 27 30 50 20 90 50 10 20 10 10 25 5 10 20 20 15 5

7 20

40 10

35 50 20 50 30

20

129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 NO 1

Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Omeprazole 20 mg Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin JENIS OBAT 2

157 Reserpin 158 Salbutamol 2 mg 158 Salbutamol 4 mg

0 0 200 0 0 0 360 0 0 0 90 0 0 0 0 0 526 13 20 0 0 0 66 200 0 0 7 0 675 0 0 40 SAT UAN

SISA STOK 3

0 0 0

0 200 0 0 0 360 0 0 0 90 0 0 0 0 0 526 33 0 0 0 266 0 0 7 0 675 0 40

MUTASI PENERIMAAN

4

50 10

30 23 15 13 4 2 1 2

10 10 1

3

20

5

40 10

30 20

10 20 20 1 1

40 40 2

16 5

25

10

16 30 38 20 2 3

30

10

10

40

JUMLAH

JUMLAH PENGELUARAN TANGGAL

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

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

10 32 1

10

600

0 600 0

3

10 20

10

10 20 30

10 4

159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181

Salep 2-4 Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

7 0 30 315 0 0 0 0 235 150 0 0 0 305 0 0 30 0 0 977 0 45 0 77

7 0 30 315 0 0 0 0 385 0 0 0 305 0 0 30 0 0 977 0 45 0 77

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

2

2

1 10 20

10

10 10

30

2

10

50 15

10

2

1 5

70 40

25 25

5

50 30

10

85 10 30 10 1

1

Pamekasan, Tgl … Dibuat dan Dikelua Bag

SRI SUHART NIP : 1981

21 29

22 30

23 31

7

24 32

25 33

26 34

27 35

28 36

29 37

30 38

10

1

3

1

1

75 20 20 1

20 21

5 10

3

70 65 1

20 10

30 10 27

JML PENGELU ARAN 31 40 39

0 47 0 0 0 0 0 0 0 6 7 0 0 0 0 0 222 0 589 7 0 1 0 0 0 289 199 0 10

SISA 41

NILAI HARGA SATUAN PERSEDIA AN OBAT 42

43

26 30 30 15 13 19 52

5 5

15 1 2

13

5 35

10 28

10 10 45 30

20

20

1

1

21

22

23

24

25

26

27

28

29

30

29

30

31

32

33

34

35

36

37

38

11

5

30 15

12 1 5

0 0 485 0 601 0 86 160 0 0 0 15 0 0 220 8 0 0 2 0 0 JML PENGELU ARAN 31 40 39

30 168 0 0 0 0 0 0 22 23 113

SISA 41

NILAI HARGA PERSEDIA SATUAN AN OBAT 42

43

5

5

10

20 16 5

3

5

22

10 10

30

10 25

30 40

35 30 40

10

0 0 0 0 0 0 57 0 0 0 10 0 0 57 0 0 0 100 192 136 0 0 0 0 0 1 2 218 0 342 591 0 0 0 40 0 1

20

20

1 1 40 28 40 50 30 50 30 40 60 40 21

22

23

24

25

26

27

28

29

30

29

30

31

32

33

34

35

36

37

38

10 10 8 14

9 10 28

120 0 7 6 1 0 1374 JML PENGELU ARAN 31 40 39

20 0 5 0 0 7 4 0 35 0 769 50 154 0 25 40 30 0 0 0 0 0 0 0

SISA 41

NILAI HARGA PERSEDIA SATUAN AN OBAT 42

43

10 10

0 200 0 0 0 0 0 0 0 10 0 0 0 0 0 467 27 0 0 0 87 0 0 7 0 45 0 40

6

10

20 27 15 1 1

35 35 3

3

5

3

7

21

22

23

24

25

26

27

28

29

30

JML PENGELU ARAN 31

29

30

31

32

33

34

35

36

37

38

39

5

20 20

40

SISA 41

NILAI HARGA SATUAN PERSEDIA AN OBAT 42

43

1 5

10

20

25

5 30 2

mekasan, Tgl ………………….. buat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

APOTIK PUSKESM DAFTAR MUTASI PERSED BULAN JUNI 20 NO

JENIS 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 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg

SAT UAN

SISA STOK 3

0 108 60 0 22 0 0 15 0 3 7 0 0 0 0 40 93 0 0 22 0 22 0 0 0 30 132 0 441 0 0 0 0 36 1 351 115 0 0 0 140 0 0 0

MUTASI PENERIMAAN

JUMLAH

I

II

III

IV

PERSE DIAAN

4

5

6

7

8

25

200

400

500

500

0 108 60 0 22 0 0 15 0 3 32 0 0 0 0 40 93 0 200 22 0 22 0 0 0 430 132 0 441 0 0 500 0 36 1 351 115 0 0 0 140 0 0 500

1 9

2 10

3 11

4 12

5 13

6 14

7 15

8 16

9 17

10

1

20 2

15 15

9

30 1

20 20 2 1 1

20 10 10 26 10 5

1 6 10

30 30 20 20 20 20 10 20 14 30

4 26 30 21 40 30 1 10 10 10

10 10

10 10

10

10

45 46 47 48 49 50

Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin

NO

JENIS OBAT

1

2

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 80 81 82 83 84 85 86 87 88 89 90 91

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg

8 0 0 20 0 0 SAT UAN

SISA STOK

32 557 0 0 0 0 0 0 55 1 12 209 0 0 0 0 0 0 56 100 0 0 0 140 0 31 135 0 0 0 300 284 399 0 0 0 107 0 3 496 0 324 347 200

8 0 0 20 0 0

1

2

1

1

JUMLAH PERSE DIAAN

1

2

3

4

5

6

7

8

9

8

9

10

11

12

13

14

15

16

17

32 557 0 0 0 0 0 0 55 13 209 0 0 0 0 0 0 156 0 0 0 140 0 31 135 0 0 0 300 284 399 0 0 0 107 0 3 496 0 324 547

5

10 10 20

5

10 1

1 3

10

10

10 20

5

10 10

10 20 20

20

2

1 40 40

1 18

20 10 20 20 10 4 10 20 40 30 30

92 93 94 95 96 97 98 99 100 101 102 103 104

Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

NO

JENIS OBAT

1

2

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

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH

0 20 94 200 0 347 0 9 20 0 7 24 12 17 0 242 500 SAT UAN

SISA STOK

615 0 23 0 0 563 8 0 140 110 0 280 292 8 5 100 190 505 0 0 0 0 0 0 0 0 0 0 0 0 360 0 0 0

20 294 0 347 0 9 20 0 31 12 17 0 742

2 10

10

30 30

4 1 1

1

2

1 1

30

1

30 15 26 60 20

5

JUMLAH PERSE DIAAN

1

2

3

4

5

6

7

8

9

8

9

10

11

12

13

14

15

16

17

615 0 23 0 0 563 8 0 140 110 0 280 292 8 105 190 505 0 0 0 0 0 0 0 0 0 0 0 0 360 0 0 0

10

10

20

2

20 25

20 10 20 30 20 25 30 20 10

138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 NO 1

157 158 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179

Omeprazole 20 mg Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin JENIS OBAT 2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4 Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr

80 150 0 0 0 0 0 59 6 0 0 0 179 0 0 0 100 0 630 0 0 SAT UAN

SISA STOK 3

230 0 0 0 0 0 59 6 0 0 0 179 0 0 100 0 630 0 0

MUTASI PENERIMAAN

20

23

10 10

5

10

5

5 10 2

13

30

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

6

7

8

9

4

5

6

7

8

9

10

11

12

13

14

15

16

17

0 600 100 0 7 0 30 315 0 0 0 0 385 300 0 0 0 305 0 0 30 0 0 977 300 0 45

0 700 35 10 30 30 45 0 7 1 1 1 0 30 1 2 1 1 315 10 0 0 0 0 685 40 30 10 10 30 10 30 20 0 0 0 305 15 0 0 30 0 0 1277 30 30 30 10 10 20 30 50 60 0 45

180 Zink Drop 181 Zink tab

0 77

120

0 197

30

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

20 30 20

20 20

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OBAT BULAN JUNI 2018 JML PENGELU ARAN 31 40 39

JUMLAH PENGELUARAN TANGGAL 10 18

11 19

12 20

13 21

14 22

15 23

16 24

17 25

18 26

19 27

20 28

21 29

22 30

23 31

10

24 32

25 33

26 34

1

60 10

29 37

30 38

1 1

50 11 90 1

28 36

10 10

2 2

27 35

4

1

1

25

2

2

50 19 35

55 30

31

20 10 35

15 30

21

5 20

10 20 45 20 20 24 35 30 10

12 30 16

10 90 10

6 30

10

0 40 0 0 0 0 0 0 0 3 6 0 0 0 0 0 75 0 200 17 0 0 0 0 0 302 131 0 224 0 0 397 0 36 1 171 10 0 0 0 20 0 0 166

SISA 41

0 68 60 0 22 0 0 15 0 0 26 0 0 0 0 40 18 0 0 5 0 22 0 0 0 128 1 0 217 0 0 103 0 0 0 180 105 0 0 0 120 0 0 334

5 0 0 1 0 0

1

JUMLAH PENGELUARAN TANGGAL 10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

38 10

10 5 30

14

18

10 5

5

30 30

6 1 10 30

12 15

6 35 13

20 30 15

7

10 10

5

20 30

10

20

20

4

15 10 15

28 1 5 20 20 160 80 40

55 30 60 20 20

10 10 25

21 30

JML PENGELU ARAN 31 40 39

32 131 0 0 0 0 0 0 42 13 151 0 0 0 0 0 0 117 0 0 0 0 0 0 68 0 0 0 30 147 55 0 0 0 28 0 3 78 0 295 545

3 0 0 19 0 0 SISA 41

0 426 0 0 0 0 0 0 13 0 58 0 0 0 0 0 0 39 0 0 0 140 0 31 67 0 0 0 270 137 344 0 0 0 79 0 0 418 0 29 2

1

1 30

10

10

10 1 1 1

1 1 68 50 30

40 70 41

56 55

65

JUMLAH PENGELUARAN TANGGAL 10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

1 10 5

1

10

10 2

20

20 10 10 30 20

1

10 10 10

1

1 5 10

2

10

15

5

1 10 20

10 7

4 30 0 110 0 1 0 0 8 4 4 0 661 JML PENGELU ARAN 31 40 39

0 0 0 0 0 0 2 0 35 0 0 0 22 8 25 0 115 0 0 0 0 0 0 0 0 0 0 0 0 342 0 0 0

16 264 0 237 0 8 20 0 23 8 13 0 81 SISA 41

615 0 23 0 0 563 6 0 105 110 0 280 270 0 80 190 390 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0

50

85 0 0 0 0 0 58 6 0 0 0 30 0 0 20 0 40 0 0

10

4

15

2

5 10

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

JML PENGELU ARAN 31

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

JUMLAH PENGELUARAN TANGGAL

52 10 10

50 40

2 2

1

20 40

3

20 30 20

1

1 1 10

15

30

1

10

20 30 20 10 10 20 30

10

1 5

10 15

10 10

50

70 50 20 30 40 20

45 40 50 50 40 40 30 60 70 40 30 50 70 60 30 1

2

1

2

1

1

145 0 0 0 0 0 1 0 0 0 0 149 0 0 80 0 590 0 0 SISA

40

41

0 357 0 6 0 15 70 0 0 0 0 470 0 0 0 65 0 0 0 0 0 1205 0 8

0 343 0 1 0 15 245 0 0 0 0 215 0 0 0 240 0 0 30 0 0 72 0 37

10

10

10

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

0 170

0 27

NILAI HARGA SATUAN PERSEDIA AN OBAT 42

43

NILAI HARGA PERSEDIA SATUAN AN OBAT 42

43

NILAI HARGA PERSEDIA SATUAN AN OBAT 42

43

NILAI HARGA PERSEDIA SATUAN AN OBAT 42

43

PUSKESMAS S BULAN

: JUNI 2018

LAPORAN OBAT KAPITASI SAT

NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

JENIS OBAT ANTASIDADOEN SIRUP AMOKXICILIN 500 mg AMOKXICILIN SYR 125 ACYCLOVIR 200 MG ACYCLOVIR 400 MG ANTASIDA TAB CLINDAMICIN 300 MG CEFADROXIL SYR 125 MG CYIANOCOBALAMIN CETIRIZINE 10 MG CHLORAMEX CAP 500 MG CIPROFLOXAXIN 500 MG CEFADROXIL 500 MG CAPTOPRIL 25 MG CALCIUM LAKTAT DOMPERIDONE TAB 10 MG ERITROMICYN 500 MG FITOMENADION TAB GLIMEPERIDE 3 MG IBU PROFEN SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG KOTRIMOKSAZOL SIRUP

24 KLORAMFENIKOL SYR 125 MG 25 26 27 28 29 30 31 32 33 34 35 36

LEXAPRAM SYR LOPERAMIDE 2 MG MEFENAMAT ACID 500 MG METOKLOPRAMID 5 MG NA DIKLOFENAK 25 MG NA DIKLOFENAK 50 MG NIFEDIPINE TAB PARACETAMOL SYR PARACETAMOL 500 MG PYTOMENADION PREDNISONE 5 MG RANITIDINE TAB 150 MG

JUMLAH STOK PENERI UA AWAL MAAN PERSE DIAAN N 0 0 306 165 471 0 70 70 200 200 401 401 170 170 100 100 437 437 210 210 0 0 384 384 129 129 0 800 800 0 0 0 0 0 0 400 400 5 5 0 0 580 980 400 0 0 0 0 60

60

0 328 0 1044 50 0 30 841 500 116 514 117

0 328 600 1044 310 0 30 841 500 116 514 517

600 260

400

1

2

3

4

5

10

10 20

30

10 20 55 10 11 20 20

10 90 20 20

10

45 20

5

25

30 10 50

6

7

6 10

20 60

30 40 30 50

10 40 110

60 40

75

20 30 20 10 10 30 40 30 40 40 30 20 10 10 20

3 4 80 30 10

20

2 2

20

3

20 36

15

20

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

SALBUTAMOL 2 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG SALISIYSL TALK TETRACYCLINE TAB VITAMIN B COMPLEK CEFOTAXIME INJ LIDOKAIN INJ DIPENHIDRAMIN INJ TRANEXAMIDE ACID INJ SIKZONOAT INJ DILUENT 20 LTR DIATRO LYSE 1 LTR DIATRO CLEANER 1 LTR DIATRO CNT NRML CBC 3 DIFF 2 ML LEOKOPLAST (1X5) BD SYRINGE 0,05 ML BD SYRINGE 0,005 ML MICRODRIP OTSU Y-SET ADAPTOR CAT GUT CHROMIC CAT GUT PLAIN SILK BLACK CYBOW (URINE TEST) SPUIT 1 CC SPUIT 5 CC SPUIT 3 CC KAPAS PEMBALUT 250 GR

155 7 10 0 1300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

65

1000

0 SISA STOK

NO

10

155 7 10 10 1300 1000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JENIS OBAT

66 KASA 2 X 80 67 KASA 16 X 16 68 KASA 4 X 15 69 KASA 40 X 40 70 MASKER 71 ECODINE 1 LTR 72 ALKOHOL 70% 73 ULTRA ONE TEST HAMIL 74 GLUCO + PROTEIN TEST 75 GLUCOSA EASY 76 CHOLESTEROL EASY 77 URIC ACID EASY

SAT UAN

0 82

JUMLAH PENERIMAA N PERSE DIAAN

0 82 0 0 0 0 0 0 0 0 0 0

1

1

2

60

18 12

20 40

78 HAND SCOON 7 79 HAND SCOON 7,5 80 UNDER PAD 81 ANTICEPTIC GEL 82 VOLLEY CATETER 16 83 VOLLEY CATETER 18 84 VOLLEY CATETER 24 85 DERMAFIX 10 X 8 86 DERMAFIX 5 X 7 87 KAPAS PEMBALUT 500 GR 88 KASA 80 X 40 89 KASA 4 X 3

0 0 0 0 0 0 0 0 0 0 0 0

90 TALI PUSAT STERIL 91 URINE BAG

0

92 IV CATETER 18 93 IV CATETER 20

0

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

0 0

KESMAS SOPA'AH BULAN

: OKTOBER

LAPORAN OBAT

JUMLAH

NO SAT UAN

1 2

JENIS OBAT

CAPTOPRIL 25 MG NA DIKLOFENAK 25 MG 5 NA DIKLOFENAK 50 MG 6 SALBUTAMOL 2 MG 7 ANTASIDADOEN SIRUP 3 4

STOK AWAL

PENERIMAA PERSE DIAAN N

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

ERITROMICYN 500 MG IBU PROFEN SIRUP KOTRIMOKSAZOL SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG VITAMIN B COMPLEK METOKLOPRAMID 5 MG LIDOKAIN INJ DIPENHIDRAMIN INJ DOMPERIDON 5 SYR KOTRIMOKSAZOL 400 MG CIPROFLOXACIN 500 mg AMOKXICILIN SYR 125 MEFENAMAT ACID 500 MG CLINDAMICIN 300 MG SIKZONOAT INJ PARACETAMOL 500 MG ACYCLOVIR 200 MG ACYCLOVIR 400 MG LEXAPRAM SYR LOPERAMIDE 2 MG PREDNISONE 5 MG CEFADROXIL SYR CETIRIZINE CHLORAMEX CAP 500 MG TRANEXAMIDE ACID INJ CEFOTAXIME INJ DOMPERIDONE TAB 10 MG RANITIDINE TAB 150 MG KLORAMFENIKOL SYR 125

NO

37 38

JENIS OBAT

39 PARACETAMOL SYR 40 GLIMEPERIDE 3 MG 41 ANTASIDA TAB 42 CALCIUM LAKTAT 43 FITOMENADION TAB 44 TETRACYCLINE TAB 45 NIFEDIPINE TAB

JUMLAH SAT SISA STOK PENERIMAA PERSE DIAAN UAN N

0 82 0 0 0 0 0 0

0 82 0 0 0 0 0 0 0

1

2

3

30 30 30

4

5

6

50

30 30

7

50

46 DILUENT 20 LTR DIATRO 47 LYSE 1 LTR DIATRO 48 CLEANER 1 LTR DIATRO 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

0 0 0 CONTROL NORMAL CBC 3 DIFF 2 M 0 LEOKOPLAST (1X5) 0 BD SYRINGE 0,05 ML 0 BD SYRINGE 0,005 ML 0 MICRODRIP 0 OTSU Y-SET ADAPTOR 0 CAT GUT CHROMIC 0 CAT GUT PLAIN 0 SILK BLACK 0 CYBOW (URINE TEST) 0 SPUIT 1 CC 0 SPUIT 5 CC 0 SPUIT 3 CC 0 KAPAS PEMBALUT 250 GR 0 KASA 2 X 80 0 KASA 16 X 16 0 KASA 4 X 15 0 KASA 40 X 40 #REF! MASKER #REF! ECODINE 1 LTR #REF! ALKOHOL 70% #REF! ULTRA ONE TEST HAMIL #REF! GLUCO + PROTEIN TEST #REF! GLUCOSA EASY #REF! CHOLESTEROL EASY #REF! URIC ACID EASY #REF! HAND SCOON 7 #REF! HAND SCOON 7,5 #REF!

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

UNDER PAD

JUMLAH NO

78 79 80 81 82 83

JENIS OBAT ANTICEPTIC GEL VOLLEY CATETER 16 VOLLEY CATETER 18 VOLLEY CATETER 24

SAT SISA STOK PENERIMAA PERSE DIAAN UAN N

1

2

3

4

5

6

7

84 85 86 87 88 89 90

DERMAFIX 10 X 8 DERMAFIX 5 X 7 KAPAS PEMBALUT 500 GR KASA 80 X 40 KASA 4 X 3 TALI PUSAT STERIL URINE BAG IV CATETER 18 IV CATETER 20

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

SKESMAS SOPA'AH

JUMLAH PENGELUARAN TANGGAL 8

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

10 20 20

20 15 20

6

10

75 35

35 35 10

30 55

20 10 20

10

35 10

10 10

15 73 60

35 26 60

10

30 10 10

10

60 40 30 50 40 20 20 20 30

30 20 30 20 50 40 30 30 50 20 10

100

110

15

20 30 30 20 30 20 20 30 40 40 40 10

20 10

86 35 26

60 62

30

1 49 20 20 10 30 20 5

15

30

12

2

1 15 50

85 21

22

100

JUMLAH PENGELUARAN TANGGAL

50

2

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLAH PENGELUARAN TANGGAL 8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

JUMLAH PENGELUARAN TANGGAL 8

9

10

11

12

13

14

15

16

70 30 50 30 30 50 20 45 50

17

18

19

20

21

30 50 30 40 30

22

23

24

25

26

27

28

29

30

31

40 50 40 30

50

30

20

50

JUMLAH PENGELUARAN TANGGAL 8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLAH SISA PENGEL STOK UARAN 0 466 0 0 110 241 60 0 0 111 0 110 0 779 0 0 0 0 0 0 980 0 0 0 0 0 90 550 110 0 0 10 346 0 392

0 0 0 7 0 493 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JUMLAH PENGELUARA SISA STOK N

0 0 0 0 0 0 0 0 0 0 0 0

0 82

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PENGELUARA SISA STOK N

JUMLAH PENGELUARA SISA STOK N

0 1115 0 0 0 0 0 0 0

0 -1033 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

JUMLAH PENGELUARA SISA STOK N

APOTI DAFTAR MUTA BULA MUTASI PENERIMAAN NO

JENIS OBAT

SATUAN

SISA STOK

1

2

3

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

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris

0 5 90 0 22 0 0 22 0 14 7 0 0 0 0 40 33 0 0 7 0 22 0 0 0 90 0 0 241 0 0 0 0 0 1 235 0 0

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

4

5

6

7

8

9

10

11

12

13

300

300

25

1000

25

0 305 90 0 22 0 0 22 0 14 7 0 0 0 0 40 333 0 0 32 0 22 0 0 0 1090 0 0 241 0 0 0 0 0 26 235 0 0

1 1

10 10 10 120

1

2

1

30 36 10 16

10 20

5

6

39 40 41 42 43 44 45 46 47 48 49 50

Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin

0 0 17 0 0 284 6 0 0 17 0 0

0 0 17 0 0 284 6 0 0 17 0 0

20 10 1

1

1

JUMLAH NO

1

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

JENIS OBAT

SAT UAN

SISA STOK

2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg

32 271 0 0 0 0 0 0 55 8 26 0 0 0 0 0 0 41 0 0 0 120 0 31 0 0 0 0 300

21 500

400

100

PERSE DIAAN

1

2

3

4

5

8

9

10

11

12

13

32 271 0 0 0 0 0 0 55 29 526 0 0 0 0 0 0 441 0 0 0 120 0 31 100 0 0 0 300

20 16

18

10 1 15 20 17

1

10 10 10

10

3

5

15

6

2 10

20

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

Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 500 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

159 377 0 0 0 4 0 1 47 0 324 0 18 304 0 197 0 9 10 0 10 2 17 0 156

200 100 15 200

10

1000

159 377 0 0 0 200 104 0 16 247 0 324 0 18 304 0 197 0 9 10 0 10 12 17 0 1156

10

28 28 20 1 10

7

20 30 20 30 45 1

1

1

1 2

37 24 30 21

JUMLAH NO

1

106 107 108 109 110 111 112 113 114 115 116 117 118 119 120

JENIS OBAT

SAT UAN

SISA STOK

2

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab

758 0 23 0 0 466 0 0 85 110 100 270 270 8 5

25

PERSE DIAAN

1

2

3

4

5

8

9

10

11

12

13

758 0 23 0 0 466 25 0 85 110 100 270 270 8 5

2

10 10 10 1 1

10 20 10 10

121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157

Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Omeprazole 20 mg Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin

120 350 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 152 0 0 0 0 0 0 6 0 0 0 179 0 0 0 0 0 0 0

120 350 0 0 0 0 0 0 0 0 500 0 0 0 18 0 0 0 152 0 0 0 0 0 0 6 0 0 0 179 0 0 0 0 0 0 0

500

MUTASI PENERIMAAN NO

1

158 159 160 161

JENIS OBAT

2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4

SAT UAN

SISA STOK

4

10 10

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

3

4

5

6

7

8

9

10

11

12

13

0 104

1000

20 32 10

5

15

7

0 1104 0 7

1

2

1

162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183

Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

0 15 189 0 0 0 0 246 0 0 0 100 0 0 200 0 0 75 0 45 0 107

200 500

200

0 15 189 0 0 0 0 246 0 0 0 100 0 0 200 200 0 575 0 45 0 307

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

1 1 10 10

10

1

30

10 10

20

2

50 10

7

10

1

2

1

1

1

20

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OBAT BULAN JUlI 2018 JUMLAH PENGELUARAN TANGGAL 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

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

10 20 10

1 1

2

1

1

10

10

1

1

1 1

1

1

1

30

3

1

1

30

2

1

3

1

7

2

3

2

1

15

0 33 14

1 20 10

1 6

16

6 10 10

1 5 10 10

10

2

10

10

40 1

10 10

10 10 10 10 20 1 1

10 10

20 20

6 10

10

1

1

JUMLAH PENGELUARAN TANGGAL 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

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

1

1 1

10 10 10 10

2

1

3 10 12 10 10 10

1 5

10 6

15 10 11

1

1

2

5

2 4 10 20

10

10

1

16

3

5

15

15

15

5

20

11

1

20

5 20

5

8

10

15 20

30

10 10 15 15

21

10

21

30

28 1 10

10 10 70 80 20

28 2

37

30

15

10 15

10 10 10

9

30 15

30 30

10

10 20 10 10 10 10 10

1 1

20

1 1

10

10

20

10

1

1

1

2

1

1 1

2 2

57 40 42 20 20 40 36 20 22 20 22 25

42 26 20 20 20 60 44 22

53 45 50 35 40

61

JUMLAH PENGELUARAN TANGGAL 6

7

8

9

10

11

12

13

14 15

16

17

18

19

20

21

20 10 1

14

15

22

23

20

16

17

18

19

20

21

22

23

24

24

25

26

27

28

29

30

31

32

20

25

26

33

34

20

1

27

28

29

30

31

35

36

37

38

39

10

1

2

1 10

5

3

2

3 20

47

10

5

3

3

10

1

10

25

10 10

10

20 10 10

10

1

1

5

4

3 10

1

20

4

JUMLAH PENGELUARAN TANGGAL 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

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

40 20 30

10 10 10 1

20

20 10 11

5

30 1

10 30

40

20

20

10 10

20

33

40

20 30 20

1 1

1

1

30

10

100

25

15

20 11

10

10

10

1 10

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

20

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 60 0 0 0 0 0 7 0 3 7 0 0 0 0 0 220 0 0 20 0 1 0 0 0 107 0 0 0 0 0 0 0 0 3 201 0 0

0 0 10 0 0 246 6 0 0 2 0 0 JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 218 0 0 0 0 0 0 10 17 99 0 0 0 0 0 0 85 0 0 0 10 0 0 99 0 0 0 80

115 131 0 0 0 56 97 0 4 184 0 324 0 1 40 0 165 0 2 0 0 5 12 2 0 1014 JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

100 0 8 0 0 30 3 0 23 0 70 0 78 0 0

0 95 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 35 0 0 0 0 0 0 6 0 0 0 37 0 0 0 0 0 0 0 JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 398 0 6

0 3 20 0 0 0 0 70 10 0 0 40 0 0 20 0 0 380 0 23 0 121

PUSKESMAS BULAN NO 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

: JULI 2018 JENIS OBAT

ANTASIDADOEN SIRUP AMOKXICILIN 500 mg AMOKXICILIN SYR 125 ACYCLOVIR 200 MG ACYCLOVIR 400 MG ANTASIDA TAB CLINDAMICIN 300 MG CEFADROXIL SYR 125 MG CYIANOCOBALAMIN CETIRIZINE 10 MG CHLORAMEX CAP 500 MG CIPROFLOXAXIN 500 MG CEFADROXIL 500 MG CAPTOPRIL 25 MG CALCIUM LAKTAT DOMPERIDONE TAB 10 MG ERITROMICYN 500 MG FITOMENADION TAB GLIMEPERIDE 3 MG IBU PROFEN SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG KOTRIMOKSAZOL SIRUP KLORAMFENIKOL SYR 125 MG LEXAPRAM SYR LOPERAMIDE 2 MG MEFENAMAT ACID 500 MG METOKLOPRAMID 5 MG NA DIKLOFENAK 25 MG NA DIKLOFENAK 50 MG NIFEDIPINE TAB PARACETAMOL SYR PARACETAMOL 500 MG PYTOMENADION PREDNISONE 5 MG RANITIDINE TAB 150 MG SALBUTAMOL 2 MG

LAPORAN OBAT KAPITASI JUMLAH SAT STOK PENERI UAN AWAL MAAN PERSE DIAAN 279 1000 1279 0 1000 1000 0 0 70 70 90 90 160 1000 1160 130 130 100 100 953 953 326 326 0 0 294 294 129 129 434 1434 1000 0 0 0 0 240 240 400 400 5 5 1 1 138 138 0 1000 1000 0 0 60 60 0 0 328 328 536 536 468 468 200 200 1250 1260 30 30 4 74 70 194 1194 1000 63 63 1865 1865 175 775 600 155 155

1 2 3 4 5 6 30 42 35 40 20 30 10 16 30 30 35 30

40 20 30 15

8

20

20

20 20

5

30 30

5

10 10 10 10 20 10 20 10 20 130 40 15

1 26 10 30 45 40

80

10 10 10 10 10 10

10 10 7 10

1 10 10 20 30 20

70

10 10 30

2 20 26 15 10

1 1 10 55 10 8

21 30 10

10 30 20

SALBUTAMOL 4 MG SIMVASTATIN 20 MG SALISIYSL TALK TETRACYCLINE TAB VITAMIN B COMPLEK CEFOTAXIME INJ LIDOKAIN INJ DIPENHIDRAMIN INJ TRANEXAMIDE ACID INJ SIKZONOAT INJ DILUENT 20 LTR DIATRO LYSE 1 LTR DIATRO CLEANER 1 LTR DIATRO CNT NRML CBC 3 DIFF 2 ML LEOKOPLAST (1X5) BD SYRINGE 0,05 ML BD SYRINGE 0,005 ML MICRODRIP OTSU Y-SET ADAPTOR CAT GUT CHROMIC CAT GUT PLAIN SILK BLACK CYBOW (URINE TEST) SPUIT 1 CC SPUIT 5 CC 63 SPUIT 3 CC 64 KAPAS PEMBALUT 250 GR 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

20 200 3 1300 507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

10 100

20 200 13 1400 507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

65 NO

JENIS OBAT

66 KASA 2 X 80 67 KASA 16 X 16 68 KASA 4 X 15 69 KASA 40 X 40 70 MASKER 71 ECODINE 1 LTR 72 ALKOHOL 70% 73 ULTRA ONE TEST HAMIL 74 GLUCO + PROTEIN TEST 75 GLUCOSA EASY 76 CHOLESTEROL EASY 77 URIC ACID EASY 78 HAND SCOON 7

JUMLAH PENERIMAA N PERSE DIAAN

SAT UAN

0 82

0 82 0 0 0 0 0 0 0 0 0 0 0

20 1

1

10 1

4 20 57

20 20

15

60

79 HAND SCOON 7,5 80 UNDER PAD 81 ANTICEPTIC GEL 82 VOLLEY CATETER 16 83 VOLLEY CATETER 18 84 VOLLEY CATETER 24 85 DERMAFIX 10 X 8 86 DERMAFIX 5 X 7 87 KAPAS PEMBALUT 500 GR 88 KASA 80 X 40 89 KASA 4 X 3

0 0 0 0 0 0 0 0 0 0 0

90 TALI PUSAT STERIL 91 URINE BAG

0

92 IV CATETER 18 93 IV CATETER 20

0

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

0 0

KESMAS SOPA'AH BULAN

: OKTOBER

LAPORAN OBAT K

JUMLAH

NO SAT UAN

1 2 3 4 5 6 7 8

JENIS OBAT

CAPTOPRIL 25 MG NA DIKLOFENAK 25 MG NA DIKLOFENAK 50 MG SALBUTAMOL 2 MG ANTASIDADOEN SIRUP ERITROMICYN 500 MG

STOK AWAL

PENERIMAA PERSE DIAAN N

1

2

3

4

5

6

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

IBU PROFEN SIRUP KOTRIMOKSAZOL SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG VITAMIN B COMPLEK METOKLOPRAMID 5 MG LIDOKAIN INJ DIPENHIDRAMIN INJ DOMPERIDON 5 SYR KOTRIMOKSAZOL 400 MG CIPROFLOXACIN 500 mg AMOKXICILIN SYR 125 MEFENAMAT ACID 500 MG CLINDAMICIN 300 MG SIKZONOAT INJ PARACETAMOL 500 MG ACYCLOVIR 200 MG ACYCLOVIR 400 MG LEXAPRAM SYR LOPERAMIDE 2 MG PREDNISONE 5 MG CEFADROXIL SYR CETIRIZINE CHLORAMEX CAP 500 MG TRANEXAMIDE ACID INJ CEFOTAXIME INJ DOMPERIDONE TAB 10 MG RANITIDINE TAB 150 MG KLORAMFENIKOL SYR 125

JUMLAH

NO

37 38

JENIS OBAT

39 PARACETAMOL SYR 40 GLIMEPERIDE 3 MG 41 ANTASIDA TAB 42 CALCIUM LAKTAT 43 FITOMENADION TAB 44 TETRACYCLINE TAB 45 NIFEDIPINE TAB 46 DILUENT 20 LTR DIATRO

SAT UAN

PERSE DIAAN SISA STOK PENERIMAA N

0 82 0 0 0 0 0 0 0

0 82 0 0 0 0 0 0 0 0

1

2

3

30 30 30

4

5

6

50

30 30

47 LYSE 1 LTR DIATRO 48 CLEANER 1 LTR DIATRO 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

0 0 CONTROL NORMAL CBC 3 DIFF 2 ML 0 LEOKOPLAST (1X5) 0 BD SYRINGE 0,05 ML 0 BD SYRINGE 0,005 ML 0 MICRODRIP 0 OTSU Y-SET ADAPTOR 0 CAT GUT CHROMIC 0 CAT GUT PLAIN 0 SILK BLACK 0 CYBOW (URINE TEST) 0 SPUIT 1 CC 0 SPUIT 5 CC 0 SPUIT 3 CC 0 KAPAS PEMBALUT 250 GR 0 KASA 2 X 80 0 KASA 16 X 16 0 KASA 4 X 15 0 KASA 40 X 40 #REF! MASKER #REF! ECODINE 1 LTR #REF! ALKOHOL 70% #REF! ULTRA ONE TEST HAMIL #REF! GLUCO + PROTEIN TEST #REF! GLUCOSA EASY #REF! CHOLESTEROL EASY #REF! URIC ACID EASY #REF! HAND SCOON 7 #REF! HAND SCOON 7,5 #REF!

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

UNDER PAD

JUMLAH NO

78 79 80 81 82 83 84

JENIS OBAT ANTICEPTIC GEL VOLLEY CATETER 16 VOLLEY CATETER 18 VOLLEY CATETER 24 DERMAFIX 10 X 8

SAT UAN

SISA STOK

PENERIMAA PERSE DIAAN N

1

2

3

4

5

6

85 86 87 88 89 90

DERMAFIX 5 X 7 KAPAS PEMBALUT 500 GR KASA 80 X 40 KASA 4 X 3 TALI PUSAT STERIL URINE BAG IV CATETER 18 IV CATETER 20

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

USKESMAS SOPA'AH

JUMLAH PENGELUARAN TANGGAL 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 30 40 40 50 30 30 20 55 30 35 10 10 30 20 30 20 6 10 10 10 20 20 20 50 30 45 10 20 20 20 66 25 20 20 20 66 50 35 20 20 20 20 25 30

20 50

20 10 10 10 10

10 15 14 105 48

10 10

10

10

10

15 100

10 30

20 20 10 100 60 30 30

1 30 74

10

10 10 20 10 16 20 24 10

10

15

16 56 10 50 100

20

43 30 30 160 30

55 46 20 30 22

30 20 20 20 20 20

5

5 10 20 6

10

20 20 63

20 10

6 10

30

8

60 40

15 30

10

3

55 50 32 30 30 12 10 10 15

30

40

40 110

15 10 30 10 20

30

20

2 20

1 2 1 55 10 5

4 1 4 6 20 10 5 20 10 20 30

57

10

25

10

13

40 41 10 40 10 20

20

20

10 1 39

45 73 20 50

55 10 59

JUMLAH PENGELUARAN TANGGAL

1

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLAH PENGELUARAN TANGGAL 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

JUMLAH PENGELUARAN TANGGAL 7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

50 70 30 50 30 30 50 20 45 50 30 50 30 40 30

22

23

24

25

26

27

28

29

30

31

40 50 40 30

50

30

20

50

JUMLAH PENGELUARAN TANGGAL 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

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLAH SISA PENGEL STOK UARAN 743 783 0 0 40 0 120 0 240 214 0 76 129 1022 0 0 0 0 0 1 131 927 0 0 0 0 260 30 170 40 0 27 653 63 27 499 145

20 80 5 0 507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JUMLAH PENGELUARA SISA STOK N

0 0 0 0 0 0 0 0 0 0 0 0 0

0 82

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PENGELUARA SISA STOK N

JUMLAH PENGELUARA SISA STOK N

0 1115 0 0 0 0 0 0 0 0

0 -1033 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

JUMLAH PENGELUARA SISA STOK N

APO DAFTAR MU BULA MUTASI PENERIMAAN 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

JENIS OBAT

2

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris Bufacomb

SATUAN

SISA STOK

3

0 245 90 0 22 0 0 15 0 11 0 0 0 0 0 40 113 0 0 12 0 21 0 0 0 983 0 0 241 0 0 0 0 0 23 34 0 0 0

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

4

5

6

7

8

9

10

11

12

13

500 20 20

500

150

0 245 90 0 22 0 0 515 0 31 20 0 0 0 0 40 113 0 0 12 0 21 0 0 0 983 0 0 241 0 0 500 0 0 23 184 0 0 0

30

15 1 1

1

20

10

4 30 26 10

10 10

10

40 41 42 43 44 45 46 47 48 49 50

Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin

0 7 0 0 38 0 0 0 15 0 0

200

300

300

0 207 0 0 338 0 0 0 15 0 300

10

20

1 20 20

MUTASI PENERIMAAN NO

1

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 80 81

JENIS OBAT

SAT UAN

JUMLAH PERSEDIAAN

SISA STOK

2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg Glimipirid 2 mg Glimipirid 3 mg

8

32 53 0 0 0 0 0 0 45 12 427 0 0 0 0 0 0 356 0 0 0 110 0 31 1 0 0 0 220 44 246

575

20

197

80 315

0 628 0 0 0 0 0 0 45 32 427 0 0 0 0 0 0 356 0 0 0 110 0 31 198 0 0 0 300 359 246

1

2

3

4

5

9

10

11

12

13

12

1

1 1

1

1 1

10

15

1

6

10 40 90 15 10

82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105

Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 500 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

0 0 0 144 7 0 12 63 0 0 0 17 164 0 32 0 7 10 0 5 0 15 0 142

500 500

300

500

180 24 10

1000

500 500 0 144 7 0 12 363 0 0 0 17 164 0 532 0 7 190 0 29 10 15 0 1142

30 10

10

1

15 10

1

1

2

44 23 42 61 10

JUMLAH NO

JENIS OBAT

1

2

106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123

SAT UAN

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK

SISA STOK

PERSE DIAAN 8

658 0 15 0 0 436 22 0 62 110 30 270 192 8 5 120 255 0

20

500

24

658 0 35 0 0 436 22 0 62 110 530 270 192 8 5 120 255 24

1

7 1

150 15 28 5 10 1

124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157

Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Omeprazole 20 mg Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin

0 0 0 0 0 0 0 500 0 0 0 3 0 0 0 117 0 0 0 0 0 0 0 0 0 0 142 0 0 0 0 0 0 0

0 0 0 0 0 0 0 800 0 0 0 3 0 0 0 117 0 0 0 0 0 0 0 0 0 0 442 0 0 0 0 0 0 0

300

300

MUTASI PENERIMAAN NO

1

158 159 160 161 162 163 164 165

JENIS OBAT

2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4 Salitil Talk Scabimit Simvastatin Spectrem

SAT UAN

SISA STOK

3

0 706 0 1 0 12 169 0

I

II

III

IV

4

5

6

7

10

10

2

10 10

JUMLAH PERSE DIAAN

1

2

3

4

5

8

9

10

11

12

13

10

7

10 10

0 706 0 1 0 12 169 0

1

166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183

Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

0 0 0 176 0 0 60 0 0 180 0 0 195 0 22 0 186

1000

0 0 0 176 0 0 0 60 0 0 180 0 0 1195 0 22 0 186

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

20

70 20 28 1 10

1

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OBAT BULAN AGUSTUS 2018 JUMLAH PENGELUARAN TANGGAL 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

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

10

10

35

5

5

10

5

10

5

35 1 1

1

3

15 2 3

2 1

10

2

2

2 2

1

1

2

1

10

1 1

60 10

1

10 1

10 10

4 2

1

5

20

15 20 20

6

6

15

26 26 26 60 40

10 10 10 20

6 10

10 10

20 20

20

30 20 20 20

20

10

14

6 10 20

10

10 10 10 10

10 10

10

10

10

20

6

1 20 JUMLAH PENGELUARAN TANGGAL

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

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

1

6

10

5

1 1

1

2

3

3

3 10

2 10

4 2 5

2 5

2 5

1

5 60

5

1

30

2

5

1

20

10

5

75

2

2

5

1

15

5

5 21 10

5

23 10

30 10 10 10

30

2

10

5

15 30

10

20 10

30

10

5

30

10 25

5

15 15 5 10

30 15

3 30

57 10

20

27

35

7

10

1

5

1

2

10 10 20

2

1 10

5

2

3

7

14

10

15

1

1

14 10

40 10 10

20 2

10

15

2

10

1 1 1

23 16 40

2 30 57 65 65 50 43 20 40

3 20 10 25 46 15

2

44 61 22 86

10 2

1

1

2

1

20 1

1 6

30 90

10 10 45 30

20 20 20 60 6

31 15

10

10 20

5

30

10

10 1

10 5 1

10

10

5

10

10 10

40 30

10

30 10

10 10

10

1

5

6

10 10 10

3 10 10

10

12 10

70

JUMLAH PENGELUARAN TANGGAL 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

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

10

3

3

3

10 14

20 10

10

10 10

20 10

1 1 10

1

1

1 35

5

1 10

10

10

62

30

10

30 16 25 30

10

10 10

10

3

10 10 20 25

10

20

10 20 1

10

10 10

10 10 10 10

20

1 10

10 1

60 75 32 20 1

10

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

20 10

31 39

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 120 0 0 5 0 0 75 0 15 20 0 0 0 0 0 72 0 0 12 0 2 0 0 0 65 0 0 20 0 0 469 0 0 0 157 0 0 0

0 24 0 0 176 0 0 0 8 0 60

31 39

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 68 0 0 0 0 0 0 12 22 65 0 0 0 0 0 0 191 0 0 0 20 0 0 111 0 0 0 200 225 138

57 30 0 55 0 0 1 130 0 0 0 13 0 0 159 0 0 55 0 5 6 1 0 963 JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

12 0 8 0 0 27 3 0 26 20 525 0 120 0 5 10 40 3

0 0 0 0 0 0 0 180 0 0 0 1 0 0 0 45 0 0 0 0 0 0 0 0 0 0 153 0 0 0 0 0 0 0

31 39

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 170 0 1 0 6 70 0

0 0 0 152 0 0 0 60 0 0 0 0 0 524 0 5 0 131

PUSKESMAS BULAN NO 1 2 3 4 5 6 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

: SEPTEMBER 2018 JENIS OBAT

ANTASIDADOEN SIRUP AMOKXICILIN 500 mg AMOKXICILIN SYR 125 ACYCLOVIR 200 MG ACYCLOVIR 400 MG ANTASIDA TAB CLINDAMICIN 300 MG CEFADROXIL SYR 125 MG CYIANOCOBALAMIN CETIRIZINE 10 MG CHLORAMEX CAP 500 MG CIPROFLOXAXIN 500 MG CEFADROXIL 500 MG CAPTOPRIL 25 MG CALCIUM LAKTAT DOMPERIDONE TAB 10 MG ERITROMICYN 500 MG FITOMENADION TAB GUESINEFIN 100 MG GLIMEPERIDE 3 MG IBU PROFEN SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG KOTRIMOKSAZOL SIRUP KOTRIMOKSAZOL 480 mg KLORAMFENIKOL SYR 125 MG LEXAPRAM SYR LOPERAMIDE 2 MG MEFENAMAT ACID 500 MG METOKLOPRAMID 5 MG NA DIKLOFENAK 25 MG NA DIKLOFENAK 50 MG NIFEDIPINE TAB PARACETAMOL SYR PARACETAMOL 500 MG PYTOMENADION PREDNISONE 5 MG

LAPORAN OBAT KAPITASI JUMLAH SAT STOK PENERI PERSEDIAA UAN AWAL MAAN N 1 50 54 2 4 1092 20 92 1000 0 0 70 70 150 40 50 100 560 40 60 500 10 10 118 1 118 802 30 302 500 387 10 387 0 0 513 13 500 0 0 6 1866 366 1500 0 0 0 0 240 25 240 400 400 5 0 0 1136 0 60 0 328 276 368 30 1220 30 0 349 178

1000

92 500

80 1000 500

5 0 0 2136 0 60 0 420 776 368 30 1220 30 80 1349 178 500

2

3 4 5 6 1 2 2 5 20 40 25

30 10 1 30 30 5

40

15 20 20

10 10

10

10 10

70 10

51

20 50

10

20 30

30 10

35

70 40

40 50 30

50

56

5

5 10 3

53 10 10 28

2

1

20 10

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

RANITIDINE TAB 150 MG SALBUTAMOL 2 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG SALISIYSL TALK TETRACYCLINE TAB VITAMIN B COMPLEK SALEP 2-4 CEFOTAXIME INJ LIDOKAIN INJ DIPENHIDRAMIN INJ TRANEXAMIDE ACID INJ SIKZONOAT INJ DILUENT 20 LTR DIATRO LYSE 1 LTR DIATRO CLEANER 1 LTR DIATRO CNT NRML CBC 3 DIFF 2 ML LEOKOPLAST (1X5) BD SYRINGE 0,05 ML BD SYRINGE 0,005 ML MICRODRIP OTSU Y-SET ADAPTOR CAT GUT CHROMIC CAT GUT PLAIN SILK BLACK CYBOW (URINE TEST) SPUIT 1 CC SPUIT 5 CC SPUIT 3 CC KAPAS PEMBALUT 250 GR

97 10 1000 120 6 1400 502

500

500 24

597 10 1000 120 6 1400 1002 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JUMLAH

NO

JENIS OBAT

68 KASA 2 X 80 69 KASA 16 X 16 70 KASA 4 X 15 71 KASA 40 X 40 72 MASKER 73 ECODINE 1 LTR 74 ALKOHOL 70% 75 ULTRA ONE TEST HAMIL 76 GLUCO + PROTEIN TEST 77 GLUCOSA EASY 78 CHOLESTEROL EASY

SAT UAN

PENERIMAA N

PERSE DIAAN

0 0 0 0 0 0 0 0 0 0 0

12 10 20 20

9 36

13 25 10 10 10 10 1 1 9 12

79 URIC ACID EASY 80 HAND SCOON 7 81 HAND SCOON 7,5 82 UNDER PAD 83 ANTICEPTIC GEL 84 VOLLEY CATETER 16 85 VOLLEY CATETER 18 86 VOLLEY CATETER 24 87 DERMAFIX 10 X 8 88 DERMAFIX 5 X 7 89 KAPAS PEMBALUT 500 GR 90 KASA 80 X 40 91 KASA 4 X 3

0 0 0 0 0 0 0 0 0 0 0 0 0

92 TALI PUSAT STERIL 93 URINE BAG

0

94 IV CATETER 18 95 IV CATETER 20

0

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

0 0

KESMAS SOPA'AH BULAN

: OKTOBER

LAPORAN OBAT KA

JUMLAH

NO SAT UAN

1 2

JENIS OBAT

CAPTOPRIL 25 MG NA DIKLOFENAK 25 MG 5 NA DIKLOFENAK 50 MG 6 SALBUTAMOL 2 MG 3 4

STOK AWAL

PENERIMAA N

PERSE DIAAN

1

2

3

4

5

6

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

ANTASIDADOEN SIRUP ERITROMICYN 500 MG IBU PROFEN SIRUP KOTRIMOKSAZOL SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG VITAMIN B COMPLEK METOKLOPRAMID 5 MG LIDOKAIN INJ DIPENHIDRAMIN INJ DOMPERIDON 5 SYR KOTRIMOKSAZOL 400 MG CIPROFLOXACIN 500 mg AMOKXICILIN SYR 125

22 MEFENAMAT ACID 500 MG 23 CLINDAMICIN 300 MG 24 SIKZONOAT INJ 25 PARACETAMOL 500 MG 26 ACYCLOVIR 200 MG 27 ACYCLOVIR 400 MG 28 LEXAPRAM SYR 29 LOPERAMIDE 2 MG 30 PREDNISONE 5 MG 31 CEFADROXIL SYR 32 CETIRIZINE 33 CHLORAMEX CAP 500 MG 34 TRANEXAMIDE ACID INJ 35 CEFOTAXIME INJ 36 DOMPERIDONE TAB 10 MG

RANITIDINE TAB 150 MG KLORAMFENIKOL SYR 125

JUMLAH

NO

37 38

JENIS OBAT

39 PARACETAMOL SYR 40 GLIMEPERIDE 3 MG 41 ANTASIDA TAB 42 CALCIUM LAKTAT 43 FITOMENADION TAB

SAT UAN

SISA STOK PENERIMAA N

0 0 0 0 0 0

PERSE DIAAN

0 0 0 0 0 0 0

1

2

3

30 30 30

4

5

6

50

30 30

44 TETRACYCLINE TAB 45 NIFEDIPINE TAB 46 DILUENT 20 LTR DIATRO 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

0 0 0 LYSE 1 LTR DIATRO 0 CLEANER 1 LTR DIATRO 0 CONTROL NORMAL CBC 3 DIFF 2 M 0 LEOKOPLAST (1X5) 0 BD SYRINGE 0,05 ML 0 BD SYRINGE 0,005 ML 0 MICRODRIP 0 OTSU Y-SET ADAPTOR 0 CAT GUT CHROMIC 0 CAT GUT PLAIN 0 SILK BLACK 0 CYBOW (URINE TEST) 0 SPUIT 1 CC 0 SPUIT 5 CC 0 SPUIT 3 CC 0 KAPAS PEMBALUT 250 GR 0 KASA 2 X 80 0 KASA 16 X 16 0 KASA 4 X 15 0 KASA 40 X 40 #REF! MASKER #REF! ECODINE 1 LTR #REF! ALKOHOL 70% #REF! ULTRA ONE TEST HAMIL #REF! GLUCO + PROTEIN TEST #REF! GLUCOSA EASY #REF! CHOLESTEROL EASY #REF! URIC ACID EASY #REF! HAND SCOON 7 #REF! HAND SCOON 7,5 #REF!

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

UNDER PAD

JUMLAH NO

JENIS OBAT 78 79 80 ANTICEPTIC GEL

SAT UAN

SISA STOK PENERIMAA N

PERSE DIAAN

1

2

3

4

5

6

81 82 83 84 85 86 87 88 89 90

VOLLEY CATETER 16 VOLLEY CATETER 18 VOLLEY CATETER 24 DERMAFIX 10 X 8 DERMAFIX 5 X 7 KAPAS PEMBALUT 500 GR KASA 80 X 40 KASA 4 X 3 TALI PUSAT STERIL URINE BAG IV CATETER 18 IV CATETER 20

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

USKESMAS SOPA'AH

JUMLAH PENGELUARAN TANGGAL 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 2 1 3 5 2 9 1 6 4 1 2 1 3 3 50 20 30 40 10 2 40 75 15 35 25 70 15 30 25 35 10 10

30 1 10 40 40 15 10 10 20

2

2 40

1 1 1 25 30 20 20 10 11 15

10 10

1 10 7 10

56

1

56 10 65

40 20 30 46 115

20 3

10 10 20

22 20

1

1 1 1 5 15 30 25 25 10 10 10 7 37 25 18

95 120 30 40 20 30 50 10 10 22

7 20 22 10 20 46 20 10 20 20 30 10 20 10 10

10

20 20 1 12

2 10

6 10 10 7

3

10 20 30 90 20 40 50 63 10 20 55

30 20

20 20

2

20 20 20 10

1

3

3

4

2

30

4

30 30 10

6 20

6

6

1

30 10 50 30 10 90 25 32 40

20

16

15 30

10

30 41

20

1

3

20

10 10 25 30 10

7

4

2

20 30 20 12 10

14

20 35 30 22 15

5

2

1

2

1

2

1

20 35 10 60 50 46 10 5 10 10 10 10 10

10 10 10 10

20

5

16

1

12 10 1 50 10

77

40

1 54 35 2 3

16 4 1

24

JUMLAH PENGELUARAN TANGGAL

46 31 10 2

10 22 20 3 2

2 15

8 16

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLAH PENGELUARAN TANGGAL 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

JUMLAH PENGELUARAN TANGGAL 7

8

9

10

11

12

13

14

15

16

17

50 70 30 50 30 30 50 20 45 50 30

18

50

19

20

21

30 40 30

22

23

24

25

26

27

28

29

30

31

40 50 40 30

50

30

20

50

JUMLAH PENGELUARAN TANGGAL 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

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLA H SISA PENGE STOK LUARA N 50 647 0 0 110 272 0 10 466 258 0 103 0 1097 0 0 85 0 0 0 0 0 1025 0 0 0 0 465 150 0 205 0 66 657 80 38

132 0 32 80 4 0 552 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JUMLAH PENGELUAR SISA STOK AN

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PENGELUAR SISA STOK AN

JUMLAH PENGELUAR SISA STOK AN

0 1115 0 0 0 0

0 -1115 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

JUMLAH PENGELUAR SISA STOK AN

APO DAFTAR MU BULA MUTASI PENERIMAAN 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

JENIS OBAT

2

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris

SATUAN

SISA STOK

3

0 125 90 0 17 0 0 440 0 16 10 0 0 0 0 40 41 0 0 0 0 19 0 0 0 918 0 0 221 0 0 31 0 0 23 27 0 0

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

3

4

5

4

5

6

7

8

9

10

11

12

13

100

20 10

30

150

0 225 90 0 17 0 0 440 0 36 20 0 0 0 0 40 41 0 0 0 0 19 30 0 0 918 0 0 221 0 0 31 0 0 23 177 0 0

15 80

1

2

1 2

1

14 20

32

10 10

3 16

39 40 41 42 43 44 45 46 47 48 49 50

Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin

0 0 183 0 0 162 0 0 0 7 0 240

500

MUTASI PENERIMAAN NO

1

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

JENIS OBAT

SAT UAN

SISA STOK

2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg

0 0 183 0 0 662 0 0 0 7 0 240

JUMLAH PENGELUARAN TANGGAL JUMLAH PERSEDIAAN 1 2 3 4 8

0 560 0 0 0 0 0 0 33 10 362 0 0 0 0 0 0 165 0 0 0 90 0 31 87 0 0 0 100

200

30

100

300

10

0 560 0 0 0 0 0 0 33 10 362 0 0 0 0 0 0 365 0 0 0 120 0 31 187 0 0 0 400

9

10

10

1

11

5

12

13

2

2 10 30

10

15

20

1 5

25

15

5

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

Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 500 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

134 108 443 470 0 89 7 0 11 233 0 0 0 4 164 0 373 0 7 135 0 24 4 14 0 179

300

10

1133

434 108 443 470 0 89 7 0 11 233 0 0 0 14 164 0 373 0 7 135 0 24 4 14 0 1312

5

10 30

1

1

15 10

1

33 24

32 53

JUMLAH NO

1

106 107 108 109 110 111 112 113 114 115 116 117 118 119 120

JENIS OBAT

SAT UAN

SISA STOK

PERSE DIAAN

646 0 27 0 0 449 19 0 36 90 5 270 72 8 0

646 0 27 0 0 449 19 0 36 90 405 270 372 8 0

2

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab

8

400 300

1

1

1

4 30

15 10

121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157

Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Omeprazole 20 mg Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin

110 215 21 0 0 0 0 0 0 0 620 0 0 0 2 0 0 0 72 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0

110 215 45 0 0 0 0 0 0 0 620 0 0 0 2 0 0 0 192 0 0 0 0 0 0 0 0 0 0 289 0 0 0 0 0 0 0

24

120

MUTASI PENERIMAAN NO

1

158 159 160 161

JENIS OBAT

2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4

SAT UAN

SISA STOK

3

0 536 0 0

I

II

III

IV

4

5

6

7

50

40 10 50 20

10

5

16

32

JUMLAH PERSE DIAAN

1

2

3

4

5

8

9

10

11

12

13

0 536 0 0

25

20

162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183

Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

0 6 99 0 0 0 0 24 0 0 0 20 0 0 180 0 0 671 0 17 0 55

300

100

0 6 99 0 0 0 0 324 0 0 0 20 0 0 180 0 0 671 0 17 0 155

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

10

20

10

29

10 1 10

30

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OBAT BULAN SEPTEMBER 2018 JUMLAH PENGELUARAN TANGGAL 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

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

10 15

10

5

10

30

15

10 10

10

7 30

10 1

20 15 30 20 10 1

1

2

1

1

1 1

1

2

2

2

1

3

1 1

26

100

15

10

2

40

30 20

20

10 10

10

40 23 24

11

20

10

10

54 15 10 27

10 10

5

20

10

10 30 20

20

30

3 30 10

10 20

10 10

10

15 20

10 30 10

20

30 50

5 40 10

1

10 30 30 20

1

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

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

10

5

2 10

50

10

3

2 15

5

70

1

3

10 11

10

12

1

1 20

20 10

10

10

10 11

1 1

1 10

10

1 1 10 10

10

10

6

5

5

6

20

5

10

10

5 10

10

30 30

5

30 10

10

30 30

20

30

14

20 10 30 30

10

9 7 35

2 10 10

10

3

5 2

15

20

10

12

5 25

15

5

16 10

1 10 10 3

20

10

10

10 10 1

1

1

1

42 20 30

32

1 10

20

10 1

1

44 22 17 40

1

5 34

1

2

49 65

5 52 33

55 54 46

20 10 1

2

3

1

1

1

1

1

2

2

1

1

1

5 10 14

30

70 15

10 30 40

20

20

10 40 100

10 10

10 14 20 10

15

15

10

1

20 20 20

15

10 10 10 10 10

30 10 20

20

30

20 20 30 20 30 10

1

10

10

30

9

1

10 40

1

10

10

15

25

5

20 20 25

20 40

10

30

2

5

10

JUMLAH PENGELUARAN TANGGAL 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

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

10

2

10 10 12 10

5

35 51 10

10 10

20

15

23

15

30

20

10 10 20 30 3

30

1

10

10

20

30 32

1 1

30

5

30

7

10

10 22

20

10 50 52

6

1 10

10

7

2 1

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

10

31 39

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 177 90 0 1 0 0 95 0 20 8 0 0 0 0 0 36 0 0 0 0 0 0 0 0 445 0 0 80 0 0 32 0 0 3 101 0 0

30

31 39

0 0 160 0 0 423 0 0 0 2 0 0 JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 72 0 0 0 0 0 0 0 7 161 0 0 0 0 0 0 202 0 0 0 45 0 1 112 0 0 0 145

196 39 30 65 0 32 0 0 1 133 0 0 0 2 21 0 98 0 0 30 0 11 0 0 0 787

4

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

30 0 14 0 0 0 7 0 9 0 425 0 117 0 0

0 114 2 0 0 0 0 0 0 0 520 0 0 0 2 0 0 0 140 0 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0

31 39

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 278 0 0

0 0 32 0 0 0 0 182 0 0 0 0 0 0 10 0 0 384 0 6 0 72

AP DAFTAR M BULA MUTASI PENERIMAAN 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

JENIS OBAT

2

Aludona Alupurinol 100 mg Allupurinol 300 mg Alprazolam Albendazole Albothyl / Aptil Amitriptilin Amoxicilin 250 Amoxicilin 500 Amoxicilin syrup 125 mg Amoxicilin syrup 250 mg Ampicilin 500 Ampiciln Syrup Ambroxol Ambroxol Syr Aminopilin Amlodipine 5 mg Antalgin 500mg Antasida Tab 500 Antasida Syr Anti fungsi Anti Bakteri( bacit sk) Albendazole Altran Arcamox Syr 125 mg As. Askorbat 50 mg (vit c) As. Askorbat 250 mg (Vit C) Asetosal Asiclovir 200 Asiclovir 400 Asiclovir cream Asam Mefenamat 500 mg Asam Mefenamat 250 mg B.Complek Betametason Sk Betahistin mesylate Bio ATP Bronkris

SATUAN

SISA STOK

3

0 48 0 0 16 0 0 345 0 16 12 0 0 0 0 40 5 0 0 0 0 19 30 0 0 473 0 0 141 0 0 -1 0 0 20 76 0 0

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

3

4

4

5

6

7

8

9

10

11

12

200

20 20

1060 20

500 100 500

240

0 248 0 0 16 0 0 345 0 36 32 0 0 0 0 40 5 0 1060 20 0 19 30 0 0 473 0 0 641 100 0 499 0 0 20 316 0 0

15

10 1

20 2

1

5

25 35 2 1 1

1

30 12

21 30

9

1

50 20

30 40

42 30 2

99 1

39 40 41 42 43 44 45 46 47 48 49 50

Bufacomb Captopril 25 mg Captopril 50 mg Ciprofloxacin Cefadroxil 250 mg Tab Cefadroxyl 500 mg Cefadroxyl Syr 125 mg Concimin Cimetidine Cetirizien sirup Cetirizien tab Clindamicin

0 0 23 0 0 239 0 0 0 5 0 240

600

500

0 0 623 0 0 739 0 0 0 5 0 240

130 85 140 90

33

30

20 20

10

1

2

3

4

9

10

11

12

5

MUTASI PENERIMAAN NO

1

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

JENIS OBAT

SAT UAN

JUMLAH PERSEDIAAN

SISA STOK

2

Cyanocobalamin (B12) Dexametason 0,5 mg Dextrometorfan 15mg Dextrometorfan Syrup Diazepam Diovan Difenhidramin Digoxin Dimenhidrinat Donperidon Syr Donperidon Tab Efedrin Erytromicine Tab Erytromicine Syrp Fenoxi Metil 250 Fenoxi Metil 500 Fenol TT Furosemide Fludane Syr Fludane Tab Gameksan Gemfibrozil Gentamicin Sk Gentamicin TM Garam Oralit 200 ml Garapon Cream Gavistan (Metoclor Drop) Gentian Violet Glimipirid 1 mg

8

0 488 0 0 0 0 0 0 33 3 201 0 0 0 0 0 0 163 0 0 0 75 0 30 75 0 0 0 255

100

200

100

0 488 0 0 0 0 0 0 133 3 201 0 0 0 0 0 0 363 0 0 0 75 0 30 175 0 0 0 255

30 37 3

30 10 23

10 1

15

15

25

5

30 10

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

Glimipirid 2 mg Glimipirid 3 mg Glimipirid 4 mg Gliben Clamid 5 mg Gliseril Guakolat 100 mg Gliseofulvin Tab 500 mg Gliseofulvin Tab 125 mg Halloperidol Hidrokortison Cream Hidro Klorotiazid / HCT Hiscopan Tab Ibu Proven 200 mg Ibu Proven 400 mg Ibu proven Syrup ISDN Iosinopril Tab Kalsium Laktat 500 mg Kandistatis Kloramfenicol Syrup Kloramfenicol 250 Kloramfenicol 500 Kloramfenico SM Kloramfenico TM Kloramfenico SK Kloramfenicol TT Kloramfeniramin Maleat 4 mg

238 69 413 405 0 57 7 0 10 100 0 0 0 12 143 0 275 0 7 105 0 13 4 14 0 525

200

200

24 10

600

238 69 413 405 200 57 7 0 10 300 0 0 0 12 143 0 275 0 7 105 0 37 14 14 0 1125

60 10

60 60

10

10 10

10

100

30

60 50 164 20 10 1 1

10

30

1

1 1

1

13 40

1

40 22

JUMLAH NO

1

106 107 108 109 110 111 112 113 114 115 116 117 118 119 120

JENIS OBAT

SAT UAN

2

Kotrimoxasol 480 mg Kotrimoxasol 960 mg Kotrimoxasol Syr Kodein Kotrimoxasol pediatrik Ketokonazol Tab Ketokonazol Cream Lisinopril Loperamid Loratadine Metformine Metil Ergometrin Tab 0,125 mg Metil Prednisolone Metocropamide Syr Metocropamide Tab

SISA STOK

616 0 13 0 0 449 12 0 27 90 -20 270 255 8 0 110

PERSE DIAAN 8

200 300

0 13 0 0 449 12 0 27 90 180 570 255 8 0 110

1

10 1 1

1 3

10 10 30 10 10

5

121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157

Metronidazole 250 mg Metronidazole 500 mg Mekonazol SK Meracap Merapect MDT MB Dewasa MDT MB Anak MDT PB Dewasa MDT PB Anak Miracap Na.Diclofenat 25 mg Na.Diclofenat 50 mg Neo Diastop Neuropanstop Nefedipine Insulin Nuvoropid Insulin Lantus pen OBH Omeprazole 20 mg Oxitetraciklin SM Oxitetraciklin SK Panstop Papaverin Paracetamol 100 Paracetamol 500 Paracetamol Syr Paracetamol drop Piracetam Pirantel Piridoxin B6 Piroxicam Phenobarbital Phytominadion Poncofen Prednison Propanolol Ranitidin

101 43 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 69 0 0 0 0 0 0 0

101 43 0 0 0 0 0 0 0 100 500 0 0 0 0 0 0 52 0 19 0 0 0 0 0 0 0 0 69 500 0 0 0 0 0 0 0

500

19

500

MUTASI PENERIMAAN NO

1

158 159 160 161

JENIS OBAT

2

Reserpin Salbutamol 2 mg Salbutamol 4 mg Salep 2-4

SAT UAN

SISA STOK

3

0 258 0 0

25

20

40 20

40 40 1

30 3

1

20 10

10

10

50

5

22

JUMLAH

I

II

III

IV

PERSE DIAAN

1

2

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12

0 258 0 0

10

5 10

162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183

Salitil Talk Scabimit Simvastatin Spectrem Spectrem Syrup Sulfa TM Sulfadimin Tablet Tambah Darah Tablet Tambah Hemafort TTd Camabion Tensiquard Tetraciklin 500 Tetraciklin 250 Thiamfilex Thiamfenicol 500 mg Tiamfenicol 250 mg Trihexyphenidyl Thiamin Tab 50 mg Vicatanal Zink Syr Zink Drop Zink tab

0 6 67 0 0 0 0 142 0 0 0 20 0 0 170 0 0 287 0 11 0 83

120

1000

0 6 67 0 0 0 0 262 0 0 0 20 0 0 170 0 0 1287 0 11 0 83

Disetujui Oleh Kepala UPT Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

2 10

5

1 17 22 15

5

10

40

15 50 10

5

APOTIK PUSKESMAS DAFTAR MUTASI PERSEDIAAN OBAT BULAN SEPTEMBER 2018 JUMLAH PENGELUARAN TANGGAL 5

6

7

8

9

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36

37

20

20 10

20 20 1

10 2

20 75 25 40 20 30 2 1 1 2

10 20 30 3 3 1 1

15 16

1 4

3

80

10

15

30 55 35 1 2 2

10 30

35 1 1

75 20 25 10

26 3

10 10 10 50 2 2 1

115

25 32 11 13

26

20 2 1

22 20 2 14 2

1

1

55 62 25 36 17 22

32 31

10 17

10

1

30 1 1

35 2 2

30 3

3

36

5 10

20

70 30

20 40 60 46 20 50

30 10 36

10 50

61

56 20 30 30

20

50

30 15

47 61 13 74 12 24 10 40 11 15 1 1 20 15 26 25 10 3

9 25

10 30

25 30 60 68

35 72

62

20 15

10

10

5

10

6

53

271 76 100 20 110 61 10

25

20 10

10

2 30 40 10

25 40

60 69 10 2 35

1 20 17

15 30 17

195

167

30 35 63 80

11 10

10 10

13 20

25 20 10 13

1 1 39 28

7

90

115

10 10 14

1 10

14

JUMLAH PENGELUARAN TANGGAL

5

6

7

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30

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32

33

34

35

36

37

40 30 30

20 12 10

5 20 3

17

20 10

21

10 3

3 10

60 20

5

10

5 3

30 5

5

6 20

10

10 10

10 1 10

20 20

8

1

5

8

15

52

30

30 15

10

5

5

3

12

30

30 10

5

15

10

5

10

8

7

60

30

36

5

3 10

10

15

10

10

5

30

18

30 30

10

30 30 30

60

51

67 30 30 6

4 17

25 20 60

30

25

8

17

17

40 20

30

7

30 10

10 1 10

10

10 10

10 15 10

30 50

40 15 40

20 15 10 140 70 80 10 10 1 1 2

1

1

7

40 60 80

61

65 20 50 83

10

30

90 40

75

2

1

1 20 25

11 20

10

10

1

2

4

1

12 1 33

3

2

2

2 1

1

2 1

1 1

1 1

1

3 16 20

32

1

51 55 17 45 20

9

50 43 39

35

41

20

3

30

20 1

20 1

20 1

10

1

1

1

12

10 30 30 10

5

8

1 10

10

5

10

30 10 10

12 5 10

1

30 10

5 10

16

10 1

15 20

1

10

30

10 20 30

1

20

20

20

11

30 20

1

10

35 10 35 50 6 1 2

10

10 10 20 33 1 1 2 3

35 5

10

60 1

10 20

10

10 15 10 60 1 1 1

12 1

10

42

10

15

20 25

40

1

10

10 2

10

2

27 45 10

16 6

10 10

28

22 25 10 20 44 20

20 15

28 34

30 38 20 10

20 22

120

JUMLAH PENGELUARAN TANGGAL 5

6

7

8

9

10

11

12

13

14

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37

2

10 10

5

10

30 10

40

25 1

25

10 30 20 1

3

10

17 20

1 12

45 20

25

1 30

10

18

1 15

30

30

20 20

20 30 25 20

1

2

3 5

30

30

40

10 10

20

10

10

20 30 20

20 1

10

10 5

10

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Bagian Apotik

SRI SUHARTUTIK, A.Md. Kep NIP : 198107162011012010

10

10

30

31

38

39

10

20 1

15 5

12 2

50

45

10

10

24 1

57

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 195 0 0 0 0 0 0 20 18 10 0 0 0 0 0 0 0 378 102 0 3 0 0 0 691 0 0 5 30 0 829 0 81 36 172 3 0

0 53 0 0 16 0 0 345 -20 18 22 0 0 0 0 40 5 0 682 -82 0 16 30 0 0 -218 0 0 636 70 0 -330 0 -81 -16 144 -3 0

10

20 10 10

1 20

30

31

38

39

5 3

10 10

10 10

12

0 20 10 116 0 337 0 0 0 4 338 0

0 -20 613 -116 0 402 0 0 0 1 -338 240

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

397 184 0 0 0 0 0 0 61 20 80 0 35 0 0 0 0 296 0 0 0 75 0 0 74 0 0 0 177

-397 304 0 0 0 0 0 0 72 -17 121 0 -35 0 0 0 0 67 0 0 0 0 0 30 101 0 0 0 78

30

30

27

28

5

30

2

508 0 318 116 0 42 27 0 1 285 0 30 30 11 1 0 106 0 1 30 0 18 22 5 0 732

-270 69 95 289 200 15 -20 0 9 15 0 -30 -30 1 142 0 169 0 6 75 0 19 -8 9 0 393

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

20 0 2 0 0 55 19 0 26 63 166 0 102 10 32

-20 13 -2 0 449 -43 -19 27 64 117 404 255 -94 -10 78

10

10

23 1

33 2

5

15

12

10

17

30

31

38

39

10

0 85 3 0 0 0 0 0 0 0 346 0 0 0 4 0 0 0 50 0 0 0 0 0 33 3 0 0 0 137 0 0 70 0 66 0 264

101 -42 -3 0 0 0 0 0 0 100 154 0 0 0 -4 0 0 52 -50 19 0 0 0 0 -33 -3 0 0 69 363 0 0 -70 0 -66 0 -264

JML PENGELUA RAN

SISA

HARGA SATUAN

NILAI PERSEDIAA N OBAT

40

41

42

43

0 255 0 12

0 3 0 -12

1 10

10

10

10

5

0 7 248 0 0 0 0 208 0 0 0 10 0 0 0 0 0 440 0 7 0 70

0 -1 -181 0 0 0 0 54 0 0 0 10 0 0 170 0 0 847 0 4 0 13

PUSKESMAS BULAN NO 1 2 3 4 5 6 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

: SEPTEMBER 2018 JENIS OBAT

ANTASIDADOEN SIRUP AMOKXICILIN 500 mg AMOKXICILIN SYR 125 ACYCLOVIR 200 MG ACYCLOVIR 400 MG ANTASIDA TAB CLINDAMICIN 300 MG CEFADROXIL SYR 125 MG CYIANOCOBALAMIN CETIRIZINE 10 MG CHLORAMEX CAP 500 MG CIPROFLOXAXIN 500 MG CEFADROXIL 500 MG CAPTOPRIL 25 MG CALCIUM LAKTAT DOMPERIDONE sirup DOMPERIDONE TAB 10 MG ERITROMICYN 500 MG FITOMENADION TAB GUESINEFIN 100 MG GLIMEPERIDE 3 MG IBU PROFEN SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG KOTRIMOKSAZOL SIRUP KOTRIMOKSAZOL 480 mg KLORAMFENIKOL SYR 125 MG LEXAPRAM SYR LOPERAMIDE 2 MG MEFENAMAT ACID 500 MG METOKLOPRAMID 5 MG NA DIKLOFENAK 25 MG NA DIKLOFENAK 50 MG NIFEDIPINE TAB PARACETAMOL SYR PARACETAMOL 500 MG PYTOMENADION

LAPORAN OBAT KAPITASI JUMLAH SAT STOK PENERI PERSEDIAA UAN AWAL MAAN N 1 2 3 4 4 45 49 445 1000 1445 0 0 70 70 40 40 288 288 10 10 108 108 336 500 836 129 300 429 0 0 410 410 0 0 769 1937 2706 0 0 10 0 0 155 155 400 400 0 20 31 20 10 5 5 0 20 20 0 0 1111 1000 2111 0 0 180 60 60 0 0 420 420 311 500 811 218 218 30 30 1015 1015 30 30 14 50 64 692 692 98 98

5

6

15 10

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

PREDNISONE 5 MG RANITIDINE TAB 150 MG SALBUTAMOL 2 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG SALISIYSL TALK TETRACYCLINE TAB VITAMIN B COMPLEK SALEP 2-4 CEFOTAXIME INJ LIDOKAIN INJ DIPENHIDRAMIN INJ TRANEXAMIDE ACID INJ SIKZONOAT INJ DILUENT 20 LTR DIATRO LYSE 1 LTR DIATRO CLEANER 1 LTR DIATRO CNT NRML CBC 3 DIFF 2 ML LEOKOPLAST (1X5) BD SYRINGE 0,05 ML BD SYRINGE 0,005 ML MICRODRIP OTSU Y-SET ADAPTOR CAT GUT CHROMIC CAT GUT PLAIN SILK BLACK CYBOW (URINE TEST) SPUIT 1 CC SPUIT 5 CC SPUIT 3 CC KAPAS PEMBALUT 250 GR

462 465 10 968 40 2 1400 450 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

300 1000 200 15 1000

462 765 1010 968 240 17 1400 1450 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JUMLAH

NO

JENIS OBAT

70 KASA 2 X 80 71 KASA 16 X 16 72 KASA 4 X 15 73 KASA 40 X 40 74 MASKER 75 ECODINE 1 LTR 76 ALKOHOL 70% 77 ULTRA ONE TEST HAMIL 78 GLUCO + PROTEIN TEST 79 GLUCOSA EASY

SAT UAN

PENERIMAA N

PERSE DIAAN

0 0 0 0 0 0 0 0 0 0

80 CHOLESTEROL EASY 81 URIC ACID EASY 82 HAND SCOON 7 83 HAND SCOON 7,5 84 UNDER PAD 85 ANTICEPTIC GEL 86 VOLLEY CATETER 16 87 VOLLEY CATETER 18 88 VOLLEY CATETER 24 89 DERMAFIX 10 X 8 90 DERMAFIX 5 X 7 91 KAPAS PEMBALUT 500 GR 92 KASA 80 X 40 93 KASA 4 X 3

0 0 0 0 0 0 0 0 0 0 0 0 0 0

94 TALI PUSAT STERIL 95 URINE BAG

0

96 IV CATETER 18 97 IV CATETER 20

0

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

0 0

KESMAS SOPA'AH BULAN

: OKTOBER

LAPORAN OBAT KA

JUMLAH

NO SAT UAN

1 2

JENIS OBAT

CAPTOPRIL 25 MG NA DIKLOFENAK 25 MG 5 NA DIKLOFENAK 50 MG 3 4

STOK AWAL

PENERIMAA N

PERSE DIAAN

1

2

3

4

5

6

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

SALBUTAMOL 2 MG ANTASIDADOEN SIRUP ERITROMICYN 500 MG IBU PROFEN SIRUP KOTRIMOKSAZOL SIRUP IBU PROFEN 400 MG IBU PROFEN 200 MG SALBUTAMOL 4 MG SIMVASTATIN 20 MG VITAMIN B COMPLEK METOKLOPRAMID 5 MG LIDOKAIN INJ DIPENHIDRAMIN INJ DOMPERIDON 5 SYR KOTRIMOKSAZOL 400 MG CIPROFLOXACIN 500 mg AMOKXICILIN SYR 125

22 MEFENAMAT ACID 500 MG 23 CLINDAMICIN 300 MG 24 SIKZONOAT INJ 25 PARACETAMOL 500 MG 26 ACYCLOVIR 200 MG 27 ACYCLOVIR 400 MG 28 LEXAPRAM SYR 29 LOPERAMIDE 2 MG 30 PREDNISONE 5 MG 31 CEFADROXIL SYR 32 CETIRIZINE 33 CHLORAMEX CAP 500 MG 34 TRANEXAMIDE ACID INJ 35 CEFOTAXIME INJ 36 DOMPERIDONE TAB 10 MG

RANITIDINE TAB 150 MG KLORAMFENIKOL SYR 125

JUMLAH

NO

37 38

JENIS OBAT

39 PARACETAMOL SYR 40 GLIMEPERIDE 3 MG 41 ANTASIDA TAB 42 CALCIUM LAKTAT

SAT UAN

SISA STOK PENERIMAA N

0 0 0 0 0

PERSE DIAAN

0 0 0 0 0 0

1

2

3

30 30 30

4

5

6

50

30 30

43 FITOMENADION TAB 44 TETRACYCLINE TAB 45 NIFEDIPINE TAB 46 DILUENT 20 LTR DIATRO 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

0 0 0 0 LYSE 1 LTR DIATRO 0 CLEANER 1 LTR DIATRO 0 CONTROL NORMAL CBC 3 DIFF 2 M 0 LEOKOPLAST (1X5) 0 BD SYRINGE 0,05 ML 0 BD SYRINGE 0,005 ML 0 MICRODRIP 0 OTSU Y-SET ADAPTOR 0 CAT GUT CHROMIC 0 CAT GUT PLAIN 0 SILK BLACK 0 CYBOW (URINE TEST) 0 SPUIT 1 CC 0 SPUIT 5 CC 0 SPUIT 3 CC 0 KAPAS PEMBALUT 250 GR 0 KASA 2 X 80 0 KASA 16 X 16 0 KASA 4 X 15 0 KASA 40 X 40 #REF! MASKER #REF! ECODINE 1 LTR #REF! ALKOHOL 70% #REF! ULTRA ONE TEST HAMIL #REF! GLUCO + PROTEIN TEST #REF! GLUCOSA EASY #REF! CHOLESTEROL EASY #REF! URIC ACID EASY #REF! HAND SCOON 7 #REF! HAND SCOON 7,5 #REF!

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

UNDER PAD

JUMLAH NO

78 79

JENIS OBAT

SAT UAN

SISA STOK PENERIMAA N

PERSE DIAAN

1

2

3

4

5

6

80 81 82 83 84 85 86 87 88 89 90

ANTICEPTIC GEL VOLLEY CATETER 16 VOLLEY CATETER 18 VOLLEY CATETER 24 DERMAFIX 10 X 8 DERMAFIX 5 X 7 KAPAS PEMBALUT 500 GR KASA 80 X 40 KASA 4 X 3 TALI PUSAT STERIL URINE BAG IV CATETER 18 IV CATETER 20

Disetujui Oleh Kepala UPTD Puskesmas Sopa'ah

Hj. AMBARWATI, SST.SH. Msi NIP : 196604241990012001

USKESMAS SOPA'AH

JUMLAH PENGELUARAN TANGGAL 7

8

9 10 11 12 13 14 15 16 17 18

33 35 9 15 2 43 24 47

19 20 21 22 23 24 25 26 27 28 29 30 31

JUMLAH PENGELUARAN TANGGAL

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLAH PENGELUARAN TANGGAL 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

JUMLAH PENGELUARAN TANGGAL 7

8

9

10

11

12

13

14

15

16

17

50 70 30 50 30 30 50 20 45 50 30

18

50

19

20

21

30 40 30

22

23

24

25

26

27

28

29

30

31

40 50 40 30

50

30

20

50

JUMLAH PENGELUARAN TANGGAL 7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

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29

30

31

Pamekasan, Tgl ………………….. Dibuat dan Dikeluarkan Oleh Petugas Apotik

SRI SUHARTUTIK A.Md. Kep NIP : 198107162012012010

JUMLA H SISA PENGE STOK LUARA N 0 49 0 1445 0 0 0 70 0 40 0 288 0 10 0 108 0 836 0 429 0 0 0 410 0 0 0 2706 0 0 0 0 0 314 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 155 400 -314 5 20 0 2111 0 180 60 0 420 811 218 30 1015 30 64 692 98

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

462 765 10 968 240 17 1400 1450 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PENGELUAR SISA STOK AN

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

JUMLAH PENGELUAR SISA STOK AN

JUMLAH PENGELUAR SISA STOK AN

0 1115 0 0 0

0 -1115 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

JUMLAH PENGELUAR SISA STOK AN