Rekap Obat Harian Bulan : No
Nama obat Tablet
1 Acyclovir 2 Allupurinol 3 Alprazolam 4 Amlodipin 10mg 5 Amlodipin 5mg 6 Amoksicillin 7 Antasida 8 Betahistin maleat 9 Captopril 12.5mg 10 Captopril 25mg 11 Cefadroxyl 12 Ciprofloksasin 13 Clorpeniramin maleat 14 Cotrimoksazol 15 Cotrimoksazol 16 Curcuma 17 Deksametason 18 Diazetpam 19 Domperidon 20 Eritromisin 21 Furosemid 22 Glibenglamid 23 Gliserin Guacionat
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Tanggal 16 17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jumlah
24 Glukosamin 25 Griseofulvin No
Tanggal
Nama obat 1
2
3
4
5
26 Haloperidol 27 Isosorbit Dinitrat 28 Metergin 29 Metformin 30 Methylprednison 31 Metronidazol 32 N acetil sistein 33 Nifedipin 34 Oralit 35 Paracetamol 36 Phenobarbital 37 Ranitidin 38 Salbutamol 4mg 39 Scopamin 40 Tambah darah 41 Vitamin A 42 Vitamin B1 43 Vitamin B6 44 Vitamin C 50 mg 45 Simvastatin 46 47
Injeksi
\
6
7
8
9
10
11
12
13
14
15
16
Jumlah 17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1 Anti tetanus serum 2 Atropine 3 Ca Gluconas 4 Deksametason No
Tanggal
Nama obat 1
5 Diazepam 6 Dipenhydramine 7 Gentamicin sulfate 8 Haloperidol deconoate 9 Ipratropium Bromide 10 Lidokain 11 Lodomer 12 Metoclopramide Hcl 13 Oksitosin 14 Ranitidin 15 Tramadol Hcl 16 Vitamin K 17 18
Sirup 1 Amoksicillin 125mg 2 Amoksicillin 250mg 3 Antasida 4 Cotrimoksazole 5 Metronidazol 6 Parasetamol
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Jumlah 17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Drop 1 Amoksicilin 100mg/ml 2 Paracetamol
No
Tanggal
Nama obat 1 Salep
1 Acyclovir 2 Betametason 3 Gentamicin 4 Hidrokortison 5 Miconazol 6 Scabimid 7
Suppositoria 1 Anti Hemoroid 2 Dulcolak 3 Dumin 125mg 4 Dumin 250mg 5 Stesolid 6
Respul 1 Aquades 25ml 2 MgSo4 25 ml
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Jumlah 17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
3 Ventolin
Obat Tetes 1 Erlamycetin otm 2 Phenol glycerol 3 Gentamicin OTT
LAPORAN B NO
NAMA BARANG
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
Alkohol Alkohol swab Benang Catgut 2.0 Benang Catgut 3.0 Benang Catgut 4.0 Benang Catgut 5.0 Benang Silk 3.0 Benang Silk 4.0 Benang Silk 5.0 Betadin Handscon non steril M Handscon non steril S Handscon Steril M Handscon steril S Infus Makro Infus Mikro Iv Cath 16 Iv Cath 18 Iv Cath 20 Iv Cath 22 Iv Cath 24 Kapas Kassa Gulung Kateter Masker Nebu dewasa Plester Plesterin Selang Oksigen anak Selang Oksigen dewasa Spuit 1 cc Spuit 3 cc Spuit 5 cc Urin bag
1
2
3
4
5
6
7
8
9
10
LAPORAN BARANG HABIS PAKAI 11
12
13
14
TANGGAL 15 16 17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jumlah