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REKAPITULASI LAPORAN : PEGGUNAAN RESEP OBAT GENERIK DI P

Ruangan
: Gudang obat
Puskesmas : Kampar Kiri
Kabupaten : Kampar
Bulan
: MARET 2016
R/OBAT
ASKES

UMUM
JUMLAH
LEMBAR TOTAL R/
RESEP

TANGGAL

Januari

Februari

26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12

TOTAL R/ OBAT
GENERIK

% R/ OBAT GENERIK
TERHADAP TOTAL R/

TOTAL R/

TOTAL R/ OBAT
GENERIK

% R/ OBAT GENERIK
TERHADAP TOTAL R/

24
37
17
17
21

42
78
31
23
33

42
78
31
23
33

100%
100%
100%
100%
100%

10
10
9
8
20

10
10
9
8
20

100%
100%
100%
100%
100%

38
23
43
19
20
17
3
1
30
33
29
17

62
53
79
32
31
20
8
5
33
53
31
28

62
53
79
32
31
20
8
5
33
53
31
28

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

30
10
20
16
10
15

30
10
20
16
10
15

20
22
20
7

20
22
20
7

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

13
14
15
16
17
18
19
20
21
22
23
24
25

22
3
39
20
30
40
30
26
44
14
23
23
16

40
7
53
40
71
56
38
54
60
27
21
44
18

40
7
53
40
71
56
38
54
60
27
21
44
18

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

12

12

20
7
9
40
17
11
25
4
20
10
10

20
7
9
40
17
11
25
4
20
10
10

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

TOTAL
MENGETAHUI
Plh KEPALA UPTD PUSKESMAS KAMPAR KIRI

Penanggungjawab Gudang Obat

dr. Pasniwati
Nip 19750805 200904 2 001

Suharpa., S,Farn,Apt
NIRIK: 440.P1406010101.2015.01.160

RESEP OBAT GENERIK DI PUSKESMAS

JAMKESMAS
TOTAL R/

TOTAL R/

JUMLAH
TOTAL R/ OBAT
GENERIK
(UMUM,ASKES,
JAMKESMAS
(5+8+11)

% R/ OBAT GENERIK
TERHADAP TOTAL R/
(UMUM,ASKES,
JAMKESMAS
(14 : 13 X 100%)

TOTAL R/ OBAT
GENERIK

% R/ OBAT GENERIK
TERHADAP TOTAL R/

(UMUM,ASKES,
JAMKESMAS
(4+7+10)

10

11

12

13

14

15
20
9
10
13

15
20
9
10
13

100%
100%
100%
100%
100%

68
108
49
41
66

300%
300%
300%
300%
300%

22.60%
36%
16%
14%
22%

32
12
30
10
10
19

32
12
30
10
10
19

30
28
22
11

30
28
22
11

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

124
75
129
58
51
54
8
5
83
103
73
46

300%
300%
300%
300%
300%
300%
300%
300%
300%
300%
300%
300%

41%
11.60%
44%
19%
17.00%
18%
8%
5.00%
27.60%
34.30%
24%
15.30%

20

20

30
11
10
19
30
10
40
10
21
13
18

30
11
10
19
30
10
40
10
21
13
18

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

72
7
108
58
89
115
65
75
125
41
62
67
46

300%
300%
300%
300%
300%
300%
300%
300%
300%
300%
300%
300%
300%

LIPATKAIN, 29 FEBRUARI 2016


PEMBUAT LAPORAN

DAMAN HURI
NIP 19641011 198703 1 006

24.60%
7%
34.30%
19.30%
29.60%
39%
21.60%
25.30%
41.60%
13.60%
20.60%
22.30%
16%

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT


(LPLPO)
KODE PUSKESMAS
PUSKESMAS
KECAMATAN
KAB/KOTA
PROVINSI
NO.
1

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

14060077101
Kampar Kiri
Kampar Kiri
Kampar
RIAU
NAMA OBAT

SATUAN

STOK AWAL

PENERIMAAN

PERSEDIAAN

PEMAKAIAN
(3 BLN)

SISA STOK

pcs
pcs
pcs
tube
tab
tab
pcs
pcs
pcs
pcs
tab
tab
tab
tab
tab
btl
tab
tab
tab
tab

140
155
70
0
2150
1200
0
0
0
20
0
3300
670
11200
700
19
0
9000
70
9930

100
100
100
300
2500
2000
300
500
200
0
0
500
3000
10000
300
0
6000
300
0
0

240
255
170
300
4650
3200
300
500
200
0
0
3800
3670
21200
1000
0
6000
9300
70
9930

220
245
150
200
4000
3000
300
450
120
0
0
800
270
19000
800
0
6000
8300
70
9930

20
10
20
100
650
200
0
50
80
0
0
3000
3400
2200
200
0
0
1000
0
0

Abbocath No.20
Abbocath No.22
Abbocath No.24
Aciclovir cream
Aciclovi 200 mg
Aciclovi 400 mg
Alat suntik 1 ml
Alat suntik 2,5 ml
Alat suntik 3 ml
Alat suntik 5 ml
Allupurinol 100 mg
Aminophilin 200 mg
Amitryptilin Hcl 25 mg
Amoxicillin 500 mg
Amoxicillin 250 mg
Amoxicillin syrup
Ampicillin 500 mg
Ambroxol 30 mg
Ambroxol syrup
Amlodipin 5 mg

21
22
23
24
25
26
27
28

NO.
1

Amlodipin 10 mg
Antalgin (Metampiron) 500 mg
Antasida doen
Antasida syrup
Anti hemoroid Doen
Asam ascorbat (Vitamin C) 50 mg
Asam Mefenamat 500 mg
Aqua pro injeksi steril

NAMA OBAT
2

29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47

Bisoprolol 5 mg
Bacitracin polymixin
Betametason
Catgut/Benang Bedah (plain&chromic)
Ciproploxaacin 500 mg
Cyanacobolamin ( Vit B 12 )
Cefadroxyl 500 mg
Cefadroxyl syrup
Cefotaxim
Ceftriaxon inj 1 gr
Cefixim 100 mg
Cetirizin
Clindamicin 300 mg
Chlorampenicol Syrup
Chlorampenicol Salap Mata 1 %
Chloramfeniramine Maleat (CTM)4 mg
Cotrimoxazole 480 mg
Cotrimoxazole syrup
Captropil 12,5 mg

tab
tab
tab
tab
tab
tab
tab
tab

0
735
13850
300
0
4169
7200
65

1000
8000
50
0
0
6000
100
0

1000
8735
13900
300
0
10169
7300
65

1000
5735
12900
300
0
10000
6800
10

0
3000
1000
0
0
169
500
55

SATUAN

STOK AWAL

PENERIMAAN

PERSEDIAAN

PEMAKAIAN
(3 BLN)

SISA STOK

tab
tube
tube
pcs
tab
tab
tab
btl
kapl
vial
kapl
tab
kps
btl
tube
tab
tab
btl
tab

0
40
50
0
520
3000
0
5
0
0
0
198
0
700
145
0
0
0
0

0
0
48
500
0
0
50
0
50
0
0
0
1000
96
0
2000
5000
50
4000

0
40
98
500
520
3000
50
5
50
0
0
198
1000
796
145
2000
5000
50
4000

0
40
80
450
520
3000
50
5
50
0
0
198
800
600
145
2000
4000
40
3500

0
0
18
50
0
0
0
0
0
0
0
0
200
196
0
0
1000
10
500

48
49
50
51
52
53
54
55
56
57
58
59
60
61

NO.
1

Captropil 25 mg
Dexamathason injeksi
Dexamethason 0,5 mg
Dextromethorpan 15 mg
Dextromethorpan syrup
Devitalisasi pasta ( non arsen)
Diazepam injeksi
Difenhidramin Hcl Injk
Digoksin 0,25 mg
Domperidon Syrup
Domperidon tablet
Ephedrin Hcl 25 mg
Etanol 70 %
Etil Chloride Spray

NAMA OBAT
2
Difenhidramin
Hcl Injk

62
63
64
65
66
67
68
69
70
71

Ekstra beladon 10 mg
Eugenol
Furosemid 40 mg
Folley kateter no.20 G
Fenol Gliserol tts telinga 10 %
Garam oralit
Glibenklamid
Gliaeril Guaiacolat 100 mg
Glukosa
Gentamicin salap kulit

tab
ampl
tab
tab
btl
tab
ampl
tab
tab
btl
tab
tab
btl
btl

0
155
0
0
0
0
20
0
0
70
700
2700
0
0

4000
100
3000
0
0
0
0
0
0
100
100
0
2
12

4000
255
3000
0
1000
0
20
0
0
170
800
2700
2
12

4000
255
2500
0
400
0
0
0
0
130
800
700
2
12

0
0
500
0
600
0
20
0
0
40
0
2000
0
0

SATUAN

STOK AWAL

PENERIMAAN

PERSEDIAAN

PEMAKAIAN
(3 BLN)

SISA STOK

tab
tab
tab
pcs
btl
sacet
tab
tab
btl
tube

3500
78
1000
0
0
100
3000
2015
0
0

3000
2
1000
0
0
300
2000
3000
0
0

6500
80
2000
0
0
400
5000
5015
0
0

3500
10
2000
0
0
200
4000
4015
0
0

3000
70
0
0
0
200
1000
1000
0
0

72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94

NO.
1

Grisiofulvin 125 mg
Glass lonomer cement
Halloperidol 1,5 mg
Hidrochlortiazid ( HCT ) 25 mg
Hidrocortison Cream 2,5 %
Ibuprofen 200 mg
Ibuprofen 400 mg
Infusion set anak
Infusion set dewasa( makro )
Kalium Diklofenak 50 mg
Klium Laktat (Ca-Lact ) 500 mg
Kapas berlemak 500 mg
Kapas pembalut 250 mg
Kassa Pembalut Hidrofil 4x3
Kassa steril 16x16
Kassa 36x80
Ketoprofen 100 mg
Ketokonazole 30 mg
Lansoprazole 30 mg
Levofloxacin 500 mg
Lidocain 2 %
Lidocain-Epineprin injk
Loratadin 10 mg

NAMA OBAT
2

tab
pcs
tab
tab
tube
tab
tab
pcs
pcs
tab
tab
pcs
pcs
pcs
pcs
pcs
tab
tab
tab
tab
ampl
ampl
tab

0
0
0
0
0
0
0
88
55
0
6900
6
3
0
15
0
0
50
0
0
0
30
100

2000
0
0
2000
200
0
2000
0
100
0
3000
10
20
20
50
2
0
0
0
0
0
60
1000

2000
0
0
2000
200
0
2000
88
155
0
9900
16
23
20
65
2
0
50
0
0
0
90
1100

1500
0
0
1000
150
0
1500
10
155
0
7000
6
8
20
55
2
0
50
0
0
0
90
1100

500
0
0
1000
50
0
500
78
0
0
2900
10
15
0
10
0
0
0
0
0
0
0
0

SATUAN

STOK AWAL

PENERIMAAN

PERSEDIAAN

PEMAKAIAN
(3 BLN)

SISA STOK

95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126

Methil Prednisolon 4 mg
Methil Egometrin Maleat 0,2 mg injk
Metronidazol 250 mg
Metochlorpramid
Metformin 500 mg
Meloxicam 7,5 mg
Masker Disposible
Miconazole cr
Natrium Bicarbonat (Na-Bic) 500 mg
Natrium Chlorida (Na-Cl) infus 0,9 %
Natrium Diklofenak 50 mg
Nistatin 100.000 IU/G
Nifedipin 10 g
Omeprazole 20 mg
Oxitetraciklin Hcl 3 % Salap Kulit
OXitetraciklin Hcl 1 % Salap Mata
Obat Batuk Hitam (OBH)
Piridoksin Hcl (vit B6) 10 mg
Paracetamol 500 mg
Paracetamol syrup
Papaverin 40 mg
Pembalut Gips
Plaster 5 Yard 2 inci(warna putih)
Prednison 5 mg
Propiltioracil 100 mg
Piracetam 800 mg
Piroxicam 10 mg
Piroxicam 20 mg
Ranitdin 150 mg
Ranitdin Injeksi
Ringer Laktat (RL)
Sivastatin 10 mg

tab
ampl
tab
tab
tab
tab
pcs
tube
tab
tab
tab
kap
tab
kap
tube
tube
btl
tab
tab
btl
tab
pcs
pcs
tab
tab
tab
kap
kap
tab
ampl
fls
tab

0
0
500
300
0
0
0
0
0
0
0
0
0
0
0
0
100
1000
3700
187
2000
0
0
2000
0
2000
550
600
0
60
120
0

0
0
3000
2000
3000
100
80
300
0
0
2500
0
2500
150
200
0
100
2000
10000
168
1000
0
10
2000
0
1000
0
0
3000
0
0
120

0
0
3500
2300
3000
100
80
300
0
0
2500
0
2500
150
200
0
200
3000
13700
355
3000
0
10
4000
0
3000
550
600
3000
60
120
120

0
0
3000
2300
2000
100
80
250
0
0
2500
0
2300
150
150
0
200
2500
12700
300
2000
0
8
3000
0
200
550
550
3000
60
60
120

0
0
500
0
1000
0
0
50
0
0
0
0
200
0
50
0
0
500
1000
55
1000
0
2
2000
0
2800
0
50
0
0
60
0

127 Salbutamol 2 mg

NO.
1

128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150

tab

3000

2000

5000

5000

NAMA OBAT

SATUAN

STOK AWAL

PENERIMAAN

PERSEDIAAN

PEMAKAIAN
(3 BLN)

SISA STOK

tab
sacet
ampl
ampl
ampl
pcs
pcs
tab
tab
tab
tab
pcs
tab
pcs
pcs
btl
btl
btl
sacet
btl
tab
tab
tab

0
0
0
0
0
0
0
0
0
0
3000
0
0
0
0
15
2
0
500
0
1000
0
0

0
60
1
1
0
0
200
2000
0
0
1000
0
0
0
0
5
5
3
2000
0
2000
0
200

0
60
1
1
0
0
200
2000
0
0
4000
0
0
0
0
20
7
3
2500
0
3000
0
200

0
20
0
0
0
0
200
1000
0
0
3500
0
0
0
0
20
7
3
2000
0
2000
0
50

0
40
1
1
0
0
0
1000
0
0
500
0
0
0
0
0
0
0
500
0
1000
0
150

Sabutamol 4 mg
Salicil Bedak 2 %
Serum Anti Bisa Ular inj (ABU)
Serum Anti Tetanus inks.20.000 IU/Vial
Serum Anti Tetanus inks.1.500 IU/Vial
Silk (Benang Bedah Sutera )
Hanscon ( steril )
Tetraciklin Hcl 250 mg
Tiamin Hcl (B1)
Trihexil penidil Hcl 250 mg
Tramadol 50 mg
Temporaari Stopping Fletcter
Vitamin B komplek
Wing Nedle no. 21
Wing Nedle no. 23
Yodium Povidone 10 % 30 ml
Yodium Povidone 10 % 300 ml
Yodium Povidone 10 % 1000 ml
Zink Dirpesible
Curbion Syrup
Liconam
Myloxan
Noza

151
152
153
154
155
156
157
158
159
160
161

Nutrivita Syrup
Novakal
Omegtamin
Paphroxin
Panviton
Probion
Piridol Drops 25 ml
Remacort
Reco tts Telinga
Supra Livron
Tagyd

NO.
1

162
163
164
165
166
167
168
169
170
171
172
173
174

NAMA OBAT
2

Tuseli Syrup
vitka Infant
Vibramok Forte Syrup
Hanscoon ( non steril )
Alprazolam
Karbamazepin
Diazepam 2 mg
Pehacain
Phenobarbital
Skabicit salap
Stesolit
Dumin Sup
Primpran Injeksi

btl
tab
tab
tab
kps
kps
btl
tab
btl
tab
tab

0
0
0
0
0
0
0
0
0
0
0

0
5000
3000
0
0
0
0
0
0
0
0

0
5000
3000
0
0
0
0
0
0
0
0

0
4000
3000
0
0
0
0
0
0
0
0

0
1000
0
0
0
0
0
0
0
0
0

SATUAN

STOK AWAL

PENERIMAAN

PERSEDIAAN

PEMAKAIAN
(3 BLN)

SISA STOK

btl
pcs
btl
pcs
tab
tab
tab
ampl
tab
tube
ampl
tab
ampl

0
0
0
0
132
0
971
30
100
0
0
0
0

0
0
0
0
0
0
1000
0
0
0
20
0
0

0
0
0
0
132
0
1971
30
100
0
20
0
0

0
0
0
0
0
0
150
30
100
0
2
0
0

0
0
0
0
132
0
1821
0
0
0
18
0
0

Mengetahui /Menyetujui
Plt Kepala Dinas Kesehatan

Yang Menyerahkan
Kepala Instasi Farmasi

Mengetahu
Plh UPTD puskesmas kampar kiri

dr.MUHAMMAD HARIS
NIP.19670721 199803 1 003

HARUN.SKM
NIP.19741005 200312 1 017

dr.PASNIWATI
NIP.19750805 200904 2 001

BULAN
TAHUN

: JUNI
: 2015

PERMINTAAN
9

300
300
300
300
4000
4000
500
300
500
200
10000
2000
500
10000
6000
500
5000
5000
500
10000

PEMBERIAN
APBD
LAIN
10

11

KET
12

5000
5000
10000
500
300
10000
10000
30

PERMINTAAN
9

PEMBERIAN
APBD
LAIN
10

10000
300
300
300
10000
10000
10000
500
5000
100
6000
10000
10000
300
200
15000
6000
300
10000

11

KET
12

ED 06 2015

10000
300
10000
10000
500
200
0
100
200
300
7000
3000
20
20

PERMINTAAN
9

5000
100
5000
15
100
500
10000
10000
200
200

PEMBERIAN
APBD
LAIN
10

11

KET
12

ED 07 2015

10000
10
2000
5000
200
2000
10000
20
300
6000
6000
15
20
20
100
10
6000
6000
10000
5000
300
100
10000

PERMINTAAN
9

PEMBERIAN
APBD
LAIN
10

11

KET
12

10000
6000
10000
6000
10000
10000
200
200
6000
200
10000
6000
6000
10000
300
300
300
10000
10000
500
5000
10
20
5000
100
1000
5000
10000
15000
300
500
10000

ED 06 2015

10000

PERMINTAAN
9

10000
20
1
1
1
20
500
5000
10000
3000
5000
10
15000
10
10
20
30
30
8000
300
5000
8000
100

ED 06 2015

PEMBERIAN
APBD
LAIN
10

11

KET
12

300
5000
10000
5000
8000
8000
200
3000
50
5000
5000

PEMBERIAN
APBD
LAIN

PERMINTAAN
9

10

200
200
300
500
200
200
1000
500
1000
300
20
1000
200

11

KET
12

UPTD puskesmas kampar kiri

IP.19750805 200904 2 001

Yang Melaporkan
Petugas Puskesmas

SUSILAWATI.Amk
NIP.19810113 201406 2 003

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