Lplpo Jan-Jun 2015

LAPORAN PEMAKAIAN D
PUSKES
PUSKESMAS
: SUSUT II
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
LAPORAN BULAN/PERIO
PERMINTAAN BULAN/PE
NO
NAMA OBAT
SATUAN
STOK
AWAL
PENERIM
AAN
5
200
Alopurinol tablet 100 mg
tablet
181
Aminofilin tablet 200 mg
tablet
Aminofilina injeksi 24 mg/ml - 10 ml
ampul
Amitriptilin HCl tablet salut 25 mg
tablet
Amoksisilin kapsul 250 mg
Kapsul
Amoksisilin kaplet 500 mg
kaplet
4854
Amoksisilin sirup kering 125 mg/5ml
botol
47
Metampiron tablet 500 mg
tablet
674
Metampiron injeksi 250 mg
ampul
10
Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg
tablet
2396
11
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000 IU/g
tube
12
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen 250 mg
supp
21
13
Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3%
pot
14
Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg
tablet
15
Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg + Levodopa 250 mg
tablet
16
Aqua pro Injeksi steril, bebas pirogen
botol
17
Asam Askorbat (Vit C) tablet 50 mg
tablet
2025
18
Asam Asetilsalisilat tablet 100 mg ( Asetosal )
tablet
19
tablet
20
Atropin Sulfat tablet 0,5 mg
tablet
21
Atropin Sulfat tetes mata 0,5%
botol
22
Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat)
ampul
23
Betametason krim 0.1%
tube
24
Deksametason Injeksi I.v. 5 mg/ml
ampul
64
25
Deksametason tablet 0,5 mg
tablet
569
26
Dekstran 70-larutan infus 6 % steril
botol
27
Dekstrometorfan sirup 10 mg/5 ml (HBr)
botol
28
Dekstrometorfan tablet 15 mg (HBr)
tablet
29
Diazepam Injeksi 5mg/ml
ampul
50
1000
30
Diazepam tablet 2 mg
tablet
163
31
tablet
32
Difenhidramin Injeksi I.M. 10 mg/ml (HCL)
ampul
116
33
Digoksin tablet 0,25 mg
tablet
189
34
Efedrin tablet 25 mg (HCL)
tablet
949
35
Ekstrak Belladon tablet 10 mg
tablet
36
Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL)
ampul
100
37
Etakridin larutan 0,1 %
botol
38
Fenitoin Natriun Injeksi 50 mg/ml
ampul
39
Fenobarbital injeksi I.m/I.v 50 mg/ml - 1 ml
ampul
40
Fenobarbital tablet 30 mg
tablet
358
41
Fenoksimetil Penisilina tablet 250 mg
tablet
42
tablet
43
Fenol Gliserol tetes telinga 10%
botol
18
44
Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml
ampul
45
Fitomenadion (Vit.K1) tablet salut gula 10 mg
tablet
46
Furosemid tablet 40 mg
tablet
106
47
botol
49
Gameksan losion 1%
Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium klorida 0,30 g, Tribatrium
Sitrt dihidrat 0,58 g
Gentian Violet larutan 1 %
botol
14
50
Glibenklamid tablet 5 mg
tablet
120
51
Gliseril Guayakolat tablet 100 mg
tablet
52
Gliserin
botol
53
Glukosa larutan infus 5%
botol
54
Glukosa larutan infus 10 %
botol
55
Glukosa larutan infus 40% steril (Produk lokal)
botol
56
Griseofulvin tablet 125 mg, micronized
tablet
57
Haloperidol tablet 0,5 mg
tablet
58
tablet
59
Haloperidol tablet 5 mg
tablet
60
Hidroklorotiazida tablet 25 mg
tablet
899
61
Hidrokortison krim 2,5 %
tube
62
Ibuprofen tablet 200 mg
tablet
869
63
tablet
64
Isosorbid Dinitrat tablet sublingual 5 mg
tablet
65
Kalsium laktat (Kalk) tablet 500 ml
tablet
789
66
Kaptopril tablet 12,5 mg
tablet
37
67
Kaptopril tablet 25 mg
tablet
68
Karbamazepim tablet 200 mg
tablet
69
Ketamin injeksi 10 mg/ml
ampul
70
Klofasimin Kapsul 100 ml mikrozine
kapsul
71
Kloramfenikol kapsul 250 mg
kapsul
48
bks
121
100
100
49
500
72
Kloramfenikol tetes telinga 3 %
botol
73
Klorfeniramin Maleat (CTM) tablet 4 mg
tablet
2869
74
Klorpromazin injeksi i.m 5 mg/ml (HCL)
ampul
75
ampul
76
Klorpromazin tablet salut 25 mg (HCL)
tablet
77
Klorpromazin HCl tablet salut 100 mg
tablet
78
tablet
botol
44
tablet
1070
tablet
82
Anti Malaria DOEN ( kombinasi Pirimetamin 25 ml +sulfadoksin 500 ml

Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg + Trimetoprim 40 mg/
5 ml
Kotrimosazol DOEN I (dewasa) Kombinasi : Sulfametoksazol 400 mg, Trimetoprim
80 mg
Kotrimosazol DOEN II (pediatrik) Kombinasi : Sulfametoksazol 100 mg,
Trimetoprim 20 mg
Kuinin Dihidroklorida injeksi 25% - 2 ml
ampul
83
Kuinin (kina) tablet 200 mg
tablet
84
Lidokain injeksi 2% (HCL) + Epinefrin 1 : 80.000-2 ml
ampul
85
Magnesium sulfat inj (IV)20%-25ml
ampul
86
Magnesium sulfat inj (IV) 40%-25ml
ampul
87
Magnesium sulfat serbuk 30 gram
bks
88
Mebendazol sirup 100 ml/5ml
botol
89
Mebendazol tablet 100 mg
tablet
90
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125 mg
tablet
91
Metilergometrin Maleat inj 0,200 mg-1 ml
ampul
92
Metronidazol tablet 250 mg
tablet
93
Natrium Bikarbonat tablet 500 mg
tablet
94
Natrium Fluoresein tetes mata 2%
botol
95
Natrium Klorida larutan infus 0,9 %
botol
20
96
Natrium Thiosulfat injeksi I.v. 25 %
ampul
97
Nistatin tablet salut 500.000 IU/g
tablet
59
98
Nistatin Vaginal tablet salut 100.000 IU/g
tablet
151
99
Obat Batuk Hitam ( O.B.H. ) cairan 100 ml
botol
70
100 Obat Batuk Hitam ( O.B.H. ) cairan
botol
101 Oksitetrasiklin HCl salep mata 1 %
tube
102 Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml
vial
103 Oksitosin injeksi 10 IU/ml - 1 ml
ampul
104 Parasetamol sirup 120 mg/5 ml
botol
116
105 Parasetamol tablet 100 mg
botol
tablet
2687
107 Pilokarpin tetes mata 2 % (HCL/Nitrat)
botol
108 Piridoksin HCl (Vit.B6) tablet 10 mg
tablet
1334
109 Povidon Iodida 10 % 30 ml
botol
10
botol
111 Prednison tablet 5 mg
tablet
1468
112 Primakoin tablet 15 ml
tablet
113 Propiltiourasil tablet 100 mg
tablet
100
79
80
81
114 Propranolol HCl tablet 40 mg
tablet
115 Reserpin tablet 0,10 mg
tablet
tablet
117 Ringer Laktat larutan infus
botol
118 Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap 4%
pot
119 Salisil Bedak 2 %
bks
20
120 Serum Anti Bisa Ular Pilivalen Injeksi 5 ml (ABU I)
ampul
121 Serum Anti Bisa Ular Pilivalen Injeksi 50 ml (ABU II)
ampul
122 Serum Anti Difteri Injeksi 20.000 IU/Vial ( A.D.S )
ampul
123 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S)
ampul
124 Serum Anti Tetanus Injeksi 20.000 IU/Vial (A.T.S)
ampul
125 Sianokobalamin (Vit.B12) injeksi 500 mcg-ml
ampul
27
126 Sulfasetamida Natrium tetes mata 15 %
botol
127 Tetrakain HCl tetes mata 0,5%
botol
128 Tetrasiklin HCl kapsul 250 mg
kapsul
kapsul
304
130 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
ampul
131 Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg
tablet
2929
132 Tiopental Natrium serbuk Injeksi 1000 mg/amp
ampul
133 Triheksifenidil tablet 2 mg
tablet
134 Vaksin Rabies Vero
ampul
135 Vitamin B Kompleks tablet
tablet
2062
0
VAKSIN
136 BCG
Ampul
137 TT
Ampul
138 DT
Ampul
139 CAMPAK 10 Dosis
Ampul
140 POLIO 10 Dosis
Ampul
141 DPT-HB
Ampul
142 HEPATITIS B 0,5 ml ADS
Ampul
143 POLIO 20 Dosis
Ampul
144 CAMPAK 20 Dosis
Ampul
0
0
ALAT KESEHATAN
145 Alat suntik sekali pakai 1 ml
pcs
146 Alat suntik sekali pakai 2,5 ml
pcs
55
pcs
89
148 Catgut / Benang Bedah No. 2/0 dengan jarum bedah
pcs
pcs
150 Infusion set anak
set
151 Infusion set dewasa
set
152 IV Catheter No. 20 G
pcs
pcs
pcs
155 Kapas Pembalut / Absorben 250 gram
bks
156 Kasa Kompres 40/40 steril
bks
157 Kasa Pembalut 2 m x 80 cm
bks
158 Kasa Pembalut Hidrofil 4 m x 3 cm
bks
bks
160 Pembalut Gips
pcs
161 Plester 5 yards x 2 inch
pcs
162 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah
pcs
13
163 Wing Needle No. 21 G
pcs
pcs
pcs
pcs
4
0
OBAT KLB
168 Asam Mefenamat tablet salut selaput 500 mg
kaplet
1384
169 Doksisiklin kapsul 100 mg
kapsul
170 Eritromisin kapsul 500 mg
kapsul
300
171 Eritromisin sirup 200 mg/5 ml
botol
35
172 Kaptopril 12,5 mg
tablet
173 Kaptopril 25 mg
tablet
586
174 Klindamisin kapsul 150 mg
kapsul
175 Nifedipin 10 mg
tablet
200
176 Piroksikam tablet 20 mg
tablet
307
177 Sefadroksil kapsul 500 mg
kapsul
178 Sefotaksim Injeksi 1 gr
vial
179 Seftriakson injeksi 1 gr
vial
180 Simetidin tablet 200 mg
tablet
181 Tramadol injeksi 50 mg/ml
ampul
182 Tramadol kapsul 50 mg
kapsul
0
0
BAHAN HABIS PAKAI & ALAT NON MEDIK
183 Folley Catheter No.14
pcs
pcs
pcs
186 Jarum jahit (bedah) No.9
pcs
pcs
pcs
pcs
pcs
pcs
192 Jarum otot besar
pcs
193 Jarum otot kecil
pcs
194 Masker
pcs
70
195 Sarung Tangan Steril 6,5
psg
196 Sarung Tangan Steril 7
psg
psg
198 Urine Bag
pcs
0
0
OBAT PROGRAM
MALARIA
ACT (Artesunate + Amodiaquin
tablet
Arthemeter injeksi 1 ml : 80 mg
ampul
Artesunate Injeksi vial 60 mg
ampul
Primakuin tablet 5 mg
tablet
Kina Tablet 200 mg
tablet
Kina Injeksi 25% - 2ml
ampul
Doxicyklin 100 mg
kapsul
ACT (Dehidro Artemisin + Piperaquine)
tablet
0
0
FILARIASIS
DEC 100 mg (Tablet)
tablet
10
Parcetamol 500 mg (Tablet)
tablet
11
Abendazol 400 mg
tablet
12
Antasida Doen
tablet
13
Piridoksin(Vit.B6) 10 mg HCL
tablet
14
Loratadin 10 mg (tablet)
tablet
15
Amoksisilin kaplet 500 mg (kapsul)
kapsul
16
Gentamicin Salep kulit 0,1% (tube)
tube
0
0
SCHISTOSOIASIS & F BUSKI
17
Prazikuartel 500 mg
0
tablet
0
0
PES
18
Tetrasiklin HCL 250 mg
kapsul
19
Parasetamol tab 500 mg
tablet
20
Vit. B Kompleks tab
tablet
0
0
ANTRAKS
21
Prokain Benzil Penisilin 3juta IU/Vial Inj
vial
22
Anti Bakteri Doen Salep
tube
23
Amoksisilin Kaplet 500 mg
kaplet
50
0
TAENIASIS CYSTICERKOSIS NEURO C.
24
Prazikuantel tablet 600 mg
tablet
25
Magnesium Sulfat Serbuk 30 gram
bks
26
Albendazol tablet 400 mg
tablet
27
Prednison tablet 5 mg
tablet
28
Antasida Doen Tab Kombinasi
tablet
29
Fenobarbital tab 100 mg
tablet
0
0
DIARE
30
Garam Oralit 200 ml air
bks
31
Zinc Tab 20 mg
tablet
0
0
KECACINGAN
32
0
tablet
2506
0
KUSTA
33
Prednison tab 5 mg
tablet
34
Rifampicin kapsul 300 mg
kapsul
35
kapsul
36
Lamprene 100 mg
tablet
0
0
FRAMBUSIA
37
Benzatin Benzil Penisilin 1.2 juta IU/Vial
vial
38
39
Adrenalin Injeksi
ampul
Aquades 20 cc
botol
40
Disposible syringe 5ml
pcs
0
0
TB PARU (OAT FDC )
41
Obat Anti Tuberculosis 1
set
42
set
43
Obat Anti Tuberculosis sisipan
set
0
0
OAT Kombipak
44
Katagori 1
set
45
Obat Anti Tuberculosis Anak
set
0
0
ISPA
46
Kotrimoksasol tablet kombinasi : sulfa meloksazol 400 mg + Trimetorpin 80 mg
tablet
47
Kotrimoksasol suspensi
botol
48
Parasetamol tablet. 500 mg
tablet
49
Parasetamol 100 mg
tablet
0
FLU BURUNG
50
Oseltamivir
0
tablet
0
0
KESEHATAN ANAK
51
Fitomenadion ( Vit K ) 10 mg
tablet
52
Natrium Tiroksin ( tab )
tablet
53
Ampisilin serbuk injeksi i.m/i.v 1000 mg/ml
ampul
54
Gentamisin injeksi 80 mg/ml
ampul
55
Prokain Benzil Penisilin G Injeksi 3 Jt IU/vial
ampul
56
Fenobarbital injeksi i.m/i.v 50 mg/ml
ampul
57
Diazepam injeksi 5 mg/ml
ampul
58
Oxytetrasiklin Salep Mata 1 % ( HCL )
tube
59
Abendasol 400 mg
tablet
77
0
IBU
60
Dextran 70 %
botol
61
Transfusi set
set
62
IV Chateter No. 16
pcs
63
Magnesium Sulfat 20 % - 25 ml
botol
64
botol
65
Glukonas Calsicus 10 % - 10 ml
botol
66
Ampisilin injeksi I.M/ I.V 1000 mg/ml
ampul
67
Nipedipin 10 mg
tablet
68
Oksitosin injeksi 10 IU/ml - 1 ml
ampul
69
Metilergometrin Maleat Inj 0,2 mg - 1 ml
ampul
70
Metilergometrin Maleat tablet 0,125 mg
tablet
71
kaplet
72
Epinefrin ( Adrenalin )injeksi 0,1 % ( sbg HCL)
ampul
73
Gentamisin injeksi 80 mg/ 2 ml
ampul
74
Metronidazole 500 mg infus / 100 ml
botol
75
Cutgut Chromic No 1 atraumatik ( sachet )
pcs
76
Cutgut Chromic No 2/0 atau 3/0, atraumatik
pcs
77
IV Chateter No. 18
pcs
78
Urine Bag
pcs
79
Alat Suntik 2,5 ml
pcs
80
Alat Suntik 5 ml
pcs
81
Alat Suntik 10 ml
pcs
82
Urine strip untuk pemeriksaan Protein dan Gula
pcs
83
Rapid test untuk sipilis
pcs
84
Kontrasepsi injeksi Progesteron Depo ( 3 bln, 1ml)
ampul
85
Kontrasepsi pil kombinasi ( micordiol)
tablet
86
pcs
Implan KB ( isi 2 )
GIZI
0
0
87
Retinol ( vitamin A ) 100.000 IU Kapsul Lunak Bayi
( 6 - 11 bln )
kapsul
88
Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Balita
( 11- 59 bln )
kapsul
89
Retinol ( vitamin A ) 200.000 IU Kapsul Lunak Ibu Nifas
kapsul
90
Ferro Sulfat 300 mg
tablet
412
91
Mineral Mix
bks
OBAT GIGI
3000
0
0
92
Devitalisasi pasta (non Arsen)
botol
93
Etil klorida spray
botol
94
Eugenol cairan
botol
95
Galss Ionomer cement ART
set
96
Kalsium Hidroksida Pasta
tube
97
Klorfenol Kamfer Menthol (CHKM)
botol
98
Mummifying Pasta
botol
99
Semen seng posfat serbuk & cairan
set
100 Temporary Stopping fletcher serbuk & cairan
set
TAMBAHAN
1
Alkohol 70% 1 Liter
botol
Ambroxol sirup 15 mg/5 ml
botol
33
Ambroxol tab 30 mg
tablet
Amlodipin 10 mg
tablet
Amlodipin 5 mg
tablet
Amoksisilin + as Klavulanat 625 mg tab
tablet
Antasida DOEN II Susp.Komb / Novamag syr
botol
Asam folat tablet 1 mg
tablet
Asam Mefenamat Kaps 250 mg
kapsul
10
Asiklovir krim 5%
tube
11
Asiklovir tablet 200 mg
tablet
225
12
tablet
145
13
Betahistin mesilat tab 6 mg
tablet
110
14
Bioplacenton
tube
15
Boraks Gliserin
botol
16
Bromheksin tab 8 mg
tablet
17
Burnazin 35 gram
tube
18
Buscopan injeksi
ampul
19
Cetirizine syr 5 mg/ml
botol
20
Cetirizine tab 10 mg
tablet
21
Diltiazem HCl tablet 30 mg
tablet
37
120
22
Dimenhidrinat tab 50 mg
tablet
23
Doksisiklin kaps 100 mg
kapsul
24
Domperidon suspensi 5 mg/5ml
botol
25
Domperidon tab 10 mg
tablet
56
26
Dulcolac tab
tablet
27
Dulcolactol syr
botol
28
Eritromisin kaps 250 mg
kapsul
29
Famotidin
tablet
30
Fenilbutason tab 200 mg
tablet
460
31
Fenitoin kapsul 100 mg
kapsul
32
Flagystatin
supp
33
Folley Catheter
pcs
34
Gentamisin sulfat tetes mata 0,3%
botol
35
Gentamsin salep kulit 0,1%
tube
28
36
Hanscoon Nonsteril L
psg
37
Hanscoon Nonsteril M
psg
38
Hanscoon steril 7,5
psg
39
Hanscoon steril 8
psg
32
40
Hidrokortison krim 1 %
tube
41
Hipavix 5x5 cm
rol
42
Hufavit kalk
botol
43
Ibuprofen suspensi 100 mg/5ml
botol
45
44
botol
45
Iodiol kapsul lunak
kapsul
46
Jarum hecting
set
47
Kaltofren supp
supp
48
Kaptopril tab 50 mg
tablet
49
Kasa Hidrofil steril uk. 16 x 16 (isi 16 lembar)
kotak
50
kotak
51
Kasa Hidrofil uk. 36 m x 80 cm
rol
52
Kasa Pembalut Elastis 3 inchi
rol
53
rol
54
Kasa Pembalut Hidrofil 4 m x 10 cm
rol
55
rol
56
Kertas perkamen
pcs
57
Ketac Molar
set
58
Ketokonazol krim 2%
tube
59
Ketokonazol tab 200 mg
tablet
60
Ketoprofen tab 100 mg
tablet
61
Klindamisin kaps 300 mg
kapsul
62
klip B (13x18,7)cm
pcs
63
Klip K (5x8) cm
pcs
16
10
50
64
Kloramfenikol suspesi 125 mg/5 ml
botol
65
Kloramfenikol salep mata 1%
tube
66
Kloramfenikol tetes mata 0,5%
botol
67
Klorpromazin inj.i.m 25mg/ml
ampul
68
Lanzoprasole
tablet
69
Larutan Hidrogen Peroksida (H2O2) 3% 100 ml
botol
70
Lefofloxacin
tablet
71
Lidokain injeksi 2%
ampul
97
72
Loperamid ( Novadium )
tablet
73
Loratadin
tablet
74
Lysol
botol
75
Meloxicam tab 15 mg
tablet
67
76
Meloxicam tab 7,5 mg
tablet
77
Metformin HCl tab 500 mg
tablet
78
Metilprednisolon tablet 16 mg
tablet
79
tablet
16
80
tablet
81
Metoklopramide syr 5mg/5ml
botol
82
Metoklopramide tab 10 mg/Xylastin
tablet
83
Metronidazol 500 mg
tablet
174
84
Miconazol krim/salep 2% (nitrat)
tube
85
Natrium diklofenak tab 25 mg
tablet
86
tablet
87
New Diaform
tablet
88
Obat Batuk Hitam 200 ml
botol
89
Ofloksasin tab 200 mg
tablet
90
tablet
91
Oksitetrasiklin HCl salep kulit 3%
tube
92
Omeprazole kaps 20 mg
kapsul
93
Papaverin injeksi 40 mg/ml
ampul
94
Papaverin tablet 40 mg
tablet
95
Paraformaldehide tab
tablet
96
Parasetamol drops
botol
42
97
Pembalut Gips 3 inchi
rol
98
rol
99
rol
100 Piracetam 400 mg
tablet
101 Pirantel tab score (base) 125 mg
tablet
102 Piroksikam 10 mg
tablet
103 PK (Kalium Permanganat)
botol
104 Povidon iodin 10 % 1000 ml
botol
105 Povidon iodin 60 ml
botol
16
80
100
200
106 PP tes
pcs
107 Ranitidin tab 150 mg
tablet
108 Reagen Gol. Darah
set
109 Recovit syr
botol
110 Salbutamol 2 mg
tablet
110
111 Salbutamol 4 mg
tablet
112 Scabicid
tube
113 Sefadroksil kaps 250 mg
kapsul
114 Sefadroksil kaps 500mg
kapsul
115 Sefadroksil syr kering 125mg/ml
botol
30
116 Sefixim syr kering 100mg /5ml
botol
117 Sendok syr
pcs
118 Sianokobalami (vit B12) tab 50 mcg
tablet
119 Simetidin tab 200 mg
tablet
16
120 Simvastatin tab 10 mg
tablet
121 Siprofloksasin 250
tablet
122 Siprofloksasin 500 mg
tablet
220
123 Spironolakton tab 100 mg
tablet
124 Spongostan
pcs
125 Tensocrepe 7,5 cm
rol
126 Termometer
pcs
127 Tiamfenikol 500 mg
kapsul
128 TKF
botol
129 Tramadol inj 50 mg/ml
ampul
kapsul
131 Trikresol Formalin
botol
132 Zinc tablet 20 mg
tablet
219
OBAT ASKES
200
500
179
Albotyl concentrate 10ml
botol
Alkohol 1000 ml 70%
botol
Alkohol 300 ml 70%
botol
Alletrol tetes mata
botol
Antitetanus serum 1.500 IU
ampul
Aspilet 80 mg
tablet
Becefort tab
tablet
Bioplacenton
tube
Borax gliserin
botol
11
10
Bravoderm
tube
11
Bronex
tablet
12
Bronsolvan tab
tablet
13
Burnazin salep
tube
14
Caviplex syr
botol
300
15
Coldrexin syr
botol
16
Colfin syr
botol
17
Colfin tab
tablet
18
Curcuma plus syr 60 ml
botol
19
Daryantulle
pcs
20
Decadryl syr
botol
21
Demacolin syr
botol
22
Dexanta tab
tablet
23
Dulcolac supp 10 mg
supp
24
Dulcolax tab
tablet
25
Duradryl inj
vial
26
Gastrucid suspensi
botol
27
Genoint tetes mata
botol
28
Grahabion tab
tablet
29
Gratheos
tablet
490
30
Guanistrep
botol
12
31
Halpilyn syr
botol
32
HCl 0,1 N
botol
33
Kalium Permanganat (PK)
pot
34
Kaltofren inj
ampul
35
Kaltofren supp
supp
36
Kertas perkamen
bks @100
37
tablet
38
Livron B Plex
tablet
100
39
Neuropyron V tab
tablet
100
40
New diaform
tablet
41
Noperten 10 mg
tablet
42
Ottolin TT
botol
43
Perhidrol (H2O2) 3%
botol
44
Prenatin plus
tablet
45
Proris supp
supp
46
Recovit syr
botol
47
Salfamen
tube
48
Scabicid crm
tube
17
49
Scopamin
tablet
50
Sofratulle
pcs
51
Sohobion injeksi
ampul
52
Sohobion tab
tablet
53
Stesolid rectal tube 5 mg
tube
54
Termometer
pcs
55
Ventolin i.h. 100 mcg/puf
botol
56
Xanvit syr
botol
200
10
200
25
109
56
200
57
Xilomidon inj
vial
TAMBAHAN
Albendazol syr
botol
Kapas 500 gram
bks
Phenobarbital 100 mg
tablet
Spiritus
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013

1
Klip K
bks@100
Enbatic
tube
TAMBAHAN OBAT BARU YANG DIADAKAN TH 2014

1
Azitromisin tab 250 mg
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
Desoksimetason krim 0,25%
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
Kendaron (amiodaron) tab
tablet
10
Laxadine emulsi 60 ml
botol
11
Levopar
tablet
12
Primolut N (Noretisteron tab 5 mg)
tablet
13
Pularex (Atapulgit) tab 600 mg
tablet
14
(Protofen) Ketoprofen supp 100 mg
supp
15
Scabimite cr 10 gram
tube
16
Sefadroksil syr kering 250 mg/5 ml
botol
17
Simvastatin 20 mg
tablet
18
Stolax (Bisakodil)supp 10 mg
supp
19
Tetagam
botol
20
Urotractin 400 mg
tablet
21
Ventolin inhaler (Salbutamol inh/aerosol 100 mcg/dosis)
botol
22
Zinc sir 20mg/5ml
botol
23
Zincpro drops
botol
TAMBAHAN BAHAN MEDIS HABIS PAKAI (BMHP) 2014
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
Aseptan Gel 500 cc+dispenser
botol
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
10
Gelang pasien
pcs
11
Hidrogen Peroksida (H2O2)
botol
12
Jarum jahit (bedah) no.10 (otot)
bungkus
13
bungkus
14
bungkus
15
Jarum jahit (bedah) no.9(otot)
bungkus
16
Jelly dopler 250 ml
botol
17
Kapas lidi
pcs
18
Kasa Hidrofil 40 x 80
19
rol
rol
20
Klip tanggung (7x10) cm
pcs
21
Lubricating jelly
tube
22
Masker karet
pcs
23
Masker N 95
pcs
24
Nurse cap
pcs
25
Onescrub 500 cc+dispenser
botol
26
Plester 5x5 cm
rol
27
Plester kain 1,25 cm
pcs
28
Plester kain 2,5 cm
pcs
29
Plester kain 7,5 cm
pcs
30
Rivanol 300 cc
botol
31
Sabun cair cuci alat
galon
32
Sarung tangan cuci alat/industri
pasang
33
Tisu towel
rol
34
Underpad (perlak sekali pakai)60x90
pcs
JUMLAH KUNJUNGAN RESEP
Mengetahui/menyetujui
Kepala Dinas Kesehatan Kab. Bangli
dr. I Wayan Sudiana, M.Kes

NIP.19661129 199703 1 004
UMUM
BAYAR
JKBM
59
369
UKS
1
Yang Menyerahkan
Kepala UPT Gudang Far
Ni Made Astiniasih, S.Si.,Ap
NIP.19731010 2000 12 2
PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PUSKESMAS : SUSUT II
DOKUMEN
NOMOR
GFK
BULAN/PERIODE
: JANUARI 2015
PUSK
AN BULAN/PERIODE : FEBRUARI 2015

OBAT
PERSEDIA PEMAKAI
ED/RUSA
AN
AN
K
6
7
381
112
STOK
AKHIR
STOK
PERMINTA
OPTIMUM
AN
10
269
4,854
97
674
2,396
1770
39
220
0
486
3,084
58
454
1,910
21
20
171
1,854
64
64
1,569
1053
5000
150
3000
2,025
11
516
3000
5000
0
5000
PEMBERIAN
APBD
GAKIN
ASKES
12
13
14
163
89
74
1500
116
111
150
189
10
179
200
949
146
803
500
100
100
358
210
148
18
17
106
221
14
220
10
0
35
0
85
96
186
135
-
49
1,369
7
474
848
895
74
300
1000
42
789
400
14
51
200
899
2000
2000
715
2000
1500
37
30
2,869
0
935
1,934
44
10
34
1,070
34
1,036
20
19
59
59
151
146
70
17
0
2,687
1,334
50
0
1548
0
161
66
1,139
5000
1,173
10
123
200
10
1,468
120
53
116
5000
1,345
100
100
2000
20
18
27
24
304
2,929
22
0
611
282
2,318
381
100
200
2,062
24
1,681
55
47
89
89
5000
3000
100
13
13
1,384
586
798
300
300
35
32
586
141
445
200
200
307
77
230
120
60
60
200
2,506
2,506
77
77
3,412
263
3,149
29
200
1000
900
900
37
36
225
225
145
44
101
400
230
136
94
600
33
200
56
56
460
166
294
2000
12
20
28
23
48
300
300
32
18
14
45
45
50
10
10
20
5
40
16
16
500
80
37
43
97
90
167
70
97
1000
1000
216
75
141
174
40
134
300
24
16
15
42
12
2000
30
1000
60
310
225
85
30
30
16
10
720
347
373
179
128
51
219
102
117
11
11
300
192
108
600
100
3000
500
500
202
30
172
10
10
690
391
299
12
25
25
300
40
260
100
100
17
16
109
109
56
56
20
10
500
ASKIN
ASKES
BPJS
JUMLAH
GENERIK
109
43
335
916
1719
g Menyerahkan
UPT Gudang Farmasi
tiniasih, S.Si.,Apt.,M.Si.
1010 2000 12 2 004
Yang Meminta
Kepala Puskesmas
drg. I Gst Gd Ngr Kursista. M.P.H

NIP. 19661122 200212 1 002
NON GENER
79
Yang Menerima
Pengelola Obat Puskesm
Tri Listyani, A.Md
NIP. 19860808 201001 2
PUSKESMAS
TANGGAL
KET
2/2/2015
PEMBERIAN
LAIN
KET
15
16
: SUSUT II
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
NO
NAMA OBAT
10
13

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000
IU/g
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen 250
mg
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
11
12
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
49
Gameksan losion 1%
Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium klorida 0,30 g,
Tribatrium Sitrt dihidrat 0,58 g
50
51
52
Gliserin
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
48
72
73
74
75
76
77
78
82

Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg + Trimetoprim 40
mg/ 5 ml
Kotrimosazol DOEN I (dewasa) Kombinasi : Sulfametoksazol 400 mg,
Trimetoprim 80 mg
Trimetoprim 20 mg
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
79
80
81


VAKSIN
136 BCG
137 TT
138 DT
139 CAMPAK 10 Dosis
140 POLIO 10 Dosis
141 DPT-HB
143 POLIO 20 Dosis
144 CAMPAK 20 Dosis
ALAT KESEHATAN


160 Pembalut Gips
OBAT KLB

173 Kaptopril 25 mg
175 Nifedipin 10 mg


194 Masker
198 Urine Bag
OBAT PROGRAM
MALARIA
Kina Tablet 200 mg
Doxicyklin 100 mg
FILARIASIS
DEC 100 mg (Tablet)
10
11
Abendazol 400 mg
12
Antasida Doen
13
14
15
16
17
Prazikuartel 500 mg
PES
18
19
20
Vit. B Kompleks tab
ANTRAKS
21
22
23
24
25
26
27
28
29
DIARE
30
31
Zinc Tab 20 mg
KECACINGAN
32
KUSTA
33
Prednison tab 5 mg
34
35
36
Lamprene 100 mg
FRAMBUSIA
37
38
39
Adrenalin Injeksi
40
Aquades 20 cc
TB PARU (OAT FDC )
41
42
43
OAT Kombipak
44
Katagori 1
45
ISPA
46
47
48
49
Parasetamol 100 mg
FLU BURUNG
50
Oseltamivir
KESEHATAN ANAK
51
52
53
54
55
56
57
58
59
Abendasol 400 mg
IBU
60
Dextran 70 %
61
Transfusi set
62
IV Chateter No. 16
63
64
65
66
67
Nipedipin 10 mg
68
69
70
71
72
73
74
75
76
77
IV Chateter No. 18
78
Urine Bag
79
Alat Suntik 2,5 ml
80
Alat Suntik 5 ml
81
Alat Suntik 10 ml
82
83
84
85
86
Implan KB ( isi 2 )
GIZI
87
( 6 - 11 bln )
88
( 11- 59 bln )
89
90
Ferro Sulfat 300 mg
91
Mineral Mix
OBAT GIGI
92
93
Etil klorida spray
94
Eugenol cairan
95
96
97
98
Mummifying Pasta
99

TAMBAHAN
1
Alkohol 70% 1 Liter
Ambroxol tab 30 mg
Amlodipin 10 mg
Amlodipin 5 mg
10
Asiklovir krim 5%
11
12
13
14
Bioplacenton
15
Boraks Gliserin
16
Bromheksin tab 8 mg
17
Burnazin 35 gram
18
Buscopan injeksi
19
20
21
22
23
24
25
26
Dulcolac tab
27
Dulcolactol syr
28
29
Famotidin
30
31
32
Flagystatin
33
Folley Catheter
34
35
36
37
38
Hanscoon steril 7,5
39
Hanscoon steril 8
40
41
Hipavix 5x5 cm
42
Hufavit kalk
43
44
45
Iodiol kapsul lunak
46
Jarum hecting
47
Kaltofren supp
48
Kaptopril tab 50 mg
49
50
51
52
53
54
55
56
Kertas perkamen
57
Ketac Molar
58
Ketokonazol krim 2%
59
60
61
62
klip B (13x18,7)cm
63
Klip K (5x8) cm
64
65
66
67
68
Lanzoprasole
69
70
Lefofloxacin
71
Lidokain injeksi 2%
72
73
Loratadin
74
Lysol
75
Meloxicam tab 15 mg
76
77
78
79
80
81
82
83
Metronidazol 500 mg
84
85
86
87
New Diaform
88
89
90
91
92
93
94
95
96
Parasetamol drops
97
98
99

106 PP tes
109 Recovit syr
110 Salbutamol 2 mg
111 Salbutamol 4 mg
112 Scabicid
117 Sendok syr
124 Spongostan
126 Termometer
128 TKF
OBAT ASKES
1
Alkohol 1000 ml 70%
Alkohol 300 ml 70%
Alletrol tetes mata
Aspilet 80 mg
Becefort tab
Bioplacenton
Borax gliserin
10
Bravoderm
11
Bronex
12
Bronsolvan tab
13
Burnazin salep
14
Caviplex syr
15
Coldrexin syr
16
Colfin syr
17
Colfin tab
18
19
Daryantulle
20
Decadryl syr
21
Demacolin syr
22
Dexanta tab
23
Dulcolac supp 10 mg
24
Dulcolax tab
25
Duradryl inj
26
Gastrucid suspensi
27
Genoint tetes mata
28
Grahabion tab
29
Gratheos
30
Guanistrep
31
Halpilyn syr
32
HCl 0,1 N
33
34
Kaltofren inj
35
Kaltofren supp
36
Kertas perkamen
37
38
Livron B Plex
39
Neuropyron V tab
40
New diaform
41
Noperten 10 mg
42
Ottolin TT
43
Perhidrol (H2O2) 3%
44
Prenatin plus
45
Proris supp
46
Recovit syr
47
Salfamen
48
Scabicid crm
49
Scopamin
50
Sofratulle
51
Sohobion injeksi
52
Sohobion tab
53
54
Termometer
55
56
Xanvit syr
57
Xilomidon inj
TAMBAHAN
Albendazol syr
Kapas 500 gram
Spiritus
Slide frosted
Sofratule
TAMBAHAN ASKES 2013
Klip K
Enbatic
Berotec MDI
Berotec solution
Bisoprolol 5 mg
Cendo lyteers
Flukonazol 150 mg
Irbesartan 150 mg
10
11
Levopar
12
13
14
15
16
17
Simvastatin 20 mg
18
19
Tetagam
20
Urotractin 400 mg
21
22
Zinc sir 20mg/5ml
23
Zincpro drops
Alkohol 70% 100 ml
Alkohol 70% 300 ml
Alkohol 95% 1000 ml
Alkohol swab
Apron
NON GENERIK
Bayclin 1000 ml
Chlorotule
Cito brush
10
Gelang pasien
11
12
13
14
15
16
Jelly dopler 250 ml
17
Kapas lidi
18
19
20
21
Lubricating jelly
22
Masker karet
23
Masker N 95
24
Nurse cap
25
26
Plester 5x5 cm
27
28
Plester kain 2,5 cm
29
Plester kain 7,5 cm
30
Rivanol 300 cc
31
32
33
Tisu towel
34
79
Yang Menerima
elola Obat Puskesmas
Tri Listyani, A.Md
9860808 201001 2 040
dr. I Nengah Nadi, M.Kes

NIP.19611231 198911 1 015
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

LAPORAN BULAN/PERIODE
: FEBRUARI 2015
PERMINTAAN BULAN/PERIODE : MARET 2015
SATUAN
STOK
AWAL
PENERIM PERSEDIA PEMAKAIA

OBAT
AAN
AN
N
ED/RUSAK
5
STOK
AKHIR
STOK
OPTIMUM
10
tablet
269
269
116
153
195
tablet
ampul
tablet
Kapsul
kaplet
3,084
7,284
2,211
5,073
1,560
158
62
94
92
1,954
340
1,614
3,910
650
3,260
botol
58
tablet
454
ampul
tablet
1,910
4200
100
1500
2000
tube
supp
20
20
17
pot
tablet
tablet
botol
2,854
501
2,353
1000
tablet
1,854
tablet
tablet
tablet
botol
ampul
tube
ampul
64
64
tablet
516
2,516
734
1,782
420
2000
63
botol
botol
tablet
ampul
tablet
74
tablet
ampul
111
tablet
574
123
451
90
201
201
179
200
379
10
369
tablet
803
500
1,303
101
1,202
tablet
ampul
100
100
100
botol
ampul
ampul
tablet
148
348
332
16
980
tablet
tablet
17
17
15
ampul
tablet
tablet
96
296
25
271
386
33
353
14
14
335
55
280
2,000
2,000
botol
botol
bks
botol
500
200
200
186
200
14
tablet
135
tablet
botol
botol
botol
botol
tablet
tablet
tablet
tablet
tablet
848
848
123
725
42
42
16
26
2,895
500
2,395
tube
200
2000
tablet
895
2000
tablet
tablet
tablet
715
1,715
98
1,617
tablet
30
530
158
372
tablet
tablet
ampul
kapsul
kapsul
1000
500
0
22
102
botol
4,934
1,202
3,732
tablet
1,934
ampul
ampul
tablet
tablet
tablet
84
12
72
botol
34
3000
50
tablet
1,036
1,036
36
1,000
tablet
ampul
tablet
ampul
ampul
ampul
bks
botol
tablet
tablet
ampul
tablet
tablet
botol
botol
19
19
18
ampul
tablet
59
59
59
tablet
146
146
141
botol
53
53
14
39
botol
tube
vial
ampul
234
64
170
22
4,139
2,010
2,129
3,901
3,173
90
3,083
botol
66
botol
tablet
botol
tablet
1,139
168
3000
1,173
2000
botol
10
10
10
botol
tablet
1,345
1,345
175
tablet
tablet
100
100
100
105
1,065
tablet
tablet
tablet
botol
pot
24
24
bks
18
18
17
ampul
ampul
ampul
ampul
ampul
ampul
24
124
120
24
100
botol
botol
kapsul
kapsul
282
482
10
472
ampul
tablet
2,318
7,318
582
6,736
ampul
tablet
ampul
tablet
1,681
4,681
737
3,944
200
5000
3000
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
pcs
pcs
47
pcs
147
11
136
89
89
89
pcs
pcs
set
set
100
pcs
pcs
pcs
bks
bks
bks
bks
bks
pcs
pcs
pcs
13
13
13
pcs
pcs
pcs
pcs
kaplet
798
798
620
178
kapsul
kapsul
300
300
300
32
32
30
tablet
tablet
445
945
188
757
tablet
200
200
200
tablet
230
230
60
170
kapsul
vial
vial
tablet
ampul
kapsul
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
botol
kapsul
500
3
-
pcs
pcs
pcs
pcs
60
60
47
13
psg
psg
psg
pcs
tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube
kapsul
tablet
tablet
vial
tube
kaplet
tablet
tablet
bks
tablet
tablet
tablet
tablet
bks
tablet
2,506
2,506
2,506
tablet
kapsul
kapsul
tablet
vial
ampul
botol
pcs
set
set
set
set
set
tablet
botol
tablet
tablet
tablet
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
77
77
77
botol
set
pcs
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
tablet
tablet
pcs
kapsul
kapsul
kapsul
3,149
3,149
tablet
bks
422
2,727
-
botol
botol
botol
set
tube
botol
botol
set
set
2
1
botol
botol
204
57
147
tablet
tablet
600
600
600
tablet
600
600
120
480
tablet
botol
tablet
kapsul
36
36
32
tube
200
tablet
225
225
225
tablet
101
400
501
135
366
tablet
94
600
694
248
446
tube
botol
tablet
tube
ampul
botol
tablet
tablet
tablet
kapsul
botol
tablet
56
56
56
tablet
botol
kapsul
tablet
tablet
294
294
kapsul
supp
pcs
botol
20
27
20
tube
23
50
73
66
42 150
102
psg
psg
200
200
10
190
psg
100
100
100
psg
14
14
tube
rol
botol
botol
45
45
45
botol
kapsul
set
supp
tablet
kotak
25
25
kotak
rol
rol
rol
rol
40
40
35
rol
pcs
set
16
16
15
200
10
190
tube
20
5
tablet
tablet
kapsul
pcs
pcs
200
botol
tube
botol
ampul
tablet
43
143
70
73
100
botol
tablet
ampul
90
90
82
tablet
tablet
botol
tablet
97
500
597
202
395
tablet
500
500
500
tablet
tablet
tablet
141
1,641
652
989
tablet
botol
tablet
tablet
134
434
40
394
29
24
1500
300
tube
tablet
tablet
tablet
botol
tablet
tablet
15
15
15
kapsul
ampul
tablet
tablet
86
16
70
tube
botol
30
24
56
rol
rol
rol
tablet
tablet
tablet
botol
botol
botol
pcs
tablet
set
botol
685
221
464
tablet
85
tablet
tube
kapsul
kapsul
botol
30
30
26
botol
pcs
tablet
tablet
10
110
106
tablet
tablet
tablet
373
2,173
462
1,711
tablet
pcs
rol
pcs
551
20
531
kapsul
51
600
100
1800
500
botol
ampul
kapsul
botol
617
151
466
tablet
117
500
botol
botol
botol
botol
ampul
tablet
tablet
tube
botol
11
11
11
tube
tablet
108
108
108
tablet
tube
botol
botol
botol
172
172
172
16
10
tablet
botol
pcs
botol
botol
10
20
11
10
10
tablet
supp
tablet
vial
botol
botol
tablet
tablet
299
299
273
26
botol
botol
botol
pot
ampul
supp
25
25
25
tablet
tablet
260
760
260
500
tablet
100
100
100
tablet
tablet
botol
botol
tablet
supp
botol
tube
tube
16
16
12
109
109
109
56
56
55
ampul
tablet
tube
pcs
botol
botol
bks @100
tablet
pcs
500
vial
botol
bks
tablet
botol
kotak
lembar
bks@100
tube
tablet
botol
botol
tablet
botol
10
10
tube
kapsul
tablet
tablet
botol
tablet
tablet
tablet
supp
tube
botol
tablet
supp
botol
tablet
botol
botol
botol
botol
botol
botol
pcs
pack
botol
MHP) 2014
10
botol
pcs
pcs
pcs
botol
bungkus
bungkus
bungkus
bungkus
botol
pcs
rol
rol
pcs
tube
pcs
300
300
pcs
pcs
botol
rol
pcs
pcs
pcs
botol
galon
pasang
10
rol
pcs
UMUM
BAYAR
JKBM
69
442
300
15
10
14
10
UKS
ASKIN
ASKES
BPJS
JUMLAH
120
73
20
724
Yang Menyerahkan
Yang Meminta
Kepala UPT Gudang Farmasi
Kepala Puskesmas
Ni Made Astiniasih, S.Si.,Apt.,M.Si.
NIP.19731010 2000 12 2 004
NIP. 19661122 200212 1 002
BAT
DOKUMEN
NOMOR
TANGGAL
KET
GFK
PUSKESMAS
: SUS
KECAMATAN
: SUSU
KABUPATEN
: BAN
PUSK
PEMBERIAN
PERMINTA
AN
APBD
GAKIN
ASKES
LAIN
KET
11
12
13
14
15
16
200
NO
1
1
2
3
4
5
6
100
1000
8
9
10
11
40
12
13
14
15
16
2000
17
18
19
20
21
22
23
100
24
1000
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
2000
51
52
53
54
55
56
57
58
59
60
48
61
62
63
64
65
400
66
67
68
69
70
71
72
2000
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
50
104
105
4000
106
107
108
109
110
111
112
113
114
115
116
117
24
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
3
155
156
157
158
159
160
161
162
163
164
165
166
3,000
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
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
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
2
93
94
95
96
97
98
99
100
1
100
2
3
4
5
6
7
8
9
10
11
200
12
13
14
15
16
10
17
18
19
150
20
21
22
23
24
400
25
40
26
27
28
29
30
31
32
33
10
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
24
58
59
60
61
62
63
64
65
66
67
200
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
1000
85
1000
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
500
110
111
112
113
114
115
116
50
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
10
1
2
24
4
5
500
500
7
8
9
10
500
11
12
10
13
20
14
30
15
50
16
1500
17
30
18
19
20
50
21
22
10
23
20
24
25
30
26
27
28
29
30
31
32
33
34
35
36
37
1000
38
39
3000
40
41
42
43
2000
44
45
15
46
10
47
48
49
50
51
1000
52
53
54
55
10
56
57
1
2
3
4
5
6
1
2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
200
20
21
22
23
10
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
15
27
28
29
30
31
32
33
34
JUMLAH
GENERIK
NON GENERIK
724
2356
84
Yang Meminta
Yang Menerima
Kepala Puskesmas
Pengelola Obat Puskesmas
Gst Gd Ngr Kursista. M.P.H
19661122 200212 1 002
Tri Listyani, A.Md

NIP. 19860808 201001 2 040
LAPORAN PEMAKAIAN DAN
PUSKESMA
PUSKESMAS
: SUSUT II
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
PERMINTAAN BULAN/PERIO
NAMA OBAT
SATUAN
STOK
AWAL
PENERIM
AAN
tablet
153
tablet
ampul
tablet
Kapsul
kaplet
5,073
botol
tablet
1,614
ampul

Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000
IU/g
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen 250
mg
tablet
3,260
pot
tablet
tablet
botol
tablet
2,353
tablet
tablet
tablet
botol
ampul
tube
25
ampul
100
tablet
1,782
botol
botol
tablet
ampul
94
tube
supp
17
300
1000
100
20
1000
1000
tablet
451
tablet
ampul
201
tablet
369
tablet
1,202
tablet
ampul
100
botol
ampul
ampul
tablet
16
tablet
tablet
botol
ampul
tablet
tablet
271
Gameksan losion 1%
botol
tablet
280
tablet
2,000
Gliserin
botol
botol
botol
botol
tablet
tablet
tablet
tablet
tablet
725
tube
tablet
2,395
tablet
tablet
tablet
1,617
tablet
372
tablet
tablet
ampul
kapsul
kapsul
bks
botol
200
15
353
14
26
2000
48
500
botol
tablet
3,732
ampul
ampul
tablet
tablet

Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg + Trimetoprim 40
mg/ 5 ml
Trimetoprim 80 mg
Trimetoprim 20 mg
tablet
botol
2000
72
tablet
1,000
tablet
ampul
tablet
ampul
ampul
ampul
bks
botol
tablet
tablet
ampul
tablet
tablet
botol
botol
18
ampul
tablet
59
tablet
141
botol
39
Obat Batuk Hitam ( O.B.H. ) cairan
botol
Oksitetrasiklin HCl salep mata 1 %
tube
Oksitetrasiklin HCl injeksi i.m. 50 mg/ml-10 ml
vial
ampul
Parasetamol sirup 120 mg/5 ml
botol
170
Parasetamol tablet 100 mg
botol
tablet
Pilokarpin tetes mata 2 % (HCL/Nitrat)
botol
Piridoksin HCl (Vit.B6) tablet 10 mg
tablet
Povidon Iodida 10 % 30 ml
botol
10
botol
tablet
1,065
Primakoin tablet 15 ml
tablet
Propiltiourasil tablet 100 mg
tablet
100
2,129
3,083
84
3000
Propranolol HCl tablet 40 mg
tablet
Reserpin tablet 0,10 mg
tablet
tablet
Ringer Laktat larutan infus
botol
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap 4%
pot
24
Salisil Bedak 2 %
bks
17
Serum Anti Bisa Ular Pilivalen Injeksi 5 ml (ABU I)
ampul
Serum Anti Bisa Ular Pilivalen Injeksi 50 ml (ABU II)
ampul
Serum Anti Difteri Injeksi 20.000 IU/Vial ( A.D.S )
ampul
Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S)
ampul
Serum Anti Tetanus Injeksi 20.000 IU/Vial (A.T.S)
ampul
Sianokobalamin (Vit.B12) injeksi 500 mcg-ml
ampul
120
Sulfasetamida Natrium tetes mata 15 %
botol
Tetrakain HCl tetes mata 0,5%
botol
Tetrasiklin HCl kapsul 250 mg
kapsul
kapsul
472
Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml
ampul
Tiamin HCl / Mononitrat (Vit.B1) tablet 50 mg
tablet
6,736
Tiopental Natrium serbuk Injeksi 1000 mg/amp
ampul
Triheksifenidil tablet 2 mg
tablet
Vaksin Rabies Vero
ampul
Vitamin B Kompleks tablet
tablet
3,944
24
VAKSIN
BCG
Ampul
TT
Ampul
DT
Ampul
CAMPAK 10 Dosis
Ampul
POLIO 10 Dosis
Ampul
DPT-HB
Ampul
HEPATITIS B 0,5 ml ADS
Ampul
POLIO 20 Dosis
Ampul
CAMPAK 20 Dosis
Ampul
ALAT KESEHATAN
Alat suntik sekali pakai 1 ml
pcs
Alat suntik sekali pakai 2,5 ml
pcs
136
pcs
89
Catgut / Benang Bedah No. 2/0 dengan jarum bedah
pcs
pcs
Infusion set anak
set
Infusion set dewasa
set
24
IV Catheter No. 20 G
pcs
pcs
pcs
Kapas Pembalut / Absorben 250 gram
bks
Kasa Kompres 40/40 steril
bks
Kasa Pembalut 2 m x 80 cm
bks
bks
bks
Pembalut Gips
pcs
Plester 5 yards x 2 inch
pcs
Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah
pcs
13
Wing Needle No. 21 G
pcs
pcs
pcs
pcs
OBAT KLB
Asam Mefenamat tablet salut selaput 500 mg
kaplet
178
Doksisiklin kapsul 100 mg
kapsul
Eritromisin kapsul 500 mg
kapsul
300
Eritromisin sirup 200 mg/5 ml
botol
Kaptopril 12,5 mg
tablet
Kaptopril 25 mg
tablet
757
Klindamisin kapsul 150 mg
kapsul
Nifedipin 10 mg
tablet
200
Piroksikam tablet 20 mg
tablet
170
Sefadroksil kapsul 500 mg
kapsul
Sefotaksim Injeksi 1 gr
vial
Seftriakson injeksi 1 gr
vial
Simetidin tablet 200 mg
tablet
Tramadol injeksi 50 mg/ml
ampul
Tramadol kapsul 50 mg
kapsul
30
Folley Catheter No.14
pcs
pcs
pcs
Jarum jahit (bedah) No.9
pcs
pcs
pcs
pcs
pcs
2000
pcs
Jarum otot besar
pcs
Jarum otot kecil
pcs
Masker
pcs
13
Sarung Tangan Steril 6,5
psg
Sarung Tangan Steril 7
psg
psg
Urine Bag
pcs
OBAT PROGRAM
MALARIA
tablet
ampul
ampul
tablet
Kina Tablet 200 mg
tablet
ampul
Doxicyklin 100 mg
kapsul
tablet
FILARIASIS
DEC 100 mg (Tablet)
tablet
tablet
Abendazol 400 mg
tablet
Antasida Doen
tablet
tablet
tablet
kapsul
tube

Prazikuartel 500 mg
tablet
PES
kapsul
tablet
Vit. B Kompleks tab
tablet
ANTRAKS
vial
tube
kaplet
tablet
bks
tablet
tablet
tablet
tablet
DIARE
bks
Zinc Tab 20 mg
tablet
KECACINGAN
tablet
2,506
-
KUSTA
Prednison tab 5 mg
tablet
kapsul
kapsul
Lamprene 100 mg
tablet
FRAMBUSIA
vial
Adrenalin Injeksi
ampul
Aquades 20 cc
botol
pcs
TB PARU (OAT FDC )
set
set
set
OAT Kombipak
Katagori 1
set
set
ISPA
tablet
botol
tablet
Parasetamol 100 mg
tablet
FLU BURUNG
Oseltamivir
tablet
KESEHATAN ANAK
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
Abendasol 400 mg
tablet
77
-
IBU
Dextran 70 %
botol
Transfusi set
set
IV Chateter No. 16
pcs
botol
botol
botol
ampul
Nipedipin 10 mg
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
IV Chateter No. 18
pcs
Urine Bag
pcs
Alat Suntik 2,5 ml
pcs
Alat Suntik 5 ml
pcs
Alat Suntik 10 ml
pcs
pcs
pcs
ampul
tablet
pcs
Implan KB ( isi 2 )
GIZI
( 6 - 11 bln )
kapsul
( 11- 59 bln )
kapsul
kapsul
Ferro Sulfat 300 mg
tablet
Mineral Mix
bks
2,727
-
OBAT GIGI
botol
Etil klorida spray
botol
Eugenol cairan
botol
set
tube
botol
Mummifying Pasta
botol
set
Temporary Stopping fletcher serbuk & cairan
set
TAMBAHAN
Alkohol 70% 1 Liter
botol
botol
147
Ambroxol tab 30 mg
tablet
Amlodipin 10 mg
tablet
600
Amlodipin 5 mg
tablet
480
tablet
botol
tablet
kapsul
Asiklovir krim 5%
tube
tablet
225
tablet
366
tablet
446
Bioplacenton
tube
Boraks Gliserin
botol
Bromheksin tab 8 mg
tablet
Burnazin 35 gram
tube
Buscopan injeksi
ampul
botol
tablet
tablet
100
32
200
tablet
kapsul
botol
tablet
Dulcolac tab
tablet
Dulcolactol syr
botol
kapsul
Famotidin
tablet
tablet
102
kapsul
Flagystatin
supp
Folley Catheter
pcs
botol
20
tube
66
psg
psg
190
Hanscoon steril 7,5
psg
100
Hanscoon steril 8
psg
tube
Hipavix 5x5 cm
rol
Hufavit kalk
botol
botol
45
botol
Iodiol kapsul lunak
kapsul
Jarum hecting
set
Kaltofren supp
supp
Kaptopril tab 50 mg
tablet
kotak
25
kotak
rol
rol
rol
rol
35
rol
Kertas perkamen
pcs
Ketac Molar
set
Ketokonazol krim 2%
tube
tablet
190
tablet
kapsul
klip B (13x18,7)cm
pcs
Klip K (5x8) cm
pcs
15
400
20
24
botol
tube
botol
ampul
Lanzoprasole
tablet
73
botol
Lefofloxacin
tablet
Lidokain injeksi 2%
ampul
82
tablet
Loratadin
tablet
Lysol
botol
Meloxicam tab 15 mg
tablet
395
tablet
500
tablet
tablet
tablet
989
tablet
botol
tablet
Metronidazol 500 mg
tablet
394
tube
tablet
500
tablet
500
New Diaform
tablet
botol
tablet
tablet
tube
kapsul
ampul
tablet
tablet
Parasetamol drops
botol
rol
rol
rol
Piracetam 400 mg
tablet
Pirantel tab score (base) 125 mg
tablet
Piroksikam 10 mg
tablet
PK (Kalium Permanganat)
botol
Povidon iodin 10 % 1000 ml
botol
Povidon iodin 60 ml
botol
48
100
400
24
15
70
PP tes
pcs
Ranitidin tab 150 mg
tablet
Reagen Gol. Darah
set
Recovit syr
botol
Salbutamol 2 mg
tablet
464
500
Salbutamol 4 mg
tablet
500
Scabicid
tube
Sefadroksil kaps 250 mg
kapsul
Sefadroksil kaps 500mg
kapsul
Sefadroksil syr kering 125mg/ml
botol
26
Sefixim syr kering 100mg /5ml
botol
Sendok syr
pcs
Sianokobalami (vit B12) tab 50 mcg
tablet
Simetidin tab 200 mg
tablet
106
Simvastatin tab 10 mg
tablet
Siprofloksasin 250
tablet
Siprofloksasin 500 mg
tablet
1,711
Spironolakton tab 100 mg
tablet
Spongostan
pcs
Tensocrepe 7,5 cm
rol
Termometer
pcs
Tiamfenikol 500 mg
kapsul
TKF
botol
Tramadol inj 50 mg/ml
ampul
kapsul
Trikresol Formalin
botol
Zinc tablet 20 mg
tablet
OBAT ASKES
50
1
250
531
466
-
botol
Alkohol 1000 ml 70%
botol
Alkohol 300 ml 70%
botol
Alletrol tetes mata
botol
ampul
Aspilet 80 mg
tablet
Becefort tab
tablet
Bioplacenton
tube
Borax gliserin
botol
11
Bravoderm
tube
Bronex
tablet
Bronsolvan tab
tablet
Burnazin salep
tube
Caviplex syr
botol
Coldrexin syr
botol
Colfin syr
botol
Colfin tab
tablet
botol
Daryantulle
pcs
Decadryl syr
botol
Demacolin syr
botol
11
Dexanta tab
tablet
Dulcolac supp 10 mg
supp
Dulcolax tab
tablet
Duradryl inj
vial
Gastrucid suspensi
botol
Genoint tetes mata
botol
Grahabion tab
tablet
Gratheos
tablet
26
Guanistrep
botol
Halpilyn syr
botol
HCl 0,1 N
botol
pot
Kaltofren inj
ampul
Kaltofren supp
supp
Kertas perkamen
bks @100
tablet
Livron B Plex
tablet
500
Neuropyron V tab
tablet
100
New diaform
tablet
Noperten 10 mg
tablet
Ottolin TT
botol
Perhidrol (H2O2) 3%
botol
Prenatin plus
tablet
Proris supp
supp
Recovit syr
botol
Salfamen
tube
Scabicid crm
tube
12
Scopamin
tablet
Sofratulle
pcs
Sohobion injeksi
ampul
Sohobion tab
tablet
tube
Termometer
pcs
botol
Xanvit syr
botol
10
24
25
20
25
109
55
500
Xilomidon inj
vial
TAMBAHAN
Albendazol syr
botol
Kapas 500 gram
bks
tablet
Spiritus
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013
Klip K
bks@100
Enbatic
tube
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
10
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
botol
Levopar
tablet
tablet
tablet
supp
tube
botol
Simvastatin 20 mg
tablet
supp
Tetagam
botol
Urotractin 400 mg
tablet
botol
Zinc sir 20mg/5ml
botol
Zincpro drops
botol
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
120
24
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
Gelang pasien
pcs
botol
bungkus
bungkus
bungkus
12
bungkus
12
Jelly dopler 250 ml
botol
Kapas lidi
pcs
rol
rol
pcs
Lubricating jelly
tube
Masker karet
pcs
300
Masker N 95
pcs
Nurse cap
pcs
botol
Plester 5x5 cm
rol
pcs
14
Plester kain 2,5 cm
pcs
Plester kain 7,5 cm
pcs
Rivanol 300 cc
botol
galon
pasang
Tisu towel
rol
pcs
UMUM
BAYAR
JKBM
76
388
12
UKS
Yang Menyerahkan
Kepala UPT Gudang Farmas

NIP.19611231 198911 1 015
Ni Made Astiniasih, S.Si.,Apt.,M
NIP.19731010 2000 12 2 00
EMAKAIAN DAN LEMBAR PERMINTAAN OBAT

DOKUMEN
NOMOR
GFK
BULAN/PERIODE
: MARET 2015
PUSK
AN BULAN/PERIODE :APRIL 2015

PERSEDIA PEMAKAIA
OBAT
AN
N
ED/RUSAK
6
STOK
AKHIR
STOK
PERMINTA
OPTIMUM
AN
10
11
453
30
423
6,073
1,907
4,166
194
44
150
1,614
195
1,419
3,260
557
2,703
37
29
- 100
3,353
113
3,240
25
25
100
100
2,782
430
2,352
1,555 1500
50
2000
PEMBERIAN
APBD
12
GAKIN ASKES
13
14
451
140
311
109
201
11
190
369
10
359
1,202
194
1,008
100
100
216
216
15
14
271
28
243
353
102
14
12
280
80
200
4,000
253
3,747
- 300
725
35
690
74
17
57
2,395
684
1,711
341
1,617
232
1,385
872
98
774
21
230
648 700
76 300
40
-
- 25
5,732
953
4,779
72
13
59
1,000
1,000
18
16
59
59
141
136
39
33
254
70
184
26
5,129
1,560
3,569
3,083
53
3,030
10
1,065
315
750
100
100
100
1,111 1500
-
195 2000
-
48
47
17
17
120
11
109
- 20
472
472
6,736
736
6,000
3,944
784
3,160
2000
136
27
89
24
136
89
24
13
13
2,178
281
1,897
300
300
30
24
757
90
667
200
200
170
70
100
110
300
500
13
13
2,506
2,506
77
77
100
2,727
218
2,509
247
69
178
29
600
600
480
252
228
528
30
200
32
30
225
25
200
566
60
506
446
260
186
15
200
500
300
300
15
400
400
20
102
12
90
40
32
66
18
48
190
80
110
130
100
100
15
- 45
25
25
35
33
39
38
190
37
153
45
48
46
173
173
519
82
74
400
10
390
395
225
170
505
500
500
989
492
497
979
394
20
374
24
18
500
500
500
50
450
500
3000
15
15
70
20
50
10
300
100
500
1000
300
50
50
964
170
794
500
500
26
17
42
250
40
210
106
100
1,711
314
1,397
531
32
499
466
212
254
382
200
11
11
10
12
200
24
24
35
34
31
27
500
20
500
26
10
16
500
25
24
1,000
247
753
100
100
12
10
109
109
55
52
1000
20
3000
10
2
5
10
10
120
120
50
20
24
24
12
12
12
12
300
34
266
14
12
12
ASKIN
ASKES
BPJS
JUMLAH
GENERIK
131
65
12
672
2148
Menyerahkan
T Gudang Farmasi
niasih, S.Si.,Apt.,M.Si.
010 2000 12 2 004
Yang Meminta
Kepala Puskesmas Susut II

NIP. 19661122 200212 1 002
NON GENE
71
Yang Menerima
Pengelola Obat Puske
Tri Listyani, A.Md
NIP. 19860808 201001
LAPOR
PUSKESMAS
TANGGAL
KET
4/1/2015
PEMBERIAN
LAIN
KET
15
16
: SUSUT II
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
NO
NAMA OBAT
SATUAN
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al. Hidroksida.
200 mg
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin
10.000 IU/g
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg +
Heksaklorofen 250 mg
ampul
tablet
16

Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg + Levodopa 250
mg
17
tablet
18
tablet
19
tablet
20
tablet
21
botol
22
ampul
23
tube
24
ampul
25
tablet
26
botol
27
botol
28
tablet
29
ampul
10
11
12
13
14
15
tablet
tube
supp
pot
tablet
botol
30
tablet
31
tablet
32
ampul
33
tablet
34
tablet
35
tablet
36
ampul
37
botol
38
ampul
39
ampul
40
tablet
41
tablet
42
tablet
43
botol
44
ampul
45
tablet
46
tablet
47
botol
49
Gameksan losion 1%
50
tablet
51
tablet
52
Gliserin
botol
53
botol
54
botol
55
botol
56
tablet
57
tablet
58
tablet
59
tablet
60
tablet
61
tube
62
tablet
63
tablet
64
tablet
65
tablet
66
tablet
67
tablet
68
tablet
69
ampul
70
kapsul
71
kapsul
48
bks
botol
72
botol
73
tablet
74
ampul
75
ampul
76
tablet
77
tablet
78
tablet
82

Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg +
Trimetoprim 40 mg/ 5 ml
Trimetoprim 80 mg
Trimetoprim 20 mg
83
tablet
84
ampul
85
ampul
86
ampul
87
bks
88
botol
89
tablet
90
tablet
91
ampul
92
tablet
93
tablet
94
botol
95
botol
96
ampul
97
tablet
98
tablet
99
botol
79
80
81
botol
tablet
tablet
ampul
botol
tube
vial
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
pot
bks
ampul
ampul
ampul
ampul
ampul
ampul
botol
botol
kapsul
kapsul
ampul
tablet
ampul
tablet
ampul
tablet
VAKSIN
136 BCG
Ampul
137 TT
Ampul
138 DT
Ampul
139 CAMPAK 10 Dosis
Ampul
140 POLIO 10 Dosis
Ampul
141 DPT-HB
Ampul
Ampul
143 POLIO 20 Dosis
Ampul
144 CAMPAK 20 Dosis
Ampul
ALAT KESEHATAN
pcs
pcs
pcs
pcs
pcs
set
set
pcs
pcs
pcs
bks
bks
bks
bks
bks
160 Pembalut Gips
pcs
pcs
pcs
pcs
pcs
pcs
pcs
OBAT KLB
kaplet
kapsul
kapsul
botol
tablet
173 Kaptopril 25 mg
tablet
kapsul
175 Nifedipin 10 mg
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
194 Masker
pcs
psg
psg
psg
198 Urine Bag
pcs
OBAT PROGRAM
MALARIA
tablet
ampul
ampul
tablet
Kina Tablet 200 mg
tablet
ampul
Doxicyklin 100 mg
kapsul
tablet
FILARIASIS
DEC 100 mg (Tablet)
tablet
10
tablet
11
Abendazol 400 mg
tablet
12
Antasida Doen
tablet
13
tablet
14
tablet
15
kapsul
16
tube
17
Prazikuartel 500 mg
tablet
PES
18
kapsul
19
tablet
20
Vit. B Kompleks tab
tablet
ANTRAKS
21
vial
22
tube
23
kaplet
24
tablet
25
bks
26
tablet
27
tablet
28
tablet
29
tablet
DIARE
30
bks
31
Zinc Tab 20 mg
tablet
KECACINGAN
32
tablet
KUSTA
33
Prednison tab 5 mg
tablet
34
kapsul
35
kapsul
36
Lamprene 100 mg
tablet
FRAMBUSIA
37
vial
38
39
Adrenalin Injeksi
ampul
Aquades 20 cc
botol
40
pcs
TB PARU (OAT FDC )
41
set
42
set
43
set
OAT Kombipak
44
Katagori 1
set
45
set
46
tablet
47
ISPA
Kotrimoksasol tablet kombinasi : sulfa meloksazol 400 mg + Trimetorpin
80 mg
48
tablet
49
Parasetamol 100 mg
tablet
botol
FLU BURUNG
50
Oseltamivir
tablet
KESEHATAN ANAK
51
tablet
52
tablet
53
ampul
54
ampul
55
ampul
56
ampul
57
ampul
58
tube
59
Abendasol 400 mg
tablet
IBU
60
Dextran 70 %
botol
61
Transfusi set
set
62
IV Chateter No. 16
pcs
63
botol
64
botol
65
botol
66
ampul
67
Nipedipin 10 mg
tablet
68
ampul
69
ampul
70
tablet
71
kaplet
72
ampul
73
ampul
74
botol
75
pcs
76
pcs
77
IV Chateter No. 18
pcs
78
Urine Bag
pcs
79
Alat Suntik 2,5 ml
pcs
80
Alat Suntik 5 ml
pcs
81
Alat Suntik 10 ml
pcs
82
pcs
83
pcs
84
ampul
85
tablet
86
pcs
Implan KB ( isi 2 )
GIZI
87
( 6 - 11 bln )
kapsul
88
( 11- 59 bln )
kapsul
89
kapsul
90
Ferro Sulfat 300 mg
tablet
91
Mineral Mix
bks
OBAT GIGI
92
botol
93
Etil klorida spray
botol
94
Eugenol cairan
botol
95
set
96
tube
97
botol
98
Mummifying Pasta
botol
99
set
set
TAMBAHAN
1
Alkohol 70% 1 Liter
botol
botol
Ambroxol tab 30 mg
tablet
Amlodipin 10 mg
tablet
Amlodipin 5 mg
tablet
tablet
botol
tablet
kapsul
10
Asiklovir krim 5%
tube
11
tablet
12
tablet
13
tablet
14
Bioplacenton
tube
15
Boraks Gliserin
botol
16
Bromheksin tab 8 mg
tablet
17
Burnazin 35 gram
tube
18
Buscopan injeksi
ampul
19
botol
20
tablet
21
tablet
22
tablet
23
kapsul
24
botol
25
tablet
26
Dulcolac tab
tablet
27
Dulcolactol syr
botol
28
kapsul
29
Famotidin
tablet
30
tablet
31
kapsul
32
Flagystatin
supp
33
Folley Catheter
pcs
34
botol
35
tube
36
psg
37
psg
38
Hanscoon steril 7,5
psg
39
Hanscoon steril 8
psg
40
tube
41
Hipavix 5x5 cm
rol
42
Hufavit kalk
botol
43
botol
44
botol
45
Iodiol kapsul lunak
kapsul
46
Jarum hecting
set
47
Kaltofren supp
supp
48
Kaptopril tab 50 mg
tablet
49
kotak
50
kotak
51
rol
52
rol
53
rol
54
rol
55
rol
56
Kertas perkamen
pcs
57
Ketac Molar
set
58
Ketokonazol krim 2%
tube
59
tablet
60
tablet
61
kapsul
62
klip B (13x18,7)cm
pcs
63
Klip K (5x8) cm
pcs
64
botol
65
tube
66
botol
67
ampul
68
Lanzoprasole
tablet
69
botol
70
Lefofloxacin
tablet
71
Lidokain injeksi 2%
ampul
72
tablet
73
Loratadin
tablet
74
Lysol
botol
75
Meloxicam tab 15 mg
tablet
76
tablet
77
tablet
78
tablet
79
tablet
80
tablet
81
botol
82
tablet
83
Metronidazol 500 mg
tablet
84
tube
85
tablet
86
tablet
87
New Diaform
tablet
88
botol
89
tablet
90
tablet
91
tube
92
kapsul
93
ampul
94
tablet
95
tablet
96
Parasetamol drops
botol
97
rol
98
rol
99
rol
tablet
tablet
tablet
botol
botol
botol
106 PP tes
pcs
tablet
set
109 Recovit syr
botol
110 Salbutamol 2 mg
tablet
111 Salbutamol 4 mg
tablet
112 Scabicid
tube
kapsul
kapsul
botol
botol
117 Sendok syr
pcs
tablet
tablet
tablet
tablet
tablet
tablet
124 Spongostan
pcs
rol
126 Termometer
pcs
kapsul
128 TKF
botol
ampul
kapsul
botol
tablet
OBAT ASKES
1
botol
Alkohol 1000 ml 70%
botol
Alkohol 300 ml 70%
botol
Alletrol tetes mata
botol
ampul
Aspilet 80 mg
tablet
Becefort tab
tablet
Bioplacenton
tube
Borax gliserin
botol
10
Bravoderm
tube
11
Bronex
tablet
12
Bronsolvan tab
tablet
13
Burnazin salep
tube
14
Caviplex syr
botol
15
Coldrexin syr
botol
16
Colfin syr
botol
17
Colfin tab
tablet
18
botol
19
Daryantulle
pcs
20
Decadryl syr
botol
21
Demacolin syr
botol
22
Dexanta tab
tablet
23
Dulcolac supp 10 mg
supp
24
Dulcolax tab
tablet
25
Duradryl inj
vial
26
Gastrucid suspensi
botol
27
Genoint tetes mata
botol
28
Grahabion tab
tablet
29
Gratheos
tablet
30
Guanistrep
botol
31
Halpilyn syr
botol
32
HCl 0,1 N
botol
33
pot
34
Kaltofren inj
ampul
35
Kaltofren supp
supp
36
Kertas perkamen
bks @100
37
tablet
38
Livron B Plex
tablet
39
Neuropyron V tab
tablet
40
New diaform
tablet
41
Noperten 10 mg
tablet
42
Ottolin TT
botol
43
Perhidrol (H2O2) 3%
botol
44
Prenatin plus
tablet
45
Proris supp
supp
46
Recovit syr
botol
47
Salfamen
tube
48
Scabicid crm
tube
49
Scopamin
tablet
50
Sofratulle
pcs
51
Sohobion injeksi
ampul
52
Sohobion tab
tablet
53
tube
54
Termometer
pcs
55
botol
56
Xanvit syr
botol
57
Xilomidon inj
vial
TAMBAHAN
Albendazol syr
botol
Kapas 500 gram
bks
tablet
Spiritus
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013

1
Klip K
bks@100
Enbatic
tube

1
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
10
botol
11
Levopar
tablet
12
tablet
13
tablet
14
supp
15
tube
16
botol
17
Simvastatin 20 mg
tablet
18
supp
19
Tetagam
botol
20
Urotractin 400 mg
tablet
21
Ventolin inhaler (Salbutamol inh/aerosol 100 mcg/dosibotol
22
Zinc sir 20mg/5ml
botol
23
Zincpro drops
botol

1
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
NON GENERIK
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
10
Gelang pasien
pcs
11
botol
12
bungkus
13
bungkus
14
bungkus
15
bungkus
16
Jelly dopler 250 ml
botol
17
Kapas lidi
pcs
18
19
rol
rol
20
pcs
21
Lubricating jelly
tube
22
Masker karet
pcs
23
Masker N 95
pcs
24
Nurse cap
pcs
25
botol
26
Plester 5x5 cm
rol
27
pcs
28
Plester kain 2,5 cm
pcs
29
Plester kain 7,5 cm
pcs
30
Rivanol 300 cc
botol
31
galon
32
pasang
33
Tisu towel
rol
34
pcs
BAYAR
71
Yang Menerima
elola Obat Puskesmas
Tri Listyani, A.Md
860808 201001 2 040
UMUM
86

NIP.19611231 198911 1 015
Kepa
Ni Made
NIP.1

DOKUMEN
GFK
: APRIL 2015
PUSK
PERMINTAAN BULAN/PERIODE : MEI 2015

OBAT
PENERIM PERSEDI PEMAKAI
ED/RUSA
AAN
AAN
AN
K
STOK
AWAL
STOK
AKHIR
STOK
PERMINTA
OPTIMUM
AN
10
11
423
423
90
333
8,366
1,875
6,491
150
150
52
98
1,419
1,419
248
1,171
2,703
2,703
986
1,717
29
29
29
3,240
3,240
301
2,939
75
13
62
100
91
4,352
680
3,672
- 3
4,166
25
4200
50
100
2,352
2000
58 200
1,241 2000
-
APBD
12
311
311
10
301
190
190
35
155
359
359
10
349
1,008
1,008
253
755
100
100
91
14
14
12
243
243
10
233
530
89
441
12
12
200
200
95
105
3,747
3,747
356
3,391
500
20
480
690
690
55
635
57
57
15
42
1,711
1,711
623
1,088
- 1000
1,385
1,385
268
1,117
774
774
136
638
230
300
500
4 24
180
-
781
4,779
4,779
1,291
3,488
385
59
59
55
1,000
1,000
10
990
16
16
11
59
59
59
136
136
133
153
12
141
184
184
34
150
5,069
1,834
3,235
3,030
3,030
52
2,978
2,750
301
2,449
100
100
100
33
3,569
750
120
1500
2000
- 25
50
2,267 3000
-
3
-
47
47
47
17
17
14
109
109
12
97
472
472
30
442
6,000
6,000
879
5,121
5,160
4,561
-
3,160
2000
8 5
599
-
136
136
47
89
24
24
20
52 100
9 5
13
13
10
1,897
1,897
650
1,247
703
300
300
300
300
300
24
24
17
667
667
188
479
85
200
200
200
700
30
670
12
100
300
600
12
7 5
1,000
12
12
12
2,506
2,506
2,506
100
100
77
77
76
100
2,509
2,509
396
2,509
178
178
97
81
210
600
600
600
828
196
632
30
30
25
200
200
200
506
506
70
436
786
216
570
78
228
186
600
600
200
400
400
45
355
90
90
42
48
78
32
32
23
48
48
20
28
32
110
110
60
50
130
100
100
100
25
25
25
33
33
31
38
38
36
153
153
20
133
48
200
46
46
45
600
35
565
174
10
164
390
390
40
350
670
170
500
10
500
35
465
700
110
590
1,497
558
939
735
374
374
10
364
18
18
14
500
500
500
950
230
720
15
15
14
300
300
50
50
16
34
14
74
170
600
100
500
500
-
700
497
450
1000
500
300
56
50
50
49
794
794
150
644
500
500
500
27
210
210
82
128
118
300
110
190
140
1,397
1,397
510
887
643
499
499
499
254
254
99
155
11
11
11
100
200
200
1000
24
24
15
34
34
31
27
27
25
26
24
216
16
200
24
24
24
753
753
380
373
100
100
100
10
10
2 8
109
109
109
52
52
44
16
24
200
24
25
10
24
10
10
50
50
5 1
44
12
12
120
120
120
12
50
50
50
20
20
20
24
24
24
12
12
11
12
12
10
266
266
30
236
12
12
12
UMUM
JKBM
469
UKS
ASKIN
ASKES
BPJS
JUMLAH
GENERIK
133
73
17
707
2057
Yang Menyerahkan
Yang Meminta
NIP.19731010 2000 12 2 004
NIP. 19661122 200212 1 002
Pengel
Tr
NIP. 198
PUSKESMAS
DOKUMEN
NOMOR
TANGGAL
KET
GFK
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
PUSK
PEMBERIAN
GAKIN
ASKES
LAIN
KET
13
14
15
16
: SUSUT II
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
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
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
156
157
158
159
160
161
162
163
164
165
166
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
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
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
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
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
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
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
51
52
53
54
55
56
57
1
2
3
4
5
6
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
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
GENERIK
NON GENERIK
2057
85
Yang Menerima
Tri Listyani, A.Md

NIP. 19860808 201001 2 040
LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS : SU
PUSKESMAS
: SUSUT II
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
: ME
PERMINTAAN BULAN/PERIODE : JUN
NAMA OBAT
SATUAN
STOK
AWAL
PENERIM PERSEDI
AAN
AAN
5
tablet
333
333
tablet
ampul
tablet
Kapsul
kaplet
6,491
6,491
botol
tablet
1,171
1,171

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al.
Hidroksida. 200 mg
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +
Polimiksin 10.000 IU/g
ampul
tablet
1,717
98
50
500
25
148
2,217
tube
25
supp
29
29
pot

Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg +
Levodopa 250 mg
tablet
tablet
botol
tablet
2,939
2,939
tablet
tablet
tablet
botol
ampul
tube
62
62
ampul
91
91
tablet
3,672
3,672
botol
botol
tablet
ampul
tablet
301
301
tablet
ampul
155
tablet
349
349
tablet
755
755
tablet
ampul
91
91
botol
ampul
ampul
tablet
tablet
tablet
botol
12
12
ampul
tablet
tablet
233
233
Gameksan losion 1%
Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium klorida
0,30 g, Tribatrium Sitrt dihidrat 0,58 g
botol
441
441
tablet
105
tablet
3,391
3,391
Gliserin
botol
botol
botol
botol
tablet
480
480
tablet
tablet
tablet
tablet
635
635
tube
42
42
tablet
1,088
1,088
tablet
tablet
tablet
1,117
1,117
tablet
638
tablet
tablet
ampul
kapsul
kapsul
bks
botol
300
500
160
405
1,138
botol
tablet
3,488
3,488
ampul
ampul
tablet

Anti Malaria DOEN ( kombinasi Pirimetamin 25 ml +sulfadoksin 500
ml
Kotrimosazol DOEN I (dewasa) Kombinasi : Sulfametoksazol 400
mg, Trimetoprim 80 mg
Kotrimosazol DOEN II (pediatrik) Kombinasi : Sulfametoksazol 100
tablet
tablet
55
55
tablet
990
990
tablet
ampul
tablet
ampul
ampul
ampul
bks
botol
tablet
tablet
ampul
tablet
tablet
botol
botol
11
11
ampul
tablet
59
59
tablet
133
133
botol
141
141
botol
tube
vial
ampul
botol
150
150
botol
tablet
botol
tablet
botol
3,235
1000
4,235
2,978
2,978
botol
botol
tablet
2,449
2,449
tablet
tablet
100
100
tablet
tablet
tablet
botol
pot
47
47
Salisil Bedak 2 %
bks
14
14
ampul
ampul
ampul
ampul
ampul
ampul
97
97
botol
botol
kapsul
kapsul
442
442
ampul
tablet
5,121
5,121
ampul
tablet
Vaksin Rabies Vero
ampul
tablet
4,561
4,561
VAKSIN
BCG
Ampul
TT
Ampul
DT
Ampul
CAMPAK 10 Dosis
Ampul
POLIO 10 Dosis
Ampul
DPT-HB
Ampul
Ampul
POLIO 20 Dosis
Ampul
CAMPAK 20 Dosis
Ampul
ALAT KESEHATAN
pcs
pcs
89
89
pcs
pcs
pcs
20
20
Infusion set anak
set
Infusion set dewasa
set
pcs
pcs
pcs
bks
bks
bks
bks
bks
Pembalut Gips
pcs
pcs
pcs
10
10
pcs
pcs
pcs
pcs
OBAT KLB
kaplet
1,247
1,247
kapsul
300
300
kapsul
300
300
botol
17
17
Kaptopril 12,5 mg
tablet
Kaptopril 25 mg
tablet
479
479
kapsul
Nifedipin 10 mg
tablet
200
200
tablet
670
670
kapsul
vial
vial
tablet
ampul
kapsul

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
12
12
Jarum otot besar
pcs
Jarum otot kecil
pcs
Masker
pcs
psg
psg
psg
Urine Bag
pcs
OBAT PROGRAM
MALARIA
tablet
ampul
ampul
tablet
Kina Tablet 200 mg
tablet
ampul
Doxicyklin 100 mg
kapsul
tablet
FILARIASIS
DEC 100 mg (Tablet)
tablet
tablet
Abendazol 400 mg
tablet
Antasida Doen
tablet
tablet
tablet
kapsul
tube

Prazikuartel 500 mg
tablet
PES
kapsul
tablet
Vit. B Kompleks tab
tablet
ANTRAKS
vial
tube
kaplet
tablet
bks
tablet
tablet
tablet
tablet
DIARE
bks
Zinc Tab 20 mg
tablet
2,506
2,506
KECACINGAN
tablet
KUSTA
Prednison tab 5 mg
tablet
kapsul
kapsul
Lamprene 100 mg
tablet
FRAMBUSIA
vial
Adrenalin Injeksi
ampul
Aquades 20 cc
botol
pcs
TB PARU (OAT FDC )

set
set
set
OAT Kombipak
Katagori 1
set
set
ISPA
Kotrimoksasol tablet kombinasi : sulfa meloksazol 400 mg +
Trimetorpin 80 mg
tablet
botol
tablet
Parasetamol 100 mg
tablet
FLU BURUNG
Oseltamivir
tablet
KESEHATAN ANAK
100
100
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
Abendasol 400 mg
tablet
76
76
IBU
Dextran 70 %
botol
Transfusi set
set
IV Chateter No. 16
pcs
botol
botol
botol
ampul
Nipedipin 10 mg
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
IV Chateter No. 18
pcs
Urine Bag
pcs
Alat Suntik 2,5 ml
pcs
Alat Suntik 5 ml
pcs
Alat Suntik 10 ml
pcs
pcs
pcs
ampul
tablet
pcs
Implan KB ( isi 2 )
GIZI
bln )
bln )
( 6 - 11
kapsul
( 11- 59
kapsul
kapsul
2,509
2,509
Ferro Sulfat 300 mg
tablet
Mineral Mix
bks
OBAT GIGI
botol
Etil klorida spray
botol
Eugenol cairan
botol
set
tube
botol
Mummifying Pasta
botol
set
set
TAMBAHAN
Alkohol 70% 1 Liter
botol
botol
81
Ambroxol tab 30 mg
tablet
Amlodipin 10 mg
tablet
600
600
Amlodipin 5 mg
tablet
632
632
tablet
botol
tablet
kapsul
Asiklovir krim 5%
tube
25
25
tablet
200
200
tablet
436
436
tablet
570
570
Bioplacenton
tube
Boraks Gliserin
botol
Bromheksin tab 8 mg
tablet
Burnazin 35 gram
tube
Buscopan injeksi
ampul
botol
tablet
tablet
50
131
tablet
kapsul
botol
tablet
355
355
Dulcolac tab
tablet
Dulcolactol syr
botol
kapsul
Famotidin
tablet
tablet
48
48
kapsul
Flagystatin
supp
Folley Catheter
pcs
botol
23
23
tube
28
psg
psg
50
50
Hanscoon steril 7,5
psg
100
100
Hanscoon steril 8
psg
tube
Hipavix 5x5 cm
rol
Hufavit kalk
botol
botol
botol
Iodiol kapsul lunak
kapsul
Jarum hecting
set
Kaltofren supp
supp
Kaptopril tab 50 mg
tablet
kotak
25
25
kotak
rol
rol
rol
rol
31
31
rol
Kertas perkamen
pcs
Ketac Molar
set
Ketokonazol krim 2%
tube
36
36
tablet
133
133
tablet
kapsul
klip B (13x18,7)cm
pcs
Klip K (5x8) cm
pcs
25
53
botol
tube
45
45
botol
ampul
Lanzoprasole
tablet
565
565
botol
Lefofloxacin
tablet
Lidokain injeksi 2%
ampul
164
164
tablet
350
350
Loratadin
tablet
Lysol
botol
Meloxicam tab 15 mg
tablet
500
500
tablet
465
465
tablet
590
590
tablet
tablet
939
939
tablet
botol
tablet
Metronidazol 500 mg
tablet
364
364
tube
14
14
tablet
500
500
tablet
720
720
New Diaform
tablet
botol
tablet
tablet
tube
14
14
kapsul
300
300
ampul
tablet
tablet
Parasetamol drops
botol
34
34
rol
rol
rol
Piracetam 400 mg
tablet
tablet
Piroksikam 10 mg
tablet
botol
botol
Povidon iodin 60 ml
botol
PP tes
pcs
49
49
tablet
Reagen Gol. Darah
set
Recovit syr
botol
Salbutamol 2 mg
tablet
644
644
Salbutamol 4 mg
tablet
500
500
Scabicid
tube
kapsul
kapsul
botol
botol
Sendok syr
pcs
128
128
tablet
tablet
190
190
tablet
Siprofloksasin 250
tablet
tablet
887
887
tablet
Spongostan
pcs
Tensocrepe 7,5 cm
rol
Termometer
pcs
Tiamfenikol 500 mg
kapsul
499
499
TKF
botol
ampul
kapsul
Trikresol Formalin
botol
Zinc tablet 20 mg
tablet
155
155
OBAT ASKES
botol
Alkohol 1000 ml 70%
botol
Alkohol 300 ml 70%
botol
Alletrol tetes mata
botol
ampul
Aspilet 80 mg
tablet
Becefort tab
tablet
Bioplacenton
tube
Borax gliserin
botol
11
11
Bravoderm
tube
Bronex
tablet
Bronsolvan tab
tablet
Burnazin salep
tube
Caviplex syr
botol
Coldrexin syr
botol
Colfin syr
botol
Colfin tab
tablet
botol
31
31
Daryantulle
pcs
Decadryl syr
botol
Demacolin syr
botol
Dexanta tab
tablet
Dulcolac supp 10 mg
supp
Dulcolax tab
tablet
Duradryl inj
vial
Gastrucid suspensi
botol
24
24
Genoint tetes mata
botol
Grahabion tab
tablet
Gratheos
tablet
200
200
Guanistrep
botol
Halpilyn syr
botol
HCl 0,1 N
botol
pot
Kaltofren inj
ampul
Kaltofren supp
supp
Kertas perkamen
bks @100
24
24
tablet
Livron B Plex
tablet
373
Neuropyron V tab
tablet
100
100
New diaform
tablet
Noperten 10 mg
tablet
Ottolin TT
botol
Perhidrol (H2O2) 3%
botol
Prenatin plus
tablet
Proris supp
supp
Recovit syr
botol
Salfamen
tube
Scabicid crm
tube
Scopamin
tablet
109
109
Sofratulle
pcs
44
44
Sohobion injeksi
ampul
Sohobion tab
tablet
tube
Termometer
pcs
botol
Xanvit syr
botol
16
500
10
25
873
10
Xilomidon inj
vial
TAMBAHAN
Albendazol syr
botol
Kapas 500 gram
bks
tablet
Spiritus
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013

Klip K
bks@100
Enbatic
tube
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
botol
Levopar
tablet
tablet
tablet
supp
tube
botol
44
44
Simvastatin 20 mg
tablet
supp
12
12
Tetagam
botol
Urotractin 400 mg
tablet
120
120
Ventolin inhaler (Salbutamol inh/aerosol 100 mcg/botol
10
25
10
75
Zinc sir 20mg/5ml
botol
50
Zincpro drops
botol
20
20
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
24
24
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
Gelang pasien
pcs
botol
bungkus
bungkus
bungkus
11
11
bungkus
10
10
Jelly dopler 250 ml
botol
Kapas lidi
pcs
rol
rol
pcs
Lubricating jelly
tube
Masker karet
pcs
236
236
Masker N 95
pcs
Nurse cap
pcs
botol
Plester 5x5 cm
rol
pcs
Plester kain 2,5 cm
pcs
12
12
Plester kain 7,5 cm
pcs
Rivanol 300 cc
botol
galon
pasang
Tisu towel
rol
pcs
UMUM
BAYAR
JKBM
56
437
UKS
ASKIN
141
Yang Menyerahkan
NIP.19611231 198911 1 015
NIP.19731010 2000 12 2 004
IAN DAN LEMBAR PERMINTAAN OBAT
USKESMAS : SUSUT II
ODE
DOKUMEN
NOMOR
TANGGAL
GFK
: MEI 2015
PUSK
PERIODE : JUNI 2015

OBAT
PEMAKAI
ED/RUSA
AN
K
7
STOK
AKHIR
STOK
PERMINTA
OPTIMUM
AN
10
11
35
298
1,778
4,713
621
43
105
355
816
796
1,421
25
29
157
2,782
60
91
554
3,118
24 120
249 1000
967 2000
PEMBERIAN
APBD
GAKIN
ASKES
LAIN
12
13
14
15
298
300
16
144
349
167
588
91
10
223
55
386
85
320
358
3,033
40
440
635
13
29
343
745
250
867
406
732
24
200
25
10 48
284 1000
1000
486 600
1,106
2,382
51
20
970
11
59
128
136
50
100
1,672
2,563
59
2,919
316
2,133
100
936 2000
50 120
2,453 3000
-
46
11
12
85
50
392
464
4,657
921
-
3,640
-
16
73
20
200
10
4
-
690
557
1,513
300
300
14
175
304
221
200
194
476
106
2,500
500
300
12
2,506
1
100
76
-
343
2,166
73
58
161
600
230
402
288
23
200
20
416
183
387
162
200
600
300
57
298
12
36
16
27
26
55
39
11
106
100
25
30
31
133
45
185
380
175
156
70
280
500
266
199
599
150
440
10
486
453
1,005
30
334
11
500
90
630
14
300
10
24
600
1000
1500
24
24
56
49
68
576
500
20
108
190
330
557
499
120
35
325
11
1000
500
18
25
24
200
23
340
533
100
100
42
7
-
10
12
32
12
120
75
20
24
rmasi
Apt.,M.Si.
2 004
10
55
181
11
ASKES
BPJS
JUMLAH
GENERIK
NON GENERIK
76
719
2191
65
Yang Meminta
Yang Menerima
Tri Listyani, A.Md
NIP. 19661122 200212 1 002
NIP. 19860808 201001 2 040
PUSKESMAS
KET
KET
16
: SUSUT II
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
NO
NAMA OBAT
SATUAN
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet

Hidroksida. 200 mg
ampul
tablet
16

Levodopa 250 mg
17
tablet
18
tablet
19
tablet
20
tablet
21
botol
22
ampul
23
tube
24
ampul
25
tablet
26
botol
27
botol
28
tablet
29
ampul
10
11
12
13
14
15
tablet
tube
supp
pot
tablet
botol
30
tablet
31
tablet
32
ampul
33
tablet
34
tablet
35
tablet
36
ampul
37
botol
38
ampul
39
ampul
40
tablet
41
tablet
42
tablet
43
botol
44
ampul
45
tablet
46
tablet
47
botol
49
Gameksan losion 1%
50
tablet
51
tablet
52
Gliserin
botol
53
botol
54
botol
55
botol
56
tablet
57
tablet
58
tablet
59
tablet
60
tablet
61
tube
62
tablet
63
tablet
64
tablet
65
tablet
66
tablet
67
tablet
68
tablet
69
ampul
70
kapsul
71
kapsul
48
bks
botol
72
botol
73
tablet
74
ampul
75
ampul
76
tablet
77
tablet
82

ml
83
tablet
84
ampul
85
ampul
86
ampul
87
bks
88
botol
89
tablet
90
tablet
91
ampul
92
tablet
93
tablet
94
botol
95
botol
96
ampul
97
tablet
98
tablet
99
botol
100
botol
101
tube
102
vial
103
ampul
104
botol
105
botol
106
tablet
107
botol
108
tablet
109
botol
110
botol
111
tablet
112
tablet
113
tablet
78
79
80
81
tablet
botol
tablet
tablet
ampul
114
tablet
115
tablet
116
tablet
117
botol
118
pot
119
Salisil Bedak 2 %
bks
120
ampul
121
ampul
122
ampul
123
ampul
124
ampul
125
ampul
126
botol
127
botol
128
kapsul
129
kapsul
130
ampul
131
tablet
132
ampul
133
tablet
134
Vaksin Rabies Vero
ampul
135
tablet
VAKSIN
136
BCG
Ampul
137
TT
Ampul
138
DT
Ampul
139
CAMPAK 10 Dosis
Ampul
140
POLIO 10 Dosis
Ampul
141
DPT-HB
Ampul
142
Ampul
143
POLIO 20 Dosis
Ampul
144
CAMPAK 20 Dosis
Ampul
ALAT KESEHATAN
145
pcs
146
pcs
147
pcs
148
pcs
149
pcs
150
Infusion set anak
set
151
Infusion set dewasa
set
152
pcs
153
pcs
154
pcs
155
bks
156
bks
157
bks
158
bks
159
bks
160
Pembalut Gips
pcs
161
pcs
162
pcs
163
pcs
164
pcs
165
pcs
166
pcs
OBAT KLB
168
kaplet
169
kapsul
170
kapsul
171
botol
172
Kaptopril 12,5 mg
tablet
173
Kaptopril 25 mg
tablet
174
kapsul
175
Nifedipin 10 mg
tablet
176
tablet
177
kapsul
178
vial
179
vial
180
tablet
181
ampul
182
kapsul
183
pcs
184
pcs
185
pcs
186
pcs
187
pcs
188
pcs
189
pcs
190
pcs
191
pcs
192
Jarum otot besar
pcs
193
Jarum otot kecil
pcs
194
Masker
pcs
195
psg
196
psg
197
psg
198
Urine Bag
pcs
OBAT PROGRAM
MALARIA
tablet
ampul
ampul
tablet
Kina Tablet 200 mg
tablet
ampul
Doxicyklin 100 mg
kapsul
tablet
FILARIASIS
DEC 100 mg (Tablet)
tablet
10
tablet
11
Abendazol 400 mg
tablet
12
Antasida Doen
tablet
13
tablet
14
tablet
15
kapsul
16
tube
17
Prazikuartel 500 mg
tablet
PES
18
kapsul
19
tablet
20
Vit. B Kompleks tab
tablet
ANTRAKS
21
vial
22
tube
23
kaplet
24
tablet
25
bks
26
tablet
27
tablet
28
tablet
29
tablet
DIARE
30
bks
31
Zinc Tab 20 mg
tablet
KECACINGAN
32
tablet
KUSTA
33
Prednison tab 5 mg
tablet
34
kapsul
35
kapsul
36
Lamprene 100 mg
tablet
FRAMBUSIA
37
vial
38
39
Adrenalin Injeksi
ampul
Aquades 20 cc
botol
40
pcs
TB PARU (OAT FDC )
41
set
42
set
43
set
OAT Kombipak
44
Katagori 1
set
45
set
46
tablet
47
ISPA
Trimetorpin 80 mg
48
tablet
49
Parasetamol 100 mg
tablet
botol
FLU BURUNG
50
Oseltamivir
tablet
KESEHATAN ANAK
51
tablet
52
tablet
53
ampul
54
ampul
55
ampul
56
ampul
57
ampul
58
tube
59
Abendasol 400 mg
tablet
IBU
60
Dextran 70 %
botol
61
Transfusi set
set
62
IV Chateter No. 16
pcs
63
botol
64
botol
65
botol
66
ampul
67
Nipedipin 10 mg
tablet
68
ampul
69
ampul
70
tablet
71
kaplet
72
ampul
73
ampul
74
botol
75
pcs
76
pcs
77
IV Chateter No. 18
pcs
78
Urine Bag
pcs
79
Alat Suntik 2,5 ml
pcs
80
Alat Suntik 5 ml
pcs
81
Alat Suntik 10 ml
pcs
82
pcs
83
pcs
84
ampul
85
tablet
86
pcs
Implan KB ( isi 2 )
89
GIZI
bln )
bln )
90
Ferro Sulfat 300 mg
tablet
91
Mineral Mix
bks
87
88
( 6 - 11
kapsul
( 11- 59
kapsul
kapsul
OBAT GIGI
92
botol
93
Etil klorida spray
botol
94
Eugenol cairan
botol
95
set
96
tube
97
botol
98
Mummifying Pasta
botol
99
set
set
100
TAMBAHAN
1
Alkohol 70% 1 Liter
botol
botol
Ambroxol tab 30 mg
tablet
Amlodipin 10 mg
tablet
Amlodipin 5 mg
tablet
tablet
botol
tablet
kapsul
10
Asiklovir krim 5%
tube
11
tablet
12
tablet
13
tablet
14
Bioplacenton
tube
15
Boraks Gliserin
botol
16
Bromheksin tab 8 mg
tablet
17
Burnazin 35 gram
tube
18
Buscopan injeksi
ampul
19
botol
20
tablet
21
tablet
22
tablet
23
kapsul
24
botol
25
tablet
26
Dulcolac tab
tablet
27
Dulcolactol syr
botol
28
kapsul
29
Famotidin
tablet
30
tablet
31
kapsul
32
Flagystatin
supp
33
Folley Catheter
pcs
34
botol
35
tube
36
psg
37
psg
38
Hanscoon steril 7,5
psg
39
Hanscoon steril 8
psg
40
tube
41
Hipavix 5x5 cm
rol
42
Hufavit kalk
botol
43
botol
44
botol
45
Iodiol kapsul lunak
kapsul
46
Jarum hecting
set
47
Kaltofren supp
supp
48
Kaptopril tab 50 mg
tablet
49
kotak
50
kotak
51
rol
52
rol
53
rol
54
rol
55
rol
56
Kertas perkamen
pcs
57
Ketac Molar
set
58
Ketokonazol krim 2%
tube
59
tablet
60
tablet
61
kapsul
62
klip B (13x18,7)cm
pcs
63
Klip K (5x8) cm
pcs
64
botol
65
tube
66
botol
67
ampul
68
Lanzoprasole
tablet
69
botol
70
Lefofloxacin
tablet
71
Lidokain injeksi 2%
ampul
72
tablet
73
Loratadin
tablet
74
Lysol
botol
75
Meloxicam tab 15 mg
tablet
76
tablet
77
tablet
78
tablet
79
tablet
80
tablet
81
botol
82
tablet
83
Metronidazol 500 mg
tablet
84
tube
85
tablet
86
tablet
87
New Diaform
tablet
88
botol
89
tablet
90
tablet
91
tube
92
kapsul
93
ampul
94
tablet
95
tablet
96
Parasetamol drops
botol
97
rol
98
rol
99
rol
100
Piracetam 400 mg
tablet
101
tablet
102
Piroksikam 10 mg
tablet
103
botol
104
botol
105
Povidon iodin 60 ml
botol
106
PP tes
pcs
107
tablet
108
Reagen Gol. Darah
set
109
Recovit syr
botol
110
Salbutamol 2 mg
tablet
111
Salbutamol 4 mg
tablet
112
Scabicid
tube
113
kapsul
114
kapsul
115
botol
116
botol
117
Sendok syr
pcs
118
tablet
119
tablet
120
tablet
121
Siprofloksasin 250
tablet
122
tablet
123
tablet
124
Spongostan
pcs
125
Tensocrepe 7,5 cm
rol
126
Termometer
pcs
127
Tiamfenikol 500 mg
kapsul
128
TKF
botol
129
ampul
130
kapsul
131
Trikresol Formalin
botol
132
Zinc tablet 20 mg
tablet
OBAT ASKES
1
botol
Alkohol 1000 ml 70%
botol
Alkohol 300 ml 70%
botol
Alletrol tetes mata
botol
ampul
Aspilet 80 mg
tablet
Becefort tab
tablet
Bioplacenton
tube
Borax gliserin
botol
10
Bravoderm
tube
11
Bronex
tablet
12
Bronsolvan tab
tablet
13
Burnazin salep
tube
14
Caviplex syr
botol
15
Coldrexin syr
botol
16
Colfin syr
botol
17
Colfin tab
tablet
18
botol
19
Daryantulle
pcs
20
Decadryl syr
botol
21
Demacolin syr
botol
22
Dexanta tab
tablet
23
Dulcolac supp 10 mg
supp
24
Dulcolax tab
tablet
25
Duradryl inj
vial
26
Gastrucid suspensi
botol
27
Genoint tetes mata
botol
28
Grahabion tab
tablet
29
Gratheos
tablet
30
Guanistrep
botol
31
Halpilyn syr
botol
32
HCl 0,1 N
botol
33
pot
34
Kaltofren inj
ampul
35
Kaltofren supp
supp
36
Kertas perkamen
bks @100
37
tablet
38
Livron B Plex
tablet
39
Neuropyron V tab
tablet
40
New diaform
tablet
41
Noperten 10 mg
tablet
42
Ottolin TT
botol
43
Perhidrol (H2O2) 3%
botol
44
Prenatin plus
tablet
45
Proris supp
supp
46
Recovit syr
botol
47
Salfamen
tube
48
Scabicid crm
tube
49
Scopamin
tablet
50
Sofratulle
pcs
51
Sohobion injeksi
ampul
52
Sohobion tab
tablet
53
tube
54
Termometer
pcs
55
botol
56
Xanvit syr
botol
57
Xilomidon inj
vial
TAMBAHAN
Albendazol syr
botol
Kapas 500 gram
bks
tablet
Spiritus
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013

1
Klip K
bks@100
Enbatic
tube

1
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
10
botol
11
Levopar
tablet
12
tablet
13
tablet
14
supp
15
tube
16
botol
17
Simvastatin 20 mg
tablet
18
supp
19
Tetagam
botol
20
Urotractin 400 mg
tablet
21
22
Zinc sir 20mg/5ml
botol
23
Zincpro drops
botol

1
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
ma
kesmas
Md
01 2 040
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
10
Gelang pasien
pcs
11
botol
12
bungkus
13
bungkus
14
bungkus
15
bungkus
16
Jelly dopler 250 ml
botol
17
Kapas lidi
pcs
18
19
rol
rol
20
pcs
21
Lubricating jelly
tube
22
Masker karet
pcs
23
Masker N 95
pcs
24
Nurse cap
pcs
25
botol
26
Plester 5x5 cm
rol
27
pcs
28
Plester kain 2,5 cm
pcs
29
Plester kain 7,5 cm
pcs
30
Rivanol 300 cc
botol
31
galon
32
pasang
33
Tisu towel
rol
34
pcs
UMUM
BAYAR
56

NIP.19611231 198911 1 015
Ya
Kepal
Ni Made
NIP.19

: JUNI 2015
PERMINTAAN BULAN/PERIODE : JULI 2015

OBAT
PENERIM PERSEDIA PEMAKAI
ED/RUSA
AAN
AN
AN
K
STOK
AWAL
298
298
4,713
4,713
105
120
816
1000
225
1,816
1,421
1,421
25
25
29
29
2,782
2,782
60
60
91
91
3,118
3,118
STOK
AKHIR
9
STOK
PERMINTA
OPTIMUM
AN
10
11
298
250
548
144
144
349
349
588
500
1,088
91
91
24
32
223
200
423
386
386
320
320
3,033
3,033
440
440
635
635
29
745
48
1000
77
1,745
867
1000
1,867
732
732
2,382
2,382
51
51
970
970
11
11
59
59
128
128
136
136
100
84
2,563
184
3000
5,563
2,919
2,919
2,133
2,133
100
100
46
46
11
11
85
85
392
392
4,657
4,657
3,640
3,640
73
200
273
20
20
10
10
557
2500
3,057
300
300
300
300
14
14
304
500
804
200
200
476
600
1,076
12
12
2,506
2,506
100
100
76
76
2,166
2,166
58
200
258
600
600
402
600
1,002
23
23
200
200
416
416
387
180
567
298
298
36
36
16
16
26
26
11
11
100
100
25
25
30
30
31
31
133
133
45
45
380
600
980
156
156
280
280
500
500
199
199
440
440
453
1000
1,453
334
334
11
24
35
500
500
630
630
14
24
38
300
300
24
56
80
49
49
576
576
500
500
108
108
190
190
557
1000
1,557
499
499
35
1000
1,035
11
11
25
25
24
24
200
200
23
23
533
533
100
100
100
100
42
42
10
10
32
32
12
12
120
120
75
75
20
20
24
24
181
181
11
11
13
12
UMUM
JKBM
437
UKS
ASKIN
ASKES
BPJS
JUMLAH
141
76
719
Yang Menyerahkan
Yang Meminta
NIP.19731010 2000 12 2 004
NIP. 19661122 200212 1 002
DOKUMEN
NOMOR
TANGGAL
KET
GFK
PUSKESMAS
: SUS
KECAMATAN
: SUSU
KABUPATEN
: BAN
PUSK
PEMBERIAN
APBD
GAKIN
ASKES
LAIN
KET
12
13
14
15
16
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
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
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
156
157
158
159
160
161
162
163
164
165
166
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
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
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
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
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
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
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
51
52
53
54
55
56
57
1
2
3
4
5
6
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
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
GENERIK
NON GENERIK
2191
65
Yang Menerima
Tri Listyani, A.Md

NIP. 19860808 201001 2 040
PUSKESMAS
: SUSUT II
KECAMATAN
: SUSUT
KABUPATEN
: BANGLI
PERMINTAAN BULAN/PERIODE :
NAMA OBAT
SATUAN
STOK
AWAL
PENERIM PERSEDIA
AAN
AN
5
tablet
181
tablet
ampul
tablet
Kapsul
kaplet
4,854
botol
tablet
674

Hidroksida. 200 mg
ampul
tablet
2,396
pot

Levodopa 250 mg
tablet
tablet
botol
tablet
2,025
tablet
tablet
tablet
botol
ampul
tube
75
ampul
64
tablet
569
botol
botol
tablet
ampul
47
500
9400
300
1500
0
2500
681
14,254
347
2,174
4,896
tube
25
25
supp
21
20
41
2000
100
6000
4,025
75
164
6,569
tablet
163
tablet
ampul
116
95
211
tablet
189
200
389
tablet
949
500
1,449
tablet
ampul
100
100
botol
ampul
ampul
tablet
358
tablet
tablet
botol
18
18
ampul
tablet
tablet
106
Gameksan losion 1%
botol
tablet
120
tablet
4000
Gliserin
botol
botol
botol
botol
tablet
500
tablet
tablet
tablet
tablet
899
899
tube
tablet
869
tablet
tablet
tablet
789
1000
1,789
tablet
37
1500
1,537
tablet
tablet
ampul
kapsul
kapsul
bks
botol
121
14
49
500
0
400
200
0
600
0
600
48
2500
663
-
758
306
721
14
720
4,000
500
97
3,369
botol
tablet
2,869
ampul
ampul
tablet

ml
tablet
tablet
botol
44
0
5000
50
7,869
94
tablet
1,070
1,070
tablet
ampul
tablet
ampul
ampul
ampul
bks
botol
tablet
tablet
ampul
tablet
tablet
botol
botol
20
20
ampul
tablet
59
59
tablet
151
151
botol
70
120
190
botol
tube
vial
ampul
botol
116
botol
tablet
botol
tablet
botol
10
10
botol
tablet
1,468
tablet
tablet
100
100
2,687
1,334
252
0
8500
0
2000
2000
368
11,187
3,334
3,468
tablet
tablet
tablet
botol
pot
48
53
Salisil Bedak 2 %
bks
20
20
ampul
ampul
ampul
ampul
ampul
ampul
27
botol
botol
kapsul
kapsul
304
ampul
tablet
2,929
ampul
tablet
Vaksin Rabies Vero
ampul
tablet
2,062
VAKSIN
100
200
0
5000
5000
127
504
7,929
7,062
BCG
Ampul
TT
Ampul
DT
Ampul
CAMPAK 10 Dosis
Ampul
POLIO 10 Dosis
Ampul
DPT-HB
Ampul
Ampul
POLIO 20 Dosis
Ampul
CAMPAK 20 Dosis
Ampul
ALAT KESEHATAN
pcs
pcs
55
100
pcs
89
89
pcs
pcs
24
Infusion set anak
set
Infusion set dewasa
set
155
24
pcs
pcs
pcs
bks
bks
bks
bks
bks
Pembalut Gips
pcs
pcs
pcs
13
13
pcs
pcs
pcs
pcs
OBAT KLB
kaplet
1,384
kapsul
kapsul
botol
Kaptopril 12,5 mg
2000
3,384
300
300
300
300
35
35
tablet
Kaptopril 25 mg
tablet
586
kapsul
Nifedipin 10 mg
500
1,086
tablet
200
200
tablet
307
600
907
kapsul
vial
vial
tablet
ampul
kapsul

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
12
12
pcs
12
Jarum otot besar
pcs
Jarum otot kecil
pcs
Masker
pcs
70
psg
psg
psg
Urine Bag
pcs
OBAT PROGRAM
MALARIA
50
12
120
tablet
ampul
ampul
tablet
Kina Tablet 200 mg
tablet
ampul
Doxicyklin 100 mg
kapsul
tablet
FILARIASIS
DEC 100 mg (Tablet)
tablet
tablet
Abendazol 400 mg
tablet
Antasida Doen
tablet
tablet
tablet
kapsul
tube

Prazikuartel 500 mg
tablet
PES
kapsul
tablet
Vit. B Kompleks tab
tablet
ANTRAKS
vial
tube
kaplet
tablet
bks
tablet
tablet
tablet
tablet
DIARE
bks
Zinc Tab 20 mg
tablet
2,506
2,506
KECACINGAN
tablet
KUSTA
Prednison tab 5 mg
tablet
kapsul
kapsul
Lamprene 100 mg
tablet
FRAMBUSIA
vial
Adrenalin Injeksi
ampul
Aquades 20 cc
botol
pcs
TB PARU (OAT FDC )

set
set
set
OAT Kombipak
Katagori 1
set
set
ISPA
Trimetorpin 80 mg
tablet
botol
tablet
Parasetamol 100 mg
tablet
FLU BURUNG
Oseltamivir
tablet
KESEHATAN ANAK
100
100
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
Abendasol 400 mg
tablet
77
77
IBU
Dextran 70 %
botol
Transfusi set
set
IV Chateter No. 16
pcs
botol
botol
botol
ampul
Nipedipin 10 mg
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
IV Chateter No. 18
pcs
Urine Bag
pcs
Alat Suntik 2,5 ml
pcs
Alat Suntik 5 ml
pcs
Alat Suntik 10 ml
pcs
pcs
pcs
ampul
tablet
pcs
Implan KB ( isi 2 )
GIZI
bln )
bln )
( 6 - 11
kapsul
( 11- 59
kapsul
kapsul
Ferro Sulfat 300 mg
tablet
Mineral Mix
bks
OBAT GIGI
412
3000
3,412
botol
Etil klorida spray
botol
Eugenol cairan
botol
set
tube
botol
Mummifying Pasta
botol
set
set
TAMBAHAN
Alkohol 70% 1 Liter
botol
botol
33
Ambroxol tab 30 mg
tablet
Amlodipin 10 mg
tablet
600
Amlodipin 5 mg
tablet
1200
tablet
botol
tablet
kapsul
Asiklovir krim 5%
tube
37
37
tablet
225
225
tablet
145
600
745
tablet
110
1320
Bioplacenton
tube
Boraks Gliserin
botol
Bromheksin tab 8 mg
tablet
Burnazin 35 gram
tube
Buscopan injeksi
ampul
botol
tablet
tablet
350
383
600
1,200
1,430
tablet
kapsul
botol
tablet
56
Dulcolac tab
tablet
Dulcolactol syr
botol
kapsul
Famotidin
tablet
tablet
460
460
kapsul
Flagystatin
supp
Folley Catheter
pcs
botol
50
52
tube
28
75
103
psg
psg
200
200
Hanscoon steril 7,5
psg
100
100
Hanscoon steril 8
psg
32
32
tube
Hipavix 5x5 cm
rol
Hufavit kalk
botol
botol
45
45
botol
Iodiol kapsul lunak
kapsul
Jarum hecting
set
Kaltofren supp
supp
Kaptopril tab 50 mg
tablet
kotak
20
kotak
rol
rol
rol
rol
50
rol
Kertas perkamen
pcs
Ketac Molar
set
Ketokonazol krim 2%
tube
tablet
200
tablet
kapsul
klip B (13x18,7)cm
pcs
Klip K (5x8) cm
pcs
16
400
24
456
25
50
40
200
botol
tube
48
botol
ampul
Lanzoprasole
tablet
880
botol
Lefofloxacin
tablet
Lidokain injeksi 2%
ampul
97
100
197
tablet
400
400
Loratadin
tablet
Lysol
botol
Meloxicam tab 15 mg
tablet
67
tablet
500
500
tablet
700
700
tablet
tablet
16
tablet
botol
tablet
Metronidazol 500 mg
tablet
174
tube
24
tablet
500
tablet
1000
New Diaform
tablet
botol
tablet
tablet
tube
16
16
kapsul
300
ampul
tablet
tablet
Parasetamol drops
botol
rol
rol
rol
Piracetam 400 mg
tablet
tablet
Piroksikam 10 mg
tablet
botol
botol
Povidon iodin 60 ml
botol
42
1100
2700
300
56
48
880
1,167
2,716
474
33
500
1,000
300
98
PP tes
pcs
50
tablet
Reagen Gol. Darah
set
Recovit syr
botol
Salbutamol 2 mg
tablet
110
Salbutamol 4 mg
tablet
500
Scabicid
tube
kapsul
kapsul
botol
30
30
botol
Sendok syr
pcs
250
tablet
tablet
16
tablet
Siprofloksasin 250
tablet
tablet
220
tablet
Spongostan
pcs
Tensocrepe 7,5 cm
rol
Termometer
pcs
Tiamfenikol 500 mg
kapsul
TKF
botol
ampul
kapsul
Trikresol Formalin
botol
Zinc tablet 20 mg
tablet
OBAT ASKES
179
219
1300
300
2300
500
500
50
1,410
500
250
316
2,520
679
719
botol
Alkohol 1000 ml 70%
botol
Alkohol 300 ml 70%
botol
Alletrol tetes mata
botol
ampul
Aspilet 80 mg
tablet
Becefort tab
tablet
Bioplacenton
tube
Borax gliserin
botol
11
11
Bravoderm
tube
Bronex
tablet
300
Bronsolvan tab
tablet
Burnazin salep
tube
10
Caviplex syr
botol
300
10
-
Coldrexin syr
botol
40
Colfin syr
botol
Colfin tab
tablet
200
botol
35
Daryantulle
pcs
Decadryl syr
botol
Demacolin syr
botol
40
Dexanta tab
tablet
Dulcolac supp 10 mg
supp
Dulcolax tab
tablet
Duradryl inj
vial
Gastrucid suspensi
botol
24
Genoint tetes mata
botol
Grahabion tab
tablet
Gratheos
tablet
490
Guanistrep
botol
12
12
Halpilyn syr
botol
HCl 0,1 N
botol
pot
Kaltofren inj
ampul
Kaltofren supp
supp
Kertas perkamen
bks @100
25
25
tablet
Livron B Plex
tablet
100
1700
Neuropyron V tab
tablet
100
100
New diaform
tablet
Noperten 10 mg
tablet
Ottolin TT
botol
10
Perhidrol (H2O2) 3%
botol
Prenatin plus
tablet
Proris supp
supp
Recovit syr
botol
Salfamen
tube
Scabicid crm
tube
17
17
Scopamin
tablet
109
109
Sofratulle
pcs
56
56
Sohobion injeksi
ampul
Sohobion tab
tablet
tube
Termometer
pcs
botol
Xanvit syr
botol
400
41
202
41
40
32
890
1,800
16
Xilomidon inj
vial
TAMBAHAN
Albendazol syr
botol
Kapas 500 gram
bks
tablet
Spiritus
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013

Klip K
bks@100
Enbatic
tube
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
10
10
tube
10
10
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
botol
Levopar
tablet
tablet
tablet
supp
tube
botol
50
Simvastatin 20 mg
tablet
supp
12
Tetagam
botol
Urotractin 400 mg
tablet
120
Zinc sir 20mg/5ml
botol
75
75
Zincpro drops
botol
20
20
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
24
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
50
12
120
-
24
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
Gelang pasien
pcs
botol
bungkus
bungkus
bungkus
12
12
bungkus
12
12
Jelly dopler 250 ml
botol
Kapas lidi
pcs
rol
rol
pcs
Lubricating jelly
tube
Masker karet
pcs
300
Masker N 95
pcs
Nurse cap
pcs
botol
Plester 5x5 cm
rol
pcs
15
15
Plester kain 2,5 cm
pcs
12
12
Plester kain 7,5 cm
pcs
Rivanol 300 cc
botol
galon
pasang
10
Tisu towel
rol
pcs
UMUM
BAYAR
JKBM
56
437
300
10
UKS
ASKIN
141
Yang Menyerahkan
NIP.19611231 198911 1 015
NIP.19731010 2000 12 2 004
RAN BULAN/PERIODE
NTAAN BULAN/PERIODE :
OBAT
PEMAKAI
ED/RUSA
AN
K
7
STOK
AKHIR
9
STOK
PERMINTA
OPTIMUM
AN
10
11
Yang Menyerahkan
ala UPT Gudang Farmasi
e Astiniasih, S.Si.,Apt.,M.Si.
19731010 2000 12 2 004
ASKES
BPJS
JUMLAH
76
719
Yang Meminta

NIP. 19661122 200212 1 002
PUSKESMAS
KECAMATAN
KABUPATEN
: SUSUT II
: SUSUT
: BANGLI
FEBRUARI
NO
1
1
2
3
4
5
6
7
8
9
NAMA OBAT
SATUAN
STOK
LPLPO
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul
269
7,284
158
1,954
-
10

Hidroksida. 200 mg
tablet
3,910
11

tube
12

supp
20
13
Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam

Salisilat 3%
pot
14
tablet
15

Levodopa 250 mg
tablet
16
17

botol
tablet
2,854
18
tablet
19
tablet
20
21

tablet
botol
22
ampul
23
24
25
26
27
28
tube
ampul
tablet
botol
botol
tablet
64
2,516
-


29
30
31
32
33
34
35
ampul
tablet
tablet
ampul
tablet
tablet
tablet
574
201
379
1,303
-
36
ampul
100
37
38
39
40
41
42
43
botol
ampul
ampul
tablet
tablet
tablet
botol
4
348
17
44
ampul
45
tablet
46
47
Gameksan losion 1%
tablet
botol
296
-
48
Garam Oralit I serbuk Kombinasi : Natrium 0,70 g ,Kalium

klorida 0,30 g, Tribatrium Sitrt dihidrat 0,58 g
bks
386
49
50
51
52
53
54
botol
tablet
tablet
botol
botol
botol
55
botol
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet

Gliserin

14
335
2,000
5
848
42
2,895
1,715
530
4,934
74
75
76
77
ampul
ampul
tablet
tablet
78
Anti Malaria DOEN ( kombinasi Pirimetamin 25 ml

+sulfadoksin 500 ml
tablet
79
Kotrimosazol Suspensi Kombinasi :Sulfametoksazol 200 mg

+ Trimetoprim 40 mg/ 5 ml
botol
80
Kotrimosazol DOEN I (dewasa) Kombinasi : Sulfametoksazol

400 mg, Trimetoprim 80 mg
tablet
1,036
81
Kotrimosazol DOEN II (pediatrik) Kombinasi :

Sulfametoksazol 100 mg, Trimetoprim 20 mg
tablet
82
83

ampul
tablet
84
ampul
85
86
87
88
89
ampul
ampul
bks
botol
tablet
90
Metilergometrin Maleat (Metilergometrin) tablet salut 0,125

mg
tablet
91
92
93
94
95
96
97
98
99
100
101
ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube
19
59
146
53
-
102
vial
103
104
105
106
107
108
109
110
111
112
113
114
115
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet




84
234
4,139
3,173
10
2
1,345
100
-
116
117

tablet
botol
118
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap

4%
pot
24
119
Salisil Bedak 2 %
bks
18
120
ampul
121
ampul
122
ampul
123
ampul
124
ampul
125
ampul
124
126
127
128
129
130
botol
botol
kapsul
kapsul
ampul
482
-
131
tablet
7,318
132
ampul
133
134
135
tablet
ampul
tablet
4,681
147
89

Vaksin Rabies Vero

VAKSIN
136
137
138
139
140
141
142
143
144
BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
POLIO 20 Dosis
CAMPAK 20 Dosis
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
ALAT KESEHATAN
145
146
147

pcs
pcs
pcs
148
pcs
149
pcs
150
151
152
153
Infusion set anak
set
set
pcs
pcs
3
3
5
-
Infusion set dewasa

154
155
156
157
158
159
160
161
pcs
bks
bks
bks
bks
bks
pcs
pcs
5
1
4
162
pcs
13
163
164
165
166
pcs
pcs
pcs
pcs
5
5
3
4
-

Pembalut Gips

OBAT KLB
168
kaplet
798
169
170
171
172
173
174
175
176
177
178
179
180
181
182
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul
300
32
945
200
230
60
-

Kaptopril 12,5 mg
Kaptopril 25 mg
Nifedipin 10 mg
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197

Jarum otot besar
Jarum otot kecil
Masker
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
198
Urine Bag
pcs
OBAT PROGRAM
MALARIA
1
2
3
4
5
6
7
8

Kina Tablet 200 mg
Doxicyklin 100 mg
tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet
FILARIASIS
9
10
11
12
13
14
15
16
DEC 100 mg (Tablet)

Abendazol 400 mg
Antasida Doen
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube
17
Prazikuartel 500 mg
tablet
PES
18
19
20

Vit. B Kompleks tab
kapsul
tablet
tablet
ANTRAKS
21
22
23

vial
tube
kaplet
24
25
26
27
28
29

tablet
bks
tablet
tablet
tablet
tablet
DIARE
30
31

Zinc Tab 20 mg
bks
tablet
KECACINGAN
32
tablet
KUSTA
33
34
35
36
Prednison tab 5 mg
Lamprene 100 mg
tablet
kapsul
kapsul
tablet
FRAMBUSIA
37
38
39
40

Adrenalin Injeksi
Aquades 20 cc
vial
ampul
botol
pcs
TB PARU (OAT FDC )
41
42
43

set
set
set
OAT Kombipak
44
45
Katagori 1
set
set
ISPA
2,506
2
-
46

Trimetorpin 80 mg
tablet
47
48
49
botol
tablet
tablet
77
-

Parasetamol 100 mg
FLU BURUNG
50
Oseltamivir
tablet
KESEHATAN ANAK
51
52
53
54
55
56
57
58
59
Abendasol 400 mg
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet
IBU
60
61
62
Dextran 70 %
Transfusi set
IV Chateter No. 16
botol
set
pcs
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
Nipedipin 10 mg
IV Chateter No. 18
Urine Bag
Alat Suntik 2,5 ml
Alat Suntik 5 ml
Alat Suntik 10 ml
Implan KB ( isi 2 )
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs
GIZI
87

- 11 bln )
(6
kapsul
88

11- 59 bln )
kapsul
89
90
91
kapsul
tablet
bks
3,149
-
Ferro Sulfat 300 mg

Mineral Mix
OBAT GIGI
92
93
94
95
96
97
98
99
100

Etil klorida spray
Eugenol cairan
Mummifying Pasta
botol
botol
botol
set
tube
botol
botol
set
set
TAMBAHAN
1
2
3
4
Alkohol 70% 1 Liter

Ambroxol tab 30 mg
Amlodipin 10 mg
botol
botol
tablet
tablet
2
1
204
600
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
51
52
Amlodipin 5 mg

Asiklovir krim 5%

Bioplacenton
Boraks Gliserin
Bromheksin tab 8 mg
Burnazin 35 gram
Buscopan injeksi

Dulcolac tab
Dulcolactol syr
Famotidin

Flagystatin
Folley Catheter
Hanscoon
Hanscoon
Hanscoon
Hanscoon
Nonsteril L
Nonsteril M
steril 7,5
steril 8
Hipavix 5x5 cm
Hufavit kalk
Iodiol kapsul lunak
Jarum hecting
Kaltofren supp
Kaptopril tab 50 mg
tablet
tablet
botol
tablet
kapsul
tube
tablet
tablet
tablet
tube
botol
tablet
tube
ampul
botol
tablet
tablet
tablet
kapsul
botol
tablet
tablet
botol
kapsul
tablet
tablet
kapsul
supp
pcs
botol
tube
psg
psg
psg
psg
tube
rol
botol
botol
botol
kapsul
set
supp
tablet
kotak
kotak
rol
rol
600
36
225
501
694
56
294
27
73
200
100
14
45
1
25
6
-
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

Kertas perkamen
Ketac Molar
Ketokonazol krim 2%

klip B (13x18,7)cm
Klip K (5x8) cm

Lanzoprasole
Lefofloxacin
Lidokain injeksi 2%
Loratadin
Lysol
Meloxicam tab 15 mg

Metronidazol 500 mg
New Diaform
Parasetamol drops
Piracetam 400 mg
rol
rol
rol
pcs
set
tube
tablet
tablet
kapsul
pcs
pcs
botol
tube
botol
ampul
tablet
botol
tablet
ampul
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
ampul
tablet
tablet
botol
rol
rol
rol
tablet
40
16
200
143
90
597
500
1,641
434
29
4
15
86
-
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
127
128
129
130
131
132
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Piroksikam 10 mg
Povidon iodin 60 ml
PP tes
Reagen Gol. Darah

Recovit syr
Salbutamol 2 mg
Salbutamol 4 mg
Scabicid
Sendok syr

Siprofloksasin 250
Spongostan
Tensocrepe 7,5 cm
Termometer
Tiamfenikol 500 mg
TKF
Trikresol Formalin
Zinc tablet 20 mg
OBAT ASKES
Alkohol 1000 ml 70%
Alkohol 300 ml 70%
Alletrol tetes mata

Aspilet 80 mg
Becefort tab
Bioplacenton
Borax gliserin
Bravoderm
Bronex
Bronsolvan tab
Burnazin salep
Caviplex syr
tablet
tablet
botol
botol
botol
pcs
tablet
set
botol
tablet
tablet
tube
kapsul
kapsul
botol
botol
pcs
tablet
tablet
tablet
tablet
tablet
tablet
pcs
rol
pcs
kapsul
botol
ampul
kapsul
botol
tablet
685
30
110
2,173
551
617
botol
botol
botol
botol
ampul
tablet
tablet
tube
botol
tube
tablet
tablet
tube
botol
1
3
5
1
9
11
108
5
-
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
51
52
53
54
55
56
57
1
2
3
4
Coldrexin syr
Colfin syr
Colfin tab
Daryantulle
Decadryl syr
Demacolin syr
Dexanta tab
Dulcolac supp 10 mg
Dulcolax tab
Duradryl inj
Gastrucid suspensi
Genoint tetes mata
Grahabion tab
Gratheos
Guanistrep
Halpilyn syr
HCl 0,1 N

Kaltofren inj
Kaltofren supp
Kertas perkamen

Livron B Plex
Neuropyron V tab
New diaform
Noperten 10 mg
Ottolin TT
Perhidrol (H2O2) 3%
Prenatin plus
Proris supp
Recovit syr
Salfamen
Scabicid crm
Scopamin
Sofratulle
Sohobion injeksi
Sohobion tab
Termometer

Xanvit syr
Xilomidon inj
TAMBAHAN
Albendazol syr
Kapas 500 gram
Spiritus
botol
botol
tablet
botol
pcs
botol
botol
tablet
supp
tablet
vial
botol
botol
tablet
tablet
botol
botol
botol
pot
ampul
supp
bks @100
tablet
tablet
tablet
tablet
tablet
botol
botol
tablet
supp
botol
tube
tube
tablet
pcs
ampul
tablet
tube
pcs
botol
botol
vial
botol
bks
tablet
botol
1
172
16
20
1
3
299
7
1
25
760
100
6
1
2
16
109
56
2
-
5
6
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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013
Klip K
bks@100
Enbatic
tube
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
botol
Levopar
tablet
tablet
tablet
supp
tube
botol
Simvastatin 20 mg
tablet
supp
Tetagam
botol
Urotractin 400 mg
tablet
Ventolin inhaler (Salbutamol inh/aerosol 100 botol
Zinc sir 20mg/5ml
botol
Zincpro drops
botol
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
Gelang pasien
pcs
botol
bungkus
bungkus
bungkus
bungkus
Jelly dopler 250 ml
botol
Kapas lidi
pcs
rol
8
10
-
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

Lubricating jelly
Masker karet
Masker N 95
Nurse cap
Plester 5x5 cm
Plester kain 2,5 cm
Plester kain 7,5 cm
Rivanol 300 cc
Tisu towel
rol
pcs
tube
pcs
pcs
pcs
botol
rol
pcs
pcs
pcs
botol
galon
pasang
rol
pcs
300
5
15
1
10
8
-
PEMAKAIAN
APUAN
380
6
60
ABUAN
275
12
100
110
100
LUMBUAN
CEKENG
PENG
PUSKEL
60
110
2
80
220
2
100
10
80
70
50
100
90
10
20
100
46
10
45
55
28
28
216
10
20
80
40
80
50
340
9
100
100
50
20
10
298
14
410
70
100
220
18
14
81
80
150
82
12
90
100
90
100
170
90
60
72
140
42
36
25
30
1
1
0
PUSKESMAS
KECAMATAN
KABUPATEN
: SUSUT II
: SUSUT
: BANGLI
JUMLAH
APOTIK
116
1156
40
40
270
NO
116
2,211
62
340
-
211
1
634
2
10

Hidroksida. 200 mg
11

12

13

Salisilat 3%
14
501
15

Levodopa 250 mg
16
17
18
19
20
21
1
734
-
22
23
24
25
26
27
28
650
-
1
1
2
3
4
5
6
7
8
9
NAMA OBAT

123
10
332
25
8
55
123
7
205
70
476
123
10
101
-
29
30
31
32
33
34
35
1
332
2
36
37
38
39
40
41
42
43
44
25
-
45
46
47
48

49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
33
55
123
16
500
98
158
1,202

Gameksan losion 1%
Gliserin

12
36
74
75
76
77
78

+sulfadoksin 500 ml
79

80

81

82
83
84
85
86
87
88
89
1
5
14
-
90

mg
12
36
-
5
10
36
912
72
1
64
2,010
90
1
175
-


91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115


10
160
275
116
117
118

4%
119
Salisil Bedak 2 %
120
121
122
123
124
4
10
-
125
126
127
128
129
130
582
131
737
11
-
132
133
134
135
145
146
147
148
149
150
151
152
153
Infusion set anak

Vaksin Rabies Vero

VAKSIN
136
137
138
139
140
141
142
143
144
BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
POLIO 20 Dosis
CAMPAK 20 Dosis
ALAT KESEHATAN
Infusion set dewasa

620
2
188
47
1
-
154
155
156
157
158
159
160
161
162
163
164
165
166
620
2
188
60
47
-
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182

Pembalut Gips

OBAT KLB

Kaptopril 12,5 mg
Kaptopril 25 mg
Nifedipin 10 mg
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197

Jarum otot besar
Jarum otot kecil
Masker
198
Urine Bag
OBAT PROGRAM
MALARIA
1
2
3
4
5
6
7
8

Kina Tablet 200 mg
Doxicyklin 100 mg
FILARIASIS
9
10
11
12
13
14
15
16
DEC 100 mg (Tablet)

Abendazol 400 mg
Antasida Doen
17
Prazikuartel 500 mg
PES
18
19
20

Vit. B Kompleks tab
ANTRAKS
21
22
23

24
25
26
27
28
29

DIARE
30
31

Zinc Tab 20 mg
KECACINGAN
32

KUSTA
33
34
35
36
Prednison tab 5 mg
Lamprene 100 mg
FRAMBUSIA
37
38
39
40

Adrenalin Injeksi
Aquades 20 cc
TB PARU (OAT FDC )
41
42
43

OAT Kombipak
44
45
Katagori 1
ISPA
46

Trimetorpin 80 mg
47
48
49
Parasetamol 100 mg
FLU BURUNG
50
Oseltamivir
KESEHATAN ANAK
51
52
53
54
55
56
57
58
59
Abendasol 400 mg
IBU
60
61
62
Dextran 70 %
Transfusi set
IV Chateter No. 16
210
40
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

- 11 bln )
(6
422
57
-
88

11- 59 bln )
89
90
91
Nipedipin 10 mg
IV Chateter No. 18
Urine Bag
Alat Suntik 2,5 ml
Alat Suntik 5 ml
Alat Suntik 10 ml
Implan KB ( isi 2 )
GIZI
Ferro Sulfat 300 mg

Mineral Mix
OBAT GIGI
92
93
94
95
96
97
98
99
100

Etil klorida spray
Eugenol cairan
Mummifying Pasta
TAMBAHAN
1
2
3
4
Alkohol 70% 1 Liter

Ambroxol tab 30 mg
Amlodipin 10 mg
120
4
135
248
56
7
7
120
4
135
248
56
42
7
7
9
1
-
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
51
52
Amlodipin 5 mg

Asiklovir krim 5%

Bioplacenton
Boraks Gliserin
Bromheksin tab 8 mg
Burnazin 35 gram
Buscopan injeksi

Dulcolac tab
Dulcolactol syr
Famotidin

Flagystatin
Folley Catheter
Hanscoon
Hanscoon
Hanscoon
Hanscoon
Nonsteril L
Nonsteril M
steril 7,5
steril 8
Hipavix 5x5 cm
Hufavit kalk
Iodiol kapsul lunak
Jarum hecting
Kaltofren supp
Kaptopril tab 50 mg
10
70
202
652
40
5
16
5
1
10
70
8
202
652
40
5
16
-
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

Kertas perkamen
Ketac Molar
Ketokonazol krim 2%

klip B (13x18,7)cm
Klip K (5x8) cm

Lanzoprasole
Lefofloxacin
Lidokain injeksi 2%
Loratadin
Lysol
Meloxicam tab 15 mg

Metronidazol 500 mg
New Diaform
Parasetamol drops
Piracetam 400 mg
221
462
20
60
108
221
4
4
462
20
151
1
108
-
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
127
128
129
130
131
132
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Piroksikam 10 mg
Povidon iodin 60 ml
PP tes
Reagen Gol. Darah

Recovit syr
Salbutamol 2 mg
Salbutamol 4 mg
Scabicid
Sendok syr

Siprofloksasin 250
Spongostan
Tensocrepe 7,5 cm
Termometer
Tiamfenikol 500 mg
TKF
Trikresol Formalin
Zinc tablet 20 mg
OBAT ASKES
Alkohol 1000 ml 70%
Alkohol 300 ml 70%
Alletrol tetes mata

Aspilet 80 mg
Becefort tab
Bioplacenton
Borax gliserin
Bravoderm
Bronex
Bronsolvan tab
Burnazin salep
Caviplex syr
1
172
6
273
2
260
4
1
1
172
6
9
1
1
273
2
260
1
4
1
-
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
51
52
53
54
55
56
57
1
2
3
4
Coldrexin syr
Colfin syr
Colfin tab
Daryantulle
Decadryl syr
Demacolin syr
Dexanta tab
Dulcolac supp 10 mg
Dulcolax tab
Duradryl inj
Gastrucid suspensi
Genoint tetes mata
Grahabion tab
Gratheos
Guanistrep
Halpilyn syr
HCl 0,1 N

Kaltofren inj
Kaltofren supp
Kertas perkamen

Livron B Plex
Neuropyron V tab
New diaform
Noperten 10 mg
Ottolin TT
Perhidrol (H2O2) 3%
Prenatin plus
Proris supp
Recovit syr
Salfamen
Scabicid crm
Scopamin
Sofratulle
Sohobion injeksi
Sohobion tab
Termometer

Xanvit syr
Xilomidon inj
TAMBAHAN
Albendazol syr
Kapas 500 gram
Spiritus
5
6
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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Slide frosted
Sofratule
TAMBAHAN ASKES 2013
Klip K
Enbatic
Berotec MDI
Berotec solution
Bisoprolol 5 mg
Cendo lyteers
Flukonazol 150 mg
Irbesartan 150 mg
Levopar
Simvastatin 20 mg
Tetagam
Urotractin 400 mg
Ventolin inhaler (Salbutamol inh/aerosol 100
Zinc sir 20mg/5ml
Zincpro drops
Alkohol 70% 100 ml
Alkohol 70% 300 ml
Alkohol 95% 1000 ml
Alkohol swab
Apron
Bayclin 1000 ml
Chlorotule
Cito brush
Gelang pasien
Jelly dopler 250 ml
Kapas lidi
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

Lubricating jelly
Masker karet
Masker N 95
Nurse cap
Plester 5x5 cm
Plester kain 2,5 cm
Plester kain 7,5 cm
Rivanol 300 cc
Tisu towel
MARET
PEMAKAIAN
SATUAN
STOK
LPLPO
APUAN
ABUAN
LUMBUAN
CEKENG
110
2
110
3
20
30
90
3
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul
tablet
tablet
tube
tube
supp
supp
pot
pot
tablet
tablet
tablet
tablet
botol
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
botol
ampul
ampul
tube
ampul
tablet
botol
botol
tablet
tube
ampul
tablet
botol
botol
tablet
482
7
90
200
4
25
90
35
ampul
tablet
tablet
ampul
tablet
tablet
tablet
ampul
tablet
tablet
ampul
tablet
tablet
tablet
ampul
ampul
botol
ampul
ampul
tablet
tablet
tablet
botol
botol
ampul
ampul
tablet
tablet
tablet
botol
ampul
ampul
tablet
tablet
tablet
botol
tablet
botol
bks
bks
botol
tablet
tablet
botol
botol
botol
botol
tablet
tablet
botol
botol
botol
botol
botol
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet
3
62
16
15
27
15
15
1
30
34
72
60
36
36
28
91
30
84
160
70
30
40
100
ampul
ampul
tablet
tablet
ampul
ampul
tablet
tablet
tablet
tablet
botol
botol
tablet
tablet
tablet
tablet
ampul
tablet
ampul
tablet
ampul
ampul
ampul
ampul
bks
botol
tablet
ampul
ampul
bks
botol
tablet
tablet
tablet
ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube
ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube
vial
vial
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet
236
285
28
1
42
153
130
80
tablet
botol
tablet
botol
pot
pot
bks
bks
ampul
ampul
ampul
ampul
ampul
ampul
ampul
ampul
ampul
ampul
ampul
ampul
botol
botol
kapsul
kapsul
ampul
botol
botol
kapsul
kapsul
ampul
tablet
tablet
ampul
ampul
tablet
ampul
tablet
tablet
ampul
tablet
11
198
42
90
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
-
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
set
set
pcs
pcs
set
set
pcs
pcs
11
100
200
100
pcs
bks
bks
bks
bks
bks
pcs
pcs
pcs
bks
bks
bks
bks
bks
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
-
kaplet
kaplet
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul
60
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
pcs
pcs
-
tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet
tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet
-
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube
-
tablet
tablet
-
kapsul
tablet
tablet
kapsul
tablet
tablet
-
vial
tube
kaplet
vial
tube
kaplet
-
tablet
bks
tablet
tablet
tablet
tablet
tablet
bks
tablet
tablet
tablet
tablet
-
bks
tablet
bks
tablet
-
tablet
tablet
-
tablet
kapsul
kapsul
tablet
tablet
kapsul
kapsul
tablet
-
vial
ampul
botol
pcs
vial
ampul
botol
pcs
-
set
set
set
set
set
set
-
set
set
set
set
-
tablet
tablet
botol
tablet
tablet
botol
tablet
tablet
-
tablet
tablet
-
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet
-
botol
set
pcs
botol
set
pcs
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs
-
kapsul
kapsul
kapsul
kapsul
kapsul
tablet
bks
kapsul
tablet
bks
botol
botol
botol
set
tube
botol
botol
set
set
botol
botol
botol
set
tube
botol
botol
set
set
18
110
botol
botol
tablet
tablet
botol
botol
tablet
tablet
tablet
tablet
botol
tablet
kapsul
tube
tablet
tablet
tablet
tube
botol
tablet
tube
ampul
botol
tablet
tablet
tablet
kapsul
botol
tablet
tablet
botol
kapsul
tablet
tablet
kapsul
supp
pcs
botol
tube
psg
psg
psg
psg
tube
rol
botol
botol
botol
kapsul
set
supp
tablet
kotak
kotak
rol
rol
tablet
tablet
botol
tablet
kapsul
tube
tablet
tablet
tablet
tube
botol
tablet
tube
ampul
botol
tablet
tablet
tablet
kapsul
botol
tablet
tablet
botol
kapsul
tablet
tablet
kapsul
supp
pcs
botol
tube
psg
psg
psg
psg
tube
rol
botol
botol
botol
kapsul
set
supp
tablet
kotak
kotak
rol
rol
12
rol
rol
rol
pcs
set
tube
tablet
tablet
kapsul
pcs
pcs
botol
tube
botol
ampul
tablet
botol
tablet
ampul
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
ampul
tablet
tablet
botol
rol
rol
rol
tablet
rol
rol
rol
pcs
set
tube
tablet
tablet
kapsul
pcs
pcs
botol
tube
botol
ampul
tablet
botol
tablet
ampul
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
ampul
tablet
tablet
botol
rol
rol
rol
tablet
tablet
tablet
botol
botol
botol
pcs
tablet
set
botol
tablet
tablet
tube
kapsul
kapsul
botol
botol
pcs
tablet
tablet
tablet
tablet
tablet
tablet
pcs
rol
pcs
kapsul
botol
ampul
kapsul
botol
tablet
tablet
tablet
botol
botol
botol
pcs
tablet
set
botol
tablet
tablet
tube
kapsul
kapsul
botol
botol
pcs
tablet
tablet
tablet
tablet
tablet
tablet
pcs
rol
pcs
kapsul
botol
ampul
kapsul
botol
tablet
botol
botol
botol
botol
ampul
tablet
tablet
tube
botol
tube
tablet
tablet
tube
botol
botol
botol
botol
botol
ampul
tablet
tablet
tube
botol
tube
tablet
tablet
tube
botol
62
30
20
30
botol
botol
tablet
botol
pcs
botol
botol
tablet
supp
tablet
vial
botol
botol
tablet
tablet
botol
botol
botol
pot
ampul
supp
bks @100
tablet
tablet
tablet
tablet
tablet
botol
botol
tablet
supp
botol
tube
tube
tablet
pcs
ampul
tablet
tube
pcs
botol
botol
vial
botol
botol
tablet
botol
pcs
botol
botol
tablet
supp
tablet
vial
botol
botol
tablet
tablet
botol
botol
botol
pot
ampul
supp
bks @100
tablet
tablet
tablet
tablet
tablet
botol
botol
tablet
supp
botol
tube
tube
tablet
pcs
ampul
tablet
tube
pcs
botol
botol
vial
botol
bks
tablet
botol
botol
bks
tablet
botol
kotak
lembar
bks@100
tube
DIADAKAN TH 2014
tablet
botol
botol
tablet
botol
tube
kapsul
tablet
tablet
botol
tablet
tablet
tablet
supp
tube
botol
tablet
supp
botol
tablet
botol
botol
botol
S PAKAI (BMHP) 201
botol
botol
botol
pcs
pack
botol
botol
pcs
pcs
pcs
botol
bungkus
bungkus
bungkus
bungkus
botol
pcs
rol
kotak
lembar
bks@100
tube
tablet
botol
botol
tablet
botol
tube
kapsul
tablet
tablet
botol
tablet
tablet
tablet
supp
tube
botol
tablet
supp
botol
tablet
botol
botol
botol
botol
botol
botol
pcs
pack
botol
botol
pcs
pcs
pcs
botol
bungkus
bungkus
bungkus
bungkus
botol
pcs
rol
rol
pcs
tube
pcs
pcs
pcs
botol
rol
pcs
pcs
pcs
botol
galon
pasang
rol
pcs
rol
pcs
tube
pcs
pcs
pcs
botol
rol
pcs
pcs
pcs
botol
galon
pasang
rol
pcs
PUSKESMAS
KECAMATAN
KABUPATEN
MAKAIAN
JUMLAH
PENG
PUSKEL
APOTIK
NO
30
140
0
60
20
20
30
805
28
130
207
30
1,907
44
195
557
-
10
68
60
370
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
113
15
18
19
430
-
22
16
17
20
21
23
24
25
26
27
28
: SUSUT II
: SUSUT
: BANGLI
140
8
10
101
216
28
10
30
1
80
97
50
40
35
17
448
40
65
40
100
10
429
140
11
10
194
-
29
30
31
32
33
34
35
1
216
1
36
44
28
-
45
102
2
80
253
35
17
684
232
98
953
37
38
39
40
41
42
43
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
11
74
75
76
77
78
13
-
5
3
120
48
709
25
70
50
79
80
81
82
83
84
2
5
6
-
90
70
1,560
53
1
315
-
85
86
87
88
89
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
30
208
70
100
382
116
117
1
-
118
120
121
122
123
124
11
-
125
736
131
784
27
-
132
148
1
-
149
119
126
127
128
129
130
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
150
151
152
153
281
6
90
10
13
154
155
156
157
158
159
160
161
3
-
162
281
6
90
70
13
-
168
163
164
165
166
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
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
51
52
53
54
55
56
57
58
59
60
61
62
90
2
1
51
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
218
2
1
69
-
88
89
90
91
92
93
94
95
96
97
98
99
100
1
2
3
4
252
2
25
60
260
8
18
80
5
252
2
25
60
260
12
8
18
80
5
1
-
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
51
52
37
173
6
10
225
492
20
6
50
20
2
1
37
2
173
8
10
225
492
20
6
50
20
-
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
170
17
40
314
32
70
170
17
40
6
314
32
212
1
1
1
1
-
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
127
128
129
130
131
132
1
2
3
4
5
6
7
8
9
10
11
12
13
14
10
1
247
1
4
10
1
1
247
2
1
2
3
-
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
51
52
53
54
55
56
57
1
2
3
4
5
6
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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
34
34
6
-
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
USKESMAS
ECAMATAN
ABUPATEN
: SUSUT II
: SUSUT
: BANGLI
APRIL
NAMA OBAT
SATUAN
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul

Hidroksida. 200 mg
tablet

tube

supp

Salisilat 3%
pot
tablet

Levodopa 250 mg
tablet

botol
tablet
tablet
tablet

tablet
botol
ampul
tube
ampul
tablet
botol
botol
tablet


STOK
LPLPO
ampul
tablet
tablet
ampul
tablet
tablet
tablet
ampul
botol
ampul
ampul
tablet
tablet
tablet
botol
ampul
tablet
Gameksan losion 1%
tablet
botol

bks
botol
tablet
tablet
botol
botol
botol
botol
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet


Gliserin

ampul
ampul
tablet
tablet

+sulfadoksin 500 ml
tablet

botol

tablet

tablet

ampul
tablet
ampul
ampul
ampul
bks
botol
tablet

mg
tablet
ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube
vial
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet




tablet
botol

4%
pot
Salisil Bedak 2 %
bks
ampul
ampul
ampul
ampul
ampul
ampul
botol
botol
kapsul
kapsul
ampul
tablet
ampul
tablet
ampul
tablet

Vaksin Rabies Vero

VAKSIN
BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
POLIO 20 Dosis
CAMPAK 20 Dosis
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
ALAT KESEHATAN
pcs
pcs
pcs
pcs
pcs
Infusion set anak
set
set
pcs
pcs

Infusion set dewasa

pcs
bks
bks
bks
bks
bks
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Pembalut Gips

OBAT KLB
kaplet
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul

Kaptopril 12,5 mg
Kaptopril 25 mg
Nifedipin 10 mg
Jarum otot besar
Jarum otot kecil
Masker
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
Urine Bag
pcs
OBAT PROGRAM
MALARIA
Kina Tablet 200 mg
Doxicyklin 100 mg
tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet
FILARIASIS
DEC 100 mg (Tablet)
Abendazol 400 mg
Antasida Doen
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube

Prazikuartel 500 mg
tablet
PES
Vit. B Kompleks tab
kapsul
tablet
tablet
ANTRAKS
vial
tube
kaplet

tablet
bks
tablet
tablet
tablet
tablet
DIARE
Zinc Tab 20 mg
bks
tablet
KECACINGAN
tablet
KUSTA
Prednison tab 5 mg
Lamprene 100 mg
tablet
kapsul
kapsul
tablet
FRAMBUSIA
Adrenalin Injeksi
Aquades 20 cc
vial
ampul
botol
pcs
TB PARU (OAT FDC )

set
set
set
OAT Kombipak
Katagori 1
set
set
ISPA
Trimetorpin 80 mg
tablet
botol
tablet
tablet

Parasetamol 100 mg
FLU BURUNG
Oseltamivir
tablet
KESEHATAN ANAK
Abendasol 400 mg
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet
IBU
Dextran 70 %
Transfusi set
IV Chateter No. 16
botol
set
pcs
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs
Nipedipin 10 mg
IV Chateter No. 18
Urine Bag
Alat Suntik 2,5 ml
Alat Suntik 5 ml
Alat Suntik 10 ml
Implan KB ( isi 2 )
GIZI
- 11 bln )
(6
kapsul

11- 59 bln )
kapsul

Ferro Sulfat 300 mg
Mineral Mix
kapsul
tablet
bks
OBAT GIGI
Etil klorida spray
Eugenol cairan
Mummifying Pasta
botol
botol
botol
set
tube
botol
botol
set
set
TAMBAHAN
Alkohol 70% 1 Liter
Ambroxol tab 30 mg
Amlodipin 10 mg
botol
botol
tablet
tablet
Amlodipin 5 mg

Asiklovir krim 5%

Bioplacenton
Boraks Gliserin
Bromheksin tab 8 mg
Burnazin 35 gram
Buscopan injeksi

Dulcolac tab
Dulcolactol syr
Famotidin

Flagystatin
Folley Catheter
Hanscoon
Hanscoon
Hanscoon
Hanscoon
Nonsteril L
Nonsteril M
steril 7,5
steril 8
Hipavix 5x5 cm
Hufavit kalk
Iodiol kapsul lunak
Jarum hecting
Kaltofren supp
Kaptopril tab 50 mg
tablet
tablet
botol
tablet
kapsul
tube
tablet
tablet
tablet
tube
botol
tablet
tube
ampul
botol
tablet
tablet
tablet
kapsul
botol
tablet
tablet
botol
kapsul
tablet
tablet
kapsul
supp
pcs
botol
tube
psg
psg
psg
psg
tube
rol
botol
botol
botol
kapsul
set
supp
tablet
kotak
kotak
rol
rol

Kertas perkamen
Ketac Molar
Ketokonazol krim 2%

klip B (13x18,7)cm
Klip K (5x8) cm

Lanzoprasole
Lefofloxacin
Lidokain injeksi 2%
Loratadin
Lysol
Meloxicam tab 15 mg

Metronidazol 500 mg
New Diaform
Parasetamol drops
Piracetam 400 mg
rol
rol
rol
pcs
set
tube
tablet
tablet
kapsul
pcs
pcs
botol
tube
botol
ampul
tablet
botol
tablet
ampul
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
ampul
tablet
tablet
botol
rol
rol
rol
tablet

Piroksikam 10 mg
Povidon iodin 60 ml
PP tes
Reagen Gol. Darah

Recovit syr
Salbutamol 2 mg
Salbutamol 4 mg
Scabicid
Sendok syr

Siprofloksasin 250
Spongostan
Tensocrepe 7,5 cm
Termometer
Tiamfenikol 500 mg
TKF
Trikresol Formalin
Zinc tablet 20 mg
OBAT ASKES
Alkohol 1000 ml 70%
Alkohol 300 ml 70%
Alletrol tetes mata

Aspilet 80 mg
Becefort tab
Bioplacenton
Borax gliserin
Bravoderm
Bronex
Bronsolvan tab
Burnazin salep
Caviplex syr
tablet
tablet
botol
botol
botol
pcs
tablet
set
botol
tablet
tablet
tube
kapsul
kapsul
botol
botol
pcs
tablet
tablet
tablet
tablet
tablet
tablet
pcs
rol
pcs
kapsul
botol
ampul
kapsul
botol
tablet
botol
botol
botol
botol
ampul
tablet
tablet
tube
botol
tube
tablet
tablet
tube
botol
Coldrexin syr
Colfin syr
Colfin tab
Daryantulle
Decadryl syr
Demacolin syr
Dexanta tab
Dulcolac supp 10 mg
Dulcolax tab
Duradryl inj
Gastrucid suspensi
Genoint tetes mata
Grahabion tab
Gratheos
Guanistrep
Halpilyn syr
HCl 0,1 N

Kaltofren inj
Kaltofren supp
Kertas perkamen

Livron B Plex
Neuropyron V tab
New diaform
Noperten 10 mg
Ottolin TT
Perhidrol (H2O2) 3%
Prenatin plus
Proris supp
Recovit syr
Salfamen
Scabicid crm
Scopamin
Sofratulle
Sohobion injeksi
Sohobion tab
Termometer

Xanvit syr
Xilomidon inj
TAMBAHAN
Albendazol syr
Kapas 500 gram
Spiritus
botol
botol
tablet
botol
pcs
botol
botol
tablet
supp
tablet
vial
botol
botol
tablet
tablet
botol
botol
botol
pot
ampul
supp
bks @100
tablet
tablet
tablet
tablet
tablet
botol
botol
tablet
supp
botol
tube
tube
tablet
pcs
ampul
tablet
tube
pcs
botol
botol
vial
botol
bks
tablet
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013
Klip K
bks@100
Enbatic
tube
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
botol
Levopar
tablet
tablet
tablet
supp
tube
botol
Simvastatin 20 mg
tablet
supp
Tetagam
botol
Urotractin 400 mg
tablet
Zinc sir 20mg/5ml
botol
Zincpro drops
botol
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
Gelang pasien
pcs
botol
bungkus
bungkus
bungkus
bungkus
Jelly dopler 250 ml
botol
Kapas lidi
pcs
rol

Lubricating jelly
Masker karet
Masker N 95
Nurse cap
Plester 5x5 cm
Plester kain 2,5 cm
Plester kain 7,5 cm
Rivanol 300 cc
Tisu towel
rol
pcs
tube
pcs
pcs
pcs
botol
rol
pcs
pcs
pcs
botol
galon
pasang
rol
pcs
PEMAKAIAN
APUAN
ABUAN
LUMBUAN
CEKENG
PENG
PUSKEL
APOTIK
90
186
4
48
106
269
9
20
100
80
1
100
2
100
170
3
60
60
10
80
110
60
40
50
80
10
1010
33
10
520
131
13
140
540
10
2
12
26
15
30
10
177
20
10
20
15
15
10
10
2
103
50
113
10
19
2
95
80
20
2
46
127
60
6
68
80
121
238
130
60
100
60
20
100
55
13
160
80
30
180
50
602
2
10
205
240
3
8
1
90
19
100
190
80
27
110
131
929
25
50
10
168
111
169
70
20
17
20
10
100
110
200
120
60
50
300
10
640
7
188
10
20
46
90
100
160
82
196
5
70
216
45
42
1
1
7
19
60
2
20
35
10
40
170
35
110
558
10
4
230
16
10
140
9
82
110
510
34
10
30
25
15
25
16
380
2
8
5
0
1
2
0
30
4
0
PUSKESMAS
KECAMATAN
KABUPATEN
: SUSUT II
: SUSUT
: BANGLI
JUMLAH
NO
90
1,875
52
248
-
1
1
2
3
4
5
6
7
8
9
NAMA OBAT
2
10

Hidroksida. 200 mg
11

12

13

Salisilat 3%
14
301
15

Levodopa 250 mg
16
17
18
19
20
21
13
680
-
22
23
24
25
26
27
28
986
-

10
35
10
253
-
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
10
-
45
46
47
48

49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
89
4
95
356
20
55
15
623
268
136
1,291

Gameksan losion 1%
Gliserin

74
75
76
77
78

+sulfadoksin 500 ml
79

80

81

82
83
84
85
86
87
88
89
5
3
12
-
90

mg
4
10
-
34
1,834
52
301
-


91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115


116
117
118

4%
119
Salisil Bedak 2 %
120
121
122
123
124
12
30
-
125
126
127
128
129
130
879
131
599
45
-
132
133
134
135
145
146
147
148
4
-
149
150
151
152
153
Infusion set anak

Vaksin Rabies Vero

VAKSIN
136
137
138
139
140
141
142
143
144
BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
POLIO 20 Dosis
CAMPAK 20 Dosis
ALAT KESEHATAN
Infusion set dewasa

154
155
156
157
158
159
160
161
3
-
162
163
164
165
166
650
7
188
30
3
-
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182

Pembalut Gips

OBAT KLB

Kaptopril 12,5 mg
Kaptopril 25 mg
Nifedipin 10 mg
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197

Jarum otot besar
Jarum otot kecil
Masker
198
Urine Bag
OBAT PROGRAM
MALARIA
1
2
3
4
5
6
7
8

Kina Tablet 200 mg
Doxicyklin 100 mg
FILARIASIS
9
10
11
12
13
14
15
16
DEC 100 mg (Tablet)

Abendazol 400 mg
Antasida Doen
17
Prazikuartel 500 mg
PES
18
19
20

Vit. B Kompleks tab
ANTRAKS
21
22
23

24
25
26
27
28
29

DIARE
30
31

Zinc Tab 20 mg
1
-
KECACINGAN
32

KUSTA
33
34
35
36
Prednison tab 5 mg
Lamprene 100 mg
FRAMBUSIA
37
38
39
40

Adrenalin Injeksi
Aquades 20 cc
TB PARU (OAT FDC )
41
42
43

OAT Kombipak
44
45
Katagori 1
ISPA
46

Trimetorpin 80 mg
47
48
49
Parasetamol 100 mg
FLU BURUNG
50
Oseltamivir
KESEHATAN ANAK
51
52
53
54
55
56
57
58
59
Abendasol 400 mg
IBU
60
61
62
Dextran 70 %
Transfusi set
IV Chateter No. 16
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

- 11 bln )
(6
396
1
97
-
88

11- 59 bln )
89
90
91
Nipedipin 10 mg
IV Chateter No. 18
Urine Bag
Alat Suntik 2,5 ml
Alat Suntik 5 ml
Alat Suntik 10 ml
Implan KB ( isi 2 )
GIZI
Ferro Sulfat 300 mg

Mineral Mix
OBAT GIGI
92
93
94
95
96
97
98
99
100

Etil klorida spray
Eugenol cairan
Mummifying Pasta
TAMBAHAN
1
2
3
4
Alkohol 70% 1 Liter

Ambroxol tab 30 mg
Amlodipin 10 mg
196
5
70
216
45
42
9
20
60
-
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
51
52
Amlodipin 5 mg

Asiklovir krim 5%

Bioplacenton
Boraks Gliserin
Bromheksin tab 8 mg
Burnazin 35 gram
Buscopan injeksi

Dulcolac tab
Dulcolactol syr
Famotidin

Flagystatin
Folley Catheter
Hanscoon
Hanscoon
Hanscoon
Hanscoon
Nonsteril L
Nonsteril M
steril 7,5
steril 8
Hipavix 5x5 cm
Hufavit kalk
Iodiol kapsul lunak
Jarum hecting
Kaltofren supp
Kaptopril tab 50 mg
2
2
20
1
35
10
40
170
35
110
558
10
4
230
1
16
-
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

Kertas perkamen
Ketac Molar
Ketokonazol krim 2%

klip B (13x18,7)cm
Klip K (5x8) cm

Lanzoprasole
Lefofloxacin
Lidokain injeksi 2%
Loratadin
Lysol
Meloxicam tab 15 mg

Metronidazol 500 mg
New Diaform
Parasetamol drops
Piracetam 400 mg
150
9
82
110
510
99
1
-
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
127
128
129
130
131
132
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Piroksikam 10 mg
Povidon iodin 60 ml
PP tes
Reagen Gol. Darah

Recovit syr
Salbutamol 2 mg
Salbutamol 4 mg
Scabicid
Sendok syr

Siprofloksasin 250
Spongostan
Tensocrepe 7,5 cm
Termometer
Tiamfenikol 500 mg
TKF
Trikresol Formalin
Zinc tablet 20 mg
OBAT ASKES
Alkohol 1000 ml 70%
Alkohol 300 ml 70%
Alletrol tetes mata

Aspilet 80 mg
Becefort tab
Bioplacenton
Borax gliserin
Bravoderm
Bronex
Bronsolvan tab
Burnazin salep
Caviplex syr
15
3
25
2
16
380
4
2
8
-
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
51
52
53
54
55
56
57
1
2
3
4
Coldrexin syr
Colfin syr
Colfin tab
Daryantulle
Decadryl syr
Demacolin syr
Dexanta tab
Dulcolac supp 10 mg
Dulcolax tab
Duradryl inj
Gastrucid suspensi
Genoint tetes mata
Grahabion tab
Gratheos
Guanistrep
Halpilyn syr
HCl 0,1 N

Kaltofren inj
Kaltofren supp
Kertas perkamen

Livron B Plex
Neuropyron V tab
New diaform
Noperten 10 mg
Ottolin TT
Perhidrol (H2O2) 3%
Prenatin plus
Proris supp
Recovit syr
Salfamen
Scabicid crm
Scopamin
Sofratulle
Sohobion injeksi
Sohobion tab
Termometer

Xanvit syr
Xilomidon inj
TAMBAHAN
Albendazol syr
Kapas 500 gram
Spiritus
2
5
1
2
-
5
6
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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Slide frosted
Sofratule
TAMBAHAN ASKES 2013
Klip K
Enbatic
Berotec MDI
Berotec solution
Bisoprolol 5 mg
Cendo lyteers
Flukonazol 150 mg
Irbesartan 150 mg
Levopar
Simvastatin 20 mg
Tetagam
Urotractin 400 mg
Ventolin inhaler (Salbutamol inh/aerosol 100
Zinc sir 20mg/5ml
Zincpro drops
Alkohol 70% 100 ml
Alkohol 70% 300 ml
Alkohol 95% 1000 ml
Alkohol swab
Apron
Bayclin 1000 ml
Chlorotule
Cito brush
Gelang pasien
Jelly dopler 250 ml
Kapas lidi
30
1
5
3
-
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

Lubricating jelly
Masker karet
Masker N 95
Nurse cap
Plester 5x5 cm
Plester kain 2,5 cm
Plester kain 7,5 cm
Rivanol 300 cc
Tisu towel
MEI
PEMAKAIAN
SATUAN
STOK
LPLPO
APUAN
ABUAN
LUMBUAN
PUSKEL
110
60
100
220
3
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul
tablet
262
6
110
42
325
2
55
100
tube
supp
pot
tablet
tablet
botol
tablet
20
tablet
tablet
tablet
botol
ampul
tube
ampul
tablet
botol
botol
tablet
280
ampul
tablet
tablet
ampul
tablet
tablet
tablet
26
ampul
botol
ampul
ampul
tablet
tablet
tablet
botol
ampul
tablet
tablet
botol
bks
botol
tablet
tablet
botol
botol
botol
122
120
botol
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet
2
27
24
16
141
40
33
316
20
9
170
310
30
280
ampul
ampul
tablet
tablet
tablet
botol
tablet
tablet
ampul
tablet
ampul
ampul
ampul
bks
botol
tablet
tablet
ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube
vial
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet
8
200
3
335
45
48
118
11
150
150
tablet
botol
pot
bks
ampul
ampul
ampul
ampul
ampul
ampul
botol
botol
kapsul
kapsul
ampul
tablet
72
152
ampul
tablet
ampul
tablet
192
60
280
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
pcs
pcs
pcs
pcs
pcs
set
set
pcs
pcs
pcs
bks
bks
bks
bks
bks
pcs
pcs
pcs
pcs
pcs
pcs
pcs
1
1
kaplet
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
60
24
170
pcs
tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube
tablet
kapsul
tablet
tablet
vial
tube
kaplet
tablet
bks
tablet
tablet
tablet
tablet
bks
tablet
tablet
tablet
kapsul
kapsul
tablet
vial
ampul
botol
pcs
set
set
set
set
set
tablet
botol
tablet
tablet
tablet
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet
botol
set
pcs
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs
kapsul
kapsul
kapsul
tablet
bks
207
botol
botol
botol
set
tube
botol
botol
set
set
botol
botol
tablet
tablet
tablet
tablet
botol
tablet
kapsul
tube
tablet
tablet
tablet
tube
botol
tablet
tube
ampul
botol
tablet
tablet
tablet
kapsul
botol
tablet
tablet
botol
kapsul
tablet
tablet
kapsul
supp
pcs
botol
tube
psg
psg
psg
psg
tube
rol
botol
botol
botol
kapsul
set
supp
tablet
kotak
kotak
rol
rol
12
rol
rol
rol
pcs
set
tube
tablet
tablet
kapsul
pcs
pcs
botol
tube
botol
ampul
tablet
botol
tablet
ampul
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
ampul
tablet
tablet
botol
rol
rol
rol
tablet
tablet
tablet
botol
botol
botol
pcs
tablet
set
botol
tablet
tablet
tube
kapsul
kapsul
botol
botol
pcs
tablet
tablet
tablet
tablet
tablet
tablet
pcs
rol
pcs
kapsul
botol
ampul
kapsul
botol
tablet
botol
botol
botol
botol
ampul
tablet
tablet
tube
botol
tube
tablet
tablet
tube
botol
20
40
botol
botol
tablet
botol
pcs
botol
botol
tablet
supp
tablet
vial
botol
botol
tablet
tablet
botol
botol
botol
pot
ampul
supp
bks @100
tablet
tablet
tablet
tablet
tablet
botol
botol
tablet
supp
botol
tube
tube
tablet
pcs
ampul
tablet
tube
pcs
botol
botol
vial
botol
bks
tablet
botol
kotak
lembar
bks@100
tube
DIADAKAN TH 2014
tablet
botol
botol
tablet
botol
tube
kapsul
tablet
tablet
botol
tablet
tablet
tablet
supp
tube
botol
tablet
supp
botol
tablet
botol
botol
botol
S PAKAI (BMHP) 2014
botol
botol
botol
pcs
pack
botol
botol
pcs
pcs
pcs
botol
bungkus
bungkus
bungkus
bungkus
botol
pcs
rol
rol
pcs
tube
pcs
pcs
pcs
botol
rol
pcs
pcs
pcs
botol
galon
pasang
rol
pcs
10
PUSKESMAS
KECAMATAN
KABUPATEN
MAKAIAN
JUMLAH
PENG
CEKENG
APOTIK
NO
35
150
2
140
100
2
50
70
20
771
31
244
35
1,778
43
355
796
-
20
50
67
2
274
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
157
15
18
19
2
554
-
22
16
17
20
21
23
24
25
26
27
28
: SUSUT II
: SUSUT
: BANGLI
3
7
0
91
50
10
15
30
29
1
85
86
40
50
2
76
40
45
40
150
297
3
16
167
-
29
30
31
32
33
34
35
36
44
10
-
45
55
1
85
358
40
13
343
250
406
1,106
37
38
39
40
41
42
43
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
20
20
-
5
3
6
150
22
90
597
14
150
79
80
81
82
83
84
5
5
-
90
50
1,672
59
316
-
85
86
87
88
89
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
1
3
30
20
60
50
160
130
229
10
116
117
1
3
118
120
121
122
123
124
12
50
-
125
464
131
921
16
-
132
148
149
119
126
127
128
129
130
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
150
151
152
153
630
3
175
154
155
156
157
158
159
160
161
1
1
-
162
690
3
175
194
4
-
168
163
164
165
166
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
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
51
52
53
54
55
56
57
58
59
60
61
62
130
51
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
343
1
73
-
88
89
90
91
92
93
94
95
96
97
98
99
100
1
2
3
4
230
2
20
183
57
2
2
4
25
39
230
2
20
183
57
12
7
27
39
-
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
51
52
20
165
8
70
266
150
486
30
3
90
10
1
5
185
8
70
266
150
486
30
3
90
10
-
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
48
20
290
50
70
68
20
330
120
1
1
-
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
127
128
129
130
131
132
1
2
3
4
5
6
7
8
9
10
11
12
13
14
18
340
9
2
18
6
1
340
1
9
2
2
-
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
51
52
53
54
55
56
57
1
2
3
4
12
2
10
1
1
12
2
10
-
5
6
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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
45
2
1
55
1
2
1
1
-
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
USKESMAS
ECAMATAN
ABUPATEN
: SUSUT II
: SUSUT
: BANGLI
JUNI
NAMA OBAT
SATUAN
tablet
tablet
ampul
tablet
Kapsul
kaplet
botol
tablet
ampul

Hidroksida. 200 mg
tablet

tube

supp

Salisilat 3%
pot
tablet

Levodopa 250 mg
tablet

botol
tablet
tablet
tablet

tablet
botol
ampul
tube
ampul
tablet
botol
botol
tablet


STOK
LPLPO
ampul
tablet
tablet
ampul
tablet
tablet
tablet
ampul
botol
ampul
ampul
tablet
tablet
tablet
botol
ampul
tablet
Gameksan losion 1%
tablet
botol

bks
botol
tablet
tablet
botol
botol
botol
botol
tablet
tablet
tablet
tablet
tablet
tube
tablet
tablet
tablet
tablet
tablet
tablet
tablet
ampul
kapsul
kapsul
botol
tablet


Gliserin

ampul
ampul
tablet
tablet

+sulfadoksin 500 ml
tablet

botol

tablet

tablet

ampul
tablet
ampul
ampul
ampul
bks
botol
tablet

mg
tablet
ampul
tablet
tablet
botol
botol
ampul
tablet
tablet
botol
botol
tube
vial
ampul
botol
botol
tablet
botol
tablet
botol
botol
tablet
tablet
tablet
tablet
tablet




tablet
botol

4%
pot
Salisil Bedak 2 %
bks
ampul
ampul
ampul
ampul
ampul
ampul
botol
botol
kapsul
kapsul
ampul
tablet
ampul
tablet
ampul
tablet

Vaksin Rabies Vero

VAKSIN
BCG
TT
DT
CAMPAK 10 Dosis
POLIO 10 Dosis
DPT-HB
POLIO 20 Dosis
CAMPAK 20 Dosis
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
Ampul
ALAT KESEHATAN
pcs
pcs
pcs
pcs
pcs
Infusion set anak
set
set
pcs
pcs

Infusion set dewasa

pcs
bks
bks
bks
bks
bks
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Pembalut Gips

OBAT KLB
kaplet
kapsul
kapsul
botol
tablet
tablet
kapsul
tablet
tablet
kapsul
vial
vial
tablet
ampul
kapsul

Kaptopril 12,5 mg
Kaptopril 25 mg
Nifedipin 10 mg
Jarum otot besar
Jarum otot kecil
Masker
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
psg
psg
psg
Urine Bag
pcs
OBAT PROGRAM
MALARIA
Kina Tablet 200 mg
Doxicyklin 100 mg
tablet
ampul
ampul
tablet
tablet
ampul
kapsul
tablet
FILARIASIS
DEC 100 mg (Tablet)
Abendazol 400 mg
Antasida Doen
tablet
tablet
tablet
tablet
tablet
tablet
kapsul
tube

Prazikuartel 500 mg
tablet
PES
Vit. B Kompleks tab
kapsul
tablet
tablet
ANTRAKS
vial
tube
kaplet

tablet
bks
tablet
tablet
tablet
tablet
DIARE
Zinc Tab 20 mg
bks
tablet
KECACINGAN
tablet
KUSTA
Prednison tab 5 mg
Lamprene 100 mg
tablet
kapsul
kapsul
tablet
FRAMBUSIA
Adrenalin Injeksi
Aquades 20 cc
vial
ampul
botol
pcs
TB PARU (OAT FDC )

set
set
set
OAT Kombipak
Katagori 1
set
set
ISPA
Trimetorpin 80 mg
tablet
botol
tablet
tablet

Parasetamol 100 mg
FLU BURUNG
Oseltamivir
tablet
KESEHATAN ANAK
Abendasol 400 mg
tablet
tablet
ampul
ampul
ampul
ampul
ampul
tube
tablet
IBU
Dextran 70 %
Transfusi set
IV Chateter No. 16
botol
set
pcs
botol
botol
botol
ampul
tablet
ampul
ampul
tablet
kaplet
ampul
ampul
botol
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
ampul
tablet
pcs
Nipedipin 10 mg
IV Chateter No. 18
Urine Bag
Alat Suntik 2,5 ml
Alat Suntik 5 ml
Alat Suntik 10 ml
Implan KB ( isi 2 )
GIZI
- 11 bln )
(6
kapsul

11- 59 bln )
kapsul

Ferro Sulfat 300 mg
Mineral Mix
kapsul
tablet
bks
OBAT GIGI
Etil klorida spray
Eugenol cairan
Mummifying Pasta
botol
botol
botol
set
tube
botol
botol
set
set
TAMBAHAN
Alkohol 70% 1 Liter
Ambroxol tab 30 mg
Amlodipin 10 mg
botol
botol
tablet
tablet
Amlodipin 5 mg

Asiklovir krim 5%

Bioplacenton
Boraks Gliserin
Bromheksin tab 8 mg
Burnazin 35 gram
Buscopan injeksi

Dulcolac tab
Dulcolactol syr
Famotidin

Flagystatin
Folley Catheter
Hanscoon
Hanscoon
Hanscoon
Hanscoon
Nonsteril L
Nonsteril M
steril 7,5
steril 8
Hipavix 5x5 cm
Hufavit kalk
Iodiol kapsul lunak
Jarum hecting
Kaltofren supp
Kaptopril tab 50 mg
tablet
tablet
botol
tablet
kapsul
tube
tablet
tablet
tablet
tube
botol
tablet
tube
ampul
botol
tablet
tablet
tablet
kapsul
botol
tablet
tablet
botol
kapsul
tablet
tablet
kapsul
supp
pcs
botol
tube
psg
psg
psg
psg
tube
rol
botol
botol
botol
kapsul
set
supp
tablet
kotak
kotak
rol
rol

Kertas perkamen
Ketac Molar
Ketokonazol krim 2%

klip B (13x18,7)cm
Klip K (5x8) cm

Lanzoprasole
Lefofloxacin
Lidokain injeksi 2%
Loratadin
Lysol
Meloxicam tab 15 mg

Metronidazol 500 mg
New Diaform
Parasetamol drops
Piracetam 400 mg
rol
rol
rol
pcs
set
tube
tablet
tablet
kapsul
pcs
pcs
botol
tube
botol
ampul
tablet
botol
tablet
ampul
tablet
tablet
botol
tablet
tablet
tablet
tablet
tablet
tablet
botol
tablet
tablet
tube
tablet
tablet
tablet
botol
tablet
tablet
tube
kapsul
ampul
tablet
tablet
botol
rol
rol
rol
tablet

Piroksikam 10 mg
Povidon iodin 60 ml
PP tes
Reagen Gol. Darah

Recovit syr
Salbutamol 2 mg
Salbutamol 4 mg
Scabicid
Sendok syr

Siprofloksasin 250
Spongostan
Tensocrepe 7,5 cm
Termometer
Tiamfenikol 500 mg
TKF
Trikresol Formalin
Zinc tablet 20 mg
OBAT ASKES
Alkohol 1000 ml 70%
Alkohol 300 ml 70%
Alletrol tetes mata

Aspilet 80 mg
Becefort tab
Bioplacenton
Borax gliserin
Bravoderm
Bronex
Bronsolvan tab
Burnazin salep
Caviplex syr
tablet
tablet
botol
botol
botol
pcs
tablet
set
botol
tablet
tablet
tube
kapsul
kapsul
botol
botol
pcs
tablet
tablet
tablet
tablet
tablet
tablet
pcs
rol
pcs
kapsul
botol
ampul
kapsul
botol
tablet
botol
botol
botol
botol
ampul
tablet
tablet
tube
botol
tube
tablet
tablet
tube
botol
Coldrexin syr
Colfin syr
Colfin tab
Daryantulle
Decadryl syr
Demacolin syr
Dexanta tab
Dulcolac supp 10 mg
Dulcolax tab
Duradryl inj
Gastrucid suspensi
Genoint tetes mata
Grahabion tab
Gratheos
Guanistrep
Halpilyn syr
HCl 0,1 N

Kaltofren inj
Kaltofren supp
Kertas perkamen

Livron B Plex
Neuropyron V tab
New diaform
Noperten 10 mg
Ottolin TT
Perhidrol (H2O2) 3%
Prenatin plus
Proris supp
Recovit syr
Salfamen
Scabicid crm
Scopamin
Sofratulle
Sohobion injeksi
Sohobion tab
Termometer

Xanvit syr
Xilomidon inj
TAMBAHAN
Albendazol syr
Kapas 500 gram
Spiritus
botol
botol
tablet
botol
pcs
botol
botol
tablet
supp
tablet
vial
botol
botol
tablet
tablet
botol
botol
botol
pot
ampul
supp
bks @100
tablet
tablet
tablet
tablet
tablet
botol
botol
tablet
supp
botol
tube
tube
tablet
pcs
ampul
tablet
tube
pcs
botol
botol
vial
botol
bks
tablet
botol
Slide frosted
kotak
Sofratule
lembar
TAMBAHAN ASKES 2013
Klip K
bks@100
Enbatic
tube
tablet
Berotec MDI
botol
Berotec solution
botol
Bisoprolol 5 mg
tablet
Cendo lyteers
botol
tube
Flukonazol 150 mg
kapsul
Irbesartan 150 mg
tablet
tablet
botol
Levopar
tablet
tablet
tablet
supp
tube
botol
Simvastatin 20 mg
tablet
supp
Tetagam
botol
Urotractin 400 mg
tablet
Zinc sir 20mg/5ml
botol
Zincpro drops
botol
Alkohol 70% 100 ml
botol
Alkohol 70% 300 ml
botol
Alkohol 95% 1000 ml
botol
Alkohol swab
pcs
Apron
pack
botol
Bayclin 1000 ml
botol
Chlorotule
pcs
Cito brush
pcs
Gelang pasien
pcs
botol
bungkus
bungkus
bungkus
bungkus
Jelly dopler 250 ml
botol
Kapas lidi
pcs
rol

Lubricating jelly
Masker karet
Masker N 95
Nurse cap
Plester 5x5 cm
Plester kain 2,5 cm
Plester kain 7,5 cm
Rivanol 300 cc
Tisu towel
rol
pcs
tube
pcs
pcs
pcs
botol
rol
pcs
pcs
pcs
botol
galon
pasang
rol
pcs
10
PEMAKAIAN
APUAN
ABUAN
LUMBUAN
PUSKEL
PENG
CEKENG
APOTIK
JUMLAH
10
1
1
-
10 BESAR PEMAKAIAN OBAT

Nopember
NO
1
2
3
4
5
6
7
8
9
10
NAMA OBAT
Paracetamol 500mg
Vit B comp
vit B 1
Amoxicillin tab 500mg
CTM
Dexamethason 0.5mg
Asmef 500mg
GG
Vit C
Ibuprofen 200mg
UMUM
JKBM
UKS
BPJS
65
453
1
266
N OBAT
JUMLAH
2017
1302
1169
1118
1083
583
560
541
503
497
10 BESAR PEMAK
NOPEMBER
2017
1302
1169
Paracetamol 500mg vit B 1
Sulahan,7 Desember 2015

Pengelola gudang obat
Tri Listyani, A.Md

NIP. 19860808 201001 2 040
1118
1083
CTM
GRAFIK KUNJUNGAN RES

NOPEMBER 2015
453
266
65
1
UMUM
JKBM
UKS
BPJS
ESAR PEMAKAIAN OBAT

NOPEMBER 2015
1169
1118
1083
583
vit B 1
CTM
560
541
Asmef 500mg
503
Vit C
497
JUNGAN RESEP
BER 2015
266
BPJS

Lplpo Jan-Jun 2015

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LAPORAN PEMAKAIAN D

Alopurinol tablet 100 mg

Aminofilin tablet 200 mg

Aminofilina injeksi 24 mg/ml - 10 ml

Amitriptilin HCl tablet salut 25 mg

Amoksisilin kapsul 250 mg

Amoksisilin kaplet 500 mg

Amoksisilin sirup kering 125 mg/5ml

Metampiron tablet 500 mg

Metampiron injeksi 250 mg

Antasida DOEN tab,kombinasi: Mg-Hidroksida 200 mg + Al. Hidroksida. 200 mg

Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen 250 mg

Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam Salisilat 3%

Antimigren: Ergotamin Tartrat 1 mg + Kofein 50 mg

Antiparkinson DOEN tablet kombinasi: Karbidopa 25 mg + Levodopa 250 mg

Aqua pro Injeksi steril, bebas pirogen

Asam Askorbat (Vit C) tablet 50 mg

Asam Asetilsalisilat tablet 100 mg ( Asetosal )

Asam Asetilsalisilat tablet 500 mg ( Asetosal )

Atropin Sulfat tablet 0,5 mg

Atropin Sulfat tetes mata 0,5%

Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat)

Betametason krim 0.1%

Deksametason Injeksi I.v. 5 mg/ml

Deksametason tablet 0,5 mg

Dekstran 70-larutan infus 6 % steril

Dekstrometorfan sirup 10 mg/5 ml (HBr)

Dekstrometorfan tablet 15 mg (HBr)

Diazepam Injeksi 5mg/ml

Difenhidramin Injeksi I.M. 10 mg/ml (HCL)

Digoksin tablet 0,25 mg

Efedrin tablet 25 mg (HCL)

Ekstrak Belladon tablet 10 mg

Epinefrin (Adrenalin) injeksi 0,1% (sebagai HCL)

Etakridin larutan 0,1 %

Fenitoin Natriun Injeksi 50 mg/ml

Fenobarbital injeksi I.m/I.v 50 mg/ml - 1 ml

Fenoksimetil Penisilina tablet 250 mg

Fenoksimetil Penisilina tablet 500 mg

Fenol Gliserol tetes telinga 10%

Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml

Fitomenadion (Vit.K1) tablet salut gula 10 mg

Gliseril Guayakolat tablet 100 mg

Glukosa larutan infus 5%

Glukosa larutan infus 10 %

Glukosa larutan infus 40% steril (Produk lokal)

Griseofulvin tablet 125 mg, micronized

Haloperidol tablet 0,5 mg

Haloperidol tablet 1,5 mg

Hidrokortison krim 2,5 %

Ibuprofen tablet 200 mg

Ibuprofen tablet 400 mg

Isosorbid Dinitrat tablet sublingual 5 mg

Kalsium laktat (Kalk) tablet 500 ml

Kaptopril tablet 12,5 mg

Karbamazepim tablet 200 mg

Ketamin injeksi 10 mg/ml

Klofasimin Kapsul 100 ml mikrozine

Kloramfenikol kapsul 250 mg

Kloramfenikol tetes telinga 3 %

Klorfeniramin Maleat (CTM) tablet 4 mg

Klorpromazin injeksi i.m 5 mg/ml (HCL)

Klorpromazin injeksi i.m 25 mg/ml (HCL)