Obat Gigi
1 Etil Klorida Spray via/can/100ml
2 Eugenol botol @ 10 ml/dos
3 Glass Ionomer Cement ART set/botol
4 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan Set @100 gr/botol
................................................................. .................................................................
NIP...................................................... NIP......................................................
AN PENERIMAAN OBAT (DAK)
ESMAS MANDING TAHUN 2013
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 100 600 580
AN PENERIMAAN OBAT (DAK)
ESMAS MANDING TAHUN 2013
200 -
- 30 30 -
-
-
-
-
-
-
- - 200 100
-
-
-
-
-
-
-
AN PENERIMAAN OBAT (DAK)
ESMAS MANDING TAHUN 2013
-
-
-
-
- 30 69 -
-
-
-
-
-
- -
### - 1,100
-
-
-
-
-
-
AN PENERIMAAN OBAT (DAK)
ESMAS MANDING TAHUN 2013
-
-
-
-
-
-
-
-
-
-
- - 800 214
200
-
-
-
- - - 2
- - - 10
-
-
- - 30 2
- 30 30 2
-
-
-
-
-
AN PENERIMAAN OBAT (DAK)
ESMAS MANDING TAHUN 2013
Sumenep, .................................
Pengelola Obat
.................................................................
NIP......................................................
DATA TAHUNAN PENGELUARAN OBAT (DAK)
UPT. PUSKESMAS MANDING TAHUN 2013
UNIT : Gudang Obat / Apotik / UGD / RI / Poli Umum / Poli KIA / Pustu ................. / Polindes ................... / Poskesdes .....................
PENGELUARAN
NO NAMA OBAT SATUAN
JAN FEB MAR APR MEI JUN JUL AGUST SEP OKT
1 2 3 4 5 6 7 8 9 10 11 12 13
1 Albendazol tablet 400 mg tab
2 Allopurinol 100 mg tab
3 Aminophilin inj 24 mg / ml ampul
4 Aminophilin tab 200 mg tab
5 Amitriptilin tab salut 25 mg (HCl) tab
6 Amoksisilin serbuk inj 1000 mg vial
7 Amoksisilin syrup 125 mg / 5 ml btl 60 ml
8 Amoksisilin tab 500 mg tab 120 120 120 20 20 340 320 50 200 100
9 Amoksisilin kap 250 mg tab
10 Ambroksol tablet 30 mg tab
11 Ambroksol syrup 15 mg/ml btl 60 ml
12 Antasida DOEN tablet kunyah tab - - - - - 280 380 - - -
13 Asam Askorbat (Vitamin C) tablet 100 mg tab
14 Asam Askorbat (Vitamin C) tablet 50 mg tab
15 Asam Askorbat (Vitamin C) tablet 250 mg tab
16 Asam Mefenamat 500 mg tab tab
Obat Gigi
1 Etil Klorida Spray via/can/100ml
2 Eugenol botol @ 10 ml/dos
3 Glass Ionomer Cement ART set/botol
4 Temporary Stopping Fletcher (Fletcher) serbuk dan cairan Set @ 100 gr/botol
................................................................. .................................................................
NIP...................................................... NIP......................................................
NAN PENGELUARAN OBAT (DAK)
SKESMAS MANDING TAHUN 2013
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 530 70
NAN PENGELUARAN OBAT (DAK)
SKESMAS MANDING TAHUN 2013
- -
- -
- -
- -
15 15 45 24
- -
- -
- -
- -
- -
- -
20 - 1,080 20
- -
- -
- -
- -
- -
- -
NAN PENGELUARAN OBAT (DAK)
SKESMAS MANDING TAHUN 2013
- -
- -
- -
- -
- -
- -
- -
- -
- -
76 78 800 -
- - 200 -
- -
- -
- -
- -
- -
- -
- -
- 30
- - - 30
- -
- -
- -
- -
- -
NAN PENGELUARAN OBAT (DAK)
SKESMAS MANDING TAHUN 2013
Sumenep, .................................
Pengelola Obat
.................................................................
NIP......................................................
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1810 1410 400
360 0 360
0 0 0
0 0 0
1300 660 640
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
600 530 70
40 133 -93
500 0 500
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
210 183 27
0 0 0
0 0 0
0 0 0
1 0 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0
200 0 200
0 0
0 0
30 0 30
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 0 200
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 784 -784
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
69 45 24
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1100 1080 20
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 118 -118
0 0 0
0 0 0
0 0 0
0 0 0
0 30 -30
1600 1940 -340
0 0 0
0 0 0
0 0 0
3 0 3
6 4 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0
0 0
0 0 0
0 0 0
0 0 0
800 1058 -258
200 343 -143
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 0 30
30 0 30
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0