LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA

Bulan JANUARI 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM

NO NAMA OBAT SATUAN
SATUAN STOK AAN

1 Acyclovir salep kulit Tube 3,600 2

2 Albothyl Botol 30,600 1
3 Alletrol Tetes Mata Botol 12,950 -
4 Alupurinol Tablet 153.000 -
5 Ambroxol Tablet 225 170
6 Ambroxol syrup Botol 4,300 -
7 Amlodipin 5 mg Tablet 4,100 -
8 Amoxicillin 500 mg tab Tablet 490 80 100
9 Amoxicillin sirup Botol 4,950 -
10 Amoxicillin sirup forte Botol 8,500 -
11 Antasida doen Tablet 125 230
12 Antasida doen syrup Botol 3,000 11
13 Antihemorroid supp Supp 4,400 5
14 Asam mefenamat tab 500 mg Tablet 231 140
15 Bedak salisil nelco Botol 5,200 1
16 Betametason Tube 2,600 -
17 Bisoprolol Tablet 1,575 -
18 Bronkis sirup Botol 4,900 -
19 Bronkis tab Tablet 125 -
20 C T M Tablet 30 114
21 Captopril 12,5 mg Tablet 110 190
22 Captopril 25 mg Tablet 170 150
24 Cepadroxyl sirup Botol 10,500 -
25 Cepadroxyl 500 mg Tablet 890 -
26 Cetericne Tablet 420 -
27 Ciproploxasin 500 mg Tablet 465 150
28 Deksametason Tablet 75 158
29 Digoksin tab Tablet 195 -
30 Donperidon sirup Botol 4,300 -
31 DumIn 250 mg Supp 18,500 -
32 Duramycin 500 mg Tablet 1,200 -
33 Ebatik serbuk SASET 3,000 -
34 Efinefrine[adrenalin] injeksi Ampul 12,900 -
35 Enbatik salep kulit Tube 8,500 7
36 Erlamycetine salep mata Tube 6,500 -
37 Erlamycetine tetes telinga Botol 5,000 3
38 Erythromicin sirup Botol 10,500 -
39 Ethyl klorida Botol 96,000 1
40 Farsicol cream Tube 3,500 -
41 Farsipen 400 mg Tablet 352 100
42 Gentamycin salep mata Tube 7,100 -
43 Gentamycin tetes mata Botol 8,400 -
44 Gliben klamida Tablet 110 -
45 Gliseril guayakolas Tablet 39 568
46 Hufaneuron Tablet 390 120
47 Hydrokortison cream Tube 6,500 1
48 Ketoconasol cream Tube 9,200 -
49 Ketoconasol tab Tablet 550 -
50 Lico calc Tablet 175 170
51 Loratadin Tablet 450 -
52 Metformin Tablet 250 -
53 Methyl prednisolon Tablet 470 -
54 Metronidasol 500 mg Tablet 270 -
55 New diatab Tablet 750 -
56 Oxytetra salep kulit Tube 2,800 -
57 Parasetamol 500 mg Tablet 135 140
58 Parasetamol drop Botol 8,500 -
59 Parasetamol sirup botol 2,900 -
60 Pehacain injeksi Ampul 4,200 3
61 Ranitidin Tablet 240 20
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaU
64 simvastatin tablet 680

65 Sirup indra Botol 3,500
66 Ventolin dr. Ni Putu Purlimaningsih S. Ked
Ampul 9,700 Ni Komang Ayu Triyani
NIP . 19791120 200604 2 006 NIP.198801082011012016
67 Visine tetes mata Botol 15,600

68 Voltadex
Tablet 385
TOTAL
PUSKESMAS KUTA UTARA
17

PEMAK SISA STOK

AIAN AKHIR
MINTA TERIMA
2
1
-
-
50 120
-
-
10 170
-
-
20 210
11
5
30 110
1
-
-
-
-
114
190
50 100
-
-
-
150
28 130
-
-
-
-
 -
-
7 -
-
3
-
1
-
100
-
-
-
568
40 80
1
-
-
20 150
-
-
-
-
-
-
20 120
-
-
3
20
-
-
PengelolaObatUPTPuskesmasKutaUtara

-
-
Ni Komang Ayu Triyani -
NIP.198801082011012016
-
-
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan FEBRUARI 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK SISA STOK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN AKHIR
MINTA TERIMA
1 Acyclovir salep kulit Tube 3,600 2 2
2 Albothyl Botol 30,600 1 1
3 Alletrol Tetes Mata Botol 12,950 - -
4 Alupurinol Tablet 153.000 - -
5 Ambroxol Tablet 225 120 120
6 Ambroxol syrup Botol 4,300 - -
7 Amlodipin 5 mg Tablet 4,100 - -
8 Amoxicillin 500 mg tab Tablet 490 170 170
9 Amoxicillin sirup Botol 4,950 - -
10 Amoxicillin sirup forte Botol 8,500 - -
11 Antasida doen Tablet 125 210 210
12 Antasida doen syrup Botol 3,000 11 11
13 Antihemorroid supp Supp 4,400 5 5
14 Asam mefenamat tab 500 mg Tablet 231 110 110
15 Bedak salisil nelco Botol 5,200 1 1
16 Betametason Tube 2,600 - -
17 Bisoprolol Tablet 1,575 - -
18 Bronkis sirup Botol 4,900 - -
19 Bronkis tab Tablet 125 - -
20 C T M Tablet 30 114 114
21 Captopril 12,5 mg Tablet 110 190 190
22 Captopril 25 mg Tablet 170 100 100
24 Cepadroxyl sirup Botol 10,500 - -
25 Cepadroxyl 500 mg Tablet 890 - -
26 Cetericne Tablet 420 - -
27 Ciproploxasin 500 mg Tablet 465 150 150
28 Deksametason Tablet 75 130 130
29 Digoksin tab Tablet 195 - -
30 Donperidon sirup Botol 4,300 - -
31 DumIn 250 mg Supp 18,500 - -
32 Duramycin 500 mg Tablet 1,200 - -
33 Ebatik serbuk SASET 3,000 - -
34 Efinefrine[adrenalin] injeksi Ampul 12,900 - -
35 Enbatik salep kulit Tube 8,500 - -
36 Erlamycetine salep mata Tube 6,500 - -
37 Erlamycetine tetes telinga Botol 5,000 3 3
38 Erythromicin sirup Botol 10,500 - -
39 Ethyl klorida Botol 96,000 1 1
40 Farsicol cream Tube 3,500 - -
41 Farsipen 400 mg Tablet 352 100 100
42 Gentamycin salep mata Tube 7,100 - -
43 Gentamycin tetes mata Botol 8,400 - -
44 Gliben klamida Tablet 110 - -
45 Gliseril guayakolas Tablet 39 568 568
46 Hufaneuron Tablet 390 80 80
47 Hydrokortison cream Tube 6,500 1 1
48 Ketoconasol cream Tube 9,200 - -
49 Ketoconasol tab Tablet 550 - -
50 Lico calc Tablet 175 150 150
51 Loratadin Tablet 450 - -
52 Metformin Tablet 250 - -
53 Methyl prednisolon Tablet 470 - -
54 Metronidasol 500 mg Tablet 270 - -
55 New diatab Tablet 750 - -
56 Oxytetra salep kulit Tube 2,800 - -
57 Parasetamol 500 mg Tablet 135 120 120
58 Parasetamol drop Botol 8,500 - -
59 Parasetamol sirup botol 2,900 - -
60 Pehacain injeksi Ampul 4,200 3 3
61 Ranitidin Tablet 240 20 20
62 Ranitidin injeksi Ampul 3,100 - -
63 Reco tm botol 8,400 - -
64 simvastatin tablet 680 - -
65 Sirup indra Botol 3,500 - -
66 Ventolin Ampul 9,700 - -
67 Visine tetes mata Botol 15,600 - -
68 Voltadex Tablet 385 - -
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016






dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan MARET 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
TRIWULAN I ( JANUARI FEBRUARI MARET ) TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSKESMAS PEMBANTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

SISA PEMAKA
HARGA TERIMA
NO NAMA OBAT SATUAN STOK IAN
SATUAN
JML JML JML
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600.000
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 C T M Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 20004 2 006 NIP.198801082011012016





Kepala UPT. Puskesmas Kuta Utara PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 20004 2 006 NIP.198801082011012016





UTA UTARA
2017

SISA STOK AKHIR

JML RP
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-

ObatUPTPuskesmasKutaUtara

Ni Komang Ayu Triyani

P.198801082011012016
ObatUPTPuskesmasKutaUtara

Ni Komang Ayu Triyani

P.198801082011012016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan APRIL 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan MEI 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan JUNI 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
TRIWULAN II ( APRIL MEI JUNI ) TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSKESMAS PEMBANTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

SISA PEMAKA
HARGA TERIMA
NO NAMA OBAT SATUAN STOK IAN
SATUAN
JML JML JML
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600.000
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 20004 2 006 NIP.198801082011012016





 UTA UTARA
7

SISA STOK AKHIR

JML RP
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-

ObatUPTPuskesmasKutaUtara

Ni Komang Ayu Triyani

P.198801082011012016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan JULI 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan AGUSTUS 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan SEPTEMBER TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
TRIWULAN III ( JULI AGUSTUS SEPTEMBER ) TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSKESMAS PEMBANTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

SISA PEMAKA
HARGA TERIMA
NO NAMA OBAT SATUAN STOK IAN
SATUAN JML JML JML
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600.000
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 20004 2 006 NIP.198801082011012016





 UTA UTARA
N 2017

SISA STOK AKHIR

JML RP
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-

ObatUPTPuskesmasKutaUtara

Ni Komang Ayu Triyani

P.198801082011012016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan OKTOBER TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan NOVEMBER TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
Bulan DESEMBER TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

HARGA SISA PENERIM PEMAK

NO NAMA OBAT SATUAN
SATUAN STOK AAN AIAN
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara
PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 200604 2 006 NIP.198801082011012016




A UTARA

SISA STOK
AKHIR MINTA TERIMA
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

asKutaUtara

yani
12016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
TRIWULAN IV ( OKTOBER NOVEMBER DESEMBER ) TAHUN 2017

UPT PUSKESMAS : KUTA UTARA

PUSKESMAS PEMBANTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

SISA PEMAKA
HARGA TERIMA
NO NAMA OBAT SATUAN STOK IAN
SATUAN
JML JML JML
1 Acyclovir salep kulit Tube 3,600
2 Albothyl Botol 30,600.000
3 Alletrol Tetes Mata Botol 12,950
4 Alupurinol Tablet 153.000
5 Ambroxol Tablet 225
6 Ambroxol syrup Botol 4,300
7 Amlodipin 5 mg Tablet 4,100
8 Amoxicillin 500 mg tab Tablet 490
9 Amoxicillin sirup Botol 4,950
10 Amoxicillin sirup forte Botol 8,500
11 Antasida doen Tablet 125
12 Antasida doen syrup Botol 3,000
13 Antihemorroid supp Supp 4,400
14 Asam mefenamat tab 500 mg Tablet 231
15 Bedak salisil nelco Botol 5,200
16 Betametason Tube 2,600
17 Bisoprolol Tablet 1,575
18 Bronkis sirup Botol 4,900
19 Bronkis tab Tablet 125
20 CTM Tablet 30
21 Captopril 12,5 mg Tablet 110
22 Captopril 25 mg Tablet 170
24 Cepadroxyl sirup Botol 10,500
25 Cepadroxyl 500 mg Tablet 890
26 Cetericne Tablet 420
27 Ciproploxasin 500 mg Tablet 465
28 Deksametason Tablet 75
29 Digoksin tab Tablet 195
30 Donperidon sirup Botol 4,300
31 DumIn 250 mg Supp 18,500
32 Duramycin 500 mg Tablet 1,200
33 Ebatik serbuk SASET 3,000
34 Efinefrine[adrenalin] injeksi Ampul 12,900
35 Enbatik salep kulit Tube 8,500
36 Erlamycetine salep mata Tube 6,500
37 Erlamycetine tetes telinga Botol 5,000
38 Erythromicin sirup Botol 10,500
39 Ethyl klorida Botol 96,000
40 Farsicol cream Tube 3,500
41 Farsipen 400 mg Tablet 352
42 Gentamycin salep mata Tube 7,100
43 Gentamycin tetes mata Botol 8,400
44 Gliben klamida Tablet 110
45 Gliseril guayakolas Tablet 39
46 Hufaneuron Tablet 390
47 Hydrokortison cream Tube 6,500
48 Ketoconasol cream Tube 9,200
49 Ketoconasol tab Tablet 550
50 Lico calc Tablet 175
51 Loratadin Tablet 450
52 Metformin Tablet 250
53 Methyl prednisolon Tablet 470
54 Metronidasol 500 mg Tablet 270
55 New diatab Tablet 750
56 Oxytetra salep kulit Tube 2,800
57 Parasetamol 500 mg Tablet 135
58 Parasetamol drop Botol 8,500
59 Parasetamol sirup botol 2,900
60 Pehacain injeksi Ampul 4,200
61 Ranitidin Tablet 240
62 Ranitidin injeksi Ampul 3,100
63 Reco tm botol 8,400
64 simvastatin tablet 680
65 Sirup indra Botol 3,500
66 Ventolin Ampul 9,700
67 Visine tetes mata Botol 15,600
68 Voltadex Tablet 385
TOTAL

Kepala UPT. Puskesmas Kuta Utara PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 20004 2 006 NIP.198801082011012016





UTA UTARA
HUN 2017

SISA STOK AKHIR

JML RP
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-

ObatUPTPuskesmasKutaUtara

Ni Komang Ayu Triyani

P.198801082011012016
 LAPORAN KETERSEDIAAN OBAT JKN UPT PUSKESMAS KUTA UTARA
BULAN FEBRUARI 2017

UPT PUSKESMAS : KUTA UTARA

PUSKESMAS PEMBANTU YANG ADA : 5
PROVINSI : Bali
PUSTU CANGGU

STOK TERIM PEMAK PERMINT PEMBERI

SATUA HARGA SISA STOK
NO NAMA OBAT AWAL A AIAN AAN AN
N SATUAN

JML JML JML JML RP

1 Acyclovir salep kulit Tube 3,600 2 1 1 3,600 2
2 Albothyl Botol 30,600.000 1 1 30,600
3 Alletrol Tetes Mata Botol 12,950 - -
4 Alupurinol Tablet 153.000 - -
5 Ambroxol Tablet 225 120 25 95 21,375 100
6 Ambroxol syrup Botol 4,300 - -
7 Amlodipin 5 mg Tablet 4,100 - -
8 Amoxicillin 500 mg tab Tablet 490 170 88 82 40,180 100
9 Amoxicillin sirup Botol 4,950 - -
10 Amoxicillin sirup forte Botol 8,500 - -
11 Antasida doen Tablet 125 210 20 190 23,750
12 Antasida doen syrup Botol 3,000 11 11 33,000
13 Antihemorroid supp Supp 4,400 5 5 22,000
14 Asam mefenamat tab 500 mg Tablet 231 110 70 40 9,240 300
15 Bedak salisil nelco Botol 5,200 1 1 5,200
16 Betametason Tube 2,600 - -
17 Bisoprolol Tablet 1,575 - -
18 Bronkis sirup Botol 4,900 - -
19 Bronkis tab Tablet 125 - -
20 CTM Tablet 30 114 26 88 2,640
21 Captopril 12,5 mg Tablet 110 190 190 20,900
22 Captopril 25 mg Tablet 170 100 70 30 5,100
24 Cepadroxyl sirup Botol 10,500 - -
25 Cepadroxyl 500 mg Tablet 890 - -
26 Cetericne Tablet 420 - -
27 Ciproploxasin 500 mg Tablet 465 150 100 50 23,250 200
28 Deksametason Tablet 75 130 60 70 5,250 200
29 Digoksin tab Tablet 195 - -
30 Donperidon sirup Botol 4,300 - -
31 DumIn 250 mg Supp 18,500 - -
32 Duramycin 500 mg Tablet 1,200 - -
33 Ebatik serbuk SASET 3,000 - -
34 Efinefrine[adrenalin] injeksi Ampul 12,900 - -
35 Enbatik salep kulit Tube 8,500 - -
36 Erlamycetine salep mata Tube 6,500 - -
37 Erlamycetine tetes telinga Botol 5,000 3 3 15,000
38 Erythromicin sirup Botol 10,500 - -
39 Ethyl klorida Botol 96,000 1 1 96,000
40 Farsicol cream Tube 3,500 - -
41 Farsipen 400 mg Tablet 352 100 100 35,200
42 Gentamycin salep mata Tube 7,100 - -
43 Gentamycin tetes mata Botol 8,400 - -
44 Gliben klamida Tablet 110 - -
45 Gliseril guayakolas Tablet 39 568 10 558 21,762
46 Hufaneuron Tablet 390 80 80 31,200 200
47 Hydrokortison cream Tube 6,500 1 1 6,500
48 Ketoconasol cream Tube 9,200 - -
49 Ketoconasol tab Tablet 550 - -
50 Lico calc Tablet 175 150 40 110 19,250 200
51 Loratadin Tablet 450 - -
52 Metformin Tablet 250 - -
53 Methyl prednisolon Tablet 470 - -
54 Metronidasol 500 mg Tablet 270 - -
55 New diatab Tablet 750 - -
56 Oxytetra salep kulit Tube 2,800 - -
57 Parasetamol 500 mg Tablet 135 120 60 60 8,100 100
58 Parasetamol drop Botol 8,500 - -
59 Parasetamol sirup botol 2,900 - -
60 Pehacain injeksi Ampul 4,200 3 3 12,600
61 Ranitidin Tablet 240 20 20 4,800 100
62 Ranitidin injeksi Ampul 3,100 - -
63 Reco tm botol 8,400 - -
64 simvastatin tablet 680 - -
65 Sirup indra Botol 3,500 - -
66 Ventolin Ampul 9,700 - -
67 Visine tetes mata Botol 15,600 - -
68 Voltadex Tablet 385 - -
TOTAL 496,497

Kepala UPT. Puskesmas Kuta Utara PengelolaObatUPTPuskesmasKutaUtara

dr. Ni Putu Purlimaningsih S. Ked Ni Komang Ayu Triyani

NIP . 19791120 20004 2 006 NIP.198801082011012016