Lap. Tahunan Lplpo

REKAPITULASI LPLPO TAHUN 2017
PUSKESMAS BALAI MAKAM KECAMATAN BATHIN SOLAPAN
REKAP TOTAL SETAHUN LPLPO TAHUN 2017

REKAP SETAHUN 2017
STOK PER 31 SISA STOK PER 31
STOK PENGAMAN
NO NAMA OBAT SATUAN DESEMBER 2016 PENGELUARAN DESEMBER 2017
TOTAL PEMASUKAN
20%
PUSKESMAS PUSKESMAS JUMLAH PUSKESMAS
1 2 3 4 5 8 9 12
3548
1 ACYKLOVIR 200 MG TAB 5657 0 2109 422
1227
2 ACYKLOVIR 400 MG TAB 5084 0 3857 771
182
3 ACYKLOVIR Krim 5 % TUBE 408 250 476 95
1300
4 ALAT SUNTIK 2,5 / 3 ML SET 2257 1000 1957 391
0
5 ALAT SUNTIK 0,05 ML SET 0 0 0 0
0
6 ALAT SUNTIK 0,5 ML SET 0 0 0 0
1400
7 ALAT SUNTIK 1 ML SET 2095 1000 1695 339
2400
8 ALAT SUNTIK 5 ML SET 2310 1000 910 182
18000
9 ALBENDAZOL 400 MG TAB 0 18300 300 60
15
10 ALKOHOL 70 % BTL 44 78 107 21
3335
11 ALLOPURINOL 100 MG TAB 1604 7500 5769 1154
539
12 ALPRAZOLAM 0,5 MG TAB 0 1300 761 152
4668
13 AMBROXOL 30 MG TAB 12625 17000 24957 4991
945
14 AMBROXOL SYR BTL 210 2300 1565 313
0
15 AMLODIPIN 5 MG TAB 6968 3600 10568 2114
0
16 AMLODIPIN 10 MG TAB 0 0 0 0
1390
17 AMINOPHILLIN TAB 200 MG TAB 2416 0 1026 205
0
18 AMITRIPTILIN 25 MG TAB 0 0 0 0
880
19 AMOKSISILLIN 250 MG KAP 8396 0 7516 1503
23273
20 AMOKSISILLIN 500 MG / PEHAMOKSIL FORTE KAP 42262 48000 66989 13398
0
21 AMOKSISILLIN SK 125 MG / YUSIMOX / HUFANOXIL SIRU BTL 843 300 1143 229
0
22 AMPICILLIN 500 MG / ETABIOTIC TABLET 500 MG TAB 0 0 0 0
7643
23 ANTACIDA DOEN TABLET I TAB 2312 25000 19669 3934
REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
24 ANTALGIN 500 MG/SELESGIN TAB 13476 0 13476 2695 0
25 ANTALGIN INJEKSI / METHAMPYRON INJEKSI AMP 0 0 0 0 0
26 ANTASIDA SYR BTL 509 600 1109 222 0
27 ANTI BAKTERI / BASTRACIN TUBE 490 100 326 65 264
28 ANTI FUNGI DOEN SALAP TUBE 44 168 140 28 72
29 ANTI HEMAROID TAB 308 300 343 69 265
30 ANTI MIGRAIN DOEN TAB 0 0 0 0 0
31 ANTI PARKINSON DOEN TABLET TAB 0 0 0 0 0
32 ANTISERA A 10 ML BTL 0 3 3 1 0
33 ANTISERA B 10 ML BTL 0 3 3 1 0
34 ANTISERA D 10 ML BTL 0 3 3 1 0
35 ANVOMER B-6 TAB 274 180 454 91 0
36 AQUAPRO INJ VIAL 258 50 168 34 140
37 ASAM ASKORBAT ( VIT. C ) 50 MG TAB 36947 0 36947 7389 0
38 ASAM ASKORBAT 250 MG TAB 0 28800 24975 4995 3825
40 ASAM MEFENAMAT 500 MG / FARGETIX TABLET TAB 5083 21500 15983 3197 10600
41 ASETOSAL 100 MG TAB 0 2000 1300 260 700
42 ASETOSAL 500 MG TAB 0 0 0 0 0
43 ASPAR-K TAB 0 0 0 0 0
44 ASPILET TAB 0 0 0 0 0
47 ATTAPULGIT 600 MG + PECTIN 50 MG / AKITA / NEO DIAS TAB 2070 2850 3570 714 1350
48 BETAHISTIN 6 MG TAB 2477 1080 1847 369 1710
49 BETAMETASON CREAM 0,1 % TUBE 571 750 943 189 378
50 BETASON N-CREAM TUBE 0 0 0 0 0
51 BIOPLASENTON JELLY/BISMECON/CENTABIO TUBE 20 170 127 25 63
52 BISAKODIL SUPPOSITORIA / STOLAX SUPPOSITORIA TAB 24 60 54 11 30
53 BISAKODIL TABLET 5 MG / BICOLAX TABLET TAB 440 0 310 62 130
54 BISOPROLOL TABLET TAB 0 0 0 0 0
55 BLOOD LANCET SET 200 1000 800 160 400
56 BROMHEKSIN HCL TABLET 8 MG / WIBROM / MUCOBROM TAB 0 2000 900 180 1100
REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
57 CAPTOPRIL 12,5 MG TAB 7390 10500 14240 2848 3650
58 CAPTOPRIL 25 MG TAB 9445 13000 17770 3554 4675
58 CAT GUT 2/0-3/0 SET 60 60 72 14 48
60 CEFADROXIL SYR 125 MG BTL 98 336 191 38 243
61 CEFADROXIL 500 MG KAP 6162 3000 5961 1192 3201
62 CEFALEXIN 500 MG TAB 0 0 0 0 0
63 CEFIXIME 100 MG TAB 0 0 0 0 0
64 CEFIXIME DRY SYR BTL 0 48 48 10 0
65 CEFOTAXIM 1 G INJ BTL 0 0 0 0 0
66 CEFTRIAXON 1 GRAM INJ BTL 0 0 0 0 0
67 CETRIZIN 10 MG TAB 2652 5800 6167 1233 2285
68 CHLORAMFECORT CREAM TUBE 0 0 0 0 0
69 CHLORPROMAZIN 100 MG TAB 400 0 300 60 100
70 CHLORPROMAZIN INJEKSI 25 MG / ML BTL 0 0 0 0 0
71 CHLORPROMAZIN INJEKSI 5 MG / ML BTL 0 0 0 0 0
72 CHLORPROPAMIDE TAB TAB 0 0 0 0 0
73 CIFROLOXACIN 500 MG / PHAPROXIN TABLET 500 MG TAB 6250 6000 8160 1632 4090
74 CLINDAMYCIN 150 MG TAB 0 0 0 0 0
75 CURCUMA TAB 0 0 0 0 0
76 CO AMOKSIKLAV TAB / PALENTIN TAB TAB 0 0 0 0 0

77 DARIANTULLE PCS 88 0 58 12 30
78 DASABION BTL 0 0 0 0 0
79 DEKSAMETHASON 0.5 MG TAB TAB 50192 5000 37222 7444 17970
80 DEKSAMETHASON INJ 5 MG / INTHESA INJEKSI / CORSONA BTL 303 100 153 31 250
81 DEKSTROMETHORPAN 15 MG TAB 6975 0 3795 759 3180
82 DEKSTROMETHORPAN SYR BTL 0 0 0 0 0
83 DIAZEPAM INJEKSI 5 MG AMP 0 0 0 0 0
84 DIAZEPAM TAB 2 MG TAB 3850 2000 3565 713 2285
85 DIETHYL CARBAMAZINE TAB 0 0 0 0 0
86 DIFENHIDRAMIN INJ / ETADRYL INJEKSI BTL 110 30 85 17 55
87 DIGOXIN 0,25 MG TAB 500 0 300 60 200
88 DILTIAZEM TAB 0 0 0 0 0
REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
89 DIMENHIDRINAT 50 MG TAB 0 1000 200 40 800
90 DOKSISIKLIN 100 MG KAP 0 0 0 0 0
91 DOMPERIDON SYR BTL 282 300 399 80 183
92 DOMPERIDON TABLET TAB 4233 1000 3153 631 2080
90 EFEDRIN HCL 25 MG TAB 2129 2400 3049 610 1480
91 ENZYMFORT TAB 0 0 0 0 0
92 EPINEFRIN INJ / ADRENALIN INJEKSI AMP 60 0 33 7 27
93 ERYTROMICIN 250 MG KAP 2300 0 1560 312 740
94 ERYTROMICIN 500 MG KAP 2300 0 1800 360 500
95 ERYTROMICIN SYR BTL 650 0 438 88 212
96 ETAKRIDIN 0,1 % RIVANOL BTL 64 120 153 31 31
97 ETIL KLORIDA SEMPROT BTL 2 25 22 4 5
98 EUGENOL CAIRAN BTL 0 0 0 0 0
99 EVIGRA TAB 0 0 0 0 0
100 EXTRAK BELLADONA TAB 0 0 0 0 0
101 FAMOTIDINE 40 MG TAB 0 0 0 0 0
102 FENETOIN NATRIUM 30 MG KAP 0 0 0 0 0
103 FENOBARBITAL TABLET 30 MG TAB 745 100 745 149 100
104 FENOL GLISEROL TT 10% BTL 324 240 405 81 159
105 FITOMENADION ( VIT. K ) 10 MG TAB 1055 1000 1165 233 890

106 FITOMENADION ( VIT. K ) INJ AMP 0 180 90 18 90
107 FOLLEY CATHETER TWO WAY 30 CC NO. 16 BTL 0 0 0 0 0
108 FOLLEY CATHETER TWO WAY 30 CC NO. 18 TAB 0 0 0 0 0
109 FORMALIN TAB 0 0 0 0 0
110 FORMOKRESOL ( PENGGANTI TKF ) TAB 0 0 0 0 0
111 FUROSEMID 40 MG TAB 1800 0 1030 206 770
112 GARAM ORALIT SACH 1631 4800 5224 1045 1207
113 GENTAMICIN 0,1 % SK TUBE 210 550 565 113 195
114 GENTAMICIN INJ 80 MG / AMP 0 0 0 0 0
115 GENTAMISIN TM BTL 0 120 26 5 94
116 GENTIAN VIOLET BTL 144 480 282 56 342

REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
117 GLASS IONOMERT CEMENT ( GC IX ) SET 0 0 0 0 0
118 GLIBENKLAMID 5 MG TAB 4336 1000 3136 627 2200
119 GLISERIL GUAYAKOLAT TAB 61420 40000 75440 15088 25980
120 GLUKOSA 10 % BTL 0 0 0 0 0
121 GLUKOSA 40 % BTL 0 0 0 0 0
123 GLUKOSA 5 % BTL 52 20 61 12 11
124 GRISEOFULVIN 125 MG TAB 3801 1500 2471 494 2830
125 HALOPERIDOL 0,5 MG TAB 0 0 0 0 0
126 HALOPERIDOL 1,5 MG TAB 0 0 0 0 0
127 HALOPERIDOL 5 MG TABLET TAB 0 0 0 0 0
128 HIDROKLORTIAZID 25 MG TAB 1600 0 985 197 615
129 HYDROKORTISON 2,5 % TUBE 1154 720 1434 287 440
130 IBU PROFEN 200 MG TAB 2000 0 2000 400 0
131 IBUPROFEN 400 MG TAB 6900 2000 5950 1190 2950
132 IMERSION OIL BTL 0 0 0 0 0
133 INFUS SET ANAK SET 0 0 0 0 0
134 INFUS SET DEWASA SET 53 40 58 12 35
135 ISOSORBID DINITRAT 5 MG TAB 0 100 0 0 100
136 IV CATHETER 18 SET 47 0 47 9 0
137 IV CATHETER 20 SET 48 0 48 10 0
138 IV CATHETER 22 SET 0 50 0 0 50
139 IV CATHETER 24 SET 0 50 50 10 0
140 KALSIUM LAKTAT 500 MG TAB 14505 38000 42135 8427 10370
141 KAPAS ABSORBEN 250 G BKS 24 60 44 9 40
142 KASA 40 X 40 CM BKS 0 0 0 0 0
143 KASA 2 X 80 CM BKS 0 0 0 0 0
144 KASA 40 yard/36 M X 80 CM BKS 12 0 11 2 1
145 KASA 4 X 15 CM BKS 130 300 295 59 135
146 KASA 4 X 3 CM BKS 0 0 0 0 0
147 KASA 16 X 16 CM BKS 18 65 57 11 26
148 KETOKONAZOL 200 MG TAB 2392 1000 2192 438 1200
149 KETOKONAZOLE CR TUBE 92 244 174 35 162
150 KLORAMFENIKOL 250 MG / COLCETIN KAPSUL KAP 1000 0 800 160 200
151 KLORAMFENIKOL SM TUBE 0 0 0 0 0
152 KLORAMFENIKOL SYR / COLCETIN SYRUP BTL 15 0 0 0 15

REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
153 KLORAMFENIKOL TETES TELINGA 3 % BTL 7 142 131 26 18
154 KLORAMFENIKOL TM 0,5 % BTL 0 120 50 10 70
155 KLORFENIRAMINA MALEAT / PEHACLOR TAB TAB 48934 80000 86134 17227 42800
156 KLORFENOL KAMFER MENTOL ( CHKM ) BTL 0 0 0 0 0
157 KLOROQUIN FOSFAT 250 / 150 MG TAB 0 0 0 0 0
158 KODEIN 10 MG TAB 0 0 0 0 0
159 KOTRIMOKSAZOL 480 MG TAB 6153 0 3103 621 3050
160 KOTRIMOKSAZOL SYR BTL 929 200 821 164 308
161 KOTRIMOXAZOL 120 MG TAB 0 0 0 0 0
162 LACBON TAB 0 0 0 0 0
163 LANSOPRAZOL 30 MG TAB 1098 2500 1858 372 1740
164 LARUTAN ASAM ALKOHOL 3 % 100 ML BTL 0 0 0 0 0
165 LARUTAN ASAM SULFOSALISILAT 20 % 100 ML BTL 0 0 0 0 0
166 LARUTAN BENEDICT 100 ML BTL 0 0 0 0 0
167 LARUTAN EOSIN 2 % 100 ML BTL 0 0 0 0 0
168 LARUTAN GIEMSA STAIN 100 ML BTL 0 0 0 0 0
169 LARUTAN HAYEM 100 ML BTL 0 0 0 0 0
170 LARUTAN HCL 0.1 N 100 ML BTL 0 3 3 1 0
171 LARUTAN IODIUM 2% BTL 0 0 0 0 0
172 LARUTAN KARBOL FUKHSIN 0.3 % 100 ML BTL 0 0 0 0 0
173 LARUTAN METILEN BIRU 0.3 % 100 ML BTL 0 0 0 0 0
174 LARUTAN REESHEKER BTL 0 0 0 0 0
164 LARUTAN TURK BTL 0 0 0 0 0

176 LEVOFLOXACIN 500 MG TAB 901 1000 761 152 1140
177 LIDOKAIN KOMPOSITUM INJEKSI / PEHACAIN INJEKSI AMP 315 1400 1075 215 640
178 LISOL BTL 0 0 0 0 0
179 LIVRON B PLEX TAB 13429 0 13429 2686 0
180 LOPERAMID TABLET 2 MG / NOVADIUM TAB 600 2000 1400 280 1200
181 MASKER PCS 1750 2000 3100 620 650
182 MELOXICAM 15 MG TAB 3052 0 3052 610 0
183 MELOXICAM 7,5 MG TAB 2809 0 2809 562 0
184 MUCOGARD TAB 0 0 0 0 0
185 METFORMIN 500 MG TAB 3133 5500 5523 1105 3110
186 METHIL PREDNISOLON 4 MG TAB 0 2000 1830 366 170
187 METHOCLORPROPAMID 15 MG/LEXAPRAM SYR BTL 120 120 89 18 151

REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
188 METHOCLORPROPAMID 15 MG TAB TAB 1974 1000 1799 360 1175
189 METILERGOMETRIN 0,125 MG TAB 1480 1000 1480 296 1000
190 METILERGOMETRIN MALEAT INJ/MYOMERGIN INJ AMP 140 0 91 18 49
191 METRONIDAZOL 250 MG TAB 0 0 0 0 0
192 METRONIDAZOL 500 MG TAB 7285 1500 6185 1237 2600
193 MGSO4 40% BTL 0 0 0 0 0
194 MICONAZOL KRIM 2 % TUBE 368 696 960 192 104
195 MUMIFYING PASTA / IODOFORM PASTA BTL 0 0 0 0 0
196 NALD INJEKSI 23 G AMP 0 0 0 0 0
197 NATRIUM BICARBONAT TAB 100 0 100 20 0
198 NATRIUM KLORIDA INFUS 0,9 % BTL 55 100 107 21 48
199 NATRIUM DIKLOFENAC 25MG TAB 3645 8400 6295 1259 5750
200 NATRIUM DIKLOFENAC 50MG TAB 1816 8400 4116 823 6100
201 NEUROTROPIC VIT/BIONEURON TAB 0 0 0 0 0
202 NIFEDIPIN 10 MG TAB 1770 0 610 122 1160
203 NISTATIN TAB VAG 100.000 IU TAB 1138 0 608 122 530
204 NISTATIN 500.000 IU TAB 200 0 200 40 0
205 NODIAR TAB 0 0 0 0 0
206 NOZA TAB 0 1200 1200 240 0
207 OBH SYRUP BTL 1200 1500 2146 429 554
208 OFLOXACIN TAB 0 0 0 0 0
209 OMEPRAZOL 20 MG TAB 1390 2550 1930 386 2010
210 OXITETRASIKLIN SM TUBE 292 600 609 122 283

211 OXITETRASIKLIN INJ AMP 0 0 0 0 0
212 OXITETRASIKLIN SK 3 % TUBE 40 1000 666 133 374
213 PAMOL 125 SUPPOS SUPP 0 0 0 0 0
214 PAMOL 250 SUPPOS SUPP 0 0 0 0 0
215 PAPAVERIN HCL 40 MG TAB 2811 0 -269 -54 3080
216 PEHATRIM FORTE TAB 0 0 0 0 0
217 PARASETAMOL 500 MG TAB 49199 84000 98939 19788 34260
218 PARASETAMOL DROP/PEHAMOL KIDS PCS 112 224 330 66 6
219 PARASETAMOL SYR BTL 954 2240 2372 474 822
220 PETHIDIN INJEKSI AMP 0 0 0 0 0
221 PIRACETAM 1200 MG AMP 0 0 0 0 0
222 PIRACETAM 800 MG AMP 0 500 300 60 200

REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
223 PIRANTEL 125 MG TAB 999 1000 1499 300 500
224 PIROXICAM 10 TAB 404 3000 1024 205 2380
225 PIROXICAM 20 TAB 4036 1000 3836 767 1200
226 PITOGIN/OKSITOSIN INJ AMP 5 300 230 46 75
227 PLANOTEST PCS 0 600 500 100 100
228 PLASTER 5X2 '' / MICROPORE PCS 44 0 14 3 30
229 POVIDON IODIDA 30 ML BTL 20 192 117 23 95
230 POVIDON IODIDA 300 ML BTL 73 0 73 15 0
231 PREDNISON TABLET TAB 13457 5000 12457 2491 6000
234 PRIMAQUIN 15 MG TAB 0 0 0 0 0
235 PROPANOLOL 10 MG TAB 218 0 218 44 0
236 PROPANOLOL 40 MG TAB 0 0 0 0 0
237 PROPILTIURACIL TAB 200 0 100 20 100
238 PYRIDOXIN HCL ( VIT.B6 ) 10 MG TAB 12133 5500 13173 2635 4460
239 RANITIDIN 10 MG TAB 0 16500 11335 2267 5165
240 RANITIDIN INJ AMP 0 50 25 5 25
241 RESERPIN 0,25 MG TAB 0 0 0 0 0
242 RETAPHIL SR TAB 0 0 0 0 0
243 RIFAMPISIN 300 MG TAB 0 0 0 0 0
244 RIFAMPISIN 600 MG TAB 0 0 0 0 0

245 RINGER LAKTAT BTL 52 80 121 24 11
246 SALAP 2-4 BTL 0 0 0 0 0
247 SALBUTAMOL 2 MG TAB 3773 0 2738 548 1035
248 SALBUTAMOL 4 MG TAB 2498 0 1283 257 1215
249 SALISIL BEDAK BTL 328 150 368 74 110
250 SARUNG TANGAN NON STERIL NO.7 I/2 PCS 0 2700 1250 250 1450
251 SARUNG TANGAN STERIL NO.7 PCS 277 1000 927 185 350
252 SAFETY BOX PCS 0 0 0 0 0
253 SCABICID CR 10 G TUBE 0 0 0 0 0
254 SCOPMA TAB 400 3000 1200 240 2200
255 SERUM ANTI BISA ULAR BTL 0 0 0 0 0
256 SERUM ANTI TETANUS INJ 1.500 IU BTL 0 5 5 1 0
257 SERUM ANTI TETANUS INJ 20,000 IU BTL 0 0 0 0 0
258 SIANOKOBALAMIN 50 MG TAB 18635 5000 15185 3037 8450

REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
1 2 3 4 5 8 9 12
259 SIANOKOBALAMIN INJ AMP 300 0 300 60 0
260 SILK PCS 116 30 116 23 30
261 SILVER AMALGAM SERBUK PCS 0 0 0 0 0
262 SIMVASTATIN 10 MG TAB 815 3000 3725 745 90
263 SIMVASTATIN 20 MG TAB 1570 4000 2520 504 3050
264 SPON GLATIN CUBLICLES 1X1X1 CM / CURASPON PCS 0 0 0 0 0
265 SULFADOXIN/PRIMETAMIN TAB 0 0 0 0 0
266 TABLET TAMBAH DARAH TAB 0 0 0 0 0
267 TEMPORARY STOPING FLETCHER L&P PCS 0 0 0 0 0
268 TETRASIKLIN 250 MG KAP 10000 0 10000 2000 0
269 TETRASIKLIN 500 MG KAP 0 0 0 0 0
270 THIAMFENICOL 500 MG TAB 2780 0 785 157 1995
271 THIAMIN HCL 50 MG TAB 19906 7000 14406 2881 12500
272 THIAMIN INJ AMP 0 0 0 0 0
273 TRAMADOL 50 MG TAB 2388 0 1438 288 950
274 TRAMADOL INJ / KAMADOL INJEKSI AMP 0 0 0 0 0
275 TRIHEKSIFENIDIL TAB 1390 6000 4690 938 2700
276 URINE BAG SET 0 0 0 0 0
277 VIT A 100 000 IU KAP 0 0 0 0 0
278 VIT A 200 000 IU KAP 0 0 0 0 0

279 VIT D3 AKTIF/KOLKALTIOR KAP 0 0 0 0 0
280 VITAMIN B KOMPLEKS TAB 50864 5000 52454 10491 3410
281 WING NEDDLE 23 SET 0 0 0 0 0
282 MULTIVITAMIN SYRUP ANAK BTL 0 400 316 63 84
283 ZINC TAB 2076 6000 4446 889 3630
284 SALBUTAMOL INHALASI BTL 0 5 0 0 5
285 ASAM FOLAT TAB 10 1000 680 136 330
286 HIPAFIX ROL 13 40 31 6 22
287 ZINC SYRUP BTL 325 100 268 54 157
288 CIMETIDIN TAB 3914 5000 7214 1443 1700
289 EXCOSIN SYRUP BTL 0 0 0 0 0
290 PLANOTEST PCS 0 0 0 0 0
291 ALKOHOL SWAB KTK 15 30 39 8 6

REKAP SETAHUN 2017
STOK PENGAMAN
TOTAL PEMASUKAN
20%
4 5 8 9 12
292 BECOMZET TAB
950 500 1450 290 0

293 GLIMEPIRIDE TAB
1220 500 1420 284 300

294 LIBROZYM PLUS TAB
1100 0 1100 220 0

295 SPIRONOLACTONE 25 MG TAB
3 30 33 7 0
296 DUMIN RECTAL RECTAL
0 10 5 1 5
297 STESOLID SUPP SUPP
0 100 91 18 9
298 CETIRIZINE SYRUP BOTOL
NB :
Mengetahui, Duri, 04 Desember 2017

Kepala Puskesmas Balai Makam Pengelola Obat
Kecamatan Bathin Solapan Puskesmas Balai Makam
drg. Novi Nurmayanty Lely Ira Pratiwi. D, Amd.Afm

NIP. 19831104 201001 2 006 NIP. 19850813 200903 2 008
SI LPLPO TAHUN 2017
M KECAMATAN BATHIN SOLAPAN

PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
-385 176
4559 321
532 40
1636 163
0 0
0 0
1143 141
-1035 76
-17550 25
146 9
5319 481
603 63
32768 2080
1403 130
15852 881
0 0
149 86
0 0
10394 626
77211 5582
1715 95
0 0
21861 1639
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
26952 1497
0 0
1815 101
225 27
138 12
250 29
0 0
0 0
5 0
5 0
5 0
681 38
112 14
55421 3079
33638 2081
13375 1332
1250 108
0 0
0 0
0 0
4005 298
1061 154
1037 79
0 0
128 11
51 5
335 26
0 0
800 67
250 75
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
17710 1187
21980 1481
60 6
44 16
5741 497
0 0
0 0
72 4
0 0
0 0
6966 514
0 0
350 25
0 0
0 0
0 0
8150 680
0 0
0 0
0 0
57 5
0 0
37863 3102
-21 13
2513 316
0 0
0 0
3063 297
0 0
73 7
250 25
0 0
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
-500 17
0 0
416 33
2650 263
3094 254
0 0
23 3
1600 130
2200 150
445 37
199 13
28 2
0 0
0 0
0 0
0 0
0 0
1018 62
449 34
858 97
45 8
0 0
0 0
0 0
0 0
775 86
6629 435
653 47
0 0
-55 2
81 24
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
0 0
2504 261
87180 6287
0 0
0 0
81 5
877 206
0 0
0 0
0 0
863 82
1711 120
3000 167
5975 496
0 0
0 0
52 5
-100 0
71 4
72 4
-50 0
75 4
52833 3511
26 4
0 0
0 0
16 1
308 25
0 0
60 5
2088 183
99 15
1000 67
0 0
-15 0
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
179 11
5 4
86401 7178
0 0
0 0
0 0
1605 259
924 68
0 0
0 0
1047 155
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
2 63
973 90
0 0
20144 1119
900 117
4000 258
4578 254
4214 234
0 0
5175 460
2575 153
-18 7
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
1524 150
1220 123
88 8
0 0
6678 515
0 0
1336 80
0 0
0 0
225 13
113 9
3693 525
74 343
0 0
-245 51
382 51
300 17
0 0
2700 150
2665 179
0 0
1464 193
631 51
0 0
625 56
0 0
0 0
-3484 -22
0 0
114149 8245
489 28
2736 198
0 0
0 0
250 25
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
1749 125
-844 85
4554 320
270 19
650 42
-9 1
81 10
110 6
12686 1038
0 0
327 18
0 0
50 8
19251 1317
11838 945
13 2
0 0
0 0
0 0
0 0
171 10
0 0
3072 228
710 107
442 31
425 104
1041 77
0 0
0 0
-400 100
0 0
8 0
0 0
14328 1265
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
450 25
144 10
0 0
5498 310
730 210
0 0
0 0
0 0
0 0
15000 833
0 0
-818 65
9109 1201
0 0
1207 120
0 0
4335 391
0 0
0 0
0 0
0 0
114612 6557
0 0
390 26
3039 371
-5 0
690 57
25 3
245 22
9121 601
0 0
0 0
53 3
PEMAKAIAN
JUMLAH
KEBUTUHAN RATA-RATA
2018 PUSKESMAS
13 14
2175 121
1830 118
1650 92
50 3
3 0
128 8
Duri, 04 Desember 2017

Pengelola Obat
Puskesmas Balai Makam
Lely Ira Pratiwi. D, Amd.Afm

NIP. 19850813 200903 2 008
USULAN RENCANA KEBUTUHAN OBAT DAN BMHP UPT PUSKESMAS BALAI MAKAM
TAHUN ANGGARAN 2018
PEMAKAIAN RATA2 JUMLAH KEB. RENCANA KEBUTUHAN

NO. NAMA OBAT SATUAN SISA STOK PER 31 DES 2017
PERBULAN TAHUN 2018 TAHUN 2018
a b c d e = d*18 f g= e-f
A OBAT-OBATAN
1 ACYKLOVIR 200 MG TAB 176 3168 3548 -380
2 BISACODIL 10 MG SUPPOSITORIA supp 5 90 30 60
3 ACYKLOVIR 400 MG TAB 321 5778 1227 4551
4 ACYKLOVIR Krim 5 % TUBE 40 720 182 538
5 ALLUPURINOL 100 MG TAB 481 8658 3335 5323
6 ALPRAZOLAM 0,5 MG TAB 63 1134 539 595
7 ALPRAZOLAM 1 MG TAB 0 0 0 0
8 AMBROXOL 30 MG TAB 2080 37440 4668 32772
9 AMBROXOL SYR BTL 130 2340 945 1395
10 AMINOFILIN INJ AMP 0 0 0 0
11 AMINOPHILLIN TAB 200 MG TAB 86 1548 1390 158
12 AMLODIPIN 10 MG TAB 0 0 0 0
13 AMLODIPIN 5 MG TAB 881 15858 0 15858
14 AMOKSISILLIN 250 MG KAPS 626 11268 880 10388
15 AMOKSISILLIN 500 MG TAB 5582 100476 23273 77203
16 AMOKSISILLIN SK 125 MG BTL 95 1710 0 1710
17 ANTASIDA SYR BTL 101 1818 0 1818
18 ANTASIDA TAB TAB 1639 29502 7643 21859
19 ANTI BAKTERI SALEP TUBE 27 486 264 222
20 ANTI BISA ULAR (ABU) INJEKSI AMP 0 0 1 -1
21 ANTI FUNGI DOEN KOMBINASI SALEP POT 12 216 72 144
22 ANTI HEMOROID SUPPOSITORIA SUPP 29 522 265 257
23 ANTI MIGRAN DOEN/ERGOTAMIN TAB 0 0 0 0
24 ANTI TETANUS SERUM 1500 IU INJEKSI VIAL 0 0 4 -4
25 ANVOMER B6 TAB 38 684 0 684
26 AQUAPRO INJ VIAL 14 252 140 112
27 ASAM ASKORBAT ( VIT. C ) 250 MG TAB 2081 37458 3825 33633
28 ASAM ASKORBAT ( VIT. C ) 50 MG TAB 3079 55422 0 55422
29 ASAM FOLAT TAB 57 1026 330 696
30 ASAM MEFENAMAT 500 MG TAB 1332 23976 10600 13376
31 ASAM TRANEKSAMAT INJEKSI 50 ML AMP 0 0 0 0
32 ASETOSAL 100 MG TAB 0 0 0 0
33 ATTAPULGIT TAB 298 5364 1350 4014
34 ATROPIN SULFAT INJEKSI AMP 0 0 0 0
35 BETAHISTIN 6 MG TAB 154 2772 1710 1062
36 BETAMETASON CREAM 0,1 % TUBE 79 1422 1037 385
37 BIOLYSIN SYR BTL 26 468 84 384
38 BIOPLACENTON CR TUBE 11 198 63 135
39 BISOPROLOL 5 mg TAB 0 0 0 0
40 BORAX GLISERIN (GOM) BTL 12 216 0 216
41 BROMHEXIN HCL TAB 75 1350 1100 250
42 CAPTOPRIL 12,5 MG TAB 1187 21366 3650 17716
43 CAPTOPRIL 25 MG TAB 1481 26658 4675 21983
44 CEFADROXIL SYR 125 MG BTL 16 288 243 45
45 CEFADROXIL 500 MG TAB 497 8946 3201 5745
46 CEFIXIME 100 MG TAB 0 0 0 0
47 CEFIXIME DRY SYR BTL 0 0 0 0
48 CEFOTAXIM 1 GR INJ VIAL 0 0 0 0
49 CEFTRIAKSON INJ 1 GR VIAL 0 0 0 0
50 CETIRIZIN 10 MG TAB 514 9252 2285 6967
51 CETIRIZIN SYR BTL 8 144 9 135
52 CIFPROFLOXACIN 500 MG TAB 680 12240 4090 8150
53 CIMETIDINE 200 MG TAB 601 10818 1700 9118
54 CITICOLINE 250MG/2 ML INJEKSI AMP 0 0 0 0
55 CLINDAMYCIN 150MG TAB 0 0 0 0
56 CODEIN HCL 10 MG TAB 0 0 0 0
57 DEKSAMETHASONE INJEKSI AMP 13 234 234 0
58 DEKSAMETHASONE TAB TAB 3102 55836 17970 37866
59 DIAZEPAM 2 MG TAB 100 1800 2285 -485
60 DIAZEPAM 5 MG TAB 0 0 0 0
61 DIFENHIDRAMIN INJ AMP 7 126 55 71
62 DIGOXIN 0,25 MG TAB 0 0 200 -200
63 DILTIAZEM HCL 20 MG TAB 0 0 0 0
64 DIMENHIDRINAT 50 MG TAB 17 306 800 -494
65 DOKSISIKLIN 100 MG TAB 0 0 0 0
66 DOMPERIDON SYR BTL 33 594 183 411
67 DOMPERIDON TABLET TAB 163 2934 2080 854
68 DOPAMIN HCL 10 MG INJ AMP 0 0 0 0
69 EFEDRIN HCL TAB 154 2772 1480 1292
70 EPINEFRIN INJ 0,1% AMP 3 54 27 27
71 ERITROMICYN 250 MG TAB 130 2340 740 1600
72 ERYTHROMYCIN SYRUP BTL 37 666 212 454
73 ETAKRIDIN 0,1 % /RIVANOL BTL 13 234 31 203
74 ETIL KLORIDA SEMPROT BTL 2 36 3 33
75 FENITOIN NATRIUM 100 MG TAB 0 0 0 0
76 FENITOIN NATRIUM 30 MG KAPS 0 0 0 0
77 FENOBARBITAL 30 MG TAB 5 90 100 -10
78 FENOL GLISEROL 10 % BTL 34 612 159 453
79 FITOMENADION ( VIT. K ) 10 MG TAB 97 1746 890 856
80 FITOMENADION INJ AMP 8 144 90 54
81 FUROSEMID 40MG TAB 86 1548 770 778
82 FUROSEMID INJ AMP 0 0 0 0
83 GARAM ORALIT BKS 135 2430 1207 1223
84 GENTAMICIN 0,1 % SK TUBE 47 846 195 651
85 GENTAMISIN INJ 40 ML VIAL 0 0 0 0
86 GENTAMISIN TETES MATA BTL 2 36 94 -58
87 GLIBENCLAMIDA 5 MG TAB 261 4698 2200 2498
88 GLIMEPIRIDE 1 MG TAB 0 0 0 0
89 GLIMEPIRIDE 2 MG TAB 121 2178 330 1848
90 GLISERIL GUAYAKOLAT TAB 6287 113166 25980 87186
91 GLUKOSA 5 % STERIL INFUS BTL 5 90 11 79
92 GRISEOVULFIN TAB 206 3708 2830 878
93 HALOPERIDOL 0,5 MG TAB 0 0 0 0
94 HALOPERIDOL 1,5 MG TAB 0 0 0 0
95 HALOPERIDOL 5 MG TAB 0 0 0 0
96 HIDROKLORTIAZID 25 MG TAB 82 1476 615 861
97 HIDROKORTISON CREAM TUBE 0 0 0 0
98 HIOSINE BROMIDA INJEKSI AMP 0 0 0 0
99 HYDROKORTISON 2,5 % TUBE 120 2160 440 1720
100 IBUPROFEN 200 MG TAB 167 3006 0 3006
101 IBUPROFEN 400 MG TAB 496 8928 2950 5978
102 ISOSORBID DINITRAT 5 MG TAB 0 0 100 -100
103 KALIUM PERMANGANAT (PK) KRISTAL POT 1 18 120 -102
104 KALSIUM GLUKONAS INJEKSI AMP 0 0 0 0
105 KALSIUM LACTAT 500 MG TAB 3511 63198 10370 52828
106 KAPAS 250 GR ROL 4 72 40 32
107 KETOKONAZOL CREAM TUBE 15 270 162 108
108 KETOKONAZOL 200 MG TAB 183 3294 1200 2094
109 KLORAMFENIKOL 250 MG KAPS 67 1206 200 1006
110 KLORAMFENIKOL SYR BTL 0 0 15 -15
111 KLORAMPENIKOL TETES MATA BTL 4 72 70 2
112 KLORAMPENIKOL TETES TELINGA BTL 11 198 18 180
113 KLORFENIRAMINA MALEAT (ctm) TAB 7178 129204 42800 86404
114 KLORPROMAZINE 100 MG TAB 0 0 0 0
115 KOTRIMOKSAZOL 480 MG DEWASA TAB 259 4662 3050 1612
116 KOTRIMOKSAZOL SUSP BTL 68 1224 308 916
117 LANSOPRAZOL 30 MG KAPS 155 2790 1740 1050
118 LARUTAN GENTIAN VIOLET BTL 24 432 342 90
119 LARUTAN H2O2 3% BTL 3 54 0 54
120 LEVOFLOXACIN 500 MG TAB 63 1134 1140 -6
121 LIDOCAIN + EFENEFRIN INJEKSI/ PEHACAIN AMP 90 1620 640 980
122 LIVRON B PLEX TAB 1119 20142 0 20142
123 LOMATUL / DARIANTULLE LBR 5 90 30 60
124 LOPERAMID TABLET LBR 117 2106 1200 906
125 LORATADINE 10 MG TAB 0 0 0 0
126 MELOXICAM 15 MG TAB 254 4572 0 4572
127 MELOXICAM 7,5 MG TAB 234 4212 0 4212
128 METFORMIN 500 MG TAB 460 8280 3110 5170
129 METHIL PREDNISOLON 4 MG TAB 153 2754 170 2584
130 METILERGOMETRIN 0,125 MG TAB 123 2214 1000 1214
131 METILERGOMETRIN 0,125 MG INJEKSI AMP 8 144 49 95
132 METOKLOPRAMIDE 10 MG TAB 150 2700 1175 1525
133 METOKLOPRAMIDE INJEKSI AMP 2 36 0 36
134 METOKLOPRAMIDE SIRUP BTL 7 126 151 -25
135 METRONIDAZOL 500 MG TAB 515 9270 2600 6670
136 MICONAZOL KRIM 2 % TUBE 80 1440 104 1336
137 NATRIUM DIKLOFENAK 25 MG TAB 525 9450 5750 3700
138 NATRIUM DIKLOFENAK 50 MG TAB 343 6174 6100 74
139 NATRIUM KLORIDA 0,9 % INFUS BTL 9 162 48 114
140 NB TROPICAL SLP TUB 0 0 0 0
141 NIFEDIPIN 10 MG TAB 51 918 1160 -242
142 NISTATIN TAB SALUT 50000 IU TAB 17 306 0 306
143 NISTATIN TAB VAGINAL 100000 IU OVULA 51 918 530 388
144 NOZA TAB 300 5400 0 5400
145 OBH SYR BTL 179 3222 554 2668
146 OFLOXACIN 200 MG TAB 0 0 0 0
147 OMEPRAZOL 20 MG KAPS 193 3474 2010 1464
148 OMEPRAZOL INJEKSI AMP 0 0 0 0
149 OXITETRASIKLIN SALEP MATA TUBE 51 918 283 635
150 OXITETRASIKLIN SK TUBE 56 1008 374 634
151 OXITOSIN INJEKSI AMP 19 342 75 267
152 PAPAVERIN 40 MG TAB 0 0 3080 -3080
153 PARASETAMOL DROP BTL 28 504 6 498
154 PARASETAMOL TUBE REKTAL TUBE REKTAL 3 54 0 54
155 PARASETAMOL 500 MG TAB 8245 148410 34260 114150
156 PARASETAMOL SYR BTL 198 3564 822 2742
157 PIRACETAM 400 MG TAB 0 0 0 0
158 PIRACETAM 800 MG TAB 25 450 0 450
159 PIRACETAM INJEKSI AMP 0 0 0 0
160 PIROXICAM 10 MG TAB 85 1530 2380 -850
161 PIROXICAM 20 MG TAB 320 5760 1200 4560
162 POVIDON IODIDA 30 ML BTL 10 180 95 85
163 POVIDON IODIDA 300 ML BTL 6 108 0 108
164 PREDNISON TABLET BTL 1038 18684 6000 12684
165 PROPANOLOL 10 MG TAB 0 0 0 0
166 PROPIL TIOURASIL 100 MG TAB 0 0 100 -100
167 PYRANTEL 125 MG TAB 125 2250 500 1750
168 PYRIDOXIN HCL 10 MG TAB 1317 23706 4460 19246
169 RANITIDIN INJEKSI AMP 2 36 25 11
170 RANITIDIN TABLET 150 MG TAB 945 17010 5165 11845
171 RINGER LACTAT INFUS BTL 10 180 11 169
172 SALBUTAMOL 2 MG TAB 228 4104 1035 3069
173 SALBUTAMOL 4 MG TAB 107 1926 1215 711
174 SALBUTAMOL INHALASI BTL 1 18 4 14
175 SALISIL BEDAK BKS 31 558 110 448
176 SIANOKOBALAMIN INJ AMP 25 450 0 450
177 SIANOKOBALAMIN TAB 5 MG ( VIT.12 ) TAB 1265 22770 8450 14320
178 SIMVASTATIN 10 MG TAB 310 5580 90 5490
179 SIMVASTATIN 20 MG TAB 210 3780 3050 730
180 SPIRAMICIN 500 MG TAB 0 0 0 0
181 STESOLID TUBE RECTAL TUB 1 18 5 13
182 STIK ASAM URAT pcs 50 900 0 900
183 STIK CHOLESTEROL pcs 30 540 0 540
184 STIK GLUKOSA pcs 75 1350 0 1350
185 SUKRALFAT SIRUP BTL 0 0 0 0
186 TES KEHAMILAN PCS 20 360 0 360
187 TETRASIKLIN 250 MG KAPS 80 1440 0 1440
188 TETRASILIN 500 MG TAB 0 0 0 0
189 THIAMFENICOL 500 MG CAPS 65 1170 1995 -825
190 THIAMIN ( VIT B1 ) TAB 1201 21618 12500 9118
191 TRAMADOL TABLET 50 MG TAB 120 2160 950 1210
192 TRIHEKSIFENIDIL 2 MG TAB 391 7038 2700 4338
193 Vit B1, B2, B3 Injeksi AMP 25 450 0 450
194 VITAMIN B KOMPLEKS TAB 6557 118026 3410 114616
195 ZINK 20 MG TAB 371 6678 3630 3048
196 ZINK SYR BTL 22 396 157 239
B BMHP
1 ALAT SUNTIK 1 ML PCS 141 2538 1400 1138

2 ALAT SUNTIK 10ML PCS 0 0 0 0
3 ALAT SUNTIK 3 ML PCS 163 2934 1300 1634
4 ALAT SUNTIK 5 ML PCS 76 1368 2400 -1032
5 ALKOHOL 70 % BTL 9 162 15 147
6 ALKOHOL 96% BTL 0 0 0 0
7 ALKOHOL SWAB PCS 300 5400 6 5394
8 ANTI SERA A 10 ML VIAL 1 18 1 17
9 ANTISERA D 10 ML VIAL 1 18 1 17
10 ANTI SERA B 10 ML VIAL 1 18 1 17
11 BENANG CAT GUT 2/0-3/0 PCS 6 108 48 60
12 BENANG SILK 3/0 PCS 10 180 30 150
13 BISTURI/ PISAU BEDAH PCS 20 360 0 360
14 BLOOD LANCET PCS 200 3600 400 3200
15 FOLLEY CATHETER 12 PCS 0 0 0 0
16 FOLLEY CATHETER NO. 14 PCS 0 0 0 0
17 FOLLEY CATHETER NO. 16 PCS 0 0 0 0
18 FOLLEY CATHETHER 8 PCS 0 0 0 0
19 FOLLEY CHATETER NO.18 PCS 0 0 0 0
20 INFUS SET DEWASA PCS 5 90 35 55
21 INFUSET ANAK PCS 0 0 0 0
22 IV CATHETER 20 PCS 4 72 0 72
23 IV CATHETER 22 PCS 0 0 50 -50
27 KAPAS 250 GRAM ROL 4 72 40 32
28 KASA 16 X 16 CM KOTAK 5 90 26 64
29 KASA 4 X 15 CM ROL 25 450 135 315
30 KASA 40X80 CM ROL 1 18 0 18
31 LARUTAN ASAM ALKOHOL BTL 1 18 0 18
32 LARUTAN BENEDIK 100 ML BTL 0 0 0 0
33 LARUTAN EOSIN 100 ML BTL 0 0 0 0
34 LARUTAN GIEMSA STAIN 100ML TAB 0 0 0 0
35 LARUTAN HAYEM 100 ML BTL 0 0 0 0
36 LARUTAN HCL 0,1 % 100 ML BTL 1 18 5 13
37 LARUTAN IMERCY OIL BTL 1 18 5 13
38 LARUTAN KARBOL FUKSIN 100 ML BTL 1 18 10 8
39 LARUTAN METILEN BLUE 100 ML BTL 1 18 10 8
40 LARUTAN NATRIUM CITRAT 0,38 % 100 ML BTL 0 0 0 0
41 LARUTAN RESECHER 100 ML BTL 0 0 0 0
42 LARUTAN SULFA SALISILAT 20 % 100 ML BTL 0 0 0 0
43 LARUTAN TURK 100 ML BTL 0 0 0 0
44 MASKER EAR LOOP (KARET) BKS 50 900 150 750
45 MASKER TIE ON (TALI) PCS 100 1800 500 1300
46 SARUNG TANGAN FREE STERIL NO 7 PSG 50 900 200 700
47 SARUNG TANGAN STERIL 7,5 PSG 50 900 350 550
48 SARUNG TANGAN NONSTERIL L PSG 50 900 0 900
49 SARUNG TANGAN NONSTERIL M PSG 200 3600 1450 2150
50 SARUNG TANGAN STERIL NO.8 PSG 0 0 0 0
51 URINE BAG PCS 0 0 0 0
C BAHAN HABIS PAKAI GIGI
1 BAHAN TUMPATAN SEMENTARA POT 0 0 0 0

2 DEVITALISASI PASTA (NON ARSEN) POT 0 0 0 0
3 EUGENOL CAIRAN BTL 1 18 5 13
4 FORMOKRESOL CAIRAN BTL 0 0 0 0
5 GLASS IONOMER CEMENT ART CAIRAN BTL 0 0 0 0
6 GLASS IONOMER CEMENT ART COCOA BUT BTL 0 0 0 0
7 GLASS IONOMER CEMENT ART SERBUK BTL 0 0 0 0
8 GUTTA PERCHA DAN PAPER PONIT 145-80 KOTAK 0 0 0 0
9 GUTTA PERCHA DAN PAPER PONIT 15-40 KOTAK 0 0 0 0
10 KLORFENOL KAMFER MENTHOL (CHKM) BOTOL 0 0 0 0
11 KOMPOSIT RESIN BOTOL 0 0 0 0
12 MUMMIYING PASTA/IODOFORM PASTA BOTOL 0 0 0 0
13 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BOTOL 0 0 0 0
14 TEMPORARY STOPING FLECHER L & P BOTOL 0 0 0 0
15 KALSIUM HIDROKSIDA PASTA POT 0 0 0 0
D TAMBAHAN OBAT DAN BMHP
1 ANTALGIN 500 MG TABLET 1497 26946 0 26946
2 BISAKODIL 5 MG TABLET 26 468 130 338
3 CURCUMA TABLET 100 1800 0 1800
4 ENZYMFORT TABLET 50 900 0 900
5 KLORAMFENICOL TT BOTOL 11 198 18 180
6 LACBON TABLET 100 1800 0 1800
7 NATRIUM BICARBONAT TABLET 13 234 0 234
8 PLESTER ROL 1 18 30 -12
9 HIPAFIX ROL 3 54 22 32
10 SCABISID CREAM TUBE 5 90 0 90
11 SCOPMA TABLET 100 1800 2200 -400
12 BECOMZET TABLET 121 2178 0 2178
13 LIBROZYM PLUS TABLET 118 2124 0 2124
14 0 0
15 0 0
note : 1. urutan nama -nama obat tidak boleh di rubah

2. jika ada obat yang tidak ada/obat dan BMHP yang baru/tidak ada di buat di kolom penambahan
3. Usulan Kebutuhan Obat Tahun 2018 dikirimkan bersama laporan bulan Desember
Mengetahui
Kepala UPT Puskesmas Balai Makam Disusun oleh
Kecamatan Bathin Solapan Pj. Gudang Farmasi
UPT Puskesmas Balai Makam
drg. Novi Nurmayanti Lely Ira Pratiwi,Amd.AFM,SKM

NIP. 19831104 201001 2 006 NIP. 19850813 200903 2 008
LAPORAN STOK OPNAME OBAT & PERBEKALAN FARMASI PER 31 DESEMBER 2017
PUSKESMAS : BALAI MAKAM

Kecamatan : BATHIN SOLAPAN
Kab/Kota : BENGKALIS
Propinsi : RIAU
NO NAMA OBAT PENERIMAAN TW IV PENGELUARAN TW IV SISA STOK SATUAN HARGA SATUAN JUMLAH HARGA
1 2 3 4 5 6 7 8
1 ACYKLOVIR 200 MG 0 702 3548 TAB Rp 239 Rp 847,972
2 ACYKLOVIR 400 MG 0 1343 1227 TAB Rp 345 Rp 423,315
3 ACYKLOVIR Krim 5 % 250 99 182 TUBE Rp 3,200 Rp 582,400
4 ALAT SUNTIK 2,5 / 3 ML 1000 600 1300 SET Rp 957 Rp 1,244,100
5 ALAT SUNTIK 0,05 ML 0 0 0 SET Rp - Rp -
6 ALAT SUNTIK 0,5 ML 0 0 0 SET Rp - Rp -
7 ALAT SUNTIK 1 ML 1000 300 1400 SET Rp 702 Rp 982,800
8 ALAT SUNTIK 5 ML 1000 200 2400 SET Rp 810 Rp 1,944,000
9 ALBENDAZOL 400 MG 0 0 18000 TAB Rp - Rp -
10 ALKOHOL 70 % 78 65 15 BTL Rp 21,818 Rp 327,270
11 ALLOPURINOL 100 MG 2000 1495 3335 TAB Rp 88 Rp 293,480
12 ALPRAZOLAM 0,5 MG 0 107 539 TAB Rp 600 Rp 323,400
13 AMBROXOL 30 MG 12000 8612 4668 TAB Rp 145 Rp 676,860
14 AMBROXOL SYR 1500 567 945 BTL Rp 3,440 Rp 3,250,800
15 AMLODIPIN 5 MG 600 810 0 TAB Rp 192 Rp -
16 AMLODIPIN 10 MG 0 0 0 TAB Rp - Rp -
17 AMINOPHILLIN TAB 200 MG 0 40 1390 TAB Rp 82 Rp 113,980
18 AMITRIPTILIN 25 MG 0 0 0 TAB Rp - Rp -
19 AMOKSISILLIN 250 MG 0 3910 880 KAP Rp 210 Rp 184,800
20 AMOKSISILLIN 500 MG / PEHAMOKSIL FORTE 28800 18447 23273 KAP Rp 270 Rp 6,283,710
21 AMOKSISILLIN SK 125 MG / YUSIMOX / HUFANOXIL SIRUP 0 13 0 BTL Rp 2,500 Rp -
22 AMPICILLIN 500 MG / ETABIOTIC TABLET 500 MG 0 0 0 TAB Rp - Rp -
23 ANTACIDA DOEN TABLET I 15000 7607 7643 TAB Rp 63 Rp 481,509
TOTAL HARGA Rp 17,960,396
1 2 3 4 5 6 7 8
24 ANTALGIN 500 MG/SELESGIN 0 0 0 TAB Rp 140 Rp -
25 ANTALGIN INJEKSI / METHAMPYRON INJEKSI 0 0 0 AMP Rp - Rp -
26 ANTASIDA SYR 0 54 0 BTL Rp 2,160 Rp -
27 ANTI BAKTERI / BASTRACIN 100 41 264 TUBE Rp 2,641 Rp 697,224
28 ANTI FUNGI DOEN SALAP 120 48 72 TUBE Rp 2,000 Rp 144,000
29 ANTI HEMAROID 300 92 265 TAB Rp 2,000 Rp 530,000
30 ANTI MIGRAIN DOEN 0 0 0 TAB Rp - Rp -
31 ANTI PARKINSON DOEN TABLET 0 0 0 TAB Rp - Rp -
32 ANTISERA A 10 ML 2 2 0 BTL Rp 90,000 Rp -
33 ANTISERA AB 10 ML 2 2 0 BTL Rp 125,000 Rp -
34 ANTISERA B 10 ML 2 2 0 BTL Rp 90,000 Rp -
35 ANVOMER B-6 0 0 0 TAB Rp 2,900 Rp -
36 AQUAPRO INJ 50 109 140 VIAL Rp 3,300 Rp 462,000
37 ASAM ASKORBAT ( VIT. C ) 50 MG 0 0 0 TAB Rp 100 Rp -
38 ASAM ASKORBAT 250 MG 19200 15375 3825 TAB Rp 159 Rp 608,175
40 ASAM MEFENAMAT 500 MG / FARGETIX TABLET 14000 4000 10600 TAB Rp 309 Rp 3,275,400
41 ASETOSAL 100 MG 2000 1300 700 TAB Rp 134 Rp 93,800
42 ASETOSAL 500 MG 0 0 0 TAB Rp - Rp -
43 ASPAR-K 0 0 0 TAB Rp - Rp -
44 ASPILET 0 0 0 TAB Rp - Rp -
47 ATTAPULGIT 600 MG + PECTIN 50 MG / AKITA / NEO DIASTOP 1800 970 1350 TAB Rp 446 Rp 602,100
48 BETAHISTIN 6 MG 1080 610 1710 TAB Rp 900 Rp 1,539,000
49 BETAMETASON CREAM 0,1 % 500 329 378 TUBE Rp 1,520 Rp 574,560
50 BETASON N-CREAM 0 0 0 TUBE Rp - Rp -
51 BIOPLSENTON JELLY/BISMECON/CENTABIO 130 81 63 TUBE Rp 13,500 Rp 850,500
52 BISAKODIL SUPPOSITORIA / STOLAX SUPPOSITORIA 12 12 30 TAB Rp 7,510 Rp 225,300
53 BISAKODIL TABLET 5 MG / BICOLAX TABLET 0 10 130 TAB Rp 295 Rp 38,350
54 BISOPROLOL TABLET 0 0 0 TAB Rp - Rp -
55 BLOOD LANCET 800 400 400 SET Rp 15,731 Rp 6,292,400
56 BROMHEKSIN HCL TABLET 8 MG / WIBROM / MUCOBROM 1000 440 1100 TAB Rp 175 Rp 192,500
1 2 3 4 5 6 7 8
57 CAPTOPRIL 12,5 MG 4500 4200 3650 TAB Rp 62 Rp 226,300
58 CAPTOPRIL 25 MG 8000 5855 4675 TAB Rp 89 Rp 416,075
58 CAT GUT 2/0-3/0 60 12 48 SET Rp 23,339 Rp 1,120,272
60 CEFADROXIL SYR 125 MG 240 29 243 BTL Rp 11,250 Rp 2,733,750
61 CEFADROXIL 500 MG 3000 1549 3201 KAP Rp 534 Rp 1,709,334
62 CEFALEXIN 500 MG 0 0 0 TAB Rp - Rp -
63 CEFIXIME 100 MG 0 0 0 TAB Rp - Rp -
64 CEFIXIME DRY SYR 0 0 0 BTL Rp 9,000 Rp -
65 CEFOTAXIM 1 G INJ 0 0 0 BTL Rp - Rp -
66 CEFTRIAXON 1 GRAM INJ 0 0 0 BTL Rp - Rp -
67 CETRIZIN 10 MG 3800 1515 2285 TAB Rp 145 Rp 331,325
68 CHLORAMFECORT CREAM 0 0 0 TUBE Rp - Rp -
69 CHLORPROMAZIN 100 MG 0 100 100 TAB Rp - Rp -
70 CHLORPROMAZIN INJEKSI 25 MG / ML 0 0 0 BTL Rp - Rp -
71 CHLORPROMAZIN INJEKSI 5 MG / ML 0 0 0 BTL Rp - Rp -
72 CHLORPROPAMIDE TAB 0 0 0 TAB Rp - Rp -
73 CIFROLOXACIN 500 MG / PHAPROXIN TABLET 500 MG 6000 2560 4090 TAB Rp 850 Rp 3,476,500
74 CLINDAMYCIN 150 MG 0 0 0 TAB Rp - Rp -
75 CURCUMA 0 0 0 TAB Rp - Rp -
76 CO AMOKSIKLAV TAB / PALENTIN TAB 0 0 0 TAB Rp - Rp -
77 DARIANTULLE 0 5 30 PCS Rp 11,000 Rp 330,000
78 DASABION 0 0 0 BTL Rp - Rp -
79 DEKSAMETHASON 0.5 MG TAB 5000 11990 17970 TAB Rp 64 Rp 1,150,080
80 DEKSAMETHASON INJ 5 MG / INTHESA INJEKSI / CORSONA INJ. 300 113 250 BTL Rp 1,659 Rp 414,750
81 DEKSTROMETHORPAN 15 MG 0 760 3180 TAB Rp 85 Rp 270,300
82 DEKSTROMETHORPAN SYR 0 0 0 BTL Rp - Rp -
83 DIAZEPAM INJEKSI 5 MG 0 0 0 AMP Rp - Rp -
84 DIAZEPAM TAB 2 MG 0 344 2285 TAB Rp 33 Rp 75,405
85 DIETHYL CARBAMAZINE 0 0 0 TAB Rp - Rp -
86 DIFENHIDRAMIN INJ / ETADRYL INJEKSI 30 2 55 BTL Rp 1,236 Rp 67,980
86 DIGOXIN 0,25 MG 0 100 200 TAB Rp 100 Rp 20,000
85 DILTIAZEM 0 0 0 TAB Rp - Rp -
1 2 3 4 5 6 7 8
86 DIMENHIDRINAT 50 MG 1000 200 800 TAB Rp 105 Rp 84,000
87 DOKSISIKLIN 100 MG 0 0 0 KAP Rp - Rp -
88 DOMPERIDON SYR 100 127 183 BTL Rp 3,410 Rp 624,030
89 DOMPERIDON TABLET 1000 650 2080 TAB Rp 170 Rp 353,600
90 EFEDRIN HCL 25 MG 2400 920 1480 TAB Rp 134 Rp 198,320
91 ENZYMFORT 0 0 0 TAB Rp - Rp -
92 EPINEFRIN INJ / ADRENALIN INJEKSI 0 0 27 AMP Rp 5,505 Rp 148,635
93 ERYTROMICIN 250 MG 0 760 740 KAP Rp 594 Rp 439,560
94 ERYTROMICIN 500 MG 0 750 500 KAP Rp 751 Rp 375,500
95 ERYTROMICIN SYR 0 193 212 BTL Rp 7,895 Rp 1,673,740
96 ETAKRIDIN 0,1 % RIVANOL 72 79 31 BTL Rp 2,260 Rp 70,060
97 ETIL KLORIDA SEMPROT 15 13 5 BTL Rp 95,445 Rp 477,225
98 EUGENOL CAIRAN 0 0 0 BTL Rp - Rp -
99 EVIGRA 0 0 0 TAB Rp - Rp -
100 EXTRAK BELLADONA 0 0 0 TAB Rp - Rp -
101 FAMOTIDINE 40 MG 0 0 0 TAB Rp - Rp -
102 FENETOIN NATRIUM 30 MG 0 0 0 KAP Rp - Rp -
103 FENOBARBITAL TABLET 30 MG 100 545 100 TAB Rp 55 Rp 5,500
104 FENOL GLISEROL TT 10% 240 240 159 BTL Rp 1,400 Rp 222,600
105 FITOMENADION ( VIT. K ) 10 MG 1000 340 890 TAB Rp 556 Rp 494,840
106 FITOMENADION ( VIT. K ) INJ 180 90 90 AMP Rp 2,000 Rp 180,000
107 FOLLEY CATHETER TWO WAY 30 CC NO. 16 0 0 0 BTL Rp - Rp -
108 FOLLEY CATHETER TWO WAY 30 CC NO. 18 0 0 0 TAB Rp - Rp -
109 FORMALIN 0 0 0 TAB Rp - Rp -
110 FORMOKRESOL ( PENGGANTI TKF ) 0 0 0 TAB Rp - Rp -
111 FUROSEMID 40 MG 0 80 770 TAB Rp 115 Rp 88,550
112 GARAM ORALIT 2400 1413 1207 SACH Rp 303 Rp 365,721
113 GENTAMICIN 0,1 % SK 200 135 195 TUBE Rp 1,900 Rp 370,500
114 GENTAMICIN INJ 80 MG / 0 0 0 AMP Rp - Rp -
115 GENTAMISIN TM 120 26 94 BTL Rp 4,200 Rp 394,800
116 GENTIAN VIOLET 360 95 342 BTL Rp 3,000 Rp 1,026,000
1 2 3 4 5 6 7 8
117 GLASS IONOMERT CEMENT ( GC IX ) 0 0 0 SET Rp - Rp -
118 GLIBENKLAMID 5 MG 1000 960 2200 TAB Rp 58 Rp 127,600
119 GLISERIL GUAYAKOLAT 40000 14020 25980 TAB Rp 27 Rp 701,460
120 GLUKOSA 10 % 0 0 0 BTL Rp - Rp -
121 GLUKOSA 40 % 0 0 0 BTL Rp - Rp -
123 GLUKOSA 5 % 20 16 11 BTL Rp 5,460 Rp 60,060
124 GRISEOFULVIN 125 MG 1500 370 2830 TAB Rp 250 Rp 707,500
125 HALOPERIDOL 0,5 MG 0 0 0 TAB Rp - Rp -
126 HALOPERIDOL 1,5 MG 0 0 0 TAB Rp - Rp -
127 HALOPERIDOL 5 MG TABLET 0 0 0 TAB Rp - Rp -
128 HIDROKLORTIAZID 25 MG 0 205 615 TAB Rp 3,700 Rp 2,275,500
129 HYDROKORTISON 2,5 % 600 263 440 TUBE Rp 3,800 Rp 1,672,000
130 IBU PROFEN 200 MG 0 0 0 TAB Rp 155 Rp -
131 IBUPROFEN 400 MG 0 2500 2950 TAB Rp 153 Rp 451,350
132 IMERSION OIL 0 0 0 BTL Rp - Rp -
133 INFUS SET ANAK 0 0 0 SET Rp - Rp -
134 INFUS SET DEWASA 40 5 35 SET Rp 6,435 Rp 225,225
135 ISOSORBID DINITRAT 5 MG 0 0 100 TAB Rp 93 Rp 9,300
136 IV CATHETER 18 0 3 0 SET Rp 17,048 Rp -
137 IV CATHETER 20 0 1 0 SET Rp 17,048 Rp -
138 IV CATHETER 22 50 0 50 SET Rp 17,048 Rp 852,400
139 IV CATHETER 24 50 50 0 SET Rp - Rp -
140 KALSIUM LAKTAT 500 MG 25000 14630 10370 TAB Rp 191 Rp 1,980,670
141 KAPAS ABSORBEN 250 G 50 12 40 BKS Rp 13,500 Rp 540,000
142 KASA 40 X 40 CM 0 0 0 BKS Rp - Rp -
143 KASA 2 X 80 CM 0 0 0 BKS Rp - Rp -
144 KASA 36 X 80 CM 0 4 1 BKS Rp 137,376 Rp 137,376
145 KASA 4 X 15 CM 200 65 135 BKS Rp 2,268 Rp 306,180
146 KASA 4 X 3 CM 0 0 0 BKS Rp - Rp -
147 KASA 16 X 16 CM 35 9 26 BKS Rp 6,264 Rp 162,864
148 KETOKONAZOL 200 MG 1000 210 1200 TAB Rp 310 Rp 372,000
149 KETOKONAZOLE CR 220 58 162 TUBE Rp 2,569 Rp 416,178
150 KLORAMFENIKOL 250 MG / COLCETIN KAPSUL 0 300 200 KAP Rp 262 Rp 52,400
151 KLORAMFENIKOL SM 0 0 0 TUBE Rp - Rp -
152 KLORAMFENIKOL SYR / COLCETIN SYRUP 0 3 15 BTL Rp - Rp -
1 2 3 4 5 6 7 8
153 KLORAMFENIKOL TETES TELINGA 3 % 0 54 18 BTL Rp 1,800 Rp 32,400
154 KLORAMFENIKOL TM 0,5 % 120 50 70 BTL Rp 3,400 Rp 238,000
155 KLORFENIRAMINA MALEAT / PEHACLOR TAB 50000 23300 42800 TAB Rp 95 Rp 4,066,000
156 KLORFENOL KAMFER MENTOL ( CHKM ) 0 0 0 BTL Rp - Rp -
157 KLOROQUIN FOSFAT 250 / 150 MG 0 0 0 TAB Rp - Rp -
158 KODEIN 10 MG 0 0 0 TAB Rp - Rp -
159 KOTRIMOKSAZOL 480 MG 0 820 3050 TAB Rp 145 Rp 442,250
160 KOTRIMOKSAZOL SYR 200 204 308 BTL Rp 2,222 Rp 684,376
161 KOTRIMOXAZOL 120 MG 0 0 0 TAB Rp - Rp -
162 LACBON 0 0 0 TAB Rp - Rp -
163 LANSOPRAZOL 30 MG 2500 1050 1740 TAB Rp 334 Rp 581,160
164 LARUTAN ASAM ALKOHOL 3 % 100 ML 0 0 0 BTL Rp - Rp -
165 LARUTAN ASAM SULFOSALISILAT 20 % 100 ML 0 0 0 BTL Rp - Rp -
166 LARUTAN BENEDICT 100 ML 0 0 0 BTL Rp - Rp -
167 LARUTAN EOSIN 2 % 100 ML 0 0 0 BTL Rp - Rp -
168 LARUTAN GIEMSA STAIN 100 ML 0 0 0 BTL Rp - Rp -
169 LARUTAN HAYEM 100 ML 0 0 0 BTL Rp - Rp -
170 LARUTAN HCL 0.1 N 100 ML 0 0 0 BTL Rp 45,000 Rp -
171 LARUTAN IODIUM 2% 0 0 0 BTL Rp - Rp -
172 LARUTAN KARBOL FUKHSIN 0.3 % 100 ML 0 0 0 BTL Rp - Rp -
173 LARUTAN METILEN BIRU 0.3 % 100 ML 0 0 0 BTL Rp - Rp -
174 LARUTAN REESHEKER 0 0 0 BTL Rp - Rp -
164 LARUTAN TURK 0 0 0 BTL Rp - Rp -
176 LEVOFLOXACIN 500 MG 1000 560 1140 TAB Rp 554 Rp 631,560
177 LIDOKAIN KOMPOSITUM INJEKSI / PEHACAIN INJEKSI 1000 360 640 AMP Rp 3,250 Rp 2,080,000
178 LISOL 0 0 0 BTL Rp - Rp -
179 LIVRON B PLEX 0 0 0 TAB Rp 240 Rp -
180 LOPERAMID TABLET 2 MG / NOVADIUM 2000 800 1200 TAB Rp 92 Rp 110,400
181 MASKER 1000 850 650 PCS Rp 455 Rp 295,750
182 MELOXICAM 15 MG 0 0 0 TAB Rp 1,100 Rp -
183 MELOXICAM 7,5 MG 0 0 0 TAB Rp 550 Rp -
184 MUCOGARD 0 0 0 TAB Rp - Rp -
185 METFORMIN 500 MG 5500 2390 3110 TAB Rp 190 Rp 590,900
186 METHIL PREDNISOLON 4 MG 0 350 170 TAB Rp 202 Rp 34,340
187 METHOCLORPROPAMID 15 MG VOSEA SIRUP 120 11 151 BTL Rp 2,500 Rp 377,500
1 2 3 4 5 6 7 8
188 METHOCLORPROPAMID 15 MG VOSEA TAB 1000 645 1175 TAB Rp 105 Rp 123,375
189 METILERGOMETRIN 0,125 MG 1000 380 1000 TAB Rp 162 Rp 162,000
190 METILERGOMETRIN MALEAT INJ/MYOMERGIN INJ 0 0 49 AMP Rp 2,684 Rp 131,516
191 METRONIDAZOL 250 MG 0 0 0 TAB Rp - Rp -
192 METRONIDAZOL 500 MG 1500 2030 2600 TAB Rp 133 Rp 345,800
193 MGSO4 40% 0 0 0 BTL Rp - Rp -
194 MICONAZOL KRIM 2 % 360 256 104 TUBE Rp 3,000 Rp 312,000
195 MUMIFYING PASTA / IODOFORM PASTA 0 0 0 BTL Rp - Rp -
196 NALD INJEKSI 23 G 0 0 0 AMP Rp - Rp -
197 NATRIUM BICARBONAT 0 0 0 TAB Rp 15 Rp -
198 NATRIUM KLORIDA INFUS 0,9 % 60 12 48 BTL Rp 4,935 Rp 236,880
199 NATRIUN DIKLOFENAC 25MG 5600 1250 5750 TAB Rp 180 Rp 1,035,000
200 NATRIUN DIKLOFENAC 50MG 5600 1700 6100 TAB Rp 185 Rp 1,128,500
201 NEUROVIT E/NEUROTROPIC VIT/MECOBION E 0 0 0 TAB Rp - Rp -
202 NIFEDIPIN 10 MG 0 210 1160 TAB Rp 110 Rp 127,600
203 NISTATIN TAB VAG 100.000 IU 0 270 530 TAB Rp 500 Rp 265,000
204 NISTATIN 500.000 IU 0 0 0 TAB Rp 672 Rp -
205 NODIAR 0 0 0 TAB Rp - Rp -
206 NOZA 200 200 0 TAB Rp 1,950 Rp -
207 OBH 900 626 554 BTL Rp 4,660 Rp 2,581,640
208 OFLOXACIN 0 0 0 TAB Rp - Rp -
209 OMEPRAZOL 20 MG 2100 90 2010 TAB Rp 164 Rp 329,640
210 OXITETRASIKLIN SM 600 317 283 TUBE Rp 2,000 Rp 566,000
211 OXITETRASIKLIN INJ 0 0 0 AMP Rp - Rp -
212 OXITETRASIKLIN SK 3 % 500 357 374 TUBE Rp 1,700 Rp 635,800
213 PAMOL 125 SUPPOS 0 0 0 SUPP Rp - Rp -
214 PAMOL 250 SUPPOS 0 0 0 SUPP Rp - Rp -
215 PAPAVERIN HCL 40 MG 0 320 3080 TAB Rp 122 Rp 375,760
216 PEHATRIM FORTE 0 0 0 TAB Rp - Rp -
217 PARASETAMOL 500 MG 54000 29010 34260 TAB Rp 84 Rp 2,877,840
218 PARASETAMOL DROP/PEHAMOL KIDS 0 122 6 PCS Rp 5,460 Rp 32,760
219 PARASETAMOL SYR 1400 707 822 BTL Rp 1,496 Rp 1,229,712
220 PETHIDIN INJEKSI 0 0 0 AMP Rp - Rp -
221 PIRACETAM 1200 MG 0 0 0 AMP Rp - Rp -
222 PIRACETAM 800 MG 0 100 200 AMP Rp 800 Rp 160,000
1 2 3 4 5 6 7 8
223 PIRANTEL 125 MG 0 250 500 TAB Rp 308 Rp 154,000
224 PIROXICAM 10 2000 1070 2380 TAB Rp 120 Rp 285,600
225 PIROXICAM 20 0 740 1200 TAB Rp 105 Rp 126,000
226 PITOGIN/OKSITOSIN INJ 200 141 75 AMP Rp 2,800 Rp 210,000
227 PLANOTEST 500 400 100 PCS Rp 2,094 Rp 209,400
228 PLASTER 5X2 '' / MICROPORE 0 2 30 PCS Rp 51,600 Rp 1,548,000
229 POVIDON IODIDA 30 ML 192 97 95 BTL Rp 2,250 Rp 213,750
230 POVIDON IODIDA 300 ML 0 0 0 BTL Rp 14,771 Rp -
231 PREDNISON TABLET 5000 3500 6000 TAB Rp 160 Rp 960,000
234 PRIMAQUIN 15 MG 0 0 0 TAB Rp - Rp -
235 PROPANOLOL 10 MG 0 0 0 TAB Rp - Rp -
236 PROPANOLOL 40 MG 0 0 0 TAB Rp - Rp -
237 PROPILTIURACIL 0 0 100 TAB Rp 300 Rp 30,000
238 PYRIDOXIN HCL ( VIT.B6 ) 10 MG 5500 1040 4460 TAB Rp 15 Rp 66,900
239 RANITIDIN 10 MG 8500 4375 5165 TAB Rp 116 Rp 599,140
240 RANITIDIN INJ 30 5 25 AMP Rp 2,600 Rp 65,000
241 RESERPIN 0,25 MG 0 0 0 TAB Rp - Rp -
242 RETAPHIL SR 0 0 0 TAB Rp - Rp -
243 RIFAMPISIN 300 MG 0 0 0 TAB Rp - Rp -
244 RIFAMPISIN 600 MG 0 0 0 TAB Rp - Rp -
245 RINGER LAKTAT 40 39 11 BTL Rp 7,150 Rp 78,650
246 SALAP 2-4 0 0 0 BTL Rp - Rp -
247 SALBUTAMOL 2 MG 0 165 1035 TAB Rp 85 Rp 87,975
248 SALBUTAMOL 4 MG 0 535 1215 TAB Rp 100 Rp 121,500
249 SALISIL BEDAK 150 50 110 BTL Rp 1,250 Rp 137,500
250 SARUNG TANGAN NON STERIL NO.7 I/2 2000 550 1450 PCS Rp 997 Rp 1,445,650
251 SARUNG TANGAN STERIL NO.7 1/2 600 258 350 PCS Rp 13,959 Rp 4,885,650
252 SAFETY BOX 0 0 0 PCS Rp - Rp -
253 SCABICID CR 10 G 0 0 0 TUBE Rp - Rp -
254 SCOPMA 3000 800 2200 TAB Rp 818 Rp 1,799,600
255 SERUM ANTI BISA ULAR 0 1 0 BTL Rp - Rp -
256 SERUM ANTI TETANUS INJ 1.500 IU 0 5 0 BTL Rp - Rp -
257 SERUM ANTI TETANUS INJ 20,000 IU 0 0 0 BTL Rp - Rp -
258 SIANOKOBALAMIN 50 MG 5000 7070 8450 TAB Rp 12 Rp 101,400
1 2 3 4 5 6 7 8
259 SIANOKOBALAMIN INJ 0 12 0 AMP Rp 1,018 Rp -
260 SILK 30 0 30 PCS Rp 4,545 Rp 136,350
261 SILVER AMALGAM SERBUK 0 0 0 PCS Rp - Rp -
262 SIMVASTATIN 10 MG 0 580 90 TAB Rp 500 Rp 45,000
263 SIMVASTATIN 20 MG 3800 750 3050 TAB Rp 394 Rp 1,201,700
264 SPON GLATIN CUBLICLES 1X1X1 CM / CURASPON 0 0 0 PCS Rp - Rp -
265 SULFADOXIN/PRIMETAMIN 0 0 0 TAB Rp - Rp -
266 TABLET TAMBAH DARAH 0 0 0 TAB Rp - Rp -
267 TEMPORARY STOPING FLETCHER L&P 0 0 0 PCS Rp - Rp -
268 TETRASIKLIN 250 MG 0 0 0 KAP Rp 154 Rp -
269 TETRASIKLIN 500 MG 0 0 0 KAP Rp - Rp -
270 THIAMFENICOL 500 MG 0 425 1995 TAB Rp 650 Rp 1,296,750
271 THIAMIN HCL 50 MG 0 500 12500 TAB Rp 79 Rp 986,625
272 THIAMIN INJ 0 0 0 AMP Rp - Rp -
273 TRAMADOL 50 MG 0 600 950 TAB Rp 300 Rp 285,000
274 TRAMADOL INJ / KAMADOL INJEKSI 0 0 0 AMP Rp - Rp -
275 TRIHEKSIFENIDIL 6000 3300 2700 TAB Rp 40 Rp 108,000
276 URINE BAG 0 0 0 SET Rp - Rp -
277 VIT A 100 000 IU 0 0 0 KAP Rp - Rp -
278 VIT A 200 000 IU 0 0 0 KAP Rp - Rp -
279 VIT D3 AKTIF/KOLKALTIOR 0 0 0 KAP Rp - Rp -
280 VITAMIN B KOMPLEKS 5000 1590 3410 TAB Rp 110 Rp 375,100
281 WING NEDDLE 23 0 0 0 SET Rp - Rp -
282 MULTIVITAMIN ANAK 100 131 84 BTL Rp 11,000 Rp 924,000
283 ZINC 4000 1210 3630 TAB Rp 497 Rp 1,804,110
284 SALBUTAMOL INHALASI 5 0 5 BTL Rp 16,500 Rp 82,500
285 ASAM FOLAT 0 170 330 TAB Rp 70 Rp 23,100
286 HIPAFIX 30 12 22 ROL Rp 2,273 Rp 50,006
287 ZINC SYRUP 100 95 157 BTL Rp 7,770 Rp 1,219,890
288 CIMETIDIN 2000 980 1700 TAB Rp 130 Rp 221,000
289 EXCOSIN SYRUP 0 0 0 BTL Rp - Rp -
290 PLANOTEST 0 0 0 PCS Rp - Rp -
291 ALKOHOL SWAB 10 10 6 KTK Rp 12,700 Rp 76,200
1 2 3 4 5 6 7 8
292 BECOMZET 0 0 0 TAB Rp - Rp -
293 GLIMEPIRIDE 500 550 300 TAB Rp 436 Rp 130,800
294 LIBROZYM PLUS 0 0 0 TAB Rp 660 Rp -
295 SPIRONOLACTONE 25 MG 0 0 0 TAB Rp 320 Rp -
296 DUMIN RECTAL 10 12 5 SUPP Rp 13,000 Rp 65,000
297 STESOLID SUPP 0 1 9 SUPP Rp 8,000 Rp 72,000
298 CETIRIZINE SYRUP 100 50 50 BOTOL Rp 7,082 Rp 354,100
299 KALIUM PERMANGANAT (PK KRISTAL) 120 1 119 POT Rp 4,600 Rp 547,400
JUMLAH HARGA KESELURUHAN Rp 111,022,825
Mengetahui Duri, 30 DESEMBER 2017

Kepala UPT Puskesmas Balai Makam Penanggung Jawab Gudang
drg. Novi Nurmayanty Lely Ira Pratiwi, Amd. AFM

NIP. 19831104 201001 2 006 NIP. 19850813 200903 2 008
EXPIRED DATE
9
09.2018 & 05.2020
06.2019
10.2019
02.2020
0
0
08.2018 & 11.2020
12.2017 & 05.2020
0
10.2019
04.2019
01.2020
06.2019
09.2018
04.2017
0
04.2018
0
04.2019
03.2019
10.2017
0
0
EXPIRED DATE
05.2018
11.2017
12.2018
03.2018
11.2017
03.2018
01.2020
12.2018
06.2020
06.2018
06.2018
06.2018
08,2018
02.2019
0
11.2020
EXPIRED DATE
9
04.2018
10.2018
06.2020
03.2019
03.2020
0
0
0
0
0
09.2019
0
08.2018
0
0
0
11.2020
0
0
0
10.2019
0
05.2018
11.2018
12.2018
0
0
04.2018
0
04.2020
02.2018
0
EXPIRED DATE
9
05.2021
0
05.2019
08.2020
08.2018
0
04.2020
07.2019
01.2020
0
0
02.2018
0
0
0
0
0
01.2019
10.2018
10.2018
12.2019
0
0
0
0
05.2019
05.2018
05.2018
0
09.2019
08&09.2020
EXPIRED DATE
9
0
06.2020
09.2017
0
0
12.2018
06.2021
0
0
0
08.2020
08.2019
0
05.2019
0
0
01.2021
06.2019
12.2020
08.2020
0
0
06.2018
0
0
0
08.2019
0
0
09.2020
08.2018
06.2019
02.2020
0
0
EXPIRED DATE
9
08,2018
04.2018
04.2020
0
0
0
12.2018
10.2018
0
0
08.2020
0
0
0
0
0
0
0
0
0
0
0
0
02.2018
03.2019
0
05.2019
06.2019
0
0
0
0
05.2019
0
05.2019
EXPIRED DATE
9
08.2021
01.2018
07.2019
0
09.2018
0
03.2019
0
0
0
11.2018
10.2019
09.2019
0
08.2018 & 01.2019
08.2019
08.2019
0
0
11.2020
0
02.2020
07.2018
0
08.2018
0
0
06.2018
0
04.2020
10.2018
03.2018
0
0
01.2018
EXPIRED DATE
9
04.2018
06.2020
06.2019
10.2018
01.2018
11.2019
10.2019
0
05.2018
0
0
0
08.2018
08.2019
07.2018
09.2019
0
0
0
0
07.2018
0
10.2018
11.2018
10.2020
0
0
0
0
10.2018
0
0
0
06.2018
EXPIRED DATE
9
10.2018
08.2019
0
0
06.2019
0
0
0
0
0
0
10.2018
06.2019
0
07.2019
0
04.2018
0
0
0
0
0
0
0
03.2018
0
06.2019
10.2019
05.2018
07.2018
0
0
0
EXPIRED DATE
9
0
04.2019
0
0
08.2019
11.2018
04.2018
07.2018
ER 2017
Gudang
md. AFM
03 2 008

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REKAPITULASI LPLPO TAHUN 2017

PUSKESMAS BALAI MAKAM KECAMATAN BATHIN SOLAPAN

REKAP TOTAL SETAHUN LPLPO TAHUN 2017

25 ANTALGIN INJEKSI / METHAMPYRON INJEKSI AMP 0 0 0 0 0

26 ANTASIDA SYR BTL 509 600 1109 222 0

27 ANTI BAKTERI / BASTRACIN TUBE 490 100 326 65 264

28 ANTI FUNGI DOEN SALAP TUBE 44 168 140 28 72

29 ANTI HEMAROID TAB 308 300 343 69 265

30 ANTI MIGRAIN DOEN TAB 0 0 0 0 0

31 ANTI PARKINSON DOEN TABLET TAB 0 0 0 0 0

35 ANVOMER B-6 TAB 274 180 454 91 0

36 AQUAPRO INJ VIAL 258 50 168 34 140

37 ASAM ASKORBAT ( VIT. C ) 50 MG TAB 36947 0 36947 7389 0

38 ASAM ASKORBAT 250 MG TAB 0 28800 24975 4995 3825

41 ASETOSAL 100 MG TAB 0 2000 1300 260 700

42 ASETOSAL 500 MG TAB 0 0 0 0 0

48 BETAHISTIN 6 MG TAB 2477 1080 1847 369 1710

49 BETAMETASON CREAM 0,1 % TUBE 571 750 943 189 378

50 BETASON N-CREAM TUBE 0 0 0 0 0

51 BIOPLASENTON JELLY/BISMECON/CENTABIO TUBE 20 170 127 25 63

52 BISAKODIL SUPPOSITORIA / STOLAX SUPPOSITORIA TAB 24 60 54 11 30

53 BISAKODIL TABLET 5 MG / BICOLAX TABLET TAB 440 0 310 62 130

54 BISOPROLOL TABLET TAB 0 0 0 0 0

55 BLOOD LANCET SET 200 1000 800 160 400

58 CAPTOPRIL 25 MG TAB 9445 13000 17770 3554 4675

58 CAT GUT 2/0-3/0 SET 60 60 72 14 48

60 CEFADROXIL SYR 125 MG BTL 98 336 191 38 243

61 CEFADROXIL 500 MG KAP 6162 3000 5961 1192 3201

62 CEFALEXIN 500 MG TAB 0 0 0 0 0

63 CEFIXIME 100 MG TAB 0 0 0 0 0

64 CEFIXIME DRY SYR BTL 0 48 48 10 0

65 CEFOTAXIM 1 G INJ BTL 0 0 0 0 0

66 CEFTRIAXON 1 GRAM INJ BTL 0 0 0 0 0

67 CETRIZIN 10 MG TAB 2652 5800 6167 1233 2285

68 CHLORAMFECORT CREAM TUBE 0 0 0 0 0

69 CHLORPROMAZIN 100 MG TAB 400 0 300 60 100

70 CHLORPROMAZIN INJEKSI 25 MG / ML BTL 0 0 0 0 0

71 CHLORPROMAZIN INJEKSI 5 MG / ML BTL 0 0 0 0 0

72 CHLORPROPAMIDE TAB TAB 0 0 0 0 0

74 CLINDAMYCIN 150 MG TAB 0 0 0 0 0

76 CO AMOKSIKLAV TAB / PALENTIN TAB TAB 0 0 0 0 0

79 DEKSAMETHASON 0.5 MG TAB TAB 50192 5000 37222 7444 17970

81 DEKSTROMETHORPAN 15 MG TAB 6975 0 3795 759 3180

82 DEKSTROMETHORPAN SYR BTL 0 0 0 0 0

83 DIAZEPAM INJEKSI 5 MG AMP 0 0 0 0 0

84 DIAZEPAM TAB 2 MG TAB 3850 2000 3565 713 2285

85 DIETHYL CARBAMAZINE TAB 0 0 0 0 0

86 DIFENHIDRAMIN INJ / ETADRYL INJEKSI BTL 110 30 85 17 55

87 DIGOXIN 0,25 MG TAB 500 0 300 60 200

90 DOKSISIKLIN 100 MG KAP 0 0 0 0 0

91 DOMPERIDON SYR BTL 282 300 399 80 183

92 DOMPERIDON TABLET TAB 4233 1000 3153 631 2080

90 EFEDRIN HCL 25 MG TAB 2129 2400 3049 610 1480

92 EPINEFRIN INJ / ADRENALIN INJEKSI AMP 60 0 33 7 27

93 ERYTROMICIN 250 MG KAP 2300 0 1560 312 740

94 ERYTROMICIN 500 MG KAP 2300 0 1800 360 500

95 ERYTROMICIN SYR BTL 650 0 438 88 212

96 ETAKRIDIN 0,1 % RIVANOL BTL 64 120 153 31 31

97 ETIL KLORIDA SEMPROT BTL 2 25 22 4 5

98 EUGENOL CAIRAN BTL 0 0 0 0 0

100 EXTRAK BELLADONA TAB 0 0 0 0 0

101 FAMOTIDINE 40 MG TAB 0 0 0 0 0

102 FENETOIN NATRIUM 30 MG KAP 0 0 0 0 0

103 FENOBARBITAL TABLET 30 MG TAB 745 100 745 149 100