POLIKLINIK

LEMBAGA PEMASYARAKATAN KELAS II A TENGGARONG

CATATAN PENGGUNAAN OBAT 2018

JANUARI FEBRUARI MARET APRIL

NO NAMA OBAT SATUAN
MASUK KELUAR SISA MASUK KELUAR SISA MASUK KELUAR SISA MASUK KELUAR SISA
1 Abocath 20G pcs 0 0 1
2 Abocath 26 G pcs 0 0 0
3 Acyclovir Cream tube 0 0 7
4 Acyclovir tablet 400 mg Keping 0 0 0
5 Albendazole 400 mg keping 0 0 0
6 Albothyl 30 ml pcs 0 0 0
7 Alkohol Swab box 4 1 3
8 Allopurinol 100 mg Tablet Keping 50 30 20
9 Allopurinol 300 mg Keping 0 0 0
10 Alpara Tablet Keping 50 0 0
11 Ambeven keping 0 0 0
12 Ambroxol Tablet Keping 40 0 40
13 Amlodipin 10 mg Tablet Keping 21 21 0
14 Amlodipin 10 mg Tablet Keping 53 3 50
15 Amlodipin 5 mg Tablet Keping 35 35 0
16 Amlodipin 5 mg Tablet Keping 78 6 72
17 Amoxycillin Tablet Keping 220 120 100
18 Antasida Sirup Pcs 20 15 5
19 Antasida Tablet Keping 70 10 60
20 Antimo keping 0 0 2
21 Asam Mefenamat Tablet Keping 180 100 80
22 Aseptic Gel 500 ml Pcs 3 1 2
23 Bcom Zet keping 0 0 0
24 Betahistin keping 0 0 0
25 Bevalex Cream Pcs 60 31 29
26 Dionicol tablet keping 0 0 0
27 Blood Lancet 28 G box 0 0 1
28 Calortusin Tablet Keping 150 10 140
29 Candesartan keping 0 0 0
30 Captopril 25 mg Tablet Keping 30 10 20
31 Catheter Folley 16F pcs 0 0 1
32 Caviplex Tablet Keping 80 50 30
33 Cefadroxil Tablet Keping 120 60 60
34 Cefixime Tablet Keping 30 0 30
35 Cendo Xitrol Mini Dose Pcs 4 2 2
36 Cetirizin Tablet Keping 50 30 20
37 Cimetidine Keping 0 0 0
38 Clindamicyn 300 mg keping 0 0 0
39 Coparcetin Tablet Keping 40 10 30
40 Cotton Bud box 1 0 1
41 Curcuma Tablet Keping 9 6 3
42 Daryantulle Pcs 3 1 2
43 Demacolin Tablet Keping 50 30 20
44 Dexamethason Tablet Keping 240 180 60
45 Dexanta keping 0 0 0
46 Dexteem Plus Keping 0 0 0
47 Dextral Forte Keping 0 0 0
48 Dextral Tablet Keping 155 90 65
49 Diovan 80 mg Keping 0 0 0
50 Domperidon Keping 0 0 0
51 Dramamine Tablet Keping 3 1 2
52 dulcolax tab Keping 0 0 7
53 eflagen Keping 0 0 10
54 Elsiron Keping 0 0 0
55 Enkasari pcs 0 0 0
56 enterostop keping 0 0 0
57 Eperison Tablet Keping 2 2 0
58 Erlamycetin ear drop pcs 0 0 4
59 Erlamycetin eye drop pcs 0 0 0
60 Farmavon Tablet Keping 98 59 39
61 Floxifar Tablet Keping 60 44 16
62 Furosemid Tablet Keping 10 10 0
63 Gentamicyn cream tube 0 0 5
64 Gitas Injeksi ampule 0 0 0
65 Glimepirid 2 mg Tablet Keping 23 15 8
66 Glimepirid 3 mg Tablet Keping 23 15 8
67 GOM pcs 0 0 0
68 Hansaplast 100's box 2 1 1
69 Hansaplast roll 5 m Box 1 0 0
70 Hemorogard Tablet Pcs 11 3 8
71 Hidrocortison cream tube 0 0 3
72 Histigo keping 0 0 10
73 Hypafix 10x5 box 1 1 0
74 Ibuprofen 400 mg keping 0 0 0
75 imboost F keping 3 2 1
76 infus set dewasa pcs 0 0 7
77 Kalnex tablet keping 0 0 0
78 Kaltrofen suppo Pcs 0 0 15
79 kanul 02 dewasa pcs 0 0 2
80 Kasa Steril box 10 1 9
81 Kassa 40 x 80 pcs 1 0 1
82 Ketoconazole Cream tube 0 0 11
83 Ketoconazole Tablet Keping 36 10 26
84 Ketorolac Injeksi ampule 6 2 4
85 KSR Keping 0 0 0
86 Lacoldin Tablet Pcs 3 3 0
87 Lansoprazole Tablet Keping 6 4 2
88 Levofloxacin Tablet Keping 3 0 3
89 Lodecon Forte Tablet Keping 30 20 10
90 Lodia Tablet Keping 37 23 14
91 Masker Jilbab Keping 2 1 1
92 Masker Karet Box 2 1 1
93 masker N95 pcs 0 9 0
94 mefinal tablet Keping 0 0 0
95 Meloxicam 15 mg Keping 0 0 0
96 Meloxicam 7,5 mg Tablet keping 30 10 20
97 Metformin Tablet Keping 160 80 80
98 Methylprednisolon 4 mg Tablet Keping 200 90 110
99 Methylprednisolon 8 mg Tablet Keping 20 0 20
100 metoclopramide 10 mg Keping 0 0 10
101 metronidazole tablet Keping 0 0 0
102 minyak kapak pcs 0 0 0
103 minyak kayu putih cap lang pcs 0 0 0
104 Mirasic Keping 0 0 0
105 Mirasic Forte Tablet Keping 40 0 40
106 Mirasic Plus Tablet Keping 60 30 30
107 Molagit Tablet Keping 15 0 0
108 mylanta syrup 150 ml pcs 1 0 1
109 mylanta syrup 50 ml pcs 1 0 1
110 NaCl Keping 15 11 4
Natrium Diklofenak 25 mg Tablet
111 Keping
60 30 30
112 neobumin tablet kaleng 0 0 0
113 neurobion Forte Keping 0 0 0
114 neurobion injeksi ampule 0 0 2
115 neurodex tablet Keping 0 0 0
116 Omeprazole Tablet Pcs 20 14 6
117 Ondancentron injeksi ampule 0 0 2
118 Paracetamol Tablet Keping 100 50 50
119 Perban 15 cm pcs 20 10 10
120 Polycrol Forte Keping 0 0 0
121 Primadex Forte Keping 0 0 0
122 Pritacort Keping 0 0 0
123 Ranitidin injeksi ampule 0 0 1
124 Ranitidin Tablet Keping 70 40 30
125 Refill Tabung 02 besar pcs 1 0 1
126 Refill Tabung 02 kecil pcs 0 0 2
127 Ringer Laktat Keping 20 0 20
128 Sagestam Ear Drop Pcs 3 2 1
129 Salbron 4 mg Tablet ampule 47 20 27
130 Sangobion Tablet Keping 5 2 3
131 Sarung Tangan Uk M Pcs 3 0 0
132 Sarung Tangan Uk S Pcs 3 2 1
133 Scabimite 30 g Keping 10 4 6
134 Scopma Plus Tablet Keping 0 0 0
135 Simvastatin 10 mg Keping 0 0 0
136 Simvastatin 20 mg Keping 0 0 0
137 Soldextam Tablet Keping 0 0 10
138 spironolacton 25 mg Keping 0 0 0
139 Strip Asam Urat Easy Touch box 4 2 2
140 Strip Gula Darah Easy Touch Box 4 1 4
141 Strip Kolesterol Easy Touch box 1 0 2
142 Sucralfat Syrup pcs 0 0 0
143 Syringe 3 ml pcs 10 8 2
144 Syringe 5 ml Pcs 10 3 7
145 Tera flu Tablet Keping 70 10 60
146 Test Kehamilan One Med pcs 0 0 9
147 Tremenza Tablet Pcs 50 0 10
148 v bloc 6.25 Keping 0 0 0
149 Ventolin Nebbu Pcs 5 0 13
150 Venvlon 20 pcs 0 0 6
151 Venvlon 22 pcs 0 0 2
152 Vitamin B Complex Tablet Pcs 70 40 30
 POLIKLINIK
LEMBAGA PEMASYARAKATAN KELAS II A TENGGARONG

CATATAN PENGGUNAAN OBAT 2018

MEI JUNI JULI AGUSTUS

NO NAMA OBAT SATUAN
MASUK KELUAR SISA MASUK KELUAR SISA MASUK KELUAR SISA MASUK KELUAR SISA
1 Abocath 20G pcs 0 0 1
2 Abocath 26 G pcs 0 0 0
3 Acyclovir Cream tube 0 0 7
4 Acyclovir tablet 400 mg Keping 0 0 0
5 Albendazole 400 mg keping 0 0 0
6 Albothyl 30 ml pcs 0 0 0
7 Alkohol Swab box 4 1 3
8 Allopurinol 100 mg Tablet Keping 50 30 20
9 Allopurinol 300 mg Keping 0 0 0
10 Alpara Tablet Keping 50 0 0
11 Ambeven keping 0 0 0
12 Ambroxol Tablet Keping 40 0 40
13 Amlodipin 10 mg Tablet Keping 21 21 0
14 Amlodipin 10 mg Tablet Keping 53 3 50
15 Amlodipin 5 mg Tablet Keping 35 35 0
16 Amlodipin 5 mg Tablet Keping 78 6 72
17 Amoxycillin Tablet Keping 220 120 100
18 Antasida Sirup Pcs 20 15 5
19 Antasida Tablet Keping 70 10 60
20 Antimo keping 0 0 2
21 Asam Mefenamat Tablet Keping 180 100 80
22 Aseptic Gel 500 ml Pcs 3 1 2
23 Bcom Zet keping 0 0 0
24 Betahistin keping 0 0 0
25 Bevalex Cream Pcs 60 31 29
26 Dionicol tablet keping 0 0 0
27 Blood Lancet 28 G box 0 0 1
28 Calortusin Tablet Keping 150 10 140
29 Candesartan keping 0 0 0
30 Captopril 25 mg Tablet Keping 30 10 20
31 Catheter Folley 16F pcs 0 0 1
32 Caviplex Tablet Keping 80 50 30
33 Cefadroxil Tablet Keping 120 60 60
34 Cefixime Tablet Keping 30 0 30
35 Cendo Xitrol Mini Dose Pcs 4 2 2
36 Cetirizin Tablet Keping 50 30 20
37 Cimetidine Keping 0 0 0
38 Clindamicyn 300 mg keping 0 0 0
39 Coparcetin Tablet Keping 40 10 30
40 Cotton Bud box 1 0 1
41 Curcuma Tablet Keping 9 6 3
42 Daryantulle Pcs 3 1 2
43 Demacolin Tablet Keping 50 30 20
44 Dexamethason Tablet Keping 240 180 60
45 Dexanta keping 0 0 0
46 Dexteem Plus Keping 0 0 0
47 Dextral Forte Keping 0 0 0
48 Dextral Tablet Keping 155 90 65
49 Diovan 80 mg Keping 0 0 0
50 Domperidon Keping 0 0 0
51 Dramamine Tablet Keping 3 1 2
52 dulcolax tab Keping 0 0 7
53 eflagen Keping 0 0 10
54 Elsiron Keping 0 0 0
55 Enkasari pcs 0 0 0
56 enterostop keping 0 0 0
57 Eperison Tablet Keping 2 2 0
58 Erlamycetin ear drop pcs 0 0 4
59 Erlamycetin eye drop pcs 0 0 0
60 Farmavon Tablet Keping 98 59 39
61 Floxifar Tablet Keping 60 44 16
62 Furosemid Tablet Keping 10 10 0
63 Gentamicyn cream tube 0 0 5
64 Gitas Injeksi ampule 0 0 0
65 Glimepirid 2 mg Tablet Keping 23 15 8
66 Glimepirid 3 mg Tablet Keping 23 15 8
67 GOM pcs 0 0 0
68 Hansaplast 100's box 2 1 1
69 Hansaplast roll 5 m Box 1 0 0
70 Hemorogard Tablet Pcs 11 3 8
71 Hidrocortison cream tube 0 0 3
72 Histigo keping 0 0 10
73 Hypafix 10x5 box 1 1 0
74 Ibuprofen 400 mg keping 0 0 0
75 imboost F keping 3 2 1
76 infus set dewasa pcs 0 0 7
77 Kalnex tablet keping 0 0 0
78 Kaltrofen suppo Pcs 0 0 15
79 kanul 02 dewasa pcs 0 0 2
80 Kasa Steril box 10 1 9
81 Kassa 40 x 80 pcs 1 0 1
82 Ketoconazole Cream tube 0 0 11
83 Ketoconazole Tablet Keping 36 10 26
84 Ketorolac Injeksi ampule 6 2 4
85 KSR Keping 0 0 0
86 Lacoldin Tablet Pcs 3 3 0
87 Lansoprazole Tablet Keping 6 4 2
88 Levofloxacin Tablet Keping 3 0 3
89 Lodecon Forte Tablet Keping 30 20 10
90 Lodia Tablet Keping 37 23 14
91 Masker Jilbab Keping 2 1 1
92 Masker Karet Box 2 1 1
93 masker N95 pcs 0 9 0
94 mefinal tablet Keping 0 0 0
95 Meloxicam 15 mg Keping 0 0 0
96 Meloxicam 7,5 mg Tablet keping 30 10 20
97 Metformin Tablet Keping 160 80 80
98 Methylprednisolon 4 mg Tablet Keping 200 90 110
99 Methylprednisolon 8 mg Tablet Keping 20 0 20
100 metoclopramide 10 mg Keping 0 0 10
101 metronidazole tablet Keping 0 0 0
102 minyak kapak pcs 0 0 0
103 minyak kayu putih cap lang pcs 0 0 0
104 Mirasic Keping 0 0 0
105 Mirasic Forte Tablet Keping 40 0 40
106 Mirasic Plus Tablet Keping 60 30 30
107 Molagit Tablet Keping 15 0 0
108 mylanta syrup 150 ml pcs 1 0 1
109 mylanta syrup 50 ml pcs 1 0 1
110 NaCl Keping 15 11 4
111 Natrium Diklofenak 25 mg Tablet Keping 60 30 30
112 neobumin tablet kaleng 0 0 0
113 neurobion Forte Keping 0 0 0
114 neurobion injeksi ampule 0 0 2
115 neurodex tablet Keping 0 0 0
116 Omeprazole Tablet Pcs 20 14 6
117 Ondancentron injeksi ampule 0 0 2
118 Paracetamol Tablet Keping 100 50 50
119 Perban 15 cm pcs 20 10 10
120 Polycrol Forte Keping 0 0 0
121 Primadex Forte Keping 0 0 0
122 Pritacort Keping 0 0 0
123 Ranitidin injeksi ampule 0 0 1
124 Ranitidin Tablet Keping 70 40 30
125 Refill Tabung 02 besar pcs 1 0 1
126 Refill Tabung 02 kecil pcs 0 0 2
127 Ringer Laktat Keping 20 0 20
128 Sagestam Ear Drop Pcs 3 2 1
129 Salbron 4 mg Tablet ampule 47 20 27
130 Sangobion Tablet Keping 5 2 3
131 Sarung Tangan Uk M Pcs 3 0 0
132 Sarung Tangan Uk S Pcs 3 2 1
133 Scabimite 30 g Keping 10 4 6
134 Scopma Plus Tablet Keping 0 0 0
135 Simvastatin 10 mg Keping 0 0 0
136 Simvastatin 20 mg Keping 0 0 0
137 Soldextam Tablet Keping 0 0 10
138 spironolacton 25 mg Keping 0 0 0
139 Strip Asam Urat Easy Touch box 4 2 2
140 Strip Gula Darah Easy Touch Box 4 1 4
141 Strip Kolesterol Easy Touch box 1 0 2
142 Sucralfat Syrup pcs 0 0 0
143 Syringe 3 ml pcs 10 8 2
144 Syringe 5 ml Pcs 10 3 7
145 Tera flu Tablet Keping 70 10 60
146 Test Kehamilan One Med pcs 0 0 9
147 Tremenza Tablet Pcs 50 0 10
148 v bloc 6.25 Keping 0 0 0
149 Ventolin Nebbu Pcs 5 0 13
150 Venvlon 20 pcs 0 0 6
151 Venvlon 22 pcs 0 0 2
152 Vitamin B Complex Tablet Pcs 70 40 30
 POLIKLINIK
LEMBAGA PEMASYARAKATAN KELAS II A TENGGARONG

CATATAN PENGGUNAAN OBAT 2018

SEPTEMBER OKTOBER NOVEMBER DESEMBER

NO NAMA OBAT SATUAN
MASUK KELUAR SISA MASUK KELUAR SISA MASUK KELUAR SISA MASUK KELUAR SISA
1 Abocath 20G pcs 0 0 1
2 Abocath 26 G pcs 0 0 0
3 Acyclovir Cream tube 0 0 7
4 Acyclovir tablet 400 mg Keping 0 0 0
5 Albendazole 400 mg keping 0 0 0
6 Albothyl 30 ml pcs 0 0 0
7 Alkohol Swab box 4 1 3
8 Allopurinol 100 mg Tablet Keping 50 30 20
9 Allopurinol 300 mg Keping 0 0 0
10 Alpara Tablet Keping 50 0 0
11 Ambeven keping 0 0 0
12 Ambroxol Tablet Keping 40 0 40
13 Amlodipin 10 mg Tablet Keping 21 21 0
14 Amlodipin 10 mg Tablet Keping 53 3 50
15 Amlodipin 5 mg Tablet Keping 35 35 0
16 Amlodipin 5 mg Tablet Keping 78 6 72
17 Amoxycillin Tablet Keping 220 120 100
18 Antasida Sirup Pcs 20 15 5
19 Antasida Tablet Keping 70 10 60
20 Antimo keping 0 0 2
21 Asam Mefenamat Tablet Keping 180 100 80
22 Aseptic Gel 500 ml Pcs 3 1 2
23 Bcom Zet keping 0 0 0
24 Betahistin keping 0 0 0
25 Bevalex Cream Pcs 60 31 29
26 Dionicol tablet keping 0 0 0
27 Blood Lancet 28 G box 0 0 1
28 Calortusin Tablet Keping 150 10 140
29 Candesartan keping 0 0 0
30 Captopril 25 mg Tablet Keping 30 10 20
31 Catheter Folley 16F pcs 0 0 1
32 Caviplex Tablet Keping 80 50 30
33 Cefadroxil Tablet Keping 120 60 60
34 Cefixime Tablet Keping 30 0 30
35 Cendo Xitrol Mini Dose Pcs 4 2 2
36 Cetirizin Tablet Keping 50 30 20
37 Cimetidine Keping 0 0 0
38 Clindamicyn 300 mg keping 0 0 0
39 Coparcetin Tablet Keping 40 10 30
40 Cotton Bud box 1 0 1
41 Curcuma Tablet Keping 9 6 3
42 Daryantulle Pcs 3 1 2
43 Demacolin Tablet Keping 50 30 20
44 Dexamethason Tablet Keping 240 180 60
45 Dexanta keping 0 0 0
46 Dexteem Plus Keping 0 0 0
47 Dextral Forte Keping 0 0 0
48 Dextral Tablet Keping 155 90 65
49 Diovan 80 mg Keping 0 0 0
50 Domperidon Keping 0 0 0
51 Dramamine Tablet Keping 3 1 2
52 dulcolax tab Keping 0 0 7
53 eflagen Keping 0 0 10
54 Elsiron Keping 0 0 0
55 Enkasari pcs 0 0 0
56 enterostop keping 0 0 0
57 Eperison Tablet Keping 2 2 0
58 Erlamycetin ear drop pcs 0 0 4
59 Erlamycetin eye drop pcs 0 0 0
60 Farmavon Tablet Keping 98 59 39
61 Floxifar Tablet Keping 60 44 16
62 Furosemid Tablet Keping 10 10 0
63 Gentamicyn cream tube 0 0 5
64 Gitas Injeksi ampule 0 0 0
65 Glimepirid 2 mg Tablet Keping 23 15 8
66 Glimepirid 3 mg Tablet Keping 23 15 8
67 GOM pcs 0 0 0
68 Hansaplast 100's box 2 1 1
69 Hansaplast roll 5 m Box 1 0 0
70 Hemorogard Tablet Pcs 11 3 8
71 Hidrocortison cream tube 0 0 3
72 Histigo keping 0 0 10
73 Hypafix 10x5 box 1 1 0
74 Ibuprofen 400 mg keping 0 0 0
75 imboost F keping 3 2 1
76 infus set dewasa pcs 0 0 7
77 Kalnex tablet keping 0 0 0
78 Kaltrofen suppo Pcs 0 0 15
79 kanul 02 dewasa pcs 0 0 2
80 Kasa Steril box 10 1 9
81 Kassa 40 x 80 pcs 1 0 1
82 Ketoconazole Cream tube 0 0 11
83 Ketoconazole Tablet Keping 36 10 26
84 Ketorolac Injeksi ampule 6 2 4
85 KSR Keping 0 0 0
86 Lacoldin Tablet Pcs 3 3 0
87 Lansoprazole Tablet Keping 6 4 2
88 Levofloxacin Tablet Keping 3 0 3
89 Lodecon Forte Tablet Keping 30 20 10
90 Lodia Tablet Keping 37 23 14
91 Masker Jilbab Keping 2 1 1
92 Masker Karet Box 2 1 1
93 masker N95 pcs 0 9 0
94 mefinal tablet Keping 0 0 0
95 Meloxicam 15 mg Keping 0 0 0
96 Meloxicam 7,5 mg Tablet keping 30 10 20
97 Metformin Tablet Keping 160 80 80
98 Methylprednisolon 4 mg Tablet Keping 200 90 110
99 Methylprednisolon 8 mg Tablet Keping 20 0 20
100 metoclopramide 10 mg Keping 0 0 10
101 metronidazole tablet Keping 0 0 0
102 minyak kapak pcs 0 0 0
103 minyak kayu putih cap lang pcs 0 0 0
104 Mirasic Keping 0 0 0
105 Mirasic Forte Tablet Keping 40 0 40
106 Mirasic Plus Tablet Keping 60 30 30
107 Molagit Tablet Keping 15 0 0
108 mylanta syrup 150 ml pcs 1 0 1
109 mylanta syrup 50 ml pcs 1 0 1
110 NaCl Keping 15 11 4
Natrium Diklofenak 25 mg Tablet
111 Keping
60 30 30
112 neobumin tablet kaleng 0 0 0
113 neurobion Forte Keping 0 0 0
114 neurobion injeksi ampule 0 0 2
115 neurodex tablet Keping 0 0 0
116 Omeprazole Tablet Pcs 20 14 6
117 Ondancentron injeksi ampule 0 0 2
118 Paracetamol Tablet Keping 100 50 50
119 Perban 15 cm pcs 20 10 10
120 Polycrol Forte Keping 0 0 0
121 Primadex Forte Keping 0 0 0
122 Pritacort Keping 0 0 0
123 Ranitidin injeksi ampule 0 0 1
124 Ranitidin Tablet Keping 70 40 30
125 Refill Tabung 02 besar pcs 1 0 1
126 Refill Tabung 02 kecil pcs 0 0 2
127 Ringer Laktat Keping 20 0 20
128 Sagestam Ear Drop Pcs 3 2 1
129 Salbron 4 mg Tablet ampule 47 20 27
130 Sangobion Tablet Keping 5 2 3
131 Sarung Tangan Uk M Pcs 3 0 0
132 Sarung Tangan Uk S Pcs 3 2 1
133 Scabimite 30 g Keping 10 4 6
134 Scopma Plus Tablet Keping 0 0 0
135 Simvastatin 10 mg Keping 0 0 0
136 Simvastatin 20 mg Keping 0 0 0
137 Soldextam Tablet Keping 0 0 10
138 spironolacton 25 mg Keping 0 0 0
139 Strip Asam Urat Easy Touch box 4 2 2
140 Strip Gula Darah Easy Touch Box 4 1 4
141 Strip Kolesterol Easy Touch box 1 0 2
142 Sucralfat Syrup pcs 0 0 0
143 Syringe 3 ml pcs 10 8 2
144 Syringe 5 ml Pcs 10 3 7
145 Tera flu Tablet Keping 70 10 60
146 Test Kehamilan One Med pcs 0 0 9
147 Tremenza Tablet Pcs 50 0 10
148 v bloc 6.25 Keping 0 0 0
149 Ventolin Nebbu Pcs 5 0 13
150 Venvlon 20 pcs 0 0 6
151 Venvlon 22 pcs 0 0 2
152 Vitamin B Complex Tablet Pcs 70 40 30