LAPORAN PENERIMAAN DAN PE

JAMINAN KESEHATAN N
PUSKESMAS BAREG

PELAPORAN BULAN/PERIODE: DESEMBER_2016

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN

1 2 3 4 5 6 APOTEK
SAGULING
MINGGU KE 1MINGGU KE 2MINGGU KE 3MINGGU KE 4
1 ALLOPURINOL 100 tablet 100 0 100
2 AMOKCICILIN 250 MG kapsul 7,504 0 7,504
3 AMOKCICILIN 250 MG kapsul 10,000 0 10,000
4 ANTALGIN 500 MG tablet 1,214 0 1,214
5 ANTI HEMOROID SUPP supp 260 0 260
6 ASAM ASCORBAT 50 Tablet 0 0 0
7 ASICLOVIR 200 MG tablet 0 0 0
8 ASICLOVIR CREAM ZK tube 27 0 27
9 BETAMETASON KRIM tube 0 0 0
10 DEKSAMETASON 0.5 MG tablet 5,402 0 5,402
11 DIAZEPAM TAB 2 MG (BTL 200) tablet 0 0 0
12 DIGOKSIN 0.25 MG tablet 128 0 128
13 FUROSEMIDA 40 MG tablet 63 0 63
14 GENTAMICYN INJEKSI ampul 38 0 38
15 GENTAMICYN KRIM ZK 0.1 % tube 5 0 5
16 GENTIAN VIOLET fls 61 0 61
17 GRISEOPULVIN 125 MG tablet 29 0 29
18 HALOPERIDOL 1,5 MG tablet 323 0 323
19 HALOPERIDOL 5 MG tablet 0 0 0
20 HIDROKORTISON KRIM ZK tube 0 0 0
21 HIDROKORTISON KRIM ZK tube 254 0 254
22 IBUPROFEN TABLET 400 MG botol 786 0 786
23 KAPTOPRIL 12,5 Tablet 7,200 0 7,200
24 KLORAMFENIKOL SUSPENSI botol 283 0 283
25 CTM 4 MG Tablet 0 0 0
26 CTM 4 MG Tablet 7,706 0 7,706
27 CPZ 100 MG Tablet 0 0 0
28 KOTRIMOKSAZOLE SIRUP botol 56 0 56
29 LIDOCAIN INJEK (PEHACAIN) ampul 0 0 0
30 LIDOCAIN INJEK ampul 348 0 348
31 METKLOPRAMID 5 MG Tablet 0 0 0
32 METRONIDAZOLE 250 MG tablet 426 0 426
33 MIKONAZOLE KRIM ZK 2% (NITRAT) tube 136 0 136
34 NATRIUM DIKLOFENAK 500 MG tablet 144 0 144
35 OKSITETRASIKLIN ZK tube 0 0 0
36 OKSITETRASIKLIN ZM tube 4 0 4
37 OMEPRAZOLE 20 MG kapsul 38 0 38
38 PARACETAMOL DROP botol 9 0 9
39 PARACETAMOL SIRUP botol 208 0 208
40 PIRIDOKSIN (VIT B6) 10 MG (HCL) tablet 2,549 0 2,549
41 PIRIDOKSIN (VIT B6) 10 MG (HCL) tablet 9,000 0 9,000
42 PIRANTEL SYRUP botol 5 0 5
43 POPIDONE IODIDA 30 ML botol 63 0 63
44 POPIDONE IODIDA 60 ML botol 133 0 133
45 POPIDONE IODIDA 300 ML botol 10 0 10
46 POPIDONE IODIDA 300 ML botol 40 0 40
47 SALEP KULIT K-24 pot 0 0 0
48 SALEP KULIT K-24 pot 39 0 39
49 SALICIL BEDAK kotak 108 0 108
50 SEFADROKSIL 500 MG FLS 7,152 0 7,152
51 TRAMADOL tablet 40 0 40
52 VITAMIN B COMPLEKS Tablet 13,821 0 13,821
53 ERITROMICIN SYRUP Botol 61 0 61
54 HERBAKOF SYRUP botol 23 0 23
55 KETOKONAZOLE ZK tube 22 0 22
56 SIMVASTATIN 20 MG tablet 489 0 489
57 AMLODIPINE 5 MG tablet 28 0 28
58 ALBENDAZOLE 400 MG tablet 96 0 96
59 DOMPERODINE 10 MG tablet 1,508 0 1,508
60 CONCOR 2,5 MG tablet 297 0 297
61 NIFEDIPINE 10 MG tablet 1,750 0 1,750
62 METRONIDAZOLE SYRUP 125 botol 77 0 77
63 ZIRKUM K SYRUP botol 29 0 29
64 SUPRAFENID 100 MG SUPP supp 27 0 27
65 ZINK DIVERSIBLE 20 MG tablet 416 0 416
66 CEFIKSIM 100 tablet 1,320 0 1,320
67 KLOPIDOGREL BISULFATE FC tablet 45 0 45
68 METFORMIN 500 MG tablet 1,318 0 1,318
69 VITAMIN C 250 MG tablet 1,129 0 1,129
70 IRBESARTAN 150 FC tablet 1,720 0 1,720
71 CETERIZINE KAPSUL 10 MG capsul 1,488 0 1,488
72 DULCOLAX 10 MG SUPP 50 ASR supp 44 0 44
73 DIFENHIDRAMIN INJ ampul 174 0 174
74 ERITROMISIN 250 MG TABLET tablet 940 0 940
75 KLORAMFENIKOL ZM tube 93 0 93
76 RIVANOL COMPRES botol 29 0 29
77 SALBUTAMOL 2 MG tablet 698 0 698
78 PHENITOIN 100 MG kapsul 1,938 0 1,938
79 CHLORAMEX 500 MG kapsul 300 0 300
80 MgSO4 40% botol 0 40 40
81 MgSO4 20% botol 297 0 297
82 CEFADROXIL SYR KERING botol 0 60 60
83 COMBIVENT 2.5 ML Box 0 0 0
84 GEMFIBROZIL 600 MG tablet 280 0 280
85 GLIMEPIRIDE tablet 0 500 500
86 LANSOPRAZOLE 30 MG CAPS capsul 2,400 0 2,400
87 LEXAPRAM SYRUP botol 10 0 10
88 RANITIDINE 100 tablet 19,300 0 19,300
 89 AMOKSISILIN SYRUP botol 0 900 900
90 ANTASIDA SYRUP botol 0 900 900
91 ASAM MEFENAMAT TABLET tablet 0 3,000 3,000
92 DIGOKSIN 0.25 MG tablet 0 600 600
93 FUROSEMIDE tablet 0 3,200 3,200
94 ACYCLOVIR 200 MG tablet 0 600 600
95 PIROKSIKAM tablet 0 6,500 6,500
96 CETERIZINE SYRUP botol 0 100 100
97 CEFIXIME SYRUP botol 0 200 200
98 KARBOGLISERIN TK tube 0 25 25
99 ANTASIDA DOEN TAB tablet 0 35,000 35,000
100 VIT K 10 MG tablet 0 2,400 2,400
101 ACICLOVIR 400 MG tablet 0 700 700
102 GENTAMISIN TM tube 0 100 100
103 METRONIDAZOLE 500 MG Tablet 0 1,800 1,800
104 GENOIN ZM tube 0 100 100
105 B12 Inj ampul 0 250 250
106 ERITROMISIN 500 MG TABLET tablet 0 500 500
107 DEKSAMETASON INJ ampul 0 100 100
108 GARAM ORALIT pack 0 1,800 1,800
109 GENTAMICIN 40 MG INJ 5 AMP/2 ML ampul 0 300 300
110 SALBUTAMOL 2 MG Tablet 0 1,000 1,000
111 KAPTOPRIL 25 MG Tablet 0 6,800 6,800
112 PIRANTEL TAB Tablet 0 200 200
113 TETRASIKLIN CAPS 250 MG kapsul 0 600 600
114 DERMASOLON ZK tube 0 50 50
115 OMEPRAZOLE 20 MG kapsul 0 720 720
116 EFINEPRIN INJ 1% ampul 0 60 60
117 NATRIUM DIKLOFENAK Tablet 0 300 300
118 NISTATIN 500.000 IU TAB SALUT GULA Tablet 0 200 200
119 NISTATIN 100.000 IU TAB SALUT GULA Tablet 0 300 300
120 IBUPROFEN SYRUP botol 0 150 150
121 VIT K INJ ampul 0 90 90
122 PARACETAMOL SYRUP botol 0 1,000 1,000
123 KLORAMFENIKOL 120 MG kapsul 0 600 600
124 ENZIPLEK Tablet 0 280 280
125 AMBROKSOL SYRUP botol 0 250 250
126 GENTAMISIN ZK tube 0 100 100
127 GG Tablet 0 1,500 1,500
128 MELOKSIKAM 15 MG Tablet 0 90 90
129 NEUROVIT E Tablet 0 330 330
130 METILERGOMETRIN 0.125 MG Tablet 0 4,300 4,300
131 BETASON N ZK Tablet 0 736 736
132 AMBROKSOL 30 MG TAB Tablet 0 500 500
133 BIOGESIC TAB Tablet 0 6,200 6,200
134 NACL LARUTAN INFUS\ Tablet 0 60 60
135 KODEIN\ Tablet 0 1,000 1,000
136 ALERIN EXPECTORAN botol 0 150 150
137 PARATUSIN SYRUP botol 0 100 100
138 BETAHISTIN 6 MG tablet 0 5,000 5,000
139 LACIDOFIL sachet 0 120 120
140 VOMETA SYRUP botol 0 50 50
JUMLAH

BMHP
141 ALAT SUNTUK 3 CC buah 661 0 661
142 ALAT SUNTUK 5 CC buah 1,356 0 1,356
143 KASA KOMPRES 40X40 STERIL buah 74 0 74
144 ETIL CHLORIDA SPRAY buah 43 0 43
145 FOLLEY CHATETER 2 W 18 UC bok/buah 8 0 8
146 FOLLEY CHATETER 2 W 18 UC bok/buah 8 0 8
147 ETANOL 70% 100 ml botol 0 0 0
148 ETANOL 70% 1000 ml botol 103 0 103
149 ETANOL 70% 1000 ml botol 0 0 0
150 S CHATETER 1 WAY / ABOCATH bok 0 0 0
151 NAMPAN DIAGNOSTIK SET SH 512 buah 4 0 4
152 GUNTING VERBAND 14 CM buah 10 0 10
153 LEUKOPLAST KAIN roll 439 0 439
154 E CARE SURGIGLOVE 7.0 pasang 28 0 28
155 E CARE MASKER TIEON buah 8 0 8
156 TABUNG REAKSI buah 325 0 325
157 TISSUE ROLL roll 73 0 73
158 TORNIQUET buah 12 0 12
159 ULTRASONIC GELL buah 2 0 2
160 WWZ buah 2 0 2
161 DIGITAL TERMOMETER buah 1 0 1
162 LANCET BLOOD (BD ULTRA F) buah 4 0 4
163 TEST KEHAMILAN dus 33 0 33
164 PINCET CIRURGIS buah 9 0 9
165 COVER PLAST TRANSPARANT buah 97 0 97
166 MEDICINE PACKET S1-20-S set 1 0 1
167 SEALING EQUIPMENT - S set 1 0 1
168 KANTONG OBAT pack 6 0 6
169 ETIKET OBAT pack 44 0 44
170 KERTAS PUYER pack 2 0 2
171 GLUKO DR botol 8 0 8
172 STRADEX NITRILE EX-GLOVES buah 0 0 0
173 INFUS SET DEWASA STERA set 50 0 50
174 MASKER E/L/KERUDUNG/OM buah 468 0 468
175 X-TRAGEN HANDRUB botol 8 0 8
176 KASA PEMBALUT HIDROFIL 4X3 buah 0 0 0
177 KASA STERIL DRC box 0 0 0
178 ALKOHOL 70% 100 ML botol 75 0 75
179 MEDIC DENT STERIL GLOVES 7.0 pasang 150 0 150
180 MEDIC DENT STERIL GLOVES 77,5 pasang 150 0 150
JUMLAH

REAGEN
181 SPIRTUS 1 LITER botol 5 0 5
182 DILUEN MIS MINDRY galon 1 0 1
183 LYSE 500 ML M30 MINDRY botol 1 0 1
184 CLEANER M30 MINDRY botol 1 0 1
185 HCL botol 1 0 1
186 LARUTAN BENEDICT botol 23 0 23
187 GOLONGAN DARAH A SET 3 0 3
188 GOLONGAN DARAH B SET 4 0 4
JUMLAH

An. Ka. Dinas Kesehatan Kab. Ciamis Mengetahui:

Kepala UPTD Farmasi Kepala Puskesmas,

.......................................................... Mimin Sutisna D S.Kep., Ners.

NIP : 19700105 199103 1 007
PENERIMAAN DAN PEMAKAIAN OBAT
MINAN KESEHATAN NASIONAL
PUSKESMAS BAREGBEG

JUMLAH
HARGA
PEMAKAIAN STOK AKHIR HARGA Rp. KET.
KEMASAN
(8X9)
7
8 9 10 11
JELAT KARAMG AMPEL SUKAMULYA MEKARJAYA SUKAMAJU PUSAKANAGARA PETIRHILIR TOTAL

10 90 78.18 7,036.20
1,324 6,180 191.58 1,183,964.40
0 10,000 336.36 3,363,600.00
233 981 124.50 122,134.50
35 225 3,300.00 742,500.00
0 0 65.00 0.00
0 0 215.50 0.00
3 24 2,863.64 68,727.36
0 0 1,520.00 0.00
1,666 3,736 40.00 149,440.00
0 0 28.00 0.00
128 0 88.18 0.00
63 0 77.27 0.00
2 36 3,090.00 111,240.00
5 0 1,681.00 0.00
25 36 1,700.00 61,200.00
10 19 199.09 3,782.71
185 138 62.70 8,652.60
0 0 87.27 0.00
0 0 2,798.00 0.00
32 222 2,409.00 534,798.00
786 0 116.45 0.00
1,047 6,153 56.36 346,783.08
259 24 4,725.45 113,410.80
0 0 51.00 0.00
3,786 3,920 38.18 149,665.60
0 0 144.00 0.00
12 44 2,145.00 94,380.00
0 0 1,845.00 0.00
0 348 1,845.00 642,060.00
0 0 108.00 0.00
426 0 85.45 0.00
10 126 2,955.00 372,330.00
144 0 190.90 0.00
0 0 1,827.27 0.00
4 0 2,772.00 0.00
38 0 191.81 0.00
4 5 4,727.27 23,636.35
87 121 1,307.27 158,179.67
1,522 1,027 148.40 152,406.80
0 9,000 107.27 965,430.00
1 4 7,600.00 30,400.00
0 63 1,966.36 123,880.68
0 133 5,955.00 792,015.00
1 9 12,911.82 116,206.38
0 40 17,182.00 687,280.00
0 0 2,000.00 0.00
5 34 2,429.00 82,586.00
12 96 1,250.00 120,000.00
610 6,542 463.64 3,033,132.88
0 40 322.00 12,880.00
1,666 12,155 104.56 1,270,926.80
5 56 6,090.00 341,040.00
23 0 11,000.00 0.00
6 16 2,314.00 37,024.00
 19 470 229.10 107,677.00
28 0 68.80 0.00
96 0 265.45 0.00
197 1,311 107.27 140,630.97
4 293 196.97 57,712.21
45 1,705 94.55 161,207.75
7 70 3,454.00 241,780.00
8 21 5,718.00 120,078.00
7 20 253.54 5,070.80
0 416 406.36 169,045.76
652 668 536.36 358,288.48
45 0 3,333.33 0.00
598 720 195.00 140,400.00
50 1,079 170.00 183,430.00
1,610 110 643.33 70,766.30
508 980 130.00 127,400.00
4 40 5,800.00 232,000.00
24 150 1,176.00 176,400.00
400 540 566.00 305,640.00
69 24 1,636.00 39,264.00
24 5 2,864.00 14,320.00
448 250 60.00 15,000.00
785 1,153 140.00 161,420.00
0 300 915.33 274,599.00
0 40 3,318.00 132,720.00
0 297 2,909.00 863,973.00
0 60 4,077.27 244,636.20
0 0 99,900.00 0.00
0 280 674.35 188,818.00
0 500 262.72 131,360.00
1,800 600 290.00 174,000.00
0 10 2,345.00 23,450.00
700 18,600 95.46 1,775,556.00
 16 884 3984 3,521,856.00
2 898 1840.91 1,653,137.18
0 3,000 211 633,000.00
30 570 95.45 54,406.50
0 3,200 70.9 226,880.00
0 600 326.36 195,816.00
0 6,500 118.5 770,250.00
0 100 2690 269,000.00
0 200 6909 1,381,800.00
0 25 2500 62,500.00
1,500 33,500 56.36 1,888,060.00
0 2,400 631.81 1,516,344.00
0 700 317.27 222,089.00
0 100 3636.36 363,636.00
0 1,800 120.9 217,620.00
0 100 2572.73 257,273.00
0 250 1098 274,500.00
0 500 663.63 331,815.00
0 100 136.3 13,630.00
0 1,800 240 432,000.00
0 300 2,802.73 840,819.00
0 1,000 60.00 60,000.00
0 6,800 69.80 474,640.00
0 200 291.00 58,200.00
0 600 163.00 97,800.00
0 50 5,000.00 250,000.00
0 720 145.40 104,688.00
0 60 60.11 3,606.54
0 300 144.50 43,350.00
0 200 1,677.20 335,440.00
0 300 475.40 142,620.00
0 150 2,250.00 337,500.00
0 90 3,227.00 290,430.00
 0 1,000 1,074.00 1,074,000.00
0 600 3,955.00 2,373,000.00
0 280 475.00 133,000.00
0 250 3,446.00 861,500.00
0 100 1,933.00 193,300.00
0 1,500 98.18 147,270.00
0 90 55.60 5,004.00
0 330 1,650.00 544,500.00
0 4,300 188.70 811,410.00
0 736 11,050.00 8,132,800.00
0 500 141.21 70,605.00
0 6,200 300.00 1,860,000.00
0 60 5,827.00 349,620.00
0 1,000 500.00 500,000.00
0 150 9,750.00 1,462,500.00
0 100 194.04 19,404.00
0 5,000 839.16 4,195,800.00
0 120 5,500.00 660,000.00
0 50 0.00 0.00
63,377,792.50

661 0 608.64 0.00

550 806 702.27 566,029.62
25 49 1,641.93 80,454.57
3 40 110,000.00 4,400,000.00
1 7 8,000.00 56,000.00
0 8 8,000.00 64,000.00
0 0 2,500.00 0.00
7 96 21,500.00 2,064,000.00
0 0 21,500.00 0.00
0 0 3,800.00 0.00
0 4 165,000.00 660,000.00
6 4 35,000.00 140,000.00
9 430 10,978.18 4,720,617.40
5 23 4,587.87 105,521.01
1 7 479.00 3,353.00
0 325 1,200.00 390,000.00
10 63 3,000.00 189,000.00
0 12 22,000.00 264,000.00
1 1 25,000.00 25,000.00
0 2 22,000.00 44,000.00
0 1 55,000.00 55,000.00
0 4 143,788.00 575,152.00
0 33 60,000.00 1,980,000.00
2 7 18,000.00 126,000.00
2 95 31,250.00 2,968,750.00
0 1 3,800,000.00 3,800,000.00
0 1 3,100,000.00 3,100,000.00
4 2 7,700.00 15,400.00
28 16 5,500.00 88,000.00
1 1 10,000.00 10,000.00
0 8 320,000.00 2,560,000.00
0 0 570.00 0.00
15 35 2,996.00 104,860.00
48 420 412.00 173,040.00
0 8 80,000.00 640,000.00
0 0 0.00 0.00
0 0 0.00 0.00
18 57 2,636.36 150,272.52
0 150 4,770.00 715,500.00
0 150 4,770.00 715,500.00
31,549,450.12
2 3 28,000.00 84,000.00
0 1 1,150,000.00 1,150,000.00
0 1 1,350,000.00 1,350,000.00
0 1 600,909.00 600,909.00
0 1 56,000.00 56,000.00
0 23 28,000.00 644,000.00
0 3 80,000.00 240,000.00
0 4 80,000.00 320,000.00
4,444,909.00

Baregbeg, Januari 2016

Petugas Pengelola Obat :

Enoh
NIP : 19630105 198503 2 007