Apotik Format LPLPO 2012

JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Maret 2014
UMUM UMUM JAMS/ASKES/BPJS JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

ASKES JKM JKD JUMLAH
BAYAR T.BAYAR Lbr R/ Resep Lbr R/AB
Lbr R/Poli Lbr R/ Resep Lbr R/AB R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB R/Poli R/Umum R/Askes R/JKM R/JKD Jml
0 0 0 0 0 0
JUMLAH KUNJUNGAN PUSTU
UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

NAMA PUSTU ASKES JKM JKD JUMLAH
BAYAR T.BAYAR Lbr R/ Resep Lbr R/A Lbr R/PoLbr R/ Resep Lbr R/AB R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Pol Lbr R/ Resep Lbr R/AB R/Poli R/Umum R/Askes R/JKM R/JKD Jml
0 0 0 0 0 0 0 0 0 0
KASANG JAYA
0 0 0 0 0 0 0 0 0 0
SIJINJANG I
0 0 0 0 0 0 0 0 0 0
SIJINJANG II
Jambi, 3 April 2014

Mengetahui, Yang menyerahkan, Yang menerima/Melapor Yang Menerima,
Kepala Dinkes Kota Jambi Ka. IFK Ka. Puskesmas Petugas Puskesmas
(…………………………….) (…………………….) dr.EMILDAN PASAI Rozalt

NIP. 19731201 200604 1 013 NIP. 19721116 199402 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Maret
Puskesmas TANJUNG PINANG Tahun 2014
Kecamatan JAMBI TIMUR
Kota JAMBI TIMUR
Provinsi JAMBI TIMUR
PEMAKA PEMBERIAN
KELAS STOCK PENERIM PERSEDI PEMAKA SISA STOCK IAN RT 2 PERMINTAA
NO NAMA OBAT TERAPI SATUAN AWAL AAN AN IAN STOCK OPT N KET
( 3 BLN) PKD ASKES PROG JPS LAIN2 JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Air Raksa Dental Use 14.1 Btl 0 0 0
2 Alat Suntik 1 ml 32 Set 60 60 60
3 Alat Suntik 2.5 ml 32 Set 253 253 253
4 Albendazol 400 mg 32 Set 83 83 83 prog
5 Alupurinol 100 mg 1.2 Tab 2857 2857 2857 PKD&ASK
6 Aminophylin 200 mg 26.1 Tab 913 913 913
7 Aminophylin inj 24 mg/ml 10 ml 26.1 Amp 0 0 0
8 Amitriptilin HCl tablet 25 mg 23.2 Tab 720 720 720
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 498 498 498
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 2883 2883 2883
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 12395 12395 12395 PKD&ASK
12 Ampicillin kaplet 500 mg 1.2 Kap 1482 1482 1482 PKD&ASK
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 116 116 116
14 Antalgin tablet 500 mg 18.3 Tab 6675 6675 6675
15 Antalgin injeksi 18.3 Amp 30 30 30 Askes
16 Antasida DOEN tablet kombinasi 25.1 Tab 22934 22934 22934
17 Antibakteri DOEN salep kombinasi 18.2 Pot 108 108 108
18 Antihemoroid DOEN kombinasi 25.3 Pot 62 62 62
19 Antifungi DOEN kombinasi 18.3 Pot 50 50 50
20 Antimigrain DOEN kombinasi 7.2 Tab 0 0 0
21 Aqua proinjeksi bebas pirogen 20.3 Amp 2 2 2 Askes
22 Aquadest steril 30 Amp 0 0 0
23 Asam askorbat (vit C) 50 mg 29 Tab 8561 8561 8561
24 Asam askorbat (vit C)250 mg 29 Tab 0 0 0
25 Asetosal tablet 100 mg 1.2 Tab 460 460 460
27 Atropin sulfat injeksi 0,25 mg/ml - ml 25.4 Amp 0 0 0
28 Atropin sulfat tablet 0,5 mg 9 Tab 0 0 0
29 Atropin sulfat tetes mata 0 5 % 21.2.4 Btl 0 0 0
30 Benzatin benzil penicillin inj. 2,4 juta IU/vi 6.2.1 Amp 0 0 0
31 Besi sirup 10.1 Btl 0 0 0
32 Betametason krim 0,1 % 18.4 Tube 15 15 15
33 Catgut/benang bedah no. 2/0 - 3/0 32 Sak 0 0 0
PEMAKA PEMBERIAN
KELAS STOCK PENERIM PERSEDI PEMAKA SISA STOCK PERMINTAA
NO NAMA OBAT TERAPI SATUAN AWAL AAN AN IAN STOCK OPT IAN RT 2 N KET
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
34 Captopril 12.5 mg tablet Tab 1148 1148 1148
35 Captopril 25 mg tablet Tab 4229 4229 4229
36 Deksametason injeksi 5 mg/ml - 1 ml 3 Amp 71 71 71
37 Deksametason tablet 0,5 mg 3 Tab 12367 12367 12367 PKD&ASK
38 Dekstromethorpan HBr sirup 10 mg/5 ml 26.2 Btl 268 268 268
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 3135 3135 3135
40 Devitalisasi pasta 14.1 Btl 0 0 0
41 Diazepam injeksi 5 mg/ml - 2 ml 5 Amp 48 48 48
42 Diazepam 2 mg 5 Tab 900 900 900
43 Diazepam 5 mg 5 Tab 0 0 0
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 394 394 394
45 Digoksin tablet 0,25 mg 17.5 Tab 100 100 100
46 Efedrin HCl tablet 25 mg 26.1 Tab 831 831 831
47 Ekstrak belladon tablet 10 mg 26.1 Tab 495 495 495
48 Epinephrin HCl injeksi 3 Amp 47 47 47
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 11 11 11
50 Etambutol HCl 250 mg tablet 6.2.4 Tab 0 0 0
52 Etil klorida semprot 14.1 Btl 8 8 8
53 Eugenol cairan 14.1 Btl 3 3 3
54 Fenitoin natrium kapsul 100 mg 5 Kap 660 660 660
56 Fenobarbital injeksi 50 mg/ml - 2 ml 5 Amp 0 0 0
57 Fenobarbital tablet 100 mg 5 Tab 0 0 0
59 Fenoksi metil penisillin tablet 250 mg 6.2.1 Tab 0 0 0
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 70 70 70
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 36 36 36 prog
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 593 593 593
64 Furosemid tablet 40 mg 14 Tab 255 255 255 PKD&ASK
65 Gameksan emulsi 1 % 18.5 Btl 0 0 0
66 Garam oralit 200 ml air 20.1 Sak 982 982 982
67 Gentian violet larutan 1 % 14.2 Btl 73 73 73
68 Glass ionomer semen (gc ix) 14.1 Btl 0 0 0
69 Glibenklamid tablet 5 mg 16.11 Tab 1494 1494 1494 Askes
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 17979 17979 17979 PKD&ASK
71 Gliserin 26.6 Btl 0 0 0
72 Glukosa Larutan Infus 5 % Steril 20.2 Btl 0 0 0
73 Griseofulvin 125 mg micronized 6.3 Tab 1122 1122 1122
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
74 Halloperidol tablet 0,5 mg 23.4 Tab 0 0 0
76 Halloperidol tablet 5 mg 23.4 Tab 4 4 4
77 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab 1764 1764 1764
78 Hidrokortison krim 2,5 % 18.4 Pot 123 123 123
79 Ibuprofen tablet 200 mg 1.2 Tab 2265 2265 2265
81 Infusion set anak 32 Set 0 0 0
82 Infusion set dewasa 32 Set 0 0 0
83 I N H tablet 100 mg 6.2.4 Tab 995 995 995
84 I N H tablet 300 mg 6.2.4 Tab 383 383 383
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 1940 1940 1940 Askes
86 Kalium permanganat serbuk 13.1 Btl 0 0 0
87 Kalsium hidroksida pasta 14.1 Tab 0 0 0
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 4477 4477 4477
89 Kapas pembalut / Absorben 250 gram 32 Rol 12 12 12
90 Karbamazepin tablet 200 mg 5 Tab 240 240 240
91 Kasa kompres 40/40 steril 32 Rol 0 0 0
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 48 48 48
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 0 0 0
95 Kloramfenikol salep mata 1 % 21.21 Pot 0 0 0
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 21 21 21
97 Klorfeniramine maleat tablet 4 mg 3 Tab 29250 29250 29250
98 Kloroquin pospat tablet 250 mg 6.4.2.1 Tab 0 0 0
99 Klorpromazin hcl injeksi 25.4 Amp 0 0 0
100 Klorfenol kamfermenthol (CHKM) Btl 0 0 0
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml 23.4 Amp 0 0 0
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 158 158 158
104 Kodein hcl tablet 10 mg 26.2 Tab 146 146 146
105 Komb. primetamin 25 mg + suldok 500 mg 6.4.22 Tab 0 0 0
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 688 688 688
107 Kotrimoksazol suspensi 6.2.2 Btl 657 657 657
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 4924 4924 4924 PKD&ASK
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 0 0 0
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 0 0 0
111 Lidokain Kompositum injeksi 31 Amp 103 103 103
112 Magnesium sulfat inj. 20% - 25 ml 5 Btl 10 10 10 prog
113 Magnesium sulfat inj. 40% - 25 ml 5 Btl 10 10 10 prog
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
114 Mebendazol Syrup 6.1.1 Tab 0 0 0
115 Metilergometrin tablet salut 22.1 Tab 255 255 255
116 Metilergometrin Inj. 22.1 Amp 30 30 30 prog
117 Metronidazol tablet 250 mg 622 Tab 0 0 0
119 Mummifying pasta 14.1 Pot 0 0 0
120 Natrium bikarbonat tablet 500 mg 14.1 Tab 0 0 0
121 Natrium klorida larutan infus 0,9 % steril 20.2 Btl 0 0 0
122 Nistatin 100.000 iu/g tablet vaginal 6.3 Tab 71 71 71
123 Nistatin 500.000 iu/g tablet salut 6.3 Tab 0 0 0
124 Nifedipin tab Tab 94 94 94
125 Obat anti tuberkolusis katagori 1 62.4 Tab 0 3 3 3
126 Obat anti tuberkolusis katagori 2 62.4 Tab 0 0 0
128 Obat anti tuberkolusis sisipan 62.4 Tab 0 0 0
129 Obat anti tuberkolosis anak 62.4 Tab 0 0 0
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 18 18 18
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 1 1 1
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 429 429 429 PDK&ASK
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 46 46 46
134 Papaverin tablet 12.2 Tab 0 0 0
135 Paraformaldehid tablet 1 gram 13.2 Tab 0 0 0
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 218 218 218
137 Parasetamol tablet 100 mg 1.2 Tab 0 0 0
139 Perfenazin tablet 4 mg 23.4 Tab 0 0 0
140 Pirantel pamoat tablet 365 mg 23.4 Tab 183 183 183
141 Piridoxin hcl tablet 10 mg 29 Tab 10014 10014 10014
142 Pyrazinamid tablet Tab 813 813 813
143 Plester 5 yard x 2 inch 32 Rol 10 10 10
144 Polikresulen 14.2 Btl 10 10 10 PKD&ASK
145 Prazikuantel tablet 600 mg 6.1.1 Tab 0 0 0
146 Prednison tablet 5 mg 16.4 Tab 8767 8767 8767
147 Primaquin tablet 15 mg 6.4.2.2 Tab 0 0 0
148 Prokain benzyl penisillin 3 juta iu/vial inj. 6.2.1 Amp 30 30 30 prog
149 Propiltiourasil tablet 100 mg 16.3 Tab 822 822 822
150 Propanolol hcl tablet 40 mg 7.1 Tab 0 0 0
152 Reserpin tablet 0,10 mg 17.1 Tab 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
154 Retinol ( Vit A ) 200.000 iu 29 Kap 0 0 0
156 Rifampisin kapsul 600 mg 6.2.4 Kap 127 127 127
159 Ringer laktat infus steril 20.2 Btl 0 0 0
160 Salbutamol tablet 2 mg 26.1 Tab 905 905 905
161 Salep 2-4 18.1 Pot 42 42 42
162 Salisil bedak 2 % 18.4 Sak 165 165 165
163 Salisil spritus 10 % 18.3 Btl 0 0 0
164 Semen seng fosfat serbuk dan cairan 14.2 Btl 0 0 0
165 Serum ABU polivalen inj. 27.1 Amp 0 0 0
166 Serum ATS 1500 IU 27.1 Amp 5 5 5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
168 Simvastatin Tab 529 529 529
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 662 662 662
170 Silk (benang bedah sutera) no. 3/0 32 Rol 5 5 5
171 Silver amalgam serbuk 65 - 75 % 14.1 Pot 0 0 0
172 Spons gelatin cublices 1x1x1 cm 14.1 Sak 0 0 0
173 Streptomycin serbuk inj. 1000 mg/vial 6.2.4 Amp 0 0 0
174 Sulfadimidin tablet 500 mg 6.2.2 Tab 0 0 0
175 Sulfasetamid natrium tetes mata 15 % 21.2.2 Btl 0 0 0
176 Tablet tambah darah kombinasi 10.1 Tab 7329 7329 7329
177 Temporary stoping fletcher dan cairan 11.1 Btl 0 0 0
178 Tetrasiklin HCl kapsul 250 mg 6.2.2 Kap 1887 1887 1887
179 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap 4090 4090 4090 PKD&ASK
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml 29 Amp 60 60 60
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 6715 6715 6715
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 680 680 680
183 Trikresol formalin cairan 14.2 Btl 0 0 0
184 Vaksin Rabies Vero 27.2 Amp 0 0 0
185 Vitamin B komplek tablet 29 Tab 11047 11047 11047
186 Yodium povidon larutan 10 % - 30 ml 13.1 Btl 15 15 15 PKD&ASK
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 16 16 16
0
1 Acyclovir tablet 200 mg Tab 1542 1542 1542 PKD&ASK
2 Acyclovir cream Tube 335 335 335 PKD&ASK
3 Acyclovir tablet 400 mg Tab 860 860 860
4 Andalan Injeksi Amp 0 0 0
5 Asam mefenamat kapsul 250 mg Tab 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
6 Asam mefenamat tablet 500 mg Tab 6481 6481 6481 PKD&ASK
7 Ampicilin injeksi 1 g Amp 20 20 20 prog
8 Ambroxol Sirup Amp 216 216 216
9 Cefotaxime inj 1 gr Amp 0 0 0
10 Cimetidin tablet 200 mg Tab 0 0 0
11 Ciprofloxacin kaplet 500 mg Kap 5154 5154 5154 Askes
12 Dasabion tab Tab 0 0 0
13 Domperidon tab Tab 1248 1248 1248 PKD&ASK
14 Erytromycin caps 250 mg Kap 980 980 980 Askes
15 Erytromycin capt 500 mg Kap 0 0 0
16 Erytromycin Syr Btl 0 0 0
17 Etabion Cap Cap 0 0 0
18 Gentamycin injeksi Amp 20 20 20 prog
19 Gentamycin salep kulit Pot 124 124 124 PKD&ASK
20 Gentamycin tetes mata Btl 104 104 104
21 H2O2 Btl 3 3 3
22 Ichtyol salap Pot 0 0 0
23 Levertran salep Pot 0 0 0
24 Kloramphenicol tetes mata Btl 24 24 24
25 Metoklorpropamide Hcl 10 mg/Metolon Tab 1400 1400 1400 Askes
26 Mikonazole cream Pot 156 156 156 PKD&ASK
27 Methyl Prednisolon tab 4 mg Tab 1665 1665 1665 Askes
28 Nipedipin tablet Tab 0 0 0
29 Natrium Diklofenak 50 mg Tab 1460 1460 1460 Askes
30 Obat Tambah Darah Indo tab 0 0 0
31 Obat Flu Indo Tab 0 0 0
32 Obat Maag indo Tab 0 0 0
33 Papaverin injeksi Amp 0 0 0
34 Papaverin tablet 40 mg Tab 1751 1751 1751
35 Piperazin 500 mg Tab 0 0 0
36 Piperazin sirup Btl 0 0 0
37 Piroksikam tablet 10 mg Tab 1296 1296 1296
39 Ranitidine 150 mg Tab 1628 1628 1628 PKD&ASK
40 Stesolit Rectal supp Tube 3 3 3
ALKES 0
1 Alkohol 70 % Btl 6 6 6
2 Anisol solution Btl 0 0 0
3 Asam Asetat Glasial Btl 0 0 0
4 Aqua destilata Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
5 Asam Klorida 0.1 N Btl 0 0 0
6 Asam klorida 0,1 N Btl 0 0 0
7 Asam sulfosalisilat 20 % Btl 0 0 0
8 Barium Klorida Btl 0 0 0
9 Beker Glass Btl 0 0 0
10 Blood Lancet Ktk 0 0 0
11 Erlemeyer Btl 0 0 0
12 Etanol asam 3 % Btl 0 0 0
13 Etanol 70 % 13.2 Btl 0 0 0
14 Fauchet Btl 0 0 0
15 Imersen Oil HB Btl 0 0 0
16 Kapas 1 KG Rol 0 0 0
17 Kertas Saring Whatman Rol 0 0 0
18 Kertas Perkamen lbr 249 249 249
19 Larutan Bupper PH 7.2 31 Btl 0 0 0
20 Label Etiket 31 Set 0 0 0
21 Larutan Metanol 31 Btl 0 0 0
22 Larutan Sulposalisilat 31 Btl 0 0 0
23 Larutan Benedict 31 Btl 0 0 0
24 Larutan Eosin 2 % 31 Btl 0 0 0
25 Larutan Etanol Asam 31 Btl 0 0 0
26 Larutan Giemsa Stalin 31 Btl 0 0 0
27 Larutan Karbol Fuksin 31 Btl 0 0 0
28 Larutan Metilen Biru 31 Btl 0 0 0
29 Larutan Turk 31 Btl 0 0 0
30 Lisol 31 Btl 2 2 2
31 Metanol 31 Btl 0 0 0
32 Natrium Sitrat 38 % Btl 0 0 0
33 Objek Glass Ktk 0 0 0
34 Plastik Obat Set 18650 18650 18650
35 Pipet Tetes Biasa Ktk 0 0 0
36 Rees echer Btl 0 0 0
37 Rak Pewarna kaca pipet Ktk 0 0 0
38 Schlesinger Btl 0 0 0
39 Spiritus 100 ml Btl 0 0 0
40 Tes Gol. Darah( A,B,AB) Ktk 0 0 0
41 Tes Kehamilan HCG Ktk 0 0 0
42 Tabung Reaksi Set 0 0 0
43 Tissue lensa Set 0 0 0
44 Alat suntik 3 cc pcs 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 ACT ktk 0 0 0
46 Artesunate amp 0 0 0
47 Ambroxol tab tab 1873 1873 1873
48 Clindamicin caps 0 0 0
49 Cetrizin tab 251 251 251 PKD&ASK
50 Hemafort tab 0 0 0
51 Oxytocin inj amp 0 0 0
52 Pembalut gip bks 0 0 0
53 Salbutamol 4 mg tab 0 0 0
54 Antasida Syrup btl 0 0 0
55 Lysmin sirup btl 0 0 0
56 Lytamin syrup Btl 31 31 31 Askes
57 Mecobion tab/Grahabion Tab Tab 1181 1181 1181 Askes
58 Bioplasenton gel Tube 0 0 0
59 Dolodon 500 mg Tab 0 0 0
60 Metformin Tab 1971 1971 1971 PKD&ASK
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 2641 2641 2641
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
64 Duo care Gluko le st Ktk 0 0 0
65 Stick gula darah Pcs 50 50 50 Askes
66 Hand scun set 100 100 100
67 Omeperazole Tab 0 0 0
68 Asam Folat Tab 632 632 632
69 Alat suntik 5 cc Pcs 0 0 0
70 Zink Tablet Tablet 3421 3421 3421
71 Doxycicklin 100 mg Caps 48 48 48
72 Amlodipin 5 mg Tab 1755 1755 1755
73 Dexanta tab Tab 960 960 960 Askes
74 Viliron Tab Tab 0 0 0
75 masker ktk 1 1 1
76 Camicetin syr Btl 48 48 48
77 Scabisid Tube 3 3 3 Askes
78 Glimepiride Tab 70 70 70 Askes
79 Interhistin Tab Tab 1990 1990 1990 Askes
80 Neo Diaform Tab 1000 1000 1000 Askes
81 Scanderma cream Tube 2 2 2 Askes
82 Fluconazol Tab 70 70 70
83 Azhromycin sifiksim Tab 70 70 70
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Mengetahui, Jambi, 3 April 2014
Kepala Dinkes Kota Jambi Yang menyerahkan, Yang menerima/Melapor Yang Menerima,
Ka. IFK Ka. Puskesmas Petugas Puskesmas
dr.EMILDAN PASAI Rozalt

(…………………………….) (…………………….) NIP. 19731201 200604 1 013 NIP. 19721116 199402 2 001
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Februari 2014
UMUM UMUM JAMS/ASKES/BPJS JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

2161 18 647 760 21 3607 2179 6649 760 184 647 1875 194 23 760 2151 93 35 21 57 0 0 6632 1872 2150 57 10711

275 4 28 30 2 339 279 1412 82 87 28 86 2 2 30 93 3 4 2 6 0 0 1412 86 93 6 1597

KASANG JAYA
173 0 9 29 0 211 173 514 39 0 9 20 1 0 29 57 3 0 0 0 0 0 514 20 57 0 591

SIJINJANG I
150 4 25 28 0 207 154 607 47 33 25 91 7 0 28 105 9 3 0 0 0 0 607 91 105 0 803

SIJINJANG II
Jambi, 3 Maret 2014

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Februari
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Air Raksa Dental Use 14.1 Btl 0 0 0 0
2 Alat Suntik 1 ml 32 Set 60 60 60 5 100
3 Alat Suntik 2.5 ml 32 Set 433 433 180 253 281 800
4 Albendazol 400 mg 32 Set 83 83 83 0 prog
5 Alupurinol 100 mg 1.2 Tab 3020 3020 163 2857 177 PKD&ASK
6 Aminophylin 200 mg 26.1 Tab 1369 1369 456 913 423.5 1000
7 Aminophylin inj 24 mg/ml 10 ml 26.1 Amp 0 0 0 0
8 Amitriptilin HCl tablet 25 mg 23.2 Tab 820 820 100 720 85
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 641 641 143 498 131.5 1200
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 4958 4958 2075 2883 1987 4800
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 18213 18213 5818 12395 5465 20000 PKD&ASK
12 Ampicillin kaplet 500 mg 1.2 Kap 1802 1802 320 1482 280 500 PKD&ASK
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 138 138 22 116 26.5 72
14 Antalgin tablet 500 mg 18.3 Tab 8651 8651 1976 6675 1517 5000
15 Antalgin injeksi 18.3 Amp 30 30 30 0 Askes
16 Antasida DOEN tablet kombinasi 25.1 Tab 26588 26588 3654 22934 3533 10000
17 Antibakteri DOEN salep kombinasi 18.2 Pot 111 111 3 108 4.5
18 Antihemoroid DOEN kombinasi 25.3 Pot 88 88 26 62 24 100
19 Antifungi DOEN kombinasi 18.3 Pot 58 58 8 50 8.5 24
20 Antimigrain DOEN kombinasi 7.2 Tab 0 0 0 0 300
21 Aqua proinjeksi bebas pirogen 20.3 Amp 5 5 3 2 4 10 Askes
22 Aquadest steril 30 Amp 0 0 0 0
23 Asam askorbat (vit C) 50 mg 29 Tab 14990 14990 6429 8561 5719.5 25000
24 Asam askorbat (vit C)250 mg 29 Tab 0 0 0 0
25 Asetosal tablet 100 mg 1.2 Tab 460 460 460 0
27 Atropin sulfat injeksi 0,25 mg/ml - ml 25.4 Amp 0 0 0 0
28 Atropin sulfat tablet 0,5 mg 9 Tab 0 0 0 0
29 Atropin sulfat tetes mata 0 5 % 21.2.4 Btl 0 0 0 0
30 Benzatin benzil penicillin inj. 2,4 juta IU/vi 6.2.1 Amp 0 0 0 0
31 Besi sirup 10.1 Btl 0 0 0 0
32 Betametason krim 0,1 % 18.4 Tube 61 61 46 15 51 200
33 Catgut/benang bedah no. 2/0 - 3/0 32 Sak 0 0 0 0 10
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
34 Captopril 12.5 mg tablet Tab 1778 1778 630 1148 588.5 2000
35 Captopril 25 mg tablet Tab 4645 4645 416 4229 661.5 2000
36 Deksametason injeksi 5 mg/ml - 1 ml 3 Amp 73 73 2 71 1
37 Deksametason tablet 0,5 mg 3 Tab 15081 15081 2714 12367 2550.5 10000 PKD&ASK
38 Dekstromethorpan HBr sirup 10 mg/5 ml 26.2 Btl 308 308 40 268 38 100
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 3824 3824 689 3135 579 1000
40 Devitalisasi pasta 14.1 Btl 0 0 0 0
41 Diazepam injeksi 5 mg/ml - 2 ml 5 Amp 48 48 48 0
42 Diazepam 2 mg 5 Tab 1104 1104 204 900 184.5 1000
43 Diazepam 5 mg 5 Tab 0 0 0 0
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 426 426 32 394 32.5 120
45 Digoksin tablet 0,25 mg 17.5 Tab 100 100 100 0
46 Efedrin HCl tablet 25 mg 26.1 Tab 952 952 121 831 73.5
47 Ekstrak belladon tablet 10 mg 26.1 Tab 794 794 299 495 213 1000
48 Epinephrin HCl injeksi 3 Amp 47 47 47 0
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 12 12 1 11 2 6
50 Etambutol HCl 250 mg tablet 6.2.4 Tab 0 0 0 0
52 Etil klorida semprot 14.1 Btl 8 8 8 1
53 Eugenol cairan 14.1 Btl 3 3 3 0
54 Fenitoin natrium kapsul 100 mg 5 Kap 660 660 660 0
56 Fenobarbital injeksi 50 mg/ml - 2 ml 5 Amp 0 0 0 0
57 Fenobarbital tablet 100 mg 5 Tab 0 0 0 0
58 Fenobarbital tablet 30 mg 5 Tab 934 934 20 914 107
59 Fenoksi metil penisillin tablet 250 mg 6.2.1 Tab 0 0 0 0
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 70 70 70 13 48
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 44 44 8 36 6.5 prog
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 790 790 197 593 239.5 1000
64 Furosemid tablet 40 mg 14 Tab 285 285 30 255 22.5 PKD&ASK
65 Gameksan emulsi 1 % 18.5 Btl 0 0 0 0
66 Garam oralit 200 ml air 20.1 Sak 1510 1510 528 982 513.5 2000
67 Gentian violet larutan 1 % 14.2 Btl 76 76 3 73 15 100
68 Glass ionomer semen (gc ix) 14.1 Btl 0 0 0 0
69 Glibenklamid tablet 5 mg 16.11 Tab 1674 1674 180 1494 218 1000 Askes
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 25307 25307 7328 17979 7250.5 30000 PKD&ASK
71 Gliserin 26.6 Btl 0 0 0 0
72 Glukosa Larutan Infus 5 % Steril 20.2 Btl 0 0 0 0
73 Griseofulvin 125 mg micronized 6.3 Tab 1387 1387 265 1122 170 1000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
74 Halloperidol tablet 0,5 mg 23.4 Tab 0 0 0 0
75 Halloperidol tablet 1,5 mg 23.4 Tab 985 985 235 750 212.5 500
76 Halloperidol tablet 5 mg 23.4 Tab 4 4 4 30 500
77 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab 1960 1960 196 1764 151.5
78 Hidrokortison krim 2,5 % 18.4 Pot 138 138 15 123 38 120
79 Ibuprofen tablet 200 mg 1.2 Tab 3383 3383 1118 2265 1355 3000
80 Ibuprofen tablet 400 mg 1.2 Tab 950 950 950 0
81 Infusion set anak 32 Set 0 0 0 0
82 Infusion set dewasa 32 Set 0 0 0 0
83 I N H tablet 100 mg 6.2.4 Tab 1000 1000 5 995 2.5
84 I N H tablet 300 mg 6.2.4 Tab 442 442 59 383 47.5
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 1940 1940 1940 30 Askes
86 Kalium permanganat serbuk 13.1 Btl 0 0 0 0
87 Kalsium hidroksida pasta 14.1 Tab 0 0 0 0
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 6134 6134 1657 4477 1721.5 6000
89 Kapas pembalut / Absorben 250 gram 32 Rol 14 14 2 12 3 10
90 Karbamazepin tablet 200 mg 5 Tab 298 298 58 240 51.5 300
91 Kasa kompres 40/40 steril 32 Rol 0 0 0 12 50
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 63 63 15 48 9.5 50
93 Kasa pembalut hidrofil 4 m x 3 cm 32 Rol 0 0 0 0
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 0 0 0 336.5
95 Kloramfenikol salep mata 1 % 21.21 Pot 28 28 28 0 29.5 120
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 43 43 22 21 24 120
97 Klorfeniramine maleat tablet 4 mg 3 Tab 37807 37807 8557 29250 9022.5 30000
98 Kloroquin pospat tablet 250 mg 6.4.2.1 Tab 0 0 0 0
99 Klorpromazin hcl injeksi 25.4 Amp 0 0 0 0
100 Klorfenol kamfermenthol (CHKM) Btl 0 0 0 0
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml 23.4 Amp 0 0 0 0
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 406 406 248 158 246.5 2000
103 Klorpromazin hcl tablet salut 25 mg 23.4 Tab 0 0 0 0
104 Kodein hcl tablet 10 mg 26.2 Tab 147 147 1 146 0.5
105 Komb. primetamin 25 mg + suldok 500 mg 6.4.22 Tab 0 0 0 0
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 1100 1100 412 688 206 1500
107 Kotrimoksazol suspensi 6.2.2 Btl 753 753 96 657 79.5
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 6109 6109 1185 4924 1103 2000 PKD&ASK
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 0 0 0 0
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 0 0 0 0
111 Lidokain Kompositum injeksi 31 Amp 106 106 3 103 16.5 90
112 Magnesium sulfat inj. 20% - 25 ml 5 Btl 10 10 10 0 prog
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
114 Mebendazol Syrup 6.1.1 Tab 0 0 0 0
115 Metilergometrin tablet salut 22.1 Tab 295 295 40 255 25 200
116 Metilergometrin Inj. 22.1 Amp 30 30 30 0 prog
117 Metronidazol tablet 250 mg 622 Tab 0 0 0 0
118 Metronidazol tablet 500 mg 623 Tab 1113 1113 286 827 238 1000
119 Mummifying pasta 14.1 Pot 0 0 0 0
120 Natrium bikarbonat tablet 500 mg 14.1 Tab 0 0 0 0
121 Natrium klorida larutan infus 0,9 % steril 20.2 Btl 0 0 0 0
122 Nistatin 100.000 iu/g tablet vaginal 6.3 Tab 74 74 3 71 3
123 Nistatin 500.000 iu/g tablet salut 6.3 Tab 0 0 0 0
124 Nifedipin tab Tab 94 94 94 98
125 Obat anti tuberkolusis katagori 1 62.4 Tab 0 3 3 3 0 3
128 Obat anti tuberkolusis sisipan 62.4 Tab 0 0 0 0
129 Obat anti tuberkolosis anak 62.4 Tab 0 0 0 0
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 58 58 40 18 48.5 250
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 2 2 1 1 1 10
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 473 473 44 429 48.5 PDK&ASK
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 50 50 4 46 9 100
134 Papaverin tablet 12.2 Tab 0 0 0 0
135 Paraformaldehid tablet 1 gram 13.2 Tab 0 0 0 0
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 301 301 83 218 82.5 300
137 Parasetamol tablet 100 mg 1.2 Tab 0 0 0 0 5000
138 Parasetamol tablet 500 mg 1.2 Tab 50000 50000 14598 35402 7299 50000
139 Perfenazin tablet 4 mg 23.4 Tab 0 0 0 0
140 Pirantel pamoat tablet 365 mg 23.4 Tab 205 205 22 183 11 100
141 Piridoxin hcl tablet 10 mg 29 Tab 12091 12091 2077 10014 1955 10000
142 Pyrazinamid tablet Tab 846 846 33 813 19
143 Plester 5 yard x 2 inch 32 Rol 10 10 10 0
144 Polikresulen 14.2 Btl 10 10 10 0 PKD&ASK
145 Prazikuantel tablet 600 mg 6.1.1 Tab 0 0 0 0
146 Prednison tablet 5 mg 16.4 Tab 11089 11089 2322 8767 2081.5 10000
147 Primaquin tablet 15 mg 6.4.2.2 Tab 0 0 0 0
148 Prokain benzyl penisillin 3 juta iu/vial inj. 6.2.1 Amp 30 30 30 0 prog
149 Propiltiourasil tablet 100 mg 16.3 Tab 972 972 150 822 210 1000
150 Propanolol hcl tablet 40 mg 7.1 Tab 0 0 0 0
151 Propanolol hcl tablet 10 mg 7.1 Tab 960 960 110 850 175 1000
152 Reserpin tablet 0,10 mg 17.1 Tab 0 0 0 0
153 Reserpin tablet 0,25 mg 17.1 Tab 1571 1571 448 1123 324.5 1000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
154 Retinol ( Vit A ) 200.000 iu 29 Kap 0 0 0 0
156 Rifampisin kapsul 600 mg 6.2.4 Kap 127 127 127 0
157 Rifampisin kapsul 450 mg 6.2.4 Kap 514 514 44 470 36
159 Ringer laktat infus steril 20.2 Btl 0 0 0 0
160 Salbutamol tablet 2 mg 26.1 Tab 960 960 55 905 47.5 500
161 Salep 2-4 18.1 Pot 50 50 8 42 10.5 24
162 Salisil bedak 2 % 18.4 Sak 199 199 34 165 49.5 100
163 Salisil spritus 10 % 18.3 Btl 0 0 0 0
164 Semen seng fosfat serbuk dan cairan 14.2 Btl 0 0 0 0
165 Serum ABU polivalen inj. 27.1 Amp 0 0 0 0
166 Serum ATS 1500 IU 27.1 Amp 6 6 1 5 0.5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0 0
168 Simvastatin Tab 599 599 70 529 102.5 500
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 708 708 46 662 40 300
170 Silk (benang bedah sutera) no. 3/0 32 Rol 5 5 5 2.5 10
171 Silver amalgam serbuk 65 - 75 % 14.1 Pot 0 0 0 0
172 Spons gelatin cublices 1x1x1 cm 14.1 Sak 0 0 0 0 10
173 Streptomycin serbuk inj. 1000 mg/vial 6.2.4 Amp 0 0 0 0
174 Sulfadimidin tablet 500 mg 6.2.2 Tab 0 0 0 0
175 Sulfasetamid natrium tetes mata 15 % 21.2.2 Btl 0 0 0 0
176 Tablet tambah darah kombinasi 10.1 Tab 10078 10078 2749 7329 2520.5 12000
177 Temporary stoping fletcher dan cairan 11.1 Btl 0 0 0 0
178 Tetrasiklin HCl kapsul 250 mg 6.2.2 Kap 1887 1887 1887 92
179 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap 4190 4190 100 4090 85 PKD&ASK
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml 29 Amp 60 60 60 0
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 9996 9996 3281 6715 3630 15000
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 1020 1020 340 680 357.5 1000
183 Trikresol formalin cairan 14.2 Btl 0 0 0 0
184 Vaksin Rabies Vero 27.2 Amp 0 0 0 0
185 Vitamin B komplek tablet 29 Tab 15957 15957 4910 11047 4476.5 15000
186 Yodium povidon larutan 10 % - 30 ml 13.1 Btl 15 15 15 0.5 PKD&ASK
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 17 17 1 16 2
1 Acyclovir tablet 200 mg Tab 1578 1578 36 1542 81.5 PKD&ASK

2 Acyclovir cream Tube 352 352 17 335 18 PKD&ASK
3 Acyclovir tablet 400 mg Tab 900 900 40 860 44
4 Andalan Injeksi Amp 0 0 0 0 100
5 Asam mefenamat kapsul 250 mg Tab 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
6 Asam mefenamat tablet 500 mg Tab 7244 7244 763 6481 672 PKD&ASK
7 Ampicilin injeksi 1 g Amp 20 20 20 0 prog
8 Ambroxol Sirup Amp 248 248 32 216 34 150
9 Cefotaxime inj 1 gr Amp 0 0 0 0
10 Cimetidin tablet 200 mg Tab 0 0 0 0 1000
11 Ciprofloxacin kaplet 500 mg Kap 5324 5324 170 5154 205 Askes
12 Dasabion tab Tab 0 0 0 0
13 Domperidon tab Tab 1290 1290 42 1248 57.5 PKD&ASK
14 Erytromycin caps 250 mg Kap 1000 1000 20 980 10 Askes
15 Erytromycin capt 500 mg Kap 14 14 14 0 11.5 1000
16 Erytromycin Syr Btl 0 0 0 0
17 Etabion Cap Cap 0 0 0 0 1000
18 Gentamycin injeksi Amp 20 20 20 0 prog
19 Gentamycin salep kulit Pot 156 156 32 124 39.5 100 PKD&ASK
20 Gentamycin tetes mata Btl 104 104 104 2.5
21 H2O2 Btl 3 3 3 1.5 3
22 Ichtyol salap Pot 0 0 0 0 12
23 Levertran salep Pot 0 0 0 0 12
24 Kloramphenicol tetes mata Btl 47 47 23 24 15.5 72
25 Metoklorpropamide Hcl 10 mg/Metolon Tab 1400 1400 1400 0 Askes
26 Mikonazole cream Pot 172 172 16 156 14 PKD&ASK
27 Methyl Prednisolon tab 4 mg Tab 1870 1870 205 1665 117.5 1000 Askes
28 Nipedipin tablet Tab 0 0 0 0
29 Natrium Diklofenak 50 mg Tab 1500 1500 40 1460 20 Askes
30 Obat Tambah Darah Indo tab 0 0 0 0
31 Obat Flu Indo Tab 0 0 0 0
32 Obat Maag indo Tab 0 0 0 0
33 Papaverin injeksi Amp 0 0 0 0
34 Papaverin tablet 40 mg Tab 2001 2001 250 1751 168.5 1000
35 Piperazin 500 mg Tab 0 0 0 0
36 Piperazin sirup Btl 0 0 0 0
37 Piroksikam tablet 10 mg Tab 1598 1598 302 1296 352 1200
38 Piroksikam tablet 20 mg Tab 66 66 16 50 13
39 Ranitidine 150 mg Tab 2090 2090 462 1628 486 2000 PKD&ASK
40 Stesolit Rectal supp Tube 3 3 3 0
ALKES
1 Alkohol 70 % Btl 7 7 1 6 2 10
2 Anisol solution Btl 0 0 0 0
3 Asam Asetat Glasial Btl 0 0 0 0
4 Aqua destilata Btl 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
5 Asam Klorida 0.1 N Btl 0 0 0 0
6 Asam klorida 0,1 N Btl 0 0 0 0
7 Asam sulfosalisilat 20 % Btl 0 0 0 0
8 Barium Klorida Btl 0 0 0 0
9 Beker Glass Btl 0 0 0 0
10 Blood Lancet Ktk 0 0 0 0
11 Erlemeyer Btl 0 0 0 0
12 Etanol asam 3 % Btl 0 0 0 0
13 Etanol 70 % 13.2 Btl 0 0 0 0
14 Fauchet Btl 2 2 2 0 1.5
15 Imersen Oil HB Btl 0 0 0 0
16 Kapas 1 KG Rol 0 0 0 0
17 Kertas Saring Whatman Rol 0 0 0 0
18 Kertas Perkamen lbr 273 273 24 249 77
19 Larutan Bupper PH 7.2 31 Btl 0 0 0 0
20 Label Etiket 31 Set 0 0 0 0
21 Larutan Metanol 31 Btl 0 0 0 0
22 Larutan Sulposalisilat 31 Btl 0 0 0 0
23 Larutan Benedict 31 Btl 0 0 0 0
24 Larutan Eosin 2 % 31 Btl 0 0 0 0
25 Larutan Etanol Asam 31 Btl 0 0 0 0
26 Larutan Giemsa Stalin 31 Btl 0 0 0 0
27 Larutan Karbol Fuksin 31 Btl 0 0 0 0
28 Larutan Metilen Biru 31 Btl 0 0 0 0
29 Larutan Turk 31 Btl 0 0 0 0
30 Lisol 31 Btl 2 2 2 0
31 Metanol 31 Btl 0 0 0 0
32 Natrium Sitrat 38 % Btl 0 0 0 0
33 Objek Glass Ktk 0 0 0 0
34 Plastik Obat Set 23850 23850 5200 18650 5175
35 Pipet Tetes Biasa Ktk 0 0 0 0
36 Rees echer Btl 0 0 0 0
37 Rak Pewarna kaca pipet Ktk 0 0 0 0
38 Schlesinger Btl 0 0 0 0
39 Spiritus 100 ml Btl 0 0 0 0
40 Tes Gol. Darah( A,B,AB) Ktk 0 0 0 0.5
41 Tes Kehamilan HCG Ktk 30 30 30 0 25
42 Tabung Reaksi Set 0 0 0 0
43 Tissue lensa Set 0 0 0 0
44 Alat suntik 3 cc pcs 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 ACT ktk 0 0 0 0
46 Artesunate amp 0 0 0 0
47 Ambroxol tab tab 2557 2557 684 1873 563.5 3000
48 Clindamicin caps 0 0 0 0 300
49 Cetrizin tab 572 572 321 251 284.5 1500 PKD&ASK
50 Hemafort tab 0 0 0 0
51 Oxytocin inj amp 0 0 0 0
52 Pembalut gip bks 0 0 0 0
53 Salbutamol 4 mg tab 0 0 0 0
54 Antasida Syrup btl 0 0 0 0 50
55 Lysmin sirup btl 0 0 0 0
56 Lytamin syrup Btl 42 42 11 31 9.5 50 Askes
57 Mecobion tab/Grahabion Tab Tab 1224 1224 43 1181 89 Askes
58 Bioplasenton gel Tube 0 0 0 0 24
59 Dolodon 500 mg Tab 0 0 0 0
60 Metformin Tab 2366 2366 395 1971 614.5 3000 PKD&ASK
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 2965 2965 324 2641 179.5 2000
62 Bisturi 10,11,20,22 pcs 0 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9 0
64 Duo care Gluko le st Ktk 0 0 0 0
65 Stick gula darah Pcs 100 100 50 50 50 200 Askes
66 Hand scun set 200 200 100 100 100 600
67 Omeperazole Tab 0 0 0 0 3000
68 Asam Folat Tab 1142 1142 510 632 426 1000
69 Alat suntik 5 cc Pcs 0 0 0 0
70 Zink Tablet Tablet 4049 4049 628 3421 557 2000
71 Doxycicklin 100 mg Caps 104 104 56 48 47 300
72 Amlodipin 5 mg Tab 1819 1819 64 1755 112.5
73 Dexanta tab Tab 970 970 10 960 20 Askes
74 Viliron Tab Tab 0 0 0 0
75 masker ktk 3 3 2 1 1 6
76 Camicetin syr Btl 49 49 1 48 1
77 Scabisid Tube 4 4 1 3 1 Askes
78 Glimepiride Tab 70 70 70 90 2000 Askes
79 Interhistin Tab Tab 2000 2000 10 1990 5 Askes
80 Neo Diaform Tab 1000 1000 1000 0 Askes
81 Scanderma cream Tube 5 5 3 2 1.5 Askes
82 Fluconazol Tab 70 70 70 0
83 Azhromycin sifiksim Tab 70 70 70 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Mengetahui, Jambi, 3 Maret 2014
dr.EMILDAN PASAI SUSANTI

(…………………………….) (…………………….) NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Januari 2014

2088 8 346 828 11 3281 2096 6570 711 163 346 1030 106 18 828 2339 250 34 11 35 2 0 6554 1030 2331 35 9950

325 0 30 54 3 412 325 1693 85 92 30 96 3 2 54 127 4 3 3 9 0 0 1693 96 127 9 1925

KASANG JAYA
189 1 6 37 2 235 190 574 36 1 6 18 0 0 37 110 7 0 2 6 0 0 574 18 110 6 708

SIJINJANG I
145 5 24 29 0 203 150 578 55 22 24 93 8 2 29 91 6 3 0 0 0 0 578 93 91 0 762

SIJINJANG II
Jambi, 3 Februari 2014


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Januari
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 Alat Suntik 1 ml 32 Set 70 70 10 60
3 Alat Suntik 2.5 ml 32 Set 115 700 815 382 433
5 Alupurinol 100 mg 1.2 Tab 711 2500 3211 191 3020 PKD&ASK
6 Aminophylin 200 mg 26.1 Tab 760 1000 1760 391 1369
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 11 750 761 120 641
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 2057 4800 6857 1899 4958
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 8325 15000 23325 5112 18213 PKD&ASK
12 Ampicillin kaplet 500 mg 1.2 Kap 42 2000 2042 240 1802 PKD&ASK
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 69 100 169 31 138
14 Antalgin tablet 500 mg 18.3 Tab 3709 6000 9709 1058 8651
15 Antalgin injeksi 18.3 Amp 0 30 30 30 Askes
16 Antasida DOEN tablet kombinasi 25.1 Tab 0 30000 30000 3412 26588
17 Antibakteri DOEN salep kombinasi 18.2 Pot 67 50 117 6 111
18 Antihemoroid DOEN kombinasi 25.3 Pot 10 100 110 22 88
19 Antifungi DOEN kombinasi 18.3 Pot 43 24 67 9 58
21 Aqua proinjeksi bebas pirogen 20.3 Amp 0 10 10 5 5 Askes
23 Asam askorbat (vit C) 50 mg 29 Tab 0 20000 20000 5010 14990
32 Betametason krim 0,1 % 18.4 Tube 17 100 117 56 61
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
34 Captopril 12.5 mg tablet Tab 2325 2325 547 1778
35 Captopril 25 mg tablet Tab 2552 3000 5552 907 4645
37 Deksametason tablet 0,5 mg 3 Tab 11468 6000 17468 2387 15081 PKD&ASK
38 Dekstromethorpan HBr sirup 10 mg/5 ml 26.2 Btl 244 100 344 36 308
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 4293 4293 469 3824
42 Diazepam 2 mg 5 Tab 1269 1269 165 1104
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 159 300 459 33 426
46 Efedrin HCl tablet 25 mg 26.1 Tab 978 978 26 952
47 Ekstrak belladon tablet 10 mg 26.1 Tab 921 921 127 794
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 15 15 3 12
52 Etil klorida semprot 14.1 Btl 0 10 10 2 8
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 19 30 49 5 44 prog
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 572 500 1072 282 790
64 Furosemid tablet 40 mg 14 Tab 100 200 300 15 285 PKD&ASK
66 Garam oralit 200 ml air 20.1 Sak 1009 1000 2009 499 1510
67 Gentian violet larutan 1 % 14.2 Btl 3 100 103 27 76
69 Glibenklamid tablet 5 mg 16.11 Tab 930 1000 1930 256 1674 Askes
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 21480 11000 32480 7173 25307 PKD&ASK
73 Griseofulvin 125 mg micronized 6.3 Tab 462 1000 1462 75 1387
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
75 Halloperidol tablet 1,5 mg 23.4 Tab 175 1000 1175 190 985
76 Halloperidol tablet 5 mg 23.4 Tab 64 64 60 4
77 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab 1067 1000 2067 107 1960
78 Hidrokortison krim 2,5 % 18.4 Pot 7 192 199 61 138
79 Ibuprofen tablet 200 mg 1.2 Tab 2975 2000 4975 1592 3383
83 I N H tablet 100 mg 6.2.4 Tab 1000 1000 1000
84 I N H tablet 300 mg 6.2.4 Tab 478 478 36 442
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 0 2000 2000 60 1940 Askes
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 4920 3000 7920 1786 6134
89 Kapas pembalut / Absorben 250 gram 32 Rol 12 6 18 4 14
90 Karbamazepin tablet 200 mg 5 Tab 343 343 45 298
91 Kasa kompres 40/40 steril 32 Rol 24 24 24 0
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 673 673 673 0
95 Kloramfenikol salep mata 1 % 21.21 Pot 35 24 59 31 28
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 45 24 69 26 43
97 Klorfeniramine maleat tablet 4 mg 3 Tab 27295 20000 47295 9488 37807
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 100 1000 1100 1100
107 Kotrimoksazol suspensi 6.2.2 Btl 516 300 816 63 753
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 3630 3500 7130 1021 6109 PKD&ASK
111 Lidokain Kompositum injeksi 31 Amp 16 120 136 30 106
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
115 Metilergometrin tablet salut 22.1 Tab 305 305 10 295
116 Metilergometrin Inj. 22.1 Amp 0 30 30 30 prog
118 Metronidazol tablet 500 mg 623 Tab 303 1000 1303 190 1113
122 Nistatin 100.000 iu/g tablet vaginal 6.3 Tab 77 77 3 74
125 Obat anti tuberkolusis katagori 1 62.4 Tab 0 3 3 3 0
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 55 60 115 57 58
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 3 3 1 2
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 126 400 526 53 473 PDK&ASK
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 14 50 64 14 50
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 47 336 383 82 301
138 Parasetamol tablet 500 mg 1.2 Tab 0 50000 50000 50000
141 Piridoxin hcl tablet 10 mg 29 Tab 3924 10000 13924 1833 12091
142 Pyrazinamid tablet Tab 851 851 5 846
144 Polikresulen 14.2 Btl 0 10 10 10 PKD&ASK
146 Prednison tablet 5 mg 16.4 Tab 2930 10000 12930 1841 11089
148 Prokain benzyl penisillin 3 juta iu/vial inj. 6.2.1 Amp 0 30 30 30 prog
149 Propiltiourasil tablet 100 mg 16.3 Tab 742 500 1242 270 972
151 Propanolol hcl tablet 10 mg 7.1 Tab 700 500 1200 240 960
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
160 Salbutamol tablet 2 mg 26.1 Tab 0 1000 1000 40 960
161 Salep 2-4 18.1 Pot 63 63 13 50
162 Salisil bedak 2 % 18.4 Sak 120 144 264 65 199
166 Serum ATS 1500 IU 27.1 Amp 1 5 6 6
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
168 Simvastatin Tab 734 734 135 599
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 142 600 742 34 708
170 Silk (benang bedah sutera) no. 3/0 32 Rol 0 10 10 5 5
176 Tablet tambah darah kombinasi 10.1 Tab 3370 9000 12370 2292 10078
179 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap 760 3500 4260 70 4190 PKD&ASK
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 5975 8000 13975 3979 9996
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 395 1000 1395 375 1020
185 Vitamin B komplek tablet 29 Tab 0 20000 20000 4043 15957
186 Yodium povidon larutan 10 % - 30 ml 13.1 Btl 1 15 16 1 15 PKD&ASK
1 Acyclovir tablet 200 mg Tab 755 950 1705 127 1578 PKD&ASK
2 Acyclovir cream Tube 125 246 371 19 352 PKD&ASK
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
6 Asam mefenamat tablet 500 mg Tab 1825 6000 7825 581 7244 PKD&ASK
7 Ampicilin injeksi 1 g Amp 0 20 20 20 prog
8 Ambroxol Sirup Amp 34 250 284 36 248
11 Ciprofloxacin kaplet 500 mg Kap 564 5000 5564 240 5324 Askes
13 Domperidon tab Tab 363 1000 1363 73 1290 PKD&ASK
14 Erytromycin caps 250 mg Kap 0 1000 1000 1000 Askes
15 Erytromycin capt 500 mg Kap 23 23 9 14
18 Gentamycin injeksi Amp 0 20 20 20 prog
19 Gentamycin salep kulit Pot 3 200 203 47 156 PKD&ASK
20 Gentamycin tetes mata Btl 9 100 109 5 104
21 H2O2 Btl 0 6 6 3 3
24 Kloramphenicol tetes mata Btl 5 50 55 8 47
25 Metoklorpropamide Hcl 10 mg/Metolon Tab 400 1000 1400 1400 Askes
26 Mikonazole cream Pot 64 120 184 12 172 PKD&ASK
27 Methyl Prednisolon tab 4 mg Tab 1700 200 1900 30 1870 Askes
29 Natrium Diklofenak 50 mg Tab 0 1500 1500 1500 Askes
34 Papaverin tablet 40 mg Tab 2088 2088 87 2001
38 Piroksikam tablet 20 mg Tab 76 76 10 66
39 Ranitidine 150 mg Tab 0 2600 2600 510 2090 PKD&ASK
ALKES
1 Alkohol 70 % Btl 10 10 3 7
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
13 Etanol 70 % 13.2 Btl 0 0 0
14 Fauchet Btl 0 3 3 1 2
18 Kertas Perkamen lbr 403 403 130 273
30 Lisol 31 Btl 2 2 2
34 Plastik Obat Set 14000 15000 29000 5150 23850
40 Tes Gol. Darah( A,B,AB) Ktk 1 1 1 0
41 Tes Kehamilan HCG Ktk 50 50 20 30
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 ACT ktk 0 0 0
47 Ambroxol tab tab 0 3000 3000 443 2557
49 Cetrizin tab 720 100 820 248 572 PKD&ASK
56 Lytamin syrup Btl 2 48 50 8 42 Askes
57 Mecobion tab/Grahabion Tab Tab 359 1000 1359 135 1224 Askes
60 Metformin Tab 0 3200 3200 834 2366 PKD&ASK
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 0 3000 3000 35 2965
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
65 Stick gula darah Pcs 50 100 150 50 100 Askes
66 Hand scun set 300 300 100 200
68 Asam Folat Tab 1484 1484 342 1142
70 Zink Tablet Tablet 1535 3000 4535 486 4049
71 Doxycicklin 100 mg Caps 142 142 38 104
72 Amlodipin 5 mg Tab 0 1980 1980 161 1819
73 Dexanta tab Tab 0 1000 1000 30 970 Askes
75 masker ktk 3 3 3
76 Camicetin syr Btl 50 50 1 49
77 Scabisid Tube 0 5 5 1 4 Askes
78 Glimepiride Tab 0 250 250 180 70 Askes
79 Interhistin Tab Tab 0 2000 2000 2000 Askes
80 Neo Diaform Tab 0 1000 1000 1000 Askes
81 Scanderma cream Tube 0 5 5 5 Askes
82 Fluconazol Tab 0 70 70 70
83 Azhromycin sifiksim Tab 0 70 70 70
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Mengetahui, Jambi, 3 Februari 2014

(…………………………….) (…………………….) NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Desember 2013

2019 9 336 728 19 3111 2028 6209 727 144 336 1008 108 15 728 1768 197 18 19 52 5 0 6143 1007 1757 52 8959

275 0 24 23 0 322 275 1412 82 87 24 89 0 0 23 85 0 0 0 0 0 0 1412 89 85 0 1586

KASANG JAYA
187 2 2 12 0 203 189 582 36 1 2 6 0 0 12 29 0 0 0 0 0 0 582 6 29 0 617

SIJINJANG I
135 4 26 30 0 195 139 520 40 12 26 94 9 2 30 85 10 3 0 0 0 0 520 94 85 0 699

SIJINJANG II
Jambi, 3 Januari 2014


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Desember
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
3 Alat Suntik 2.5 ml 32 Set 165 165 50 115
4 Albendazol 400 mg 32 Set 26 26 3 23
5 Alupurinol 100 mg 1.2 Tab 818 818 107 711
6 Aminophylin 200 mg 26.1 Tab 928 928 168 760
8 Amitriptilin HCl tablet 25 mg 23.2 Tab 486 486 96 390
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 20 20 9 11
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 3927 3927 1870 2057
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 13173 13173 4848 8325
12 Ampicillin kaplet 500 mg 1.2 Kap 134 134 92 42
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 87 87 18 69
14 Antalgin tablet 500 mg 18.3 Tab 5115 5115 1406 3709
15 Antalgin injeksi 18.3 Amp 0 0 0
16 Antasida DOEN tablet kombinasi 25.1 Tab 1572 1572 1572 0
17 Antibakteri DOEN salep kombinasi 18.2 Pot 72 72 5 67
18 Antihemoroid DOEN kombinasi 25.3 Pot 12 12 2 10
19 Antifungi DOEN kombinasi 18.3 Pot 49 49 6 43
21 Aqua proinjeksi bebas pirogen 20.3 Amp 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
32 Betametason krim 0,1 % 18.4 Tube 71 71 54 17
35 Captopril 25 mg tablet Tab 3245 3245 693 2552
36 Deksametason injeksi 5 mg/ml - 1 ml 3 Amp 75 75 2 73
37 Deksametason tablet 0,5 mg 3 Tab 13795 13795 2327 11468
38 Dekstromethorpan HBr sirup 10 mg/5 ml 26.2 Btl 276 276 32 244
42 Diazepam 2 mg 5 Tab 1426 1426 157 1269
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 180 180 21 159
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 21 21 2 19 prog
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 701 701 129 572
64 Furosemid tablet 40 mg 14 Tab 100 100 100
66 Garam oralit 200 ml air 20.1 Sak 1565 1565 556 1009
67 Gentian violet larutan 1 % 14.2 Btl 12 12 9 3
69 Glibenklamid tablet 5 mg 16.11 Tab 1430 1430 500 930
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 27537 27537 6057 21480
73 Griseofulvin 125 mg micronized 6.3 Tab 640 640 178 462
77 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab 1195 1195 128 1067
78 Hidrokortison krim 2,5 % 18.4 Pot 18 18 11 7
83 I N H tablet 100 mg 6.2.4 Tab 1000 1000 1000
84 I N H tablet 300 mg 6.2.4 Tab 539 539 61 478
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 100 100 100 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 6298 6298 1378 4920
89 Kapas pembalut / Absorben 250 gram 32 Rol 14 14 2 12
95 Kloramfenikol salep mata 1 % 21.21 Pot 53 53 18 35
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 61 61 16 45
97 Klorfeniramine maleat tablet 4 mg 3 Tab 35553 35553 8258 27295
104 Kodein hcl tablet 10 mg 26.2 Tab 167 167 20 147
107 Kotrimoksazol suspensi 6.2.2 Btl 584 584 68 516
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 4313 4313 683 3630
111 Lidokain Kompositum injeksi 31 Amp 49 49 33 16
112 Magnesium sulfat inj. 20% - 25 ml 5 Btl 0 0 0
116 Metilergometrin Inj. 22.1 Amp 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 108 108 53 55
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 181 181 55 126
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 18 18 4 14
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 85 85 38 47
140 Pirantel pamoat tablet 365 mg 23.4 Tab 226 226 21 205
141 Piridoxin hcl tablet 10 mg 29 Tab 5033 5033 1109 3924
144 Polikresulen 14.2 Btl 1 1 1 0
146 Prednison tablet 5 mg 16.4 Tab 5384 5384 2454 2930
148 Prokain benzyl penisillin 3 juta iu/vial inj. 6.2.1 Amp 0 0 0
149 Propiltiourasil tablet 100 mg 16.3 Tab 912 912 170 742
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 71 71 8 63
162 Salisil bedak 2 % 18.4 Sak 175 175 55 120
166 Serum ATS 1500 IU 27.1 Amp 1 1 1
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 234 234 92 142
176 Tablet tambah darah kombinasi 10.1 Tab 5054 5054 1684 3370
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 9211 9211 3236 5975
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 660 660 265 395
185 Vitamin B komplek tablet 29 Tab 229 229 229 0
186 Yodium povidon larutan 10 % - 30 ml 13.1 Btl 3 3 2 1
1 Acyclovir tablet 200 mg Tab 769 769 14 755

2 Acyclovir cream Tube 148 148 23 125
6 Asam mefenamat tablet 500 mg Tab 2585 2585 760 1825
7 Ampicilin injeksi 1 g Amp 0 0 0
8 Ambroxol Sirup Amp 88 88 54 34
11 Ciprofloxacin kaplet 500 mg Kap 750 750 186 564
13 Domperidon tab Tab 576 576 213 363
14 Erytromycin caps 250 mg Kap 0 0 0
18 Gentamycin injeksi Amp 0 0 0
19 Gentamycin salep kulit Pot 46 46 43 3
20 Gentamycin tetes mata Btl 10 10 1 9
21 H2O2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
24 Kloramphenicol tetes mata Btl 14 14 9 5
25 Metoklorpropamide Hcl 10 mg Tab 400 400 400
26 Mikonazole cream Pot 78 78 14 64
27 Methyl Prednisolon tab 4 mg Tab 1705 1705 5 1700
29 Natrium Diklofenak 50 mg Tab 0 0 0
39 Ranitidine 150 mg Tab 0 0 0
ALKES
1 Alkohol 70 % Btl 12 12 2 10
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 3 3 1 2
34 Plastik Obat Set 19250 19250 5250 14000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
49 Cetrizin tab 891 891 171 720
56 Lytamin syrup Btl 24 24 22 2
57 Mecobion tab Tab 824 824 465 359
60 Metformin Tab 215 215 215 0
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
65 Stick gula darah Pcs 100 100 50 50
66 Hand scun set 300 300 300
67 Omeperazole Tab 60 60 60 0
68 Asam Folat Tab 1580 1580 96 1484
70 Zink Tablet Tablet 1947 1947 412 1535
72 Amlodipin 5 mg Tab 0 0 0
73 Dexanta tab Tab 0 0 0
75 masker ktk 3 3 3
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN November 2013

2072 20 306 766 32 3196 2092 6376 734 153 306 886 92 11 766 2057 233 27 32 88 6 1 6361 848 2057 88 9354

300 4 25 33 2 364 304 1499 94 83 25 86 2 2 33 96 1 1 2 7 0 0 1499 86 96 7 1688

KASANG JAYA
136 1 5 31 1 174 137 404 35 0 5 8 0 0 31 56 4 0 1 0 0 0 404 8 56 0 468

SIJINJANG I
145 3 25 30 0 203 148 555 45 14 25 93 8 1 30 84 7 2 0 0 0 0 555 93 84 0 732

SIJINJANG II
Jambi, 3 Desember 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan November
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
5 Alupurinol 100 mg 1.2 Tab 980 980 162 818 135 500
6 Aminophylin 200 mg 26.1 Tab 1198 1198 270 928 352 1000
8 Amitriptilin HCl tablet 25 mg 23.2 Tab 636 636 150 486 140 500
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 168 168 148 20 208 750
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 17477 17477 4304 13173 4115 10000
12 Ampicillin kaplet 500 mg 1.2 Kap 232 232 98 134 284 1000
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 110 110 23 87 36 100
15 Antalgin injeksi 18.3 Amp 0 0 0 0
17 Antibakteri DOEN salep kombinasi 18.2 Pot 73 73 1 72 9 48
19 Antifungi DOEN kombinasi 18.3 Pot 55 55 6 49 11 24
20 Antimigrain DOEN kombinasi 7.2 Tab 31 31 31 0 22 300
21 Aqua proinjeksi bebas pirogen 20.3 Amp 0 0 0 1
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
33 Catgut/benang bedah no. 2/0 - 3/0 32 Sak 0 0 0 0
34 Captopril 12.5 mg tablet Tab 3480 3480 443 3037 792 2000
35 Captopril 25 mg tablet Tab 4140 4140 895 3245 878 3000
37 Deksametason tablet 0,5 mg 3 Tab 16201 16201 2406 13795 2830 5000
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 4945 4945 324 4621 354
42 Diazepam 2 mg 5 Tab 1586 1586 160 1426 273
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 201 201 21 180 30 300
46 Efedrin HCl tablet 25 mg 26.1 Tab 1029 1029 25 1004 41
47 Ekstrak belladon tablet 10 mg 26.1 Tab 1067 1067 132 935 140
48 Epinephrin HCl injeksi 3 Amp 48 48 1 47 1
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 17 17 1 16 1
53 Eugenol cairan 14.1 Btl 0 0 0 0 3
55 Fenitoin natrium kapsul 30 mg 5 Kap 701 701 14 687 15
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 836 836 135 701 178 500
64 Furosemid tablet 40 mg 14 Tab 100 100 100 14
66 Garam oralit 200 ml air 20.1 Sak 2059 2059 494 1565 573 1000
69 Glibenklamid tablet 5 mg 16.11 Tab 1515 1515 85 1430 197
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 32887 32887 5350 27537 5652 10000
71 Gliserin 26.6 Btl 0 0 0 0
75 Halloperidol tablet 1,5 mg 23.4 Tab 505 505 195 310 117 1000
76 Halloperidol tablet 5 mg 23.4 Tab 204 204 50 154 68 500
77 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab 1494 1494 299 1195 180 1000
83 I N H tablet 100 mg 6.2.4 Tab 1000 1000 1000 38
84 I N H tablet 300 mg 6.2.4 Tab 599 599 60 539 34
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 120 120 20 100 35
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 7676 7676 1378 6298 1686 3000
90 Karbamazepin tablet 200 mg 5 Tab 464 464 38 426 43
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 90 90 3 87 7
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 905 905 68 837 50
95 Kloramfenikol salep mata 1 % 21.21 Pot 76 76 23 53 16 24
97 Klorfeniramine maleat tablet 4 mg 3 Tab 43832 43832 8279 35553 7643 20000
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 1039 1039 153 886 193
104 Kodein hcl tablet 10 mg 26.2 Tab 177 177 10 167 20
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 100 100 100 280 1000
107 Kotrimoksazol suspensi 6.2.2 Btl 690 690 106 584 80 300
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 5017 5017 704 4313 867 2000
111 Lidokain Kompositum injeksi 31 Amp 69 69 20 49 32 120
112 Magnesium sulfat inj. 20% - 25 ml 5 Btl 0 0 0 0
115 Metilergometrin tablet salut 22.1 Tab 365 365 50 315 22
116 Metilergometrin Inj. 22.1 Amp 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
124 Nifedipin tab Tab 496 496 20 476 33
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 183 183 75 108 59 250
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 6 6 1 5 1
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 227 227 46 181 54 200
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 27 27 9 18 11 50
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 173 173 88 85 114 300
140 Pirantel pamoat tablet 365 mg 23.4 Tab 237 237 11 226 25
143 Plester 5 yard x 2 inch 32 Rol 4 4 4 2 6
144 Polikresulen 14.2 Btl 2 2 1 1 1 5
146 Prednison tablet 5 mg 16.4 Tab 7878 7878 2494 5384 2705 10000
148 Prokain benzyl penisillin 3 juta iu/vial inj. 6.2.1 Amp 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
153 Reserpin tablet 0,25 mg 17.1 Tab 1912 1912 52 1860 239
161 Salep 2-4 18.1 Pot 83 83 12 71 7
162 Salisil bedak 2 % 18.4 Sak 225 225 50 175 39 100
166 Serum ATS 1500 IU 27.1 Amp 1 1 1 1 5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0 0
168 Simvastatin Tab 880 880 10 870 38
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 364 364 130 234 83 600
170 Silk (benang bedah sutera) no. 3/0 32 Rol 4 4 4 0 2 10
172 Spons gelatin cublices 1x1x1 cm 14.1 Sak 0 0 0 0
176 Tablet tambah darah kombinasi 10.1 Tab 7634 7634 2580 5054 1797 9000
178 Tetrasiklin HCl kapsul 250 mg 6.2.2 Kap 2303 2303 232 2071 239
179 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap 1009 1009 76 933 90 500
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 855 855 195 660 193 1000
185 Vitamin B komplek tablet 29 Tab 1689 1689 1460 229 4416 20000
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 11 11 1 10 1 10
1 Acyclovir tablet 200 mg Tab 834 834 65 769 100 300

2 Acyclovir cream Tube 184 184 36 148 25 100
4 Andalan Injeksi Amp 0 0 0 0
6 Asam mefenamat tablet 500 mg Tab 3140 3140 555 2585 498 3000
7 Ampicilin injeksi 1 g Amp 0 0 0 0
11 Ciprofloxacin kaplet 500 mg Kap 830 830 80 750 110
13 Domperidon tab Tab 658 658 82 576 130
14 Erytromycin caps 250 mg Kap 0 0 0 0
15 Erytromycin capt 500 mg Kap 108 108 73 35 47
17 Etabion Cap Cap 0 0 0 0
18 Gentamycin injeksi Amp 0 0 0 0
19 Gentamycin salep kulit Pot 75 75 29 46 24 100
20 Gentamycin tetes mata Btl 17 17 7 10 10 100
21 H2O2 Btl 4 4 4 0 1 3
23 Levertran salep Pot 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
24 Kloramphenicol tetes mata Btl 29 29 15 14 10 48
25 Metoklorpropamide Hcl 10 mg Tab 400 400 400 37
26 Mikonazole cream Pot 87 87 9 78 12 24
27 Methyl Prednisolon tab 4 mg Tab 1735 1735 30 1705 49
29 Natrium Diklofenak 50 mg Tab 114 114 114 0 66 2000
34 Papaverin tablet 40 mg Tab 2202 2202 44 2158 123
39 Ranitidine 150 mg Tab 262 262 262 0 369 5000
ALKES
1 Alkohol 70 % Btl 13 13 1 12 2
13 Etanol 70 % 13.2 Btl 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
14 Fauchet Btl 0 0 0 0
30 L i s o l 31 Btl 3 3 3 1
34 Plastik Obat Set 25650 25650 6400 19250 5614 24000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0 0
47 Ambroxol tab tab 0 0 0 529 3000
48 Clindamicin caps 0 0 0 0
49 Cetrizin tab 950 950 59 891 98
54 Antasida Syrup btl 1 1 1 0 5 100
56 Lytamin syrup Btl 47 47 23 24 15 100
57 Mecobion tab Tab 864 864 40 824 244 1000
58 Bioplasenton gel Tube 0 0 0 1 5
60 Metformin Tab 930 930 715 215 604 3000
62 Bisturi 10,11,20,22 pcs 0 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9 0
66 Hand scun set 300 300 300 180
68 Asam Folat Tab 1629 1629 49 1580 38
72 Amlodipin 5 mg Tab 0 0 0 60 2000
73 Dexanta tab Tab 0 0 0 165 2000
75 masker ktk 3 3 3 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
76 Camicetin syr Btl 50 50 50 0
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Oktober 2013

1921 10 318 703 30 2982 1931 5837 592 95 318 957 92 14 703 1796 175 9 30 69 10 0 5820 951 1795 68 8634

300 0 30 31 1 362 300 1442 55 57 30 102 0 0 31 98 0 0 1 3 0 0 1442 102 98 3 1645

KASANG JAYA
117 1 3 45 1 167 118 345 23 1 3 6 0 0 45 60 5 0 1 3 1 0 345 6 60 3 414

SIJINJANG I
150 3 26 31 0 210 153 574 52 17 26 99 9 1 31 109 10 2 0 0 0 0 574 99 109 0 782

SIJINJANG II
Jambi, 2 November 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Oktober
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
KELAS STOCK PENERIM PERSEDI PEMAKA SISA STOCK IAN RT 2 PERMINT
NO NAMA OBAT TERAPI SATUAN AWAL AAN AN IAN STOCK OPT AAN KET
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
4 Albendazol 400 mg 32 Set 26 26 26
5 Alupurinol 100 mg 1.2 Tab 730 500 1230 250 980
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 10973 10000 20973 3496 17477
12 Ampicillin kaplet 500 mg 1.2 Kap 232 500 732 500 232
17 Antibakteri DOEN salep kombinasi 18.2 Pot 35 50 85 12 73
23 Asam askorbat (vit C) 50 mg 29 Tab 2823 2823 2823 0
PEMAKA PEMBERIAN
KELAS STOCK PENERIM PERSEDI PEMAKA SISA STOCK PERMINT
NO NAMA OBAT TERAPI SATUAN AWAL AAN AN IAN STOCK OPT IAN RT 2 AAN KET
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
34 Captopril 12.5 mg tablet Tab 1404 3000 4404 924 3480
37 Deksametason tablet 0,5 mg 3 Tab 9241 10000 19241 3040 16201
42 Diazepam 2 mg 5 Tab 801 1000 1801 215 1586
47 Ekstrak belladon tablet 10 mg 26.1 Tab 489 1000 1489 422 1067
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 24364 15000 39364 6477 32887
83 I N H tablet 100 mg 6.2.4 Tab 8 1000 1008 8 1000
84 I N H tablet 300 mg 6.2.4 Tab 642 642 43 599
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 2513 3000 5513 496 5017
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 120 150 270 43 227
138 Parasetamol tablet 500 mg 1.2 Tab 3388 27000 30388 10553 19835 Bon
144 Polikresulen 14.2 Btl 2 2 2
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
160 Salbutamol tablet 2 mg 26.1 Tab 17 17 17 0
161 Salep 2-4 18.1 Pot 68 24 92 9 83
166 Serum ATS 1500 IU 27.1 Amp 2 2 1 1
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
176 Tablet tambah darah kombinasi 10.1 Tab 2285 7200 9485 1851 7634 Bon
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

2 Acyclovir cream Tube 174 50 224 40 184
6 Asam mefenamat tablet 500 mg Tab 2930 1000 3930 790 3140
19 Gentamycin salep kulit Pot 0 100 100 25 75
21 H2O2 Btl 0 5 5 1 4
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
26 Mikonazole cream Pot 55 48 103 16 87
29 Natrium Diklofenak 50 mg Tab 252 252 138 114
39 Ranitidine 150 mg Tab 73 1000 1073 811 262
ALKES
1 Alkohol 70 % Btl 8 6 14 1 13
5 Asam Klorida 0.1 N Btl 0 1 1 1 0
7 Asam sulfosalisilat 20 % Btl 0 1 1 1 0
8 Barium Klorida Btl 0 1 1 1 0
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
18 Kertas Perkamen lbr 407 407 407
19 Larutan Bupper PH 7.2 31 Btl 0 1 1 1 0
26 Larutan Giemsa Stalin 31 Btl 0 1 1 1 0
27 Larutan Karbol Fuksin 31 Btl 0 1 1 1 0
29 Larutan Turk 31 Btl 0 1 1 1 0
30 L i s o l 31 Btl 0 3 3 3
34 Plastik Obat Set 0 30000 30000 4350 25650
36 Rees echer Btl 0 1 1 1 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
49 Cetrizin tab 127 1000 1127 177 950
54 Antasida Syrup btl 9 9 8 1
56 Lytamin syrup Btl 47 24 71 24 47
57 Mecobion tab Tab 0 1000 1000 136 864
58 Bioplasenton gel Tube 3 3 3 0
60 Metformin Tab 1105 500 1605 675 930
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 4 4 4 0
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 0 9
66 Hand scun set 0 500 500 200 300
68 Asam Folat Tab 1660 1660 31 1629
73 Dexanta tab Tab 478 478 478 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN September 2013

1835 10 307 712 30 2894 2415 5562 601 72 307 947 85 18 712 1887 218 16 30 89 7 2 5421 922 1824 87 8254

BAYAR T.BAYAR Lbr R/ Resep Lbr R/A Lbr R/PoLbr R/ Resep Lbr R/AB R/Poli Lbr R/ Resep Lbr R/AB Lbr R/PolLbr R/ Resep Lbr R/AB R/Poli R/Umum R/Askes R/JKM R/JKD Jml
251 3 16 31 1 302 254 1218 24 23 16 59 0 0 31 107 4 4 1 3 0 0 1218 59 107 3 1387

KASANG JAYA
165 0 4 46 1 216 165 479 33 3 4 6 1 0 46 113 11 0 1 4 1 0 479 6 113 4 602

SIJINJANG I
145 6 25 30 0 206 151 576 56 20 25 96 10 3 30 108 9 1 0 0 0 0 576 96 108 0 780

SIJINJANG II
Jambi, 2 Oktober 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan September
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
5 Alupurinol 100 mg 1.2 Tab 730 730 730
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 27 27 8 19 askes
18 Antihemoroid DOEN kombinasi 25.3 Pot 18 18 2 16 askes
20 Antimigrain DOEN kombinasi 7.2 Tab 41 41 10 31
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
37 Deksametason tablet 0,5 mg 3 Tab 11783 11783 2542 9241 askes
42 Diazepam 2 mg 5 Tab 1108 1108 307 801
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
66 Garam oralit 200 ml air 20.1 Sak 1489 1489 907 582 prog
69 Glibenklamid tablet 5 mg 16.11 Tab 735 735 150 585 Askes
83 I N H tablet 100 mg 6.2.4 Tab 32 32 24 8
84 I N H tablet 300 mg 6.2.4 Tab 691 691 49 642
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 60 60 60
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 52 52 11 41 prog
138 Parasetamol tablet 500 mg 1.2 Tab 8466 3000 11466 8078 3388 Bon
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 72 72 4 68
166 Serum ATS 1500 IU 27.1 Amp 4 4 2 2
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
168 Simvastatin Tab 940 940 20 920 ask
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Acyclovir tablet 200 mg Tab 614 614 143 471 askes

6 Asam mefenamat tablet 500 mg Tab 3447 3447 517 2930 askes
11 Ciprofloxacin kaplet 500 mg Kap 514 514 142 372 askes
13 Domperidon tab Tab 558 558 88 470 askes
19 Gentamycin salep kulit Pot 0 0 0
21 H2O2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
27 Methyl Prednisolon tab 4 mg Tab 775 775 775
29 Natrium Diklofenak 50 mg Tab 252 252 252 askes
39 Ranitidine 150 mg Tab 455 455 382 73 askes
ALKES
1 Alkohol 70 % Btl 11 11 3 8
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 0 0 0
34 Plastik Obat Set 6000 6000 6000 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
49 Cetrizin tab 177 177 50 127 askes
56 Lytamin syrup Btl 68 68 21 47 askes
57 Mecobion tab Tab 118 118 118 0 askes
60 Metformin Tab 1535 1535 430 1105
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 563 563 559 4 askes
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
65 Stick gula darah Pcs 0 0 0
66 Hand scun set 0 0 0
68 Asam Folat Tab 1755 1755 95 1660
73 Dexanta tab Tab 2445 2445 1967 478 askes
75 masker ktk 0 0 0
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Agustus 2013

1592 10 264 550 32 2448 1602 5088 584 124 264 799 85 16 550 1480 155 15 32 95 8 3 4896 773 1389 91 7149

275 3 16 20 1 315 278 1322 72 74 16 52 1 1 20 61 2 2 1 3 0 0 1322 52 61 3 1438

KASANG JAYA
137 1 1 24 0 163 138 405 24 0 1 1 0 0 24 48 1 0 0 0 0 0 405 1 48 0 454

SIJINJANG I
130 5 16 22 0 173 135 530 49 21 16 64 3 3 22 75 7 1 0 0 0 0 530 64 75 0 669

SIJINJANG II
Jambi, 2 September 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Agustus
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
3 Alat Suntik 2.5 ml 32 Set 459 459 148 311 197 500
4 Albendazol 400 mg 32 Set 27 27 1 26 49 prog
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 156 156 129 27 213 1000 askes
17 Antibakteri DOEN salep kombinasi 18.2 Pot 58 58 3 55 7 48
18 Antihemoroid DOEN kombinasi 25.3 Pot 47 47 29 18 15 100 askes
20 Antimigrain DOEN kombinasi 7.2 Tab 41 41 41 20 100
21 Aqua proinjeksi bebas pirogen 20.3 Amp 4 4 1 3 1
23 Asam askorbat (vit C) 50 mg 29 Tab 8978 8978 3482 5496 4031 30000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
34 Captopril 12.5 mg tablet Tab 3940 3940 810 3130 899 3000
37 Deksametason tablet 0,5 mg 3 Tab 14306 14306 2523 11783 2898 10000 askes
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 2997 2997 440 2557 363 3000
42 Diazepam 2 mg 5 Tab 1331 1331 223 1108 267 1000
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 174 174 19 155 36 90
47 Ekstrak belladon tablet 10 mg 26.1 Tab 773 773 115 658 69 1000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
58 Fenobarbital tablet 30 mg 5 Tab 502 502 50 452 115 1000
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 1 1 1 0 10 48
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 785 785 138 647 145 1000
64 Furosemid tablet 40 mg 14 Tab 110 110 10 100 25
66 Garam oralit 200 ml air 20.1 Sak 1989 1989 500 1489 632 2000 prog
69 Glibenklamid tablet 5 mg 16.11 Tab 1095 1095 360 735 175 1000 Askes
71 Gliserin 26.6 Btl 0 0 0 0
83 I N H tablet 100 mg 6.2.4 Tab 133 133 101 32 317 1000
84 I N H tablet 300 mg 6.2.4 Tab 708 708 17 691 59
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 100 100 40 60 23 100
86 Kalium permanganat serbuk 13.1 Btl 0 0 0 0 24
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 7586 7586 1387 6199 1762 5000
91 Kasa kompres 40/40 steril 32 Rol 12 12 6 6 7 50
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 67 67 7 60 6 50
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 529 529 179 350 179 1000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 56 56 4 52 11 prog
135 Paraformaldehid tablet 1 gram 13.2 Tab 0 0 0 0 100
143 Plester 5 yard x 2 inch 32 Rol 5 5 1 4 1 6
144 Polikresulen 14.2 Btl 3 3 1 2 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
153 Reserpin tablet 0,25 mg 17.1 Tab 697 697 572 125 239 5000
157 Rifampisin kapsul 450 mg 6.2.4 Kap 572 572 49 523 68 300
160 Salbutamol tablet 2 mg 26.1 Tab 88 88 28 60 69 500
161 Salep 2-4 18.1 Pot 78 78 6 72 7 24
166 Serum ATS 1500 IU 27.1 Amp 5 5 1 4 0
167 Serum ATS 20000 IU 28.1 Amp 0 0 0 0
168 Simvastatin Tab 1010 1010 70 940 33 ask
176 Tablet tambah darah kombinasi 10.1 Tab 3944 3944 1861 2083 1738 10000 prog
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Acyclovir tablet 200 mg Tab 774 774 160 614 86 500 askes
6 Asam mefenamat tablet 500 mg Tab 4069 4069 622 3447 391 1000 askes
11 Ciprofloxacin kaplet 500 mg Kap 716 716 202 514 105 500 askes
13 Domperidon tab Tab 730 730 172 558 76 300 askes
15 Erytromycin capt 500 mg Kap 160 160 45 115 46 100
21 H2O2 Btl 0 0 0 1 5
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
26 Mikonazole cream Pot 69 69 8 61 11 48
27 Methyl Prednisolon tab 4 mg Tab 880 880 105 775 19 1000
29 Natrium Diklofenak 50 mg Tab 252 252 252 22 askes
34 Papaverin tablet 40 mg Tab 1676 1676 123 1553 138 1000
39 Ranitidine 150 mg Tab 704 704 249 455 293 1000 askes
ALKES
1 Alkohol 70 % Btl 12 12 1 11 3 6
5 Asam Klorida 0.1 N Btl 0 0 0 1 1
13 Etanol 70 % 13.2 Btl 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
29 Larutan Turk 31 Btl 0 0 0 0 1
30 L i s o l 31 Btl 1 1 1 0 1 3
34 Plastik Obat Set 12000 12000 6000 6000 5814 30000
40 Tes Gol. Darah( A,B,AB) Ktk 0 0 0 1 1
44 Alat suntik 3 cc pcs 0 0 0 0 100
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0 0
47 Ambroxol tab tab 0 0 0 331 1500
49 Cetrizin tab 384 384 207 177 65 1000 askes
54 Antasida Syrup btl 17 17 8 9 5 24
56 Lytamin syrup Btl 87 87 19 68 10 24 askes
57 Mecobion tab Tab 636 636 518 118 245 1500 askes
58 Bioplasenton gel Tube 5 5 1 4 2 5
60 Metformin Tab 2225 2225 690 1535 591 3000
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 1000 1000 437 563 160 2000 askes
62 Bisturi 10,11,20,22 pcs 0 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9 1
65 Stick gula darah Pcs 0 0 0 33 100
66 Hand scun set 0 0 0 75 500
67 Omeperazole Tab 139 139 11 128 10 200
68 Asam Folat Tab 1805 1805 50 1755 20
72 Amlodipin 5 mg Tab 0 0 0 63 1000
73 Dexanta tab Tab 4416 4416 1971 2445 1163 5000 askes
75 masker ktk 0 0 0 1 3
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Juli 2013

1790 5 324 679 35 2833 1795 5472 660 141 324 908 96 8 679 1777 194 15 35 98 10 0 5289 882 1685 98 7954

280 3 28 40 7 358 283 1393 86 82 28 87 2 2 40 97 3 2 7 25 0 0 1393 87 97 25 1602

KASANG JAYA
128 0 3 31 0 162 128 323 28 0 3 6 0 0 31 76 3 0 0 0 0 0 323 6 76 0 405

SIJINJANG I
145 2 24 32 0 203 147 561 59 27 24 85 5 0 32 93 11 0 0 0 0 0 561 85 93 0 739

SIJINJANG II
Jambi, 2 Agustus 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Juli
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 321 50 371 215 156 askes
18 Antihemoroid DOEN kombinasi 25.3 Pot 40 50 90 43 47 askes
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
34 Captopril 12.5 mg tablet Tab 0 4000 4000 60 3940
37 Deksametason tablet 0,5 mg 3 Tab 6797 10000 16797 2491 14306 askes
42 Diazepam 2 mg 5 Tab 604 1000 1604 273 1331
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 9 9 8 1
66 Garam oralit 200 ml air 20.1 Sak 537 2000 2537 548 1989 prog
69 Glibenklamid tablet 5 mg 16.11 Tab 740 1000 1740 645 1095 Askes
83 I N H tablet 100 mg 6.2.4 Tab 259 259 126 133
84 I N H tablet 300 mg 6.2.4 Tab 751 751 43 708
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 36 48 84 6 78
166 Serum ATS 1500 IU 27.1 Amp 5 5 5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
168 Simvastatin Tab 510 500 1010 1010 ask
170 Silk (benang bedah sutera) no. 3/0 32 Rol 3 3 3 0
176 Tablet tambah darah kombinasi 10.1 Tab 2467 3000 5467 1523 3944 prog
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Acyclovir tablet 200 mg Tab 504 300 804 30 774 askes

6 Asam mefenamat tablet 500 mg Tab 1538 3000 4538 469 4069 askes
11 Ciprofloxacin kaplet 500 mg Kap 400 500 900 184 716 askes
13 Domperidon tab Tab 378 500 878 148 730 askes
21 H2O2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
29 Natrium Diklofenak 50 mg Tab 62 200 262 10 252 askes
39 Ranitidine 150 mg Tab 262 1000 1262 558 704 askes
ALKES
1 Alkohol 70 % Btl 2 10 12 12
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 1 1 1
34 Plastik Obat Set 18000 18000 6000 12000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
49 Cetrizin tab 142 450 592 208 384 askes
56 Lytamin syrup Btl 79 24 103 16 87 askes
57 Mecobion tab Tab 0 1000 1000 364 636 askes
60 Metformin Tab 20 2500 2520 295 2225
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 50 1000 1050 50 1000 askes
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
65 Stick gula darah Pcs 50 100 150 150 0
66 Hand scun set 0 300 300 300 0
68 Asam Folat Tab 1805 1805 1805
72 Amlodipin 5 mg Tab 5 5 5 0
73 Dexanta tab Tab 3866 3000 6866 2450 4416 askes
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Juni 2013

1810 9 294 632 56 2801 1819 5612 775 137 294 813 100 9 632 1696 263 21 56 151 12 1 5406 792 1602 145 7945

300 3 10 39 4 356 303 1439 86 97 10 32 1 1 39 136 6 6 4 12 0 0 1439 32 136 12 1619

KASANG JAYA
143 1 4 40 6 194 144 384 39 0 4 8 0 0 40 70 7 0 6 10 0 0 384 8 70 10 472

SIJINJANG I
135 5 20 26 0 186 140 500 52 5 20 76 5 0 26 90 9 0 0 0 0 0 500 76 90 0 666

SIJINJANG II
Jambi, 3 Juli 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Mei
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
42 Diazepam 2 mg 5 Tab 852 852 248 604
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 7 7 3 4
83 I N H tablet 100 mg 6.2.4 Tab 418 418 159 259 Retur
84 I N H tablet 300 mg 6.2.4 Tab 766 766 15 751
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
91 Kasa kompres 40/40 steril 32 Rol 10 10 10 0 jps
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 0 0 0 prog
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 0 0 0 prog
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
138 Parasetamol tablet 500 mg 1.2 Tab 8951 8951 5989 2962 bon
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 42 42 6 36
166 Serum ATS 1500 IU 27.1 Amp 5 5 5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

8 Ambroxol Sirup Amp 148 148 57 91 ask
21 H2O2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
29 Natrium Diklofenak 50 mg Tab 62 62 62
37 Piroksikam tablet 10 mg Tab 0 0 0 ask
39 Ranitidine 150 mg Tab 590 590 328 262
ALKES
1 Alkohol 70 % Btl 6 6 4 2
5 Asam Klorida 0.1 N Btl 0 0 0 bon
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 1 1 1
34 Plastik Obat Set 23000 23000 5000 18000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
47 Ambroxol tab tab 0 0 0 ask
49 Cetrizin tab 235 235 93 142
60 Metformin Tab 430 430 410 20
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
66 Hand scun set 100 100 100 0
68 Asam Folat Tab 1815 1815 10 1805
70 Zink Tablet Tablet 1772 1772 434 1338 prog
72 Amlodipin 5 mg Tab 205 205 200 5
73 Dexanta tab Tab 7048 7048 3182 3866
74 Viliron Tab Tab 540 540 485 55
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Mei 2013

2119 8 298 784 62 3271 2127 6648 831 153 298 894 93 11 784 2178 224 30 62 170 12 0 6344 860 2060 160 9424

300 3 20 51 5 379 303 1497 92 88 20 79 2 2 51 110 2 2 5 16 0 0 1497 79 110 16 1702

KASANG JAYA
181 0 5 41 4 231 181 531 46 2 5 6 0 0 41 83 7 0 4 6 0 0 531 6 83 6 626

SIJINJANG I
146 5 24 32 0 207 151 573 55 16 24 93 8 0 32 121 15 4 0 0 0 0 573 93 121 0 787

SIJINJANG II
Jambi, 3 Juni 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Mei
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 Alat Suntik 1 ml 32 Set 170 170 70 100 75 100
3 Alat Suntik 2.5 ml 32 Set 1019 1019 184 835 330.25 500
4 Albendazol 400 mg 32 Set 579 579 234 345 141 prog
8 Amitriptilin HCl tablet 25 mg 23.2 Tab 400 400 160 240 221.25 500
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 10669 10669 4741 5928 6749.75 20000
12 Ampicillin kaplet 500 mg 1.2 Kap 1120 1120 325 795 416.5 500
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 186 186 28 158 49.75 100
14 Antalgin tablet 500 mg 18.3 Tab 10254 10254 1545 8709 2408.75 5000
17 Antibakteri DOEN salep kombinasi 18.2 Pot 98 98 10 88 12.5
20 Antimigrain DOEN kombinasi 7.2 Tab 66 66 66 44.5
21 Aqua proinjeksi bebas pirogen 20.3 Amp 8 8 1 7 2.5
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
36 Deksametason injeksi 5 mg/ml - 1 ml 3 Amp 98 98 7 91 2.75
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 3959 3959 291 3668 523.25
41 Diazepam injeksi 5 mg/ml - 2 ml 5 Amp 48 48 48 0.5
42 Diazepam 2 mg 5 Tab 1109 1109 257 852 455.5 1000
47 Ekstrak belladon tablet 10 mg 26.1 Tab 1050 1050 90 960 151.75
52 Etil klorida semprot 14.1 Btl 1 1 1 0 1 5
53 Eugenol cairan 14.1 Btl 0 0 0 0 3
54 Fenitoin natrium kapsul 100 mg 5 Kap 660 660 660 61.25
55 Fenitoin natrium kapsul 30 mg 5 Kap 715 715 715 8.75
56 Fenobarbital injeksi 50 mg/ml - 2 ml 5 Amp 0 0 0 1.5
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
58 Fenobarbital tablet 30 mg 5 Tab 690 690 62 628 222.5
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 32 32 11 21 16.5 48
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 10 10 3 7 49.75 30
64 Furosemid tablet 40 mg 14 Tab 140 140 13 127 21.5
66 Garam oralit 200 ml air 20.1 Sak 1574 1574 596 978 835 2000 prog
67 Gentian violet larutan 1 % 14.2 Btl 61 61 25 36 33.5 100
69 Glibenklamid tablet 5 mg 16.11 Tab 1070 1070 120 950 213.5
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 30511 30511 6757 23754 8948.75 25000
71 Gliserin 26.6 Btl 0 0 0 0
76 Halloperidol tablet 5 mg 23.4 Tab 113 113 105 8 99.5
77 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab 1989 1989 865 1124 286 1000
78 Hidrokortison krim 2,5 % 18.4 Pot 131 131 59 72 87.5 150
79 Ibuprofen tablet 200 mg 1.2 Tab 8577 8577 2023 6554 2207.5 5000
83 I N H tablet 100 mg 6.2.4 Tab 746 746 328 418 885.25 Retur
84 I N H tablet 300 mg 6.2.4 Tab 791 791 25 766 42.75
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 15 15 15 0 45 100
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
89 Kapas pembalut / Absorben 250 gram 32 Rol 19 19 3 16 5.25 10
90 Karbamazepin tablet 200 mg 5 Tab 460 460 130 330 75 300
91 Kasa kompres 40/40 steril 32 Rol 10 10 10 10 20 jps
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 43 43 5 38 6 50
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 84 84 12 72 25.75 48
97 Klorfeniramine maleat tablet 4 mg 3 Tab 4093 20000 24093 6044 18049 16576 30000
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 1157 1157 152 1005 320.5
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 1130 1130 545 585 467.25 1000
107 Kotrimoksazol suspensi 6.2.2 Btl 71 71 58 13 138.75 400
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 0 0 0 7.5 prog
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 0 0 0 15 prog
118 Metronidazol tablet 500 mg 623 Tab 1095 1095 1095 96.25
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
124 Nifedipin tab Tab 690 690 690 40.5
125 Obat anti tuberkolusis katagori 1 62.4 Tab 2 2 2 0 6.75
129 Obat anti tuberkolosis anak 62.4 Tab 1 1 1 0 0.5
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 188 188 58 130 75.5 200
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 10 10 10 0.5
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 180 180 81 99 86.75 250
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 45 45 7 38 20.5 24 prog
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 630 630 144 486 228.75 300
138 Parasetamol tablet 500 mg 1.2 Tab 5738 10800 16538 7587 8951 19265.75 50000 bon
140 Pirantel pamoat tablet 365 mg 23.4 Tab 381 381 17 364 40.25
141 Piridoxin hcl tablet 10 mg 29 Tab 10881 10881 2295 8586 3360.5 6000
142 Pyrazinamid tablet Tab 1097 1097 182 915 162.75 300
143 Plester 5 yard x 2 inch 32 Rol 7 7 7 1.75
149 Propiltiourasil tablet 100 mg 16.3 Tab 934 934 172 762 437.75 500
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
151 Propanolol hcl tablet 10 mg 7.1 Tab 992 992 60 932 318.25
153 Reserpin tablet 0,25 mg 17.1 Tab 1864 1864 285 1579 278.5
154 Retinol ( Vit A ) 200.000 iu 29 Kap 50 50 50 0 1050
155 Retinol ( Vit A ) 100.000 iu 29 Kap 0 0 0 157.5
156 Rifampisin kapsul 600 mg 6.2.4 Kap 281 281 3 278 19.5
157 Rifampisin kapsul 450 mg 6.2.4 Kap 128 128 125 3 110.25 600
160 Salbutamol tablet 2 mg 26.1 Tab 171 171 29 142 99.75 500
161 Salep 2-4 18.1 Pot 48 48 6 42 11 48
166 Serum ATS 1500 IU 27.1 Amp 5 5 5 0.5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0 0
168 Simvastatin Tab 650 650 40 610 70 500
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 608 608 149 459 135.75 200
170 Silk (benang bedah sutera) no. 3/0 32 Rol 4 4 4 1.5
175 Sulfasetamid natrium tetes mata 15 % 21.2.2 Btl 3 3 3 0.25
178 Tetrasiklin HCl kapsul 250 mg 6.2.2 Kap 1396 1396 274 1122 497.5
179 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap 690 690 100 590 103.75 500
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 16608 16608 3162 13446 3998.25 5000
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 825 825 150 675 310.25 500
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 6 6 1 5 2 3
1 Acyclovir tablet 200 mg Tab 705 705 136 569 140.25 300
2 Acyclovir cream Tube 158 158 29 129 42.25 100
6 Asam mefenamat tablet 500 mg Tab 2581 2581 583 1998 632.25 3000
8 Ambroxol Sirup Amp 221 221 73 148 72.25 250 ask
11 Ciprofloxacin kaplet 500 mg Kap 670 670 175 495 140 500
13 Domperidon tab Tab 618 618 166 452 155.5 500
15 Erytromycin capt 500 mg Kap 375 375 56 319 44.25
16 Erytromycin Syr Btl 0 0 0 10.5
21 H2O2 Btl 0 0 0 0.5 10
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
24 Kloramphenicol tetes mata Btl 39 39 12 27 8 48
25 Metoklorpropamide Hcl 10 mg Tab 300 300 300 18.5
26 Mikonazole cream Pot 89 89 13 76 21.5 24
29 Natrium Diklofenak 50 mg Tab 62 62 62 34.5 200
37 Piroksikam tablet 10 mg Tab 70 70 70 0 424 1200 ask
40 Stesolit Rectal supp Tube 0 0 0 0 3
ALKES
1 Alkohol 70 % Btl 10 10 4 6 5 10
5 Asam Klorida 0.1 N Btl 1 1 1 0 0.5 bon
13 Etanol 70 % 13.2 Btl 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
18 Kertas Perkamen lbr 625 625 11 614 74.5
27 Larutan Karbol Fuksin 31 Btl 0 0 0 0.25
30 L i s o l 31 Btl 1 1 1 0.5
34 Plastik Obat Set 28200 28200 5200 23000 8250
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0 0
47 Ambroxol tab tab 170 170 170 0 662 2000 ask
49 Cetrizin tab 295 295 60 235 69.5 500
1 Salbutamol 4 mg tab 41 41 34 7 24
54 Antasida Syrup btl 32 32 7 25 6.5
56 Lytamin syrup Btl 110 110 12 98 16.25 48
57 Mecobion tab Tab 808 808 795 13 377.5 1000
58 Bioplasenton gel Tube 8 8 3 5 1.5 24
60 Metformin Tab 1100 1100 670 430 960 3000
61 Meloxicam 7,5 mg/camelox 7,5mg Tab 250 250 200 50 247.5 1000
62 Bisturi 10,11,20,22 pcs 0 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9 0
65 Stick gula darah Pcs 150 150 50 100 37.5 100
66 Hand scun set 300 300 200 100 100 300
67 Omeperazole Tab 163 163 10 153 20
68 Asam Folat Tab 1860 1860 45 1815 48.75
70 Zink Tablet Tablet 2470 2470 698 1772 891.75 prog
72 Amlodipin 5 mg Tab 480 480 275 205 166.25
73 Dexanta tab Tab 9630 9630 2582 7048 2383.5 5000
74 Viliron Tab Tab 600 600 60 540 136.25
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN April 2013

2006 8 313 785 59 3171 2014 6027 746 120 313 916 105 13 785 2092 215 24 63 164 11 0 5827 866 2042 150 8885

285 3 25 50 4 367 288 1395 87 86 25 82 2 2 50 107 3 3 4 14 0 0 1395 82 107 14 1598

KASANG JAYA
158 0 10 33 0 201 158 436 39 1 10 23 1 1 33 62 3 0 0 0 0 0 436 23 62 0 521

SIJINJANG I
140 5 27 30 0 202 145 531 49 15 27 102 7 3 30 104 8 2 0 0 0 0 531 102 104 0 737
SIJINJANG II
Jambi, 2 Mei 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan April
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
42 Diazepam 2 mg 5 Tab 501 1000 1501 392 1109
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
84 I N H tablet 300 mg 6.2.4 Tab 800 800 9 791
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
91 Kasa kompres 40/40 steril 32 Rol 0 20 20 10 10 jps
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
138 Parasetamol tablet 500 mg 1.2 Tab 5246 11000 16246 10508 5738 bon
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 4 48 52 4 48
166 Serum ATS 1500 IU 27.1 Amp 0 5 5 5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
168 Simvastatin Tab 190 500 690 40 650
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

8 Ambroxol Sirup Amp 214 50 264 43 221 ask
11 Ciprofloxacin kaplet 500 mg Kap 670 670 670
21 H2O2 Btl 1 1 1 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
37 Piroksikam tablet 10 mg Tab 131 131 61 70 ask
ALKES
1 Alkohol 70 % Btl 13 13 3 10
5 Asam Klorida 0.1 N Btl 0 2 2 1 1 bon
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
18 Kertas Perkamen lbr 202 500 702 77 625
30 L i s o l 31 Btl 2 2 1 1
34 Plastik Obat Set 18000 15000 33000 4800 28200
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
47 Ambroxol tab tab 790 790 620 170 ask
49 Cetrizin tab 365 365 70 295
57 Mecobion tab Tab 66 1000 1066 258 808
60 Metformin Tab 775 1000 1775 675 1100
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
65 Stick gula darah Pcs 150 150 150
66 Hand scun set 0 300 300 300
68 Asam Folat Tab 1880 1880 20 1860
72 Amlodipin 5 mg Tab 180 300 480 480
73 Dexanta tab Tab 3827 8400 12227 2597 9630
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Maret 2013

1894 8 311 779 55 3047 1902 5808 694 159 311 903 84 12 779 2069 205 15 55 139 12 1 5789 870 2011 130 8800

305 5 27 55 0 392 310 1432 87 98 27 89 2 2 55 113 3 3 0 0 0 0 1432 89 113 0 1634

KASANG JAYA
153 2 5 54 0 214 155 429 45 1 5 9 1 0 54 137 10 0 0 0 0 0 429 9 137 0 575

SIJINJANG I
145 1 26 25 0 197 146 595 50 28 26 106 5 4 25 101 10 3 0 0 0 0 595 106 101 0 802
SIJINJANG II
Jambi, 2 April 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Maret
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
3 Alat Suntik 2.5 ml 32 Set 125 125 125
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
42 Diazepam 2 mg 5 Tab 898 898 397 501
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
84 I N H tablet 300 mg 6.2.4 Tab 801 801 1 800
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
115 Metilergometrin tablet salut 22.1 Tab 310 310 310
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
138 Parasetamol tablet 500 mg 1.2 Tab 15501 15501 10255 5246 bon
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 10 10 6 4
166 Serum ATS 1500 IU 27.1 Amp 1 1 1 0
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

8 Ambroxol Sirup Amp 246 246 32 214 ask
15 Erytromycin capt 500 mg Kap 416 416 416
21 H2O2 Btl 2 2 1 1
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
37 Piroksikam tablet 10 mg Tab 516 516 385 131 ask
ALKES
1 Alkohol 70 % Btl 16 16 3 13
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 2 2 2
34 Plastik Obat Set 23050 23050 5050 18000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
47 Ambroxol tab tab 1285 1285 495 790 ask
49 Cetrizin tab 390 390 25 365
60 Metformin Tab 1585 1585 810 775
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
66 Hand scun set 0 0 0
68 Asam Folat Tab 1900 1900 20 1880
72 Amlodipin 5 mg Tab 270 270 90 180
73 Dexanta tab Tab 4930 4930 1103 3827
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Februari 2013

1931 108 331 794 86 3250 2039 6756 796 156 331 932 111 10 794 1851 211 18 86 225 24 2 6317 926 1946 223 9412
JUMLAH KUNJUNGAN PUSTU \

320 6 32 42 4 404 326 1752 89 99 32 86 1 1 42 92 3 3 4 12 0 0 1752 86 92 12 1942

KASANG JAYA
143 59 4 26 1 233 202 537 93 5 4 11 2 0 26 74 2 0 1 4 0 0 537 11 74 4 626

SIJINJANG I
134 0 24 26 0 184 134 508 59 21 24 97 6 4 26 106 8 4 0 0 0 0 508 97 106 0 711

SIJINJANG II
Jambi, 4 Maret 2013


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Februari
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
3 Alat Suntik 2.5 ml 32 Set 543 543 418 125 311,5 1000
4 Albendazol 400 mg 32 Set 594 594 5 589 2,5 prog
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 4393 4393 1956 2437 1891,5 6000
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 13504 13504 4570 8934 4748,5 10000
17 Antibakteri DOEN salep kombinasi 18.2 Pot 113 113 8 105 6,5
18 Antihemoroid DOEN kombinasi 25.3 Pot 69 69 6 63 10,5 50
19 Antifungi DOEN kombinasi 18.3 Pot 59 59 14 45 11,5 48
20 Antimigrain DOEN kombinasi 7.2 Tab 128 128 37 91 76,5 200
21 Aqua proinjeksi bebas pirogen 20.3 Amp 0 0 0 2,5 10
23 Asam askorbat (vit C) 50 mg 29 Tab 25942 25942 3922 22020 4378 15000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
37 Deksametason tablet 0,5 mg 3 Tab 11854 11854 4970 6884 3018,5 12000
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 5092 5092 420 4672 422,5
42 Diazepam 2 mg 5 Tab 1194 1194 296 898 264 1000
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 101 101 37 64 40,5 150
46 Efedrin HCl tablet 25 mg 26.1 Tab 1389 1389 39 1350 52
47 Ekstrak belladon tablet 10 mg 26.1 Tab 1366 1366 87 1279 96,5
54 Fenitoin natrium kapsul 100 mg 5 Kap 250 250 90 160 122,5 500
55 Fenitoin natrium kapsul 30 mg 5 Kap 250 250 15 235 7,5 500
56 Fenobarbital injeksi 50 mg/ml - 2 ml 5 Amp 3 3 3 0 3
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
58 Fenobarbital tablet 30 mg 5 Tab 1235 1235 460 775 328,5
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 138 138 122 16 93,5
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 1503 1503 130 1373 151,5
66 Garam oralit 200 ml air 20.1 Sak 2132 2132 548 1584 546,5 1200 prog
67 Gentian violet larutan 1 % 14.2 Btl 103 103 22 81 24,5 24
71 Gliserin 26.6 Btl 0 0 0 0
75 Halloperidol tablet 1,5 mg 23.4 Tab 128 128 45 83 92,5 1000
77 Hidroklrotiazed ( hct ) tablet 25 mg 15 Tab 2136 2136 69 2067 55,5
78 Hidrokortison krim 2,5 % 18.4 Pot 146 146 51 95 63,5 144
79 Ibuprofen tablet 200 mg 1.2 Tab 9730 9730 1309 8421 1328,5 3000
83 I N H tablet 100 mg 6.2.4 Tab 1800 1800 399 1401 1199,5 Retur
84 I N H tablet 300 mg 6.2.4 Tab 807 807 6 801 60,5
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 9041 9041 1744 7297 1772,5 4000
89 Kapas pembalut / Absorben 250 gram 32 Rol 28 28 3 25 4,5
91 Kasa kompres 40/40 steril 32 Rol 10 10 10 0 10 20
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 157 157 73 84 76 120
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 833 833 179 654 176 1000
107 Kotrimoksazol suspensi 6.2.2 Btl 358 358 127 231 142,5 500
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 30 30 30 0 15 prog
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 60 60 60 0 30 prog
111 Lidokain Kompositum injeksi 31 Amp 81 81 33 48 46,5 120
115 Metilergometrin tablet salut 22.1 Tab 350 350 40 310 25 200
118 Metronidazol tablet 500 mg 623 Tab 1350 1350 25 1325 67,5
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
124 Nifedipin tab Tab 280 280 80 200 53,5 500
125 Obat anti tuberkolusis katagori 1 62.4 Tab 0 6 6 3 3 3
129 Obat anti tuberkolosis anak 62.4 Tab 0 2 2 1 1 0,5
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 1 1 1 0 1 10
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 493 493 195 298 194,5 600
138 Parasetamol tablet 500 mg 1.2 Tab 22304 10000 32304 16803 15501 15962 70000 bon
140 Pirantel pamoat tablet 365 mg 23.4 Tab 199 199 45 154 25,5 300
142 Pyrazinamid tablet Tab 952 952 62 890 55 500
143 Plester 5 yard x 2 inch 32 Rol 10 10 1 9 1,5
149 Propiltiourasil tablet 100 mg 16.3 Tab 1010 1010 304 706 301,5 1000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
153 Reserpin tablet 0,25 mg 17.1 Tab 2355 2355 200 2155 164,5
154 Retinol ( Vit A ) 200.000 iu 29 Kap 0 4150 4150 2600 1550 25
155 Retinol ( Vit A ) 100.000 iu 29 Kap 0 600 600 550 50 15
156 Rifampisin kapsul 600 mg 6.2.4 Kap 291 291 291 16,5
160 Salbutamol tablet 2 mg 26.1 Tab 387 387 115 272 120 1000
161 Salep 2-4 18.1 Pot 21 21 11 10 11 48
166 Serum ATS 1500 IU 27.1 Amp 2 2 1 1 0,5 5
167 Serum ATS 20000 IU 28.1 Amp 0 0 0 0
168 Simvastatin Tab 260 260 260 15 1000
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 408 408 209 199 126,5 500
175 Sulfasetamid natrium tetes mata 15 % 21.2.2 Btl 3 3 3 0,5
179 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap 880 880 50 830 47,5
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml 29 Amp 0 0 0 0 100
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 563 563 193 370 203,5 1000
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 10 10 3 7 2,5
0
2 Acyclovir cream Tube 104 104 31 73 27,5 150
6 Asam mefenamat tablet 500 mg Tab 2753 2753 410 2343 362 1000
8 Ambroxol Sirup Amp 289 289 43 246 42 100 ask
19 Gentamycin salep kulit Pot 96 96 19 77 17,5
20 Gentamycin tetes mata Btl 28 28 13 15 12,5
21 H2O2 Btl 2 2 2 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
26 Mikonazole cream Pot 85 85 17 68 12,5 48
34 Papaverin tablet 40 mg Tab 1352 1352 130 1222 142,5
37 Piroksikam tablet 10 mg Tab 1157 1157 641 516 590 2000 ask
ALKES 0
1 Alkohol 70 % Btl 19 19 3 16 3
13 Etanol 70 % 13.2 Btl 0 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
18 Kertas Perkamen lbr 221 221 8 213 43,5
30 L i s o l 31 Btl 2 2 2 0,5
34 Plastik Obat Set 28600 28600 5550 23050 6475 24000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0 0
47 Ambroxol tab tab 2095 2095 810 1285 681,5 2000 ask
49 Cetrizin tab 390 390 390 15
1 Salbutamol 4 mg tab 98 98 1 97 0,5
54 Antasida Syrup btl 41 41 6 35 6,5
57 Mecobion tab Tab 390 390 170 220 145 1000
58 Bioplasenton gel Tube 4 4 1 3 1,5 24
60 Metformin Tab 2145 2145 560 1585 637,5 2000
62 Bisturi 10,11,20,22 pcs 0 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9 0
66 Hand scun set 100 100 100 0 50 300
67 Omeperazole Tab 213 213 10 203 10
68 Asam Folat Tab 1975 1975 75 1900 50
70 Zink Tablet Tablet 4230 4230 485 3745 580 prog
72 Amlodipin 5 mg Tab 310 310 40 270 50
73 Dexanta tab Tab 4940 4940 10 4930 35
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Januari 2013

2134 29 348 726 97 3334 2163 6613 821 149 348 1034 120 19 726 2033 252 16 97 248 29 0 6611 1022 2039 248 9920

310 6 20 30 2 368 316 1429 85 97 20 92 0 0 30 128 0 0 2 7 0 0 1429 92 128 7 1656

KASANG JAYA
193 0 8 30 3 234 193 502 37 0 8 16 0 0 30 68 6 0 3 6 2 0 502 16 68 6 592

SIJINJANG I
150 1 28 26 0 205 151 583 72 22 28 116 10 6 26 109 9 6 0 0 0 0 583 116 109 0 808
SIJINJANG II


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Januari
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
42 Diazepam 2 mg 5 Tab 1426 1426 232 1194
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
64 Furosemid tablet 40 mg 14 Tab 0 200 200 20 180
84 I N H tablet 300 mg 6.2.4 Tab 922 922 115 807
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 0 30 30 30 prog
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 0 60 60 60 prog
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 32 32 11 21
166 Serum ATS 1500 IU 27.1 Amp 2 2 2
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

8 Ambroxol Sirup Amp 230 100 330 41 289 ask
21 H2O2 Btl 2 2 2
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
25 Metoklorpropamide Hcl 10 mg Tab 74 300 374 74 300
37 Piroksikam tablet 10 mg Tab 496 1200 1696 539 1157 ask
ALKES
1 Alkohol 70 % Btl 2 20 22 3 19
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 3 3 1 2
34 Plastik Obat Set 12000 24000 36000 7400 28600
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
47 Ambroxol tab tab 1648 1000 2648 553 2095 ask
49 Cetrizin tab 420 420 30 390
60 Metformin Tab 1360 1500 2860 715 2145
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
66 Hand scun set 100 100 100
68 Asam Folat Tab 0 2000 2000 25 1975
70 Zink Tablet Tablet 2905 2000 4905 675 4230 prog
72 Amlodipin 5 mg Tab 370 370 60 310
73 Dexanta tab Tab 0 5000 5000 60 4940
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Desember 2012

Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli R/Umum R/Askes R/JKM R/JKD Jml
2157 8 306 598 114 3183 2165 6636 797 160 306 896 103 8 598 1141 114 13 114 324 33 4 6635 302 1141 323 8401

BAYAR T.BAYAR Lbr R/ Resep Lbr R/A Lbr R/PoLbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/PolLbr R/ Resep Lbr R/AB Lbr R/Poli R/Umum R/Askes R/JKM R/JKD Jml
335 9 27 23 1 395 344 1452 88 91 27 92 1 0 23 85 0 1 1 3 0 0 1452 92 85 0 1629

KASANG JAYA
197 0 5 19 2 223 197 536 46 0 5 6 0 0 19 50 1 0 2 6 0 0 536 6 50 6 598

SIJINJANG I
145 7 26 24 0 202 152 613 68 32 26 104 7 2 24 100 14 5 0 0 0 0 613 104 100 0 817
SIJINJANG II


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Desember
Kota JAMBI TIMUR
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
42 Diazepam 2 mg 5 Tab 1575 1575 149 1426
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
83 I N H tablet 100 mg 6.2.4 Tab 3820 3820 20 3800
84 I N H tablet 300 mg 6.2.4 Tab 1027 1027 105 922
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 42 42 10 32
166 Serum ATS 1500 IU 27.1 Amp 3 3 1 2
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
0
13 Domperidon tab Tab 1000 1000 1000
21 H2O2 Btl 2 2 2
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
ALKES 0
1 Alkohol 70 % Btl 3 3 1 2
13 Etanol 70 % 13.2 Btl 0 0 0
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 3 3 3
34 Plastik Obat Set 18235 18235 6235 12000
PEMAKA PEMBERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
47 Ambroxol tab tab 2160 2160 512 1648
49 Cetrizin tab 450 450 30 420
56 Lytamin syrup Btl 0 0 0
60 Metformin Tab 1970 1970 610 1360
61 Meloxicam 7,5 mg Tab 40 40 40
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
66 Hand scun set 200 200 100 100
72 Amlodipin 5 mg Tab 390 390 20 370
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN November 2012

Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/PoliR/UmumR/Askes R/JKM R/JKD Jml
2324 37 296 439 145 3241 2361 6842 824 124 296 822 99 9 439 1229 136 9 145 377 41 2 6840 820 1227 367 9254

BAYAR T.BAYAR Lbr R/ Resep Lbr R/A Lbr R/PoLbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Pol Lbr R/ Resep Lbr R/AB Lbr R/Poli R/UmumR/Askes R/JKM R/JKD Jml
280 9 20 25 3 337 289 1349 75 65 20 75 0 0 25 89 0 0 3 9 0 0 1349 75 89 0 1513

KASANG JAYA
170 2 3 17 5 197 172 471 38 0 3 5 0 0 17 34 2 0 5 13 0 0 471 5 34 13 523

SIJINJANG I
150 8 27 25 0 210 158 604 46 23 27 111 9 4 25 105 10 6 0 0 0 0 604 111 105 0 820
SIJINJANG II


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan November
Kota JAMBI TIMUR
KELAS STOCK PENERIMA PERSEDIA PEMAKAI SISA PEMAKAIAN PERMINTA PEMBERIAN

NO NAMA OBAT TERAPI SATUAN AWAL AN N AN STOCK STOCK OPT RT 2 ( 3 BLN) AN KET
PKD ASKES PROG JPS LAIN2 JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 Alat Suntk 1 ml 32 Set 150 150 37 113 25 200
3 Alat Suntk 2.5 ml 32 Set 350 350 173 177 177 700
6 Aminophylin 200 mg 26.1 Tab 1600 1600 316 1284 362,3 1000
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 566 566 101 465 127,3 400
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 6990 6990 1989 5001 1251,3 3000
12 Ampicillin kaplet 500 mg 1.2 Kap 1727 1727 374 1353 313,7 300
14 Antalgin tablet 500 mg 18.3 Tab 15270 15270 1975 13295 1576,3 5000
16 Antasida DOEN tablet kombinasi 25.1 Tab 18643 18643 3649 14994 3350,3 10000
17 Antbakteri DOEN salep kombinasi 18.2 Pot 124 124 4 120 4,7
18 Anthemoroid DOEN kombinasi 25.3 Pot 76 76 9 67 12 30
19 Antfungi DOEN kombinasi 18.3 Pot 80 80 6 74 7,7
20 Antmigrain DOEN kombinasi 7.2 Tab 245 245 245 18,3
21 Aqua proinjeksi bebas pirogen 20.3 Amp 8 8 8 0,7
23 Asam askorbat (vit C) 50 mg 29 Tab 34011 34011 4678 29333 4580,3 12000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 Benzatn benzil penicillin inj. 2,4 juta IU/vial 6.2.1 Amp 0 0 0 0
32 Betametason krim 0,1 % 18.4 Tube 147 147 43 104 32,7 100
33 Catgut/benang bedah no. 2/0 - 3/0 32 Sak 0 0 0 0,7
35 Captopril 25 mg tablet Tab 0 0 0 339,7
37 Deksametason tablet 0,5 mg 3 Tab 12689 12689 2983 9706 2760,3 6000
38 Dekstromethorpan HBr sirup 10 mg/5 ml 26.2 Btl 257 257 257 31,7 100
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 5154 5154 365 4789 377,3 1000
42 Diazepam 2 mg 5 Tab 1849 1849 274 1575 222,3
46 Efedrin HCl tablet 25 mg 26.1 Tab 1585 1585 104 1481 59,3
48 Epinephrin HCl injeksi 3 Amp 51 51 2 49 0
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 11 11 1 10 1,3
52 Etl klorida semprot 14.1 Btl 4 4 1 3 1,7 3
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
58 Fenobarbital tablet 30 mg 5 Tab 1631 1631 81 1550 102,7
59 Fenoksi metl penisillin tablet 250 mg 6.2.1 Tab 0 0 0 0
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 35 35 8 27 24,7 48
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 218 218 12 206 2,7
64 Furosemid tablet 40 mg 14 Tab 200 200 100 100 0 100
66 Garam oralit 200 ml air 20.1 Sak 1909 1909 766 1143 698,3 2000
67 Gentan violet larutan 1 % 14.2 Btl 141 141 20 121 19,7 50
69 Glibenklamid tablet 5 mg 16.11 Tab 1704 1704 70 1634 65,3
71 Gliserin 26.6 Btl 0 0 0 0
73 Griseofulvin 125 mg micronized 6.3 Tab 849 849 92 757 84,3 300
75 Halloperidol tablet 1,5 mg 23.4 Tab 559 559 131 428 174,3 500
76 Halloperidol tablet 5 mg 23.4 Tab 478 478 50 428 0,7
77 Hidroklrotazed ( hct ) tablet 25 mg 15 Tab 2267 2267 61 2206 32,7
78 Hidrokortson krim 2,5 % 18.4 Pot 219 219 59 160 55,3 100
83 I N H tablet 100 mg 6.2.4 Tab 3820 3820 3820 6,7
84 I N H tablet 300 mg 6.2.4 Tab 1172 1172 145 1027 120,3
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 190 190 190 22,3
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 8424 8424 1868 6556 1782,3 6000
90 Karbamazepin tablet 200 mg 5 Tab 171 171 171 0 119,3 600
91 Kasa kompres 40/40 steril 32 Rol 10 10 5 5 6,7 20
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 70 70 6 64 7,3
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 333 333 35 298 39,3
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 4368 4368 215 4153 881,67 3000
111 Lidokain Kompositum injeksi 31 Amp 206 206 32 174 43,3
114 Mebendazol Syrup 6.1.1 Tab 0 0 0 0 30
115 Metlergometrin tablet salut 22.1 Tab 370 370 370 23,3
116 Metlergometrin Inj. 22.1 Amp 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
122 Nistatn 100.000 iu/g tablet vaginal 6.3 Tab 0 0 0 0
123 Nistatn 500.000 iu/g tablet salut 6.3 Tab 0 0 0 0
125 Obat ant tuberkolusis katagori 1 62.4 Tab 0 5 5 4 1 2,3
126 Obat ant tuberkolusis katagori 2 62.4 Tab 0 0 0 0
128 Obat ant tuberkolusis sisipan 62.4 Tab 0 0 0 0
129 Obat ant tuberkolosis anak 62.4 Tab 0 0 0 0
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 299 299 50 249 55,7 100
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 4 4 1 3 2,3
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 235 235 56 179 45,3 150
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 75 75 6 69 11,3
140 Pirantel pamoat tablet 365 mg 23.4 Tab 297 297 26 271 32,3
141 Piridoxin hcl tablet 10 mg 29 Tab 16765 16765 521 16244 3268,7 10000
142 Pyrazinamid tablet Tab 195 195 149 46 122,3 1000
143 Plester 5 yard x 2 inch 32 Rol 10 10 3 7 0,7 6
144 Polikresulen 14.2 Btl 5 5 1 4 0
149 Propiltourasil tablet 100 mg 16.3 Tab 624 624 156 468 157 1000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
153 Reserpin tablet 0,25 mg 17.1 Tab 1867 1867 285 1582 79,7 1000
154 Retnol ( Vit A ) 200.000 iu 29 Kap 100 100 50 50 1183,3
155 Retnol ( Vit A ) 100.000 iu 29 Kap 50 50 20 30 216,7
156 Rifampisin kapsul 600 mg 6.2.4 Kap 214 214 56 158 42,3 200
157 Rifampisin kapsul 450 mg 6.2.4 Kap 299 299 85 214 66,3 300
158 Rifampisin kapsul 300 mg 6.2.4 Kap 371 371 371 9,7
160 Salbutamol tablet 2 mg 26.1 Tab 692 692 68 624 97,3
161 Salep 2-4 18.1 Pot 50 50 8 42 7,3
162 Salisil bedak 2 % 18.4 Sak 122 122 30 92 25,3 50
166 Serum ATS 1500 IU 27.1 Amp 3 3 3 0
167 Serum ATS 20000 IU 28.1 Amp 0 0 0 0
168 Simvastatn Tab 340 340 340 0
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 505 505 118 387 89,3 100
172 Spons gelatn cublices 1x1x1 cm 14.1 Sak 12 12 12 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 16687 16687 3162 13525 2420,3 10000
186 Yodium povidon larutan 10 % - 30 ml 13.1 Btl 8 8 4 4 0,7 10
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 3 3 1 2 0,3 10

2 Acyclovir cream Tube 185 185 39 146 15,3
4 Andalan Injeksi Amp 60 60 20 40 6,7
6 Asam mefenamat tablet 500 mg Tab 2794 2794 331 2463 163,3 1000
8 Ambroxol Sirup Amp 337 337 62 275 43,3 200
10 Cimetdin tablet 200 mg Tab 0 0 0 0 500
11 Ciprofloxacin kaplet 500 mg Kap 800 800 40 760 66,7 500
13 Domperidon tab Tab 1000 1000 1000 23,7
16 Erytromycin Syr Btl 44 44 1 43 1
17 Etabion Cap Cap 0 0 0 46,7 1000
19 Gentamycin salep kulit Pot 96 96 9 87 1,3 30
21 H2O2 Btl 2 2 2 0,7
23 Levertran salep Pot 6 6 2 4 0,7 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
24 Kloramphenicol tetes mata Btl 25 25 25 0 13,3 50
25 Metoklorpropamide Hcl 10 mg Tab 194 194 58 136 35,3 300
26 Mikonazole cream Pot 114 114 12 102 6,3
29 Natrium Diklofenak 50 mg Tab 260 260 40 220 20
39 Ranitdine 150 mg Tab 1021 1021 267 754 178,67 500
ALKES
1 Alkohol 70 % Btl 5 5 2 3 3 20
2 Anisol soluton Btl 0 0 0 0
4 Aqua destlata Btl 0 0 0 0
13 Etanol 70 % 13.2 Btl 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
17 Kertas Saring Whatman Rol 1 1 1 0 0
18 Kertas Perkamen lbr 500 500 100 400 13,3
19 Larutan Bupper PH 7.2 31 Btl 0 0 0 0,3
20 Label Etket 31 Set 0 0 0 0
26 Larutan Giemsa Stalin 31 Btl 0 0 0 0,6
28 Larutan Metlen Biru 31 Btl 0 0 0 0
30 L i s o l 31 Btl 3 3 3 0,7
32 Natrium Sitrat 38 % Btl 2 2 1 1 0
34 Plastk Obat Set 24735 24735 6500 18235 6330 24000
40 Tes Gol. Darah( A,B,AB) Ktk 0 0 0 0,3
41 Tes Kehamilan HCG Ktk 40 100 140 37 103 1,7
44 Alat suntk 3 cc pcs 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0 0
47 Ambroxol tab tab 2406 2406 246 2160 295,3 1000
48 Clindamicin caps 0 0 0 0 1000
49 Cetrizin tab 450 450 450 18,3
54 Antasida Syrup btl 57 57 5 52 5,7
55 Lysmin sirup btl 0 0 0 0 100
57 Mecobion tab Tab 760 760 80 680 146
58 Bioplasenton gel Tube 0 10 10 3 7 0
60 Metformin Tab 2505 2505 535 1970 504,7 3000
61 Meloxicam 7,5 mg Tab 40 40 40 153,3 500
62 Bisturi 10,11,20,22 pcs 0 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9 0,3
65 Stck gula darah Pcs 100 100 50 50 0 100
66 Hand scun set 300 300 100 200 0
68 Asam Folat Tab 0 0 0 503 1000
69 Alat suntk 5 cc Pcs 0 0 0 0
70 Zink Tablet Tablet 3935 3935 655 3280 541,7 2000
71 Doxycicklin 100 mg Caps 300 300 300 33,3
72 Amlodipin 5 mg Tab 390 390 390 20
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Oktober 2012

2181 37 306 406 128 3058 2218 6355 734 139 306 919 98 5 406 1163 109 10 128 344 34 1 6355 98 1163 344 7960

325 9 22 23 0 379 334 1419 82 95 22 99 0 0 23 103 2 1 0 0 0 0 1419 99 103 0 1621

KASANG JAYA
148 2 6 20 3 179 150 409 29 0 6 17 0 0 20 47 0 0 3 7 1 0 409 17 47 7 480

SIJINJANG I
145 7 30 27 0 209 152 585 44 20 30 120 13 2 27 112 12 4 0 0 0 0 585 120 112 0 817
SIJINJANG II


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Oktober
Kota JAMBI TIMUR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 Alat Suntk 1 ml 32 Set 180 180 30 150
3 Alat Suntk 2.5 ml 32 Set 63 500 563 213 350
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 267 400 667 101 566
17 Antbakteri DOEN salep kombinasi 18.2 Pot 78 50 128 4 124
18 Anthemoroid DOEN kombinasi 25.3 Pot 34 50 84 8 76
19 Antfungi DOEN kombinasi 18.3 Pot 70 24 94 14 80
20 Antmigrain DOEN kombinasi 7.2 Tab 266 266 21 245
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 Benzatn benzil penicillin inj. 2,4 juta IU/vial 6.2.1 Amp 0 0 0
42 Diazepam 2 mg 5 Tab 0 2000 2000 151 1849
52 Etl klorida semprot 14.1 Btl 2 5 7 3 4
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
59 Fenoksi metl penisillin tablet 250 mg 6.2.1 Tab 0 0 0
67 Gentan violet larutan 1 % 14.2 Btl 112 48 160 19 141
77 Hidroklrotazed ( hct ) tablet 25 mg 15 Tab 2330 2330 63 2267
78 Hidrokortson krim 2,5 % 18.4 Pot 174 120 294 75 219
83 I N H tablet 100 mg 6.2.4 Tab 3820 3820 3820
84 I N H tablet 300 mg 6.2.4 Tab 1250 1250 78 1172
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
115 Metlergometrin tablet salut 22.1 Tab 370 370 370
116 Metlergometrin Inj. 22.1 Amp 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
122 Nistatn 100.000 iu/g tablet vaginal 6.3 Tab 0 0 0
123 Nistatn 500.000 iu/g tablet salut 6.3 Tab 0 0 0
125 Obat ant tuberkolusis katagori 1 62.4 Tab 0 0 0
128 Obat ant tuberkolusis sisipan 62.4 Tab 0 0 0
129 Obat ant tuberkolosis anak 62.4 Tab 0 0 0
149 Propiltourasil tablet 100 mg 16.3 Tab 145 600 745 121 624
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
154 Retnol ( Vit A ) 200.000 iu 29 Kap 300 300 200 100
155 Retnol ( Vit A ) 100.000 iu 29 Kap 50 50 50
161 Salep 2-4 18.1 Pot 7 48 55 5 50
166 Serum ATS 1500 IU 27.1 Amp 3 3 3
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
168 Simvastatn Tab 340 340 340
172 Spons gelatn cublices 1x1x1 cm 14.1 Sak 0 12 12 12
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

10 Cimetdin tablet 200 mg Tab 0 0 0
21 H2O2 Btl 4 4 2 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
39 Ranitdine 150 mg Tab 295 1000 1295 274 1021
ALKES
1 Alkohol 70 % Btl 4 5 9 4 5
2 Anisol soluton Btl 0 0 0
4 Aqua destlata Btl 0 0 0
13 Etanol 70 % 13.2 Btl 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
20 Label Etket 31 Set 0 0 0
28 Larutan Metlen Biru 31 Btl 0 0 0
30 L i s o l 31 Btl 1 3 4 1 3
34 Plastk Obat Set 6045 24000 30045 5310 24735
40 Tes Gol. Darah( A,B,AB) Ktk 0 1 1 1 0
44 Alat suntk 3 cc pcs 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
47 Ambroxol tab tab 628 2000 2628 222 2406
49 Cetrizin tab 0 450 450 450
58 Bismecon jelly Tube 0 0 0
60 Metformin Tab 130 3000 3130 625 2505
61 Meloxicam 7,5 mg Tab 50 50 10 40
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 9 9 9
65 Stck gula darah Pcs 0 100 100 100
66 Hand scun set 100 200 300 300
69 Alat suntk 5 cc Pcs 0 0 0
72 Amlodipin 5 mg Tab 0 450 450 60 390
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN September 2012

2086 20 321 361 127 2915 2106 6237 760 145 321 940 100 5 361 1054 108 9 127 327 51 3 6236 940 1054 315 8545

340 9 25 24 1 399 349 1445 87 92 25 107 1 1 24 103 0 0 1 3 0 0 1445 107 103 0 1655
KASANG JAYA
161 1 6 9 1 178 162 431 23 0 6 19 2 0 9 24 1 0 1 1 0 0 431 19 24 1 475

SIJINJANG I
140 8 30 29 0 207 148 574 39 21 30 120 7 2 29 112 13 6 0 0 0 0 574 120 112 0 806
SIJINJANG II


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan September
Kota JAMBI TIMUR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 Alat Suntk 1 ml 32 Set 200 200 20 180
3 Alat Suntk 2.5 ml 32 Set 177 177 114 63
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 420 420 153 267
17 Antbakteri DOEN salep kombinasi 18.2 Pot 83 83 5 78
18 Anthemoroid DOEN kombinasi 25.3 Pot 49 49 15 34
19 Antfungi DOEN kombinasi 18.3 Pot 74 74 4 70
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
42 Diazepam 2 mg 5 Tab 306 306 306 0
52 Etl klorida semprot 14.1 Btl 2 2 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 24 48 72 7 65 Bon
67 Gentan violet larutan 1 % 14.2 Btl 134 134 22 112
78 Hidrokortson krim 2,5 % 18.4 Pot 223 223 49 174
83 I N H tablet 100 mg 6.2.4 Tab 3840 3840 20 3820
84 I N H tablet 300 mg 6.2.4 Tab 1402 1402 152 1250
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
115 Metlergometrin tablet salut 22.1 Tab 410 410 40 370
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
125 Obat ant tuberkolusis katagori 1 62.4 Tab 0 3 3 3 0
149 Propiltourasil tablet 100 mg 16.3 Tab 327 327 182 145
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 16 16 9 7
166 Serum ATS 1500 IU 27.1 Amp 3 3 3
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
172 Spons gelatn cublices 1x1x1 cm 14.1 Sak 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
0
13 Domperidon tab Tab 0 0 0
21 H2O2 Btl 4 4 4
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
39 Ranitdine 150 mg Tab 462 462 167 295
ALKES 0
1 Alkohol 70 % Btl 7 7 3 4
13 Etanol 70 % 13.2 Btl 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
30 L i s o l 31 Btl 1 1 1
34 Plastk Obat Set 12765 12765 6720 6045
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0
47 Ambroxol tab tab 975 975 347 628
49 Cetrizin tab 55 55 55 0
57 Mecobion tab Tab 1060 1060 170 890
60 Metformin Tab 630 630 500 130
61 Meloxicam 7,5 mg Tab 480 480 430 50
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 10 10 1 9
65 Stck gula darah Tbg 0 0 0
66 Hand scun set 100 100 100
70 Zink Tablet Tablet 10 2000 2010 285 1725 Bon
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Agustus 2012

1728 16 283 317 95 2439 1744 5155 607 20 283 811 82 6 317 678 85 9 95 253 33 0 5153 808 901 252 7114

270 6 20 22 0 318 276 1237 77 73 20 71 0 0 22 76 0 0 0 0 0 0 1237 71 76 0 1384

KASANG JAYA
151 2 4 15 1 173 153 426 22 0 4 7 1 0 15 43 0 0 1 2 0 0 426 7 43 2 478

SIJINJANG I
120 8 27 25 0 180 128 512 39 24 27 107 7 3 25 104 10 6 0 0 0 0 512 107 104 0 723
SIJINJANG II


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Agustus
Kota JAMBI TIMUR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 Alat Suntk 1 ml 32 Set 225 225 25 200 37.5 100
3 Alat Suntk 2.5 ml 32 Set 381 381 204 177 534 700
4 Albendazol 400 mg 32 Set 300 300 300 136.875
5 Alupurinol 100 mg 1.2 Tab 1169 1169 129 1040 310.125 300
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 548 548 128 420 52.5 400
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 5944 5944 1112 4832 3931.5 4800
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 18966 18966 3578 15388 13177.5 10000
12 Ampicillin kaplet 500 mg 1.2 Kap 2068 2068 257 1811 805.875 600
14 Antalgin tablet 500 mg 18.3 Tab 14999 14999 1275 13724 4999.5 5000
16 Antasida DOEN tablet kombinasi 25.1 Tab 16694 16694 3058 13636 10842.38 12000
17 Antbakteri DOEN salep kombinasi 18.2 Pot 88 88 5 83 54 48
18 Anthemoroid DOEN kombinasi 25.3 Pot 62 62 13 49 40.875 50
19 Antfungi DOEN kombinasi 18.3 Pot 79 79 5 74 19.125 24
20 Antmigrain DOEN kombinasi 7.2 Tab 300 300 14 286 5.25
21 Aqua proinjeksi bebas pirogen 20.3 Amp 10 10 1 9 1.125
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
26 Asetosal tablet 500 mg 1.2 Tab 0 0 0 0 300
30 Benzatn benzil penicillin inj. 2,4 juta IU/vial 6.2.1 Amp 0 0 0 0
32 Betametason krim 0,1 % 18.4 Tube 145 145 25 120 115.875 100
33 Catgut/benang bedah no. 2/0 - 3/0 32 Sak 2 2 2 1.125
34 Captopril 12.5 mg tablet Tab 0 0 0 1036.875 1000
35 Captopril 25 mg tablet Tab 1019 1019 544 475 1883.25
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 5286 5286 379 4907 1214.25 1000
41 Diazepam injeksi 5 mg/ml - 2 ml 5 Amp 50 50 50 3.375
42 Diazepam 2 mg 5 Tab 516 516 210 306 900.75 2000
45 Digoksin tablet 0,25 mg 17.5 Tab 0 0 0 35.625 100
47 Ekstrak belladon tablet 10 mg 26.1 Tab 1482 1482 1482 194.25
48 Epinephrin HCl injeksi 3 Amp 51 51 51 0.375
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 5 5 1 4 6.75 10
51 Etambutol HCl 500 mg tablet 6.2.4 Tab 152 152 152 133.5
52 Etl klorida semprot 14.1 Btl 4 4 2 2 2.625 5
53 Eugenol cairan 14.1 Btl 2 2 2 1.125
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
58 Fenobarbital tablet 30 mg 5 Tab 1939 1939 112 1827 294.375
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 61 61 37 24 49.125 48
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 226 226 2 224 9.375
66 Garam oralit 200 ml air 20.1 Sak 3004 3004 131 2873 1587 1000
67 Gentan violet larutan 1 % 14.2 Btl 152 152 18 134 63.75 50
68 Glass ionomer semen (gc ix) 14.1 Btl 0 0 0 0.375
69 Glibenklamid tablet 5 mg 16.11 Tab 900 900 66 834 367.5 1000
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 33004 33004 5096 27908 17084.63 15000
71 Gliserin 26.6 Btl 0 0 0 0
73 Griseofulvin 125 mg micronized 6.3 Tab 702 702 62 640 357.375 400
76 Halloperidol tablet 5 mg 23.4 Tab 480 480 480 4.875
77 Hidroklrotazed ( hct ) tablet 25 mg 15 Tab 2365 2365 20 2345 311.25
78 Hidrokortson krim 2,5 % 18.4 Pot 265 265 42 223 150 120
79 Ibuprofen tablet 200 mg 1.2 Tab 10000 10000 1330 8670 4306.875 5000
80 Ibuprofen tablet 400 mg 1.2 Tab 0 0 0 268.125 1000
83 I N H tablet 100 mg 6.2.4 Tab 3840 3840 3840 71.25
84 I N H tablet 300 mg 6.2.4 Tab 1533 1533 131 1402 184.5
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 257 257 20 237 57.375
86 Kalium permanganat serbuk 13.1 Btl 0 0 0 0 12
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
89 Kapas pembalut / Absorben 250 gram 32 Rol 8 8 3 5 11.625 20
90 Karbamazepin tablet 200 mg 5 Tab 329 329 130 199 175.5 200
91 Kasa kompres 40/40 steril 32 Rol 30 30 30 22.5
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 42 42 6 36 30.375 50
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 451 451 28 423 172.875
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 0 0 0 37.125 72
97 Klorfeniramine maleat tablet 4 mg 3 Tab 0 0 0 22784.63 20000
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 1690 1690 195 1495 459.75
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 805 805 729 76 1321.5 2000
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 4013 4013 912 3101 2728.875 3000
114 Mebendazol Syrup 6.1.1 Tab 0 0 0 0 30
115 Metlergometrin tablet salut 22.1 Tab 440 440 30 410 88.125
116 Metlergometrin Inj. 22.1 Amp 0 0 0 0
118 Metronidazol tablet 500 mg 623 Tab 1055 1055 40 1015 181.875 1000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
122 Nistatn 100.000 iu/g tablet vaginal 6.3 Tab 0 0 0 25.125
123 Nistatn 500.000 iu/g tablet salut 6.3 Tab 0 0 0 35.625
124 Nifedipin tab Tab 350 350 50 300 120 200
125 Obat ant tuberkolusis katagori 1 62.4 Tab 1 3 4 4 0 7.125
128 Obat ant tuberkolusis sisipan 62.4 Tab 0 0 0 0
129 Obat ant tuberkolosis anak 62.4 Tab 0 0 0 0
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 6 6 6 1.5
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 84 84 5 79 25.875 25
137 Parasetamol tablet 100 mg 1.2 Tab 0 0 0 187.5 2000
138 Parasetamol tablet 500 mg 1.2 Tab 45444 45444 11091 34353 39990.38 30000
140 Pirantel pamoat tablet 365 mg 23.4 Tab 294 294 44 250 132.75 100
141 Piridoxin hcl tablet 10 mg 29 Tab 11571 11571 3296 8275 7774.875 15000
142 Pyrazinamid tablet Tab 562 562 122 440 221.25
143 Plester 5 yard x 2 inch 32 Rol 6 6 1 5 2.25 6
144 Polikresulen 14.2 Btl 3 3 3 1.125
146 Prednison tablet 5 mg 16.4 Tab 11042 11042 2306 8736 7086.375 10000
149 Propiltourasil tablet 100 mg 16.3 Tab 495 495 168 327 266.625 600
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
151 Propanolol hcl tablet 10 mg 7.1 Tab 320 320 150 170 236.25 1000
153 Reserpin tablet 0,25 mg 17.1 Tab 2106 2106 116 1990 378.75
154 Retnol ( Vit A ) 200.000 iu 29 Kap 0 3650 3650 2650 1000 1931.25
155 Retnol ( Vit A ) 100.000 iu 29 Kap 0 700 700 350 350 243.75
157 Rifampisin kapsul 450 mg 6.2.4 Kap 298 298 59 239 81 200
160 Salbutamol tablet 2 mg 26.1 Tab 984 984 96 888 303.75
161 Salep 2-4 18.1 Pot 24 24 8 16 37.5 48
166 Serum ATS 1500 IU 27.1 Amp 3 3 3 1.875
167 Serum ATS 20000 IU 28.1 Amp 0 0 0 0
168 Simvastatn Tab 340 340 340 142.5
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 273 273 42 231 297.375 500
170 Silk (benang bedah sutera) no. 3/0 32 Rol 16 16 2 14 5.625
172 Spons gelatn cublices 1x1x1 cm 14.1 Sak 0 0 0 0
175 Sulfasetamid natrium tetes mata 15 % 21.2.2 Btl 0 0 0 0 24
176 Tablet tambah darah kombinasi 10.1 Tab 9835 9835 1899 7936 6946.5 6000
178 Tetrasiklin HCl kapsul 250 mg 6.2.2 Kap 3175 3175 75 3100 637.5
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml 29 Amp 60 60 60 1.5
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 0 0 0 445.125 600
185 Vitamin B komplek tablet 29 Tab 15667 15667 4159 11508 14434.88 20000
186 Yodium povidon larutan 10 % - 30 ml 13.1 Btl 10 10 1 9 4.5
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 4 4 4 4.5 6
0
6 Asam mefenamat tablet 500 mg Tab 284 284 140 144 935.625 3000
8 Ambroxol Sirup Amp 217 217 38 179 186.375 250
10 Cimetdin tablet 200 mg Tab 0 0 0 0 1000
11 Ciprofloxacin kaplet 500 mg Kap 1000 1000 30 970 11.25
13 Domperidon tab Tab 71 71 71 0 346.875 1000
15 Erytromycin capt 500 mg Kap 467 467 95 372 160.5 300
16 Erytromycin Syr Btl 47 47 2 45 25.5
17 Etabion Cap Cap 140 140 30 110 71.25 1000
19 Gentamycin salep kulit Pot 0 0 0 14.625 30
20 Gentamycin tetes mata Btl 43 43 43 2.625
21 H2O2 Btl 4 4 4 1.125 5
23 Levertran salep Pot 8 8 8 0.375 20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
25 Metoklorpropamide Hcl 10 mg Tab 300 300 3 297 1.125
26 Mikonazole cream Pot 61 61 7 54 33.75 72
29 Natrium Diklofenak 50 mg Tab 320 320 10 310 71.25
37 Piroksikam tablet 10 mg Tab 276 276 101 175 535.5 1200
39 Ranitdine 150 mg Tab 557 557 95 462 418.5 1000
ALKES 0
1 Alkohol 70 % Btl 9 9 2 7 9.75 10
2 Anisol soluton Btl 0 0 0 0
4 Aqua destlata Btl 0 0 0 0
5 Asam Klorida 0.1 N Btl 0 0 0 0.75 2
13 Etanol 70 % 13.2 Btl 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
14 Fauchet Btl 0 0 0 0 2
18 Kertas Perkamen lbr 40 40 34 6 204 200
20 Label Etket 31 Set 0 0 0 0
23 Larutan Benedict 31 Btl 0 0 0 0 3
28 Larutan Metlen Biru 31 Btl 0 0 0 0
29 Larutan Turk 31 Btl 0 0 0 1.125 2
30 L i s o l 31 Btl 2 2 1 1 1.875 3
34 Plastk Obat Set 19725 19725 6960 12765 20713.13 30000
36 Rees echer Btl 0 0 0 0.375 5
39 Spiritus 100 ml Btl 0 0 0 0.375
40 Tes Gol. Darah( A,B,AB) Ktk 0 0 0 0.375 1
41 Tes Kehamilan HCG Ktk 45 45 45 20.625
44 Alat suntk 3 cc pcs 0 0 0 37.5 300
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 A C T ktk 0 0 0 0
47 Ambroxol tab tab 1292 1292 317 975 1021.5 2000
49 Cetrizin tab 55 55 55 82.5 500
54 Antasida Syrup btl 74 74 7 67 30.75
56 Lytamin syrup Btl 27 27 6 21 48.75 100
57 Mecobion tab Tab 1198 1198 138 1060 282.75
58 Bismecon jelly Tube 0 0 0 4.5 12
60 Metformin Tab 1019 1019 389 630 1167.75 3000
61 Meloxicam 7,5 mg Tab 500 500 20 480 7.5
62 Bisturi 10,11,20,22 pcs 0 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 10 10 10 2.25
65 Stck gula darah Tbg 0 0 0 1.125 2
66 Hand scun set 100 100 100 187.5 200
67 Omeperazole Tab 258 258 5 253 18.75
68 Asam Folat Tab 1509 1509 1509 0 611.25 ED
69 Alat suntk 5 cc Pcs 0 0 0 37.5
70 Zink Tablet Tablet 560 560 550 10 746.25 3000
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Juli 2012

2056 24 307 359 99 2845 2080 6310 789 134 307 916 106 4 359 1032 92 3 99 282 33 1 6248 913 1032 276 8469

350 9 20 20 0 399 359 1582 97 85 20 78 0 0 20 82 0 0 0 0 0 0 1582 78 82 0 1742

KASANG JAYA
165 3 5 8 2 183 168 415 23 0 5 14 0 0 8 25 1 0 2 6 0 0 415 14 25 6 460

SIJINJANG I
144 9 30 29 0 212 153 602 56 26 30 125 7 5 29 121 12 6 0 0 0 0 602 125 121 0 848
SIJINJANG II


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
Kode Puskesmas 05.01.02.01 Bulan Juli
Kota JAMBI TIMUR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 Alat Suntk 1 ml 32 Set 280 280 55 225
3 Alat Suntk 2.5 ml 32 Set 82 500 582 201 381
4 Albendazol 400 mg 32 Set 300 300 600 300 300
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 548 548 548
17 Antbakteri DOEN salep kombinasi 18.2 Pot 21 75 96 8 88
18 Anthemoroid DOEN kombinasi 25.3 Pot 12 50 62 62
19 Antfungi DOEN kombinasi 18.3 Pot 37 48 85 6 79
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
42 Diazepam 2 mg 5 Tab 726 726 210 516
45 Digoksin tablet 0,25 mg 17.5 Tab 95 95 95 0 ED
52 Etl klorida semprot 14.1 Btl 0 5 5 1 4
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 16 48 64 3 61 Bon
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 108 120 228 2 226
67 Gentan violet larutan 1 % 14.2 Btl 80 96 176 24 152
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
78 Hidrokortson krim 2,5 % 18.4 Pot 111 192 303 38 265
79 Ibuprofen tablet 200 mg 1.2 Tab 4212 7000 11212 1212 10000 Bon
83 I N H tablet 100 mg 6.2.4 Tab 3840 3840 3840
84 I N H tablet 300 mg 6.2.4 Tab 1650 1650 117 1533
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
115 Metlergometrin tablet salut 22.1 Tab 50 400 450 10 440
149 Propiltourasil tablet 100 mg 16.3 Tab 619 619 124 495
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
161 Salep 2-4 18.1 Pot 43 43 19 24
166 Serum ATS 1500 IU 27.1 Amp 0 3 3 3
167 Serum ATS 20000 IU 28.1 Amp 0 0 0
168 Simvastatn Tab 40 300 340 340
172 Spons gelatn cublices 1x1x1 cm 14.1 Sak 0 0 0
0
2 Acyclovir cream Tube 33 100 133 2 131 Bon
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
17 Etabion Cap Cap 150 150 10 140
21 H2O2 Btl 5 5 1 4
39 Ranitdine 150 mg Tab 633 633 76 557
ALKES
1 Alkohol 70 % Btl 5 10 15 6 9
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
13 Etanol 70 % 13.2 Btl 0 0 0
30 Lisol 31 Btl 3 3 1 2
34 Plastk Obat Set 7050 20000 27050 7325 19725
39 Spiritus 100 ml Btl 0 1 1 1 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
45 ACT ktk 0 0 0
47 Ambroxol tab tab 0 1500 1500 208 1292
49 Cetrizin tab 139 139 84 55
54 Antasida Syrup btl 33 50 83 9 74
57 Mecobion tab Tab 1323 1323 125 1198
58 Bismecon jelly Tube 10 10 10 0
60 Metformin Tab 300 1000 1300 281 1019 Bon
61 Meloxicam 7,5 mg Tab 0 500 500 500
62 Bisturi 10,11,20,22 pcs 0 0 0
63 Jarum jhit 10,11,12,13,14 pcs 0 10 10 10
65 Stck gula darah Tbg 0 1 1 1 0
66 Hand scun set 200 100 300 200 100
68 Asam Folat Tab 1509 1509 1509
JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG
UMUM ASKES JKM JKD JUMLAH UMUM

BAYAR T.BAYAR Lbr R/ Resep
2239 22 330 368 131 3090 2261 7040
NAMA PUSTU UMUM ASKES JKM JKD JUMLAH UMUM

KASANG JAYA 350 7 32 23 2 414 357 1592
SIJINJANG I 203 0 5 19 0 227 203 630
SIJINJANG II 150 9 27 29 0 215 159 631
Mengetahui, Yang menyerahkan,

Kepala Dinkes Kota Jambi Ka. IFK
(…………………………….) (…………………….)
ASKES JAMKESMAS
Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli
883 144 394 966 115 14 439 1142 115 18
ASKES JAMKESMAS
72 69 32 111 1 1 23 99 1 0
46 0 5 9 0 0 19 53 2 0
68 35 27 112 9 5 29 128 11 11
Yang menyerahkan, Yang menerima/Melapor

Ka. Puskesmas
(…………………….) dr.EMILDAN PASAI

NIP. 19731201 200604 1 013
BULAN Juni 2012
JAMKESMASDA Pemakaian Obat Generik

Lbr R/ Resep Lbr R/AB Lbr R/Poli R/Umum R/Askes R/JKM R/JKD Jml
133 373 49 1 7027 961 1142 373 9503

2 6 0 0 1592 111 99 6 1808
0 0 0 0 630 9 53 0 692
0 0 0 0 631 112 128 0 871
Jambi, 4 Juli 2012

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kode Puskesmas 05.01.02.01
Puskesmas TANJUNG PINANG
kecamatan JAMBI TIMUR
Kota JAMBI TIMUR
NO NAMA OBAT KELAS TER SATUAN STOCK AW PENERIMA PERSEDIAN
1 2 3 4 5 6 7
1 Air Raksa Dental Use 14.1 Btl 0
2 Alat Suntk 1 ml 32 Set 0
3 Alat Suntk 2.5 ml 32 Set 0
4 Albendazol 400 mg 32 Set 0
5 Alupurinol 100 mg 1.2 Tab 0
6 Aminophylin 200 mg 26.1 Tab 0
7 Aminophylin inj 24 mg/ml 10 ml 26.1 Amp 0
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 0
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 0
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 0
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 0
12 Ampicillin kaplet 500 mg 1.2 Kap 0
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 0
14 Antalgin tablet 500 mg 18.3 Tab 0
15 Antalgin injeksi 18.3 Amp 0
16 Antasida DOEN tablet kombinasi 25.1 Tab 0
17 Antbakteri DOEN salep kombinasi 18.2 Pot 0
18 Anthemoroid DOEN kombinasi 25.3 Pot 0
19 Antfungi DOEN kombinasi 18.3 Pot 0
20 Antmigrain DOEN kombinasi 7.2 Tab 0
21 Aqua proinjeksi bebas pirogen 20.3 Amp 0
22 Aquadest steril 30 Amp 0
23 Asam askorbat (vit C) 50 mg 29 Tab 0
24 Asam askorbat (vit C)250 mg 29 Tab 0
25 Asetosal tablet 100 mg 1.2 Tab 0
27 Atropin sulfat injeksi 0,25 mg/ml - ml 25.4 Amp 0
28 Atropin sulfat tablet 0,5 mg 9 Tab 0
29 Atropin sulfat tetes mata 0 5 % 21.2.4 Btl 0
30 Benzatn benzil penicillin inj. 2,4 juta IU/vial 6.2.1 Amp 0
31 Besi sirup 10.1 Btl 0
32 Betametason krim 0,1 % 18.4 Tube 0
33 Catgut/benang bedah no. 2/0 - 3/0 32 Sak 0
34 Captopril 12.5 mg tablet Tab 0
35 Captopril 25 mg tablet Tab 0
36 Deksametason injeksi 5 mg/ml - 1 ml 3 Amp 0
37 Deksametason tablet 0,5 mg 3 Tab 0
38 Dekstromethorpan HBr sirup 10 mg/5 ml 26.2 Btl 0
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 0
40 Devitalisasi pasta 14.1 Btl 0
41 Diazepam injeksi 5 mg/ml - 2 ml 5 Amp 0
42 Diazepam 2 mg 5 Tab 0
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 0
45 Digoksin tablet 0,25 mg 17.5 Tab 0
46 Efedrin HCl tablet 25 mg 26.1 Tab 0
47 Ekstrak belladon tablet 10 mg 26.1 Tab 0
48 Epinephrin HCl injeksi 3 Amp 0
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 0
50 Etambutol HCl 250 mg tablet 6.2.4 Tab 0
52 Etl klorida semprot 14.1 Btl 0
53 Eugenol cairan 14.1 Btl 0
54 Fenitoin natrium kapsul 100 mg 5 Kap 0
56 Fenobarbital injeksi 50 mg/ml - 2 ml 5 Amp 0
57 Fenobarbital tablet 100 mg 5 Tab 0
59 Fenoksi metl penisillin tablet 250 mg 6.2.1 Tab 0
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 24 24
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 0
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 0
64 Furosemid tablet 40 mg 14 Tab 0
65 Gameksan emulsi 1 % 18.5 Btl 0
66 Garam oralit 200 ml air 20.1 Sak 0
67 Gentan violet larutan 1 % 14.2 Btl 0
68 Glass ionomer semen (gc ix) 14.1 Btl 0
69 Glibenklamid tablet 5 mg 16.11 Tab 0
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 0
71 Gliserin 26.6 Btl 0
72 Glukosa Larutan Infus 5 % Steril 20.2 Btl 0
73 Griseofulvin 125 mg micronized 6.3 Tab 0
74 Halloperidol tablet 0,5 mg 23.4 Tab 0
76 Halloperidol tablet 5 mg 23.4 Tab 0
77 Hidroklrotazed ( hct ) tablet 25 mg 15 Tab 0
78 Hidrokortson krim 2,5 % 18.4 Pot 0
79 Ibuprofen tablet 200 mg 1.2 Tab 4000 4000
80 Ibuprofen tablet 400 mg 1.2 Tab 0
81 Infusion set anak 32 Set 0
82 Infusion set dewasa 32 Set 0
83 I N H tablet 100 mg 6.2.4 Tab 0
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 0
86 Kalium permanganat serbuk 13.1 Btl 0
87 Kalsium hidroksida pasta 14.1 Tab 0
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 0
89 Kapas pembalut / Absorben 250 gram 32 Rol 0
90 Karbamazepin tablet 200 mg 5 Tab 0
91 Kasa kompres 40/40 steril 32 Rol 0
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 0
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 0
95 Kloramfenikol salep mata 1 % 21.21 Pot 0
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 0
97 Klorfeniramine maleat tablet 4 mg 3 Tab 0
98 Kloroquin pospat tablet 250 mg 6.4.2.1 Tab 0
99 Klorpromazin hcl injeksi 25.4 Amp 0
100 Klorfenol kamfermenthol (CHKM) Btl 0
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml 23.4 Amp 0
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 0
104 Kodein hcl tablet 10 mg 26.2 Tab 0
105 Komb. primetamin 25 mg + suldok 500 mg 6.4.22 Tab 0
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 0
107 Kotrimoksazol suspensi 6.2.2 Btl 0
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 0
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 0
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 0
111 Lidokain Kompositum injeksi 31 Amp 0
112 Magnesium sulfat inj. 20% - 25 ml 5 Btl 0
114 Mebendazol Syrup 6.1.1 Tab 0
115 Metlergometrin tablet salut 22.1 Tab 0
116 Metlergometrin Inj. 22.1 Amp 0
117 622 Tab 0
118 Metronidazol tablet 500 mg 623 Tab 0
119 Mummifying pasta 14.1 Pot 0
120 Natrium bikarbonat tablet 500 mg 14.1 Tab 0
121 Natrium klorida larutan infus 0,9 % steril 20.2 Btl 0
122 Nistatn 100.000 iu/g tablet vaginal 6.3 Tab 0
123 Nistatn 500.000 iu/g tablet salut 6.3 Tab 0
124 Nifedipin tab Tab 0
125 Obat ant tuberkolusis katagori 1 62.4 Tab 2 2
126 Obat ant tuberkolusis katagori 2 62.4 Tab 0
128 Obat ant tuberkolusis sisipan 62.4 Tab 0
129 Obat ant tuberkolosis anak 62.4 Tab 0
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 0
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 0
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 0
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 0
134 Papaverin tablet 12.2 Tab 0
135 Paraformaldehid tablet 1 gram 13.2 Tab 0
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 0
137 Parasetamol tablet 100 mg 1.2 Tab 0
139 Perfenazin tablet 4 mg 23.4 Tab 0
140 Pirantel pamoat tablet 365 mg 23.4 Tab 0
141 Piridoxin hcl tablet 10 mg 29 Tab 0
142 Pyrazinamid tablet Tab 0
143 Plester 5 yard x 2 inch 32 Rol 0
144 Polikresulen 14.2 Btl 0
145 Prazikuantel tablet 600 mg 6.1.1 Tab 0
146 Prednison tablet 5 mg 16.4 Tab 0
147 Primaquin tablet 15 mg 6.4.2.2 Tab 0
148 Prokain benzyl penisillin 3 juta iu/vial inj. 6.2.1 Amp 0
149 Propiltourasil tablet 100 mg 16.3 Tab 0
150 Propanolol hcl tablet 40 mg 7.1 Tab 0
152 Reserpin tablet 0,10 mg 17.1 Tab 0
154 Retnol ( Vit A ) 200.000 iu 29 Kap 0
156 Rifampisin kapsul 600 mg 6.2.4 Kap 0
159 Ringer laktat infus steril 20.2 Btl 0
160 Salbutamol tablet 2 mg 26.1 Tab 0
161 Salep 2-4 18.1 Pot 0
162 Salisil bedak 2 % 18.4 Sak 0
163 Salisil spritus 10 % 18.3 Btl 0
164 Semen seng fosfat serbuk dan cairan 14.2 Btl 0
165 Serum ABU polivalen inj. 27.1 Amp 0
166 Serum ATS 1500 IU 27.1 Amp 0
167 Serum ATS 20000 IU 28.1 Amp 0
168 Simvastatn Tab 0
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 0
170 Silk (benang bedah sutera) no. 3/0 32 Rol 0
171 Silver amalgam serbuk 65 - 75 % 14.1 Pot 0
172 Spons gelatn cublices 1x1x1 cm 14.1 Sak 0
173 Streptomycin serbuk inj. 1000 mg/vial 6.2.4 Amp 0
174 Sulfadimidin tablet 500 mg 6.2.2 Tab 0
175 Sulfasetamid natrium tetes mata 15 % 21.2.2 Btl 0
176 Tablet tambah darah kombinasi 10.1 Tab 1800 1800
177 Temporary stoping fletcher dan cairan 11.1 Btl 0
178 Tetrasiklin HCl kapsul 250 mg 6.2.2 Kap 0
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml 29 Amp 0
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 0
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 0
183 Trikresol formalin cairan 14.2 Btl 0
184 Vaksin Rabies Vero 27.2 Amp 0
185 Vitamin B komplek tablet 29 Tab 0
186 Yodium povidon larutan 10 % - 30 ml 13.1 Btl 0
1 Acyclovir tablet 200 mg Tab 0

2 Acyclovir cream Tube 50 50
4 Andalan Injeksi Amp 0
5 Asam mefenamat kapsul 250 mg Tab 0
6 Asam mefenamat tablet 500 mg Tab 0
7 Ampicilin injeksi 1 g Amp 0
8 Ambroxol Sirup Amp 0
9 Cefotaxime inj 1 gr Amp 0
10 Cimetdin tablet 200 mg Tab 0
11 Ciprofloxacin kaplet 500 mg Kap 0
12 Dasabion tab Tab 0
13 Domperidon tab Tab 0
14 Erytromycin caps 250 mg Kap 0
15 Erytromycin capt 500 mg Kap 0
16 Erytromycin Syr Btl 0
17 Etabion Cap Cap 0
18 Gentamycin injeksi Amp 0
19 Gentamycin salep kulit Pot 0
20 Gentamycin tetes mata Btl 0
21 H2O2 Btl 0
22 Ichtyol salap Pot 0
23 Levertran salep Pot 0
24 Kloramphenicol tetes mata Btl 0
25 Metoklorpropamide Hcl 10 mg Tab 0
26 Mikonazole cream Pot 0
27 Methyl Prednisolon tab 4 mg Tab 0
28 Nipedipin tablet Tab 0
29 Natrium Diklofenak 50 mg Tab 0
30 Obat Tambah Darah Indo tab 0
31 Obat Flu Indo Tab 0
32 Obat Maag indo Tab 0
33 Papaverin injeksi Amp 0
34 Papaverin tablet 40 mg Tab 0
35 Piperazin 500 mg Tab 0
36 Piperazin sirup Btl 0
37 Piroksikam tablet 10 mg Tab 0
39 Ranitdine 150 mg Tab 0
40 Stesolit Rectal supp Tube 0
ALKES
1 Alkohol 70 % Btl 0
2 Anisol soluton Btl 0
3 Asam Asetat Glasial Btl 0
4 Aqua destlata Btl 0
5 Asam Klorida 0.1 N Btl 0
6 Asam klorida 0,1 N Btl 0
7 Asam sulfosalisilat 20 % Btl 0
8 Barium Klorida Btl 0
9 Beker Glass Btl 0
10 Blood Lancet Ktk 0
11 Erlemeyer Btl 0
12 Etanol asam 3 % Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
15 Imersen Oil HB Btl 0
16 Kapas 1 KG Rol 0
17 Kertas Saring Whatman Rol 0
18 Kertas Perkamen lbr 0
19 Larutan Bupper PH 7.2 31 Btl 0
20 Label Etket 31 Set 0
21 Larutan Metanol 31 Btl 0
22 Larutan Sulposalisilat 31 Btl 0
23 Larutan Benedict 31 Btl 0
24 Larutan Eosin 2 % 31 Btl 0
25 Larutan Etanol Asam 31 Btl 0
26 Larutan Giemsa Stalin 31 Btl 0
27 Larutan Karbol Fuksin 31 Btl 0
28 Larutan Metlen Biru 31 Btl 0
29 Larutan Turk 31 Btl 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
32 Natrium Sitrat 38 % Btl 0
33 Objek Glass Ktk 0
34 Plastk Obat Set 0
35 Pipet Tetes Biasa Ktk 0
36 Rees echer Btl 0
37 Rak Pewarna kaca pipet Ktk 0
38 Schlesinger Btl 0
39 Spiritus 100 ml Btl 0
40 Tes Gol. Darah( A,B,AB) Ktk 0
41 Tes Kehamilan HCG Ktk 0
42 Tabung Reaksi Set 0
43 Tissue lensa Set 0
44 Alat suntk 3 cc pcs 0
45 ACT ktk 0
46 Artesunate amp 0
47 Ambroxol tab tab 0
48 Clindamicin caps 0
49 Cetrizin tab 0
50 Hemafort tab 0
51 Oxytocin inj amp 0
52 Pembalut gip bks 0
53 Salbutamol 4 mg tab 0
54 Antasida Syrup btl 0
55 Lysmin sirup btl 0
56 Lytamin syrup Btl 0
57 Mecobion tab Tab 0
58 Bismecon jelly Tube 0
59 Dolodon 500 mg Tab 0
60 Metformin Tab 500 500
61 Meloxicam 7,5 mg Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
64 Duo care Gluko le st Ktk 0
65 Stck gula darah Tbg 0
66 Hand scun set 0
67 Omeperazole Tab 0
68 Asam Folat Tab 0
69 Alat suntk 5 cc Pcs 0
70 Zink Tablet Tablet 0
Bulan Juni
Tahun 2012
PEMAKAIA SISA STOCKSTOCK OPTPEMAKAIANPERMINTA PEMBERIAN

PKD ASKES PROG JPS LAIN2
8 9 10 11 12 13 14 15 16 17
274
48
309
12
211
809
5134
254
20
2823
3761
28
26
5
7149
36
396
877
2870
59
537
320
35
80
150
120
82
8
3
110
517
15
144
6104
123
145
70
58
1102
172
51
20
1695
1
60
15
67
9
6
9225
119
659
164
1144
20
164
40
2
42
1
46
9
117
14323
12
2589
28
1
1548
83
90
334
5
20
39
49
9
31
1
110
74
2
2333
240
110
2707
154
5490
1
1
45
37
200
321
100
76
87
2
79
16
13
140
358
213
420
1
1
6650
38
326
61
49
8
49
70
1
594
5
16
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0

2446 26 343 459 156 3430 2472 7650

KASANG JAYA 400 9 33 32 0 474 409 1938
SIJINJANG I 222 2 8 16 3 251 224 596
SIJINJANG II 152 10 29 29 0 220 162 646

(…………………………….) (…………………….)
ASKES JAMKESMAS
919 140 343 901 110 16 459 1254 183 16
ASKES JAMKESMAS
93 83 33 76 0 0 32 82 0 0
46 4 8 22 0 0 16 40 0 0
65 23 29 116 11 8 29 118 14 10

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Mei 2012

156 413 64 1 7594 933 1283 413 10223

0 0 0 0 1938 76 82 0 2096
3 9 0 0 596 22 40 9 667
0 0 0 0 646 116 118 0 880
Jambi, 4 Juni 2012

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
61 Fenol gliserol tetes telinga 10 % 28.2 Btl 0
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
176 Tablet tambah darah kombinasi 10.1 Tab 0

2 Acyclovir cream Tube 0
21 H2O2 Btl 0
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
68 Asam Folat Tab 0
Bulan Mei
Tahun 2012

8 9 10 11 12 13 14 15 16 17
20 20 200
107 500
64
273 500
408 1500
0
0
272 1000
1758 6000
4959 20000
302 1000
35 200
936 6000
0
3761 15000
10 75
2 100
11 48
0 300
0 10
0
5061 20000
0
0 200
0
0
0
0
0
0
32 150
0 10
711 2000
534 2000
0
3514 15000
59 300
576 3000
0
0
304 1000
0
26 150
0
63
43
0
0
0
0
2 5
0
0 500
0
0
0
170
0
0
0 72
3
119 1000
45
0
518 2000
22 100
0
0 500
6574 30000
0
0
17 500
0
133 500
0
74
56 200
1590 7000
28 500
0
0
10
36
10 200
0 100
0
1702 6000
4
78 200
12 20
9 50
0
125 240
16 50
12 100
9557 40000
0
0
0
0
106
0
0
0
275 1000
159 500
816 3000
0
0
33 120
0
0
0 30
145 400
0
0
81 500
0
0
0
0
25 300
2
0
0
0
0
66 250
0
65 250
9 50
0
0
195 600
500 2000
14954 50000
0
53 200
2864 10000
55 300
1
0
0
3154 12000
0
0
58 500
0
60 500
0
211 2000
100
25
0
1
54
0
112 1000
8
35 100
0
0
0
1 3
0
110 1000
65 200
5 12
0
0 3
0
0
0
2565 12000
0
150
120 500
0
3228 10000
190 600
0
0
5285 15000
0
1 3
103 500
37 150
115 500
0
0
451 1000
0
53 200
0
0 1000
0 1000
0
113 500
0
20
0
51 500
0
0
0
0
0 20
0 20
36 50
0 300
15 50
0 500
0
20
0
0
0
0
152
0
0
202
0 1200
146 500
0 3
3 10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
37
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
7000 30000
0
0
0
0
0 1
0
4
0
0
300
420 1500
0
5
0
0
0
0
11 50
0
12 100
80
1
0
440 3000
0 500
0
0 10
0
1 1
100 300
5 300
15
0
500 1000
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kota JAMBI TIMUR
1 2 3 4 5 6 7
3 Alat Suntk 2.5 ml 32 Set 500 500
4 Albendazol 400 mg 32 Set 300 300
6 Aminophylin 200 mg 26.1 Tab 600 600
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 800 800
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 2400 2400
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 12000 12000
12 Ampicillin kaplet 500 mg 1.2 Kap 1000 1000
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 144 144
14 Antalgin tablet 500 mg 18.3 Tab 3600 3600
16 Antasida DOEN tablet kombinasi 25.1 Tab 10000 10000
17 Antbakteri DOEN salep kombinasi 18.2 Pot 50 50
18 Anthemoroid DOEN kombinasi 25.3 Pot 50 50
23 Asam askorbat (vit C) 50 mg 29 Tab 10000 10000
32 Betametason krim 0,1 % 18.4 Tube 100 100
38 Dekstromethorpan HBr sirup 10 mg/5 ml 26.2 Btl 200 200
49 Etakridin (rivanol) larutan 0,1 13.2 Btl 10 10
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 1000 1000
66 Garam oralit 200 ml air 20.1 Sak 1200 1200
67 Gentan violet larutan 1 % 14.2 Btl 96 96
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 10000 10000
73 Griseofulvin 125 mg micronized 6.3 Tab 300 300
75 Halloperidol tablet 1,5 mg 23.4 Tab 300 300
77 Hidroklrotazed ( hct ) tablet 25 mg 15 Tab 1000 1000
78 Hidrokortson krim 2,5 % 18.4 Pot 120 120
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 5000 5000
89 Kapas pembalut / Absorben 250 gram 32 Rol 10 10
91 Kasa kompres 40/40 steril 32 Rol 20 20
94 Kloramfenikol 250 mg kapsul 6.2.2 Kap 250 250
97 Klorfeniramine maleat tablet 4 mg 3 Tab 20000 20000
Kloroquin pospat tablet 250 mg 6.4.2.1 Tab 0
106 Kotrimoksazol pediatrik tablet 6.2.2 Tab 600 600
107 Kotrimoksazol suspensi 6.2.2 Btl 288 288
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 2000 2000
111 Lidokain Kompositum injeksi 31 Amp 60 60
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 180 180
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 150 150
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 25 25
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 300 300
138 Parasetamol tablet 500 mg 1.2 Tab 20000 20000
141 Piridoxin hcl tablet 10 mg 29 Tab 6000 6000
142 Pyrazinamid tablet Tab 300 300
143 Plester 5 yard x 2 inch 32 Rol 6 6
146 Prednison tablet 5 mg 16.4 Tab 5000 5000
160 Salbutamol tablet 2 mg 26.1 Tab 200 200
161 Salep 2-4 18.1 Pot 24 24
162 Salisil bedak 2 % 18.4 Sak 50 50
166 Serum ATS 1500 IU 27.1 Amp 3 3
167 Serum ATS 20000 IU 28.1 Amp 0
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 200 200
170 Silk (benang bedah sutera) no. 3/0 32 Rol 10 10
179 Tetrasiklin HCl kapsul 500 mg 6.2.2 Kap 1000 1000
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 7000 7000
182 Triheksilfenidil HCl tablet 2 mg 2.2 Tab 300 300
185 Vitamin B komplek tablet 29 Tab 10000 10000
187 Yodium povidon larutan 10 % - 300 ml 13.1 Btl 6 6
1 Acyclovir tablet 200 mg Tab 500 500

6 Asam mefenamat tablet 500 mg Tab 1000 1000
8 Ambroxol Sirup Amp 200 200
13 Domperidon tab Tab 300 300
15 Erytromycin capt 500 mg Kap 300 300
17 Etabion Cap Cap 300 300
21 H2O2 Btl 5 5
24 Kloramphenicol tetes mata Btl 48 48
34 Papaverin tablet 40 mg Tab 1000 1000
39 Ranitdine 150 mg Tab 500 500
ALKES
1 Alkohol 70 % Btl 10 10
5 Asam Klorida 0.1 N Btl 2 2
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
29 Larutan Turk 31 Btl 3 3
30 Lisol 31 Btl 3 3
31 Metanol 31 Btl 0
34 Plastk Obat Set 24000 24000
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
47 Ambroxol tab tab 1000 1000
49 Cetrizin tab 0
50 Hemafort tab 0
56 Lytamin syrup Btl 72 72
57 Mecobion tab Tab 1000 1000
58 Bismecon jelly Tube 12 12
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
65 Stck gula darah Tbg 2 2
66 Hand scun set 300 300
68 Asam Folat Tab 0
Bulan April
Tahun 2012

8 9 10 11 12 13 14 15 16 17
0
0
239 261
300
112 -112
409 191
0
0
116 684
1458 942
4728 7272
305 695
29 115
1383 2217
0
3818 6182
36 14
19 31
8 -8
0
0
0
2893 7107
0
0
0
0
0
0
0
0
40 60
2 -2
488 -488
758 -758
0
2782 -2782
40 160
505 -505
0
0
285 -285
0
38 -38
0
53 -53
45 -45
1 -1
4 6
0
45 -45
0
0
0
0
0
0
97 -97
0
0
0
3 -3
91 909
0
0
489 711
22 74
0
400 -400
6126 3874
0
0
298 2
0
81 219
13 -13
65 935
46 74
1672 1328
100 -100
0
0
10 -10
40 -40
40 -40
0
0
1767 3233
4 6
40 -40
20
17 -17
0
42 208
14 -14
29 -29
8442 11558
0
0
0
0
87 -87
0
0
0
202 398
162 126
756 1244
0
0
30 30
0
0
0
0
0
0
90 -90
0
0
0
0
0
50 -50
4 0
0
0
0
0
74 106
1 -1
28 122
9 16
0
0
184 116
0
12735 7265
0
24 -24
2323 3677
8 292
6
0
0
1949 3051
0
0
131 -131
0
100 -100
0
306 -306
100 -100
25 -25
1 -1
30 -30
12 -12
0
54 146
12 12
33 17
0
0
0
1 2
0
0
153 47
10
0
0
0
0
0
2369 3631
0
330 -330
110 890
0
2395 4605
94 206
0
0
4997 5003
1 -1
4 2
67 433
35 15
147 353
0
0
356 644
0
48 152
0
0
0
0
154 146
0
40 260
33 -33
20 280
0
11 -11
0
5
0
0
17 31
0
12 -12
0
0
20 -20
0
0
0
0
5 995
0
0
112 -112
0
116 384
0
4 6
0
0
0
2 0
0
0
0
0
0
0
0
0
0
0
0
0
36 -36
0
0
0
0
0
0
0
0
0
0
3
3
0
0
0
6650 17350
0
0
0
0
0
0
5 -5
0
0
0
0
0
254 746
0
10 -10
0
0
0
3 -3
11 -11
0
10 62
1000
12
0
170 830
0
0
0
0
1 1
300
10 -10
10 -10
0
500 -500
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2105 27 307 409 129 2977 2132 6424

KASANG JAYA 350 9 28 19 1 407 359 1579
SIJINJANG I 175 2 8 21 2 208 177 441
SIJINJANG II 145 9 25 27 0 206 154 600

(…………………………….) (…………………….)
ASKES JAMKESMAS
790 131 307 985 109 14 409 1176 132 14
ASKES JAMKESMAS
91 82 28 96 0 1 19 57 1 1
44 0 8 17 0 0 21 55 3 0
58 24 25 103 10 5 27 112 18 6

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN April 2012

129 345 47 3 6419 975 1176 329 8899

1 3 0 0 1579 96 57 3 1735
2 5 0 0 441 17 55 5 518
0 0 0 0 600 103 112 0 815
Jambi, 3 Mei 2012

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001

2379 23 349 467 149 3367 2402 6605

KASANG JAYA 415 8 23 23 2 471 423 1540
SIJINJANG I 205 0 7 11 3 226 205 494
SIJINJANG II 135 10 30 29 0 204 145 522

(…………………………….) (…………………….)
ASKES JAMKESMAS
869 130 349 1029 106 10 467 1238 130 12
ASKES JAMKESMAS
102 92 23 102 1 1 23 99 2 0
29 1 7 17 0 0 14 19 0 0
71 11 30 121 14 6 29 116 16 4

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Maret 2012

149 399 50 2 6599 1026 1238 399 9262

2 7 0 0 1540 102 99 7 1748
3 10 2 0 494 17 19 10 540
0 0 0 0 522 121 116 0 759
Jambi, 3 April 2012

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0

5.57E-309 Dasabion tab Tab 0
21 H2O2 Btl 0
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
68 Asam Folat Tab 0
70 Zink Tablet Tablet 1000 1000
Bulan Maret
Tahun 2012

8 9 10 11 12 13 14 15 16 17
0
0
92 -92
0
51 -51
380 -380
0
0
128 -128
1958 -1958
3876 -3876
224 -224
114 -114
1887 -1887
0
3700 -3700
24 -24
27 -27
10 -10
0
0
0
5098 -5098
0
0
0
0
0
0
0
0
50 -50
0
402 -402
681 -681
0
3242 -3242
57 -57
502 -502
0
8 -8
420 -420
0
40 -40
0
112 -112
33 -33
0
1 -1
0
14 -14
2 -2
3 -3
0
0
0
0
104 -104
0
0
22 -22
4 -4
113 -113
10 -10
0
266 -266
21 -21
1 -1
140 -140
5953 -5953
0
0
148 -148
0
80 -80
0
272 -272
52 -52
1804 -1804
0
0
0
43 -43
19 -19
3 -3
0
0
1858 -1858
2 -2
10 -10
10 -10
10 -10
0
50 -50
8 -8
17 -17
8812 -8812
0
0
0
0
138 -138
0
0
0
283 -283
138 -138
983 -983
0
0
5 -5
0
0
0
10 -10
0
0
60 -60
0
0
0
50 -50
0
30 -30
4 0
0
0
0
0
76 -76
1 -1
37 -37
15 -15
0
0
202 -202
0
13091 -13091
0
18 -18
2401 -2401
29 -29
0
1 -1
0
4409 -4409
0
0
87 -87
0
90 -90
0
12 -12
0
0
3 -3
0
20 -20
0
122 -122
21 -21
18 -18
0
0
0
1 -1
0
30 -30
36 -36
0
0
0
0
0
0
2303 -2303
0
260 -260
460 -460
0
2940 -2940
150 -150
0
0
5198 -5198
1 -1
0
65 -65
25 -25
72 -72
0
0
246 -246
0
55 -55
0
0
0
0
125 -125
0
45 -45
14 -14
0
0
10 -10
6 -6
2 -2
0
0
12 -12
0
14 -14
0
0
20 -20
0
0
0
0
333 -333
0
0
148 -148
0
172 -172
0
2 -2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7 -7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6800 -6800
0
0
0
0
0
0
0
0
0
0
0
0
437 -437
0
10 -10
0
0
0
0
12 -12
0
9 -9
140 -140
0
0
336 -336
0
0
0
0
0
100 -100
0
50 -50
100 -100
0 1000
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2178 36 346 419 146 3125 2214 6350

KASANG JAYA 365 11 30 17 5 428 376 1601
SIJINJANG I 152 2 7 14 2 177 154 401
SIJINJANG II 132 9 25 28 0 194 141 510

(…………………………….) (…………………….)
ASKES JAMKESMAS
847 124 346 915 107 8 419 1134 126 6
ASKES JAMKESMAS
105 97 30 108 3 2 17 55 3 0
33 0 7 16 1 0 14 27 0 0
82 8 25 103 19 2 28 109 22 4

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Februari 2012

146 414 53 1 6340 905 1130 412 8787

5 19 0 0 1601 108 55 19 1783
2 5 0 0 401 16 27 5 449
0 0 0 0 510 103 109 19 741
Jambi, 4 Maret 2012

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0

21 H2O2 Btl 0
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
68 Asam Folat Tab 0
Bulan Februari
Tahun 2012

8 9 10 11 12 13 14 15 16 17
0
0
306 -306 500
1 -1
142 -142
399 -399 600
0
0
242 -242 1000
1618 -1618 3600
3781 -3781 15000
256 -256 1000
44 -44 150
1480 -1480 5000
0
3448 -3448 10000
0 48
16 -16 50
5 -5
0 200
0
0
4356 -4356 10000
0
430 -430
0 200
0
0
0
0
0
37 -37 100
1 -1
418 -418
531 -531
0
3056 -3056 10000
51 -51 200
346 -346
0
0
406 -406
0
33 -33
0
141 -141
164 -164
0
4 -4 10
0
56 -56
0
0
0 500
0
0
0
53 -53
0
0
48 -48
4 -4
82 -82 1000
0
0
636 -636 1200
22 -22 50
0
80 -80
5635 -5635 20000
0
0
149 -149 300
0
165 -165 300
0
210 -210 1000
50 -50 120
1650 -1650 3000
0
0
0
0
97 -97
20 -20
0
0
1627 -1627 5000
6 -6 10
40 -40
18 -18 20
5 -5
0
65 -65 120
10 -10
6 -6 24
9012 -9012 20000
0
0
0
0
204 -204
0
0
0
308 -308 600
124 -124 300
749 -749 2000
0
0
55 -55 60
0
0
0 30
10 -10
0
0
40 -40
0
0
0
4 -4
0
20 -20 200
1 -1
0
0
0
0
56 -56 180
0
71 -71 250
13 -13 25
0
0
153 -153 300
0
14333 -14333 30000
0
45 -45
2356 -2356 6000
84 -84 300
1 -1 6
1 -1
0
1860 -1860 6000
0
0
60 -60
0
30 -30
0
0
2300 -2300
250 -250
28 -28
28 -28
0
0
71 -71 200
23 -23 24
22 -22 50
0
0
0
1 -1 3
0
40 -40
143 -143 200
0 10
0
0
0
0
0
2298 -2298 6000
0
153 -153
430 -430 1000
4 -4
2368 -2368 7000
195 -195 300
0
0
4583 -4583 15000
5 -5
0 6
231 -231 500

21 -21 100
236 -236 500
0
0
372 -372 1500
0
53 -53 200
0
0 500
0 1000
0
110 -110 300
0
50 -50 300
6 -6
0 1000
0
3 -3
0
0 5
0 25
0 25
32 -32 48
0
10 -10 48
0
0
10 -10
0
0
0
0
251 -251 1000
0
0
64 -64
0
138 -138 1000
0 3
3 -3 10
0
0
0
0
0 2
0
0
0
0
0
0
0
0 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 3
0 3
0
0
0
7000 -7000 24000
0
0 5
0
0
0
0
0
0
0
0 300
0
0
391 -391 1000
0 200
10 -10
0
0
0
0
10 -10
0
12 -12 100
110 -110
0 12
0
360 -360 2000
0
0
0
0
0 2
0 500
10 -10
20 -20
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Retur
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Exp Date
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2454 30 322 508 153 3467 2484 6871

KASANG JAYA 420 7 20 28 4 479 427 1576
SIJINJANG I 172 2 7 19 4 204 174 463
SIJINJANG II 142 10 28 29 0 209 152 553

(…………………………….) (…………………….)
ASKES JAMKESMAS
951 126 322 862 104 4 508 1361 143 4
ASKES JAMKESMAS
137 112 20 58 1 0 28 91 1 0
32 0 7 16 1 0 19 52 1 0
63 9 28 103 22 2 29 108 20 2

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Januari 2012

153 416 49 2 6869 860 1355 414 9498

4 15 0 1 1576 58 91 15 1740
4 10 0 0 463 16 52 10 541
0 0 0 0 553 103 108 15 779

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
2 Alat Suntk 1 ml 32 Set 300 300
5 Alupurinol 100 mg 1.2 Tab 400 400
34 Captopril 12.5 mg tablet Tab 1500 1500
35 Captopril 25 mg tablet Tab 2000 2000
37 Deksametason tablet 0,5 mg 3 Tab 3600 3600
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 2000 2000
42 Diazepam 2 mg 5 Tab 1000 1000
47 Ekstrak belladon tablet 10 mg 26.1 Tab 2000 2000
52 Etl klorida semprot 14.1 Btl 3 3
53 Eugenol cairan 14.1 Btl 5 5
68 Glass ionomer semen (gc ix) 14.1 Btl 1 1
69 Glibenklamid tablet 5 mg 16.11 Tab 500 500
85 Isosorbit dinitrat tablet sublingual 5 mg Tab 100 100
90 Karbamazepin tablet 200 mg 5 Tab 200 200
92 Kasa pembalut hidrofil 4 m x 15 cm 32 Rol 50 50
96 Kloramfenikol tetes telinga 3 % 28.1 Btl 96 96
102 Klorpromazin hcl tablet salut 100 mg 23.4 Tab 2000 2000
118 Metronidazol tablet 500 mg 623 Tab 1000 1000
124 Nifedipin tab Tab 200 200
151 Propanolol hcl tablet 10 mg 7.1 Tab 500 500
Reserpin tablet 0,10 mg 17.1 Tab 0
153 Reserpin tablet 0,25 mg 17.1 Tab 1000 1000
154 Retnol ( Vit A ) 200.000 iu 29 Kap 2500 2500
157 Rifampisin kapsul 450 mg 6.2.4 Kap 300 300
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0

21 H2O2 Btl 0
26 Mikonazole cream Pot 24 24
29 Natrium Diklofenak 50 mg Tab 500 500
37 Piroksikam tablet 10 mg Tab 600 600
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 3 3
31 Metanol 31 Btl 0
36 Rees echer Btl 0
40 Tes Gol. Darah( A,B,AB) Ktk 1 1
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
68 Asam Folat Tab 0
Bulan Januari
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
300
600
0 0
35 365
436 564
0
0 0
260 240
1132 4868
4622 10378
287 213
46 50
1795 4205
0
3644 2356
33 17
6 -6
1 -1
0
1 -1
0
3901 11099
0
10 -10
0
0
0
0
0
0
38 62
0
310 1190
805 1195
0
3036 564
40 60
2000
0
1 -1
247 753
0
39 -39
0
202 -202
73 1927
0
3 -3
0
111 -111
3
5
0
0
0
0
26 -26
0
0
13 35
4 -4
124 76
0
0
908 1692
26 -26
1
150 350
5139 -2139
0
0
96 204
0
234 366
0
89 -89
58 110
1125 3875
415 -415
0
0
127 -127
1 -1
20 80
0
0
1738 3262
6 4
20 180
50
5 45
0
57 -57
17 -17
23 73
8628 21372
0
0
0
0
169 1831
0
0
0
223 1777
129 351
827 1173
0
0
32 118
0
0
0
10 -10
0
0
10 990
0
0
0
13 -13
95 -95
75 125
1 1
0
0
0
0
49 131
1 -1
56 94
5 -5
0
0
167 633
0
13642 16358
0
51 -51
2555 3445
157 -157
1 -1
0
0
2012 2988
0
0
0
0
500
0
1000
2500
300
32 -32
7 293
27 -27
0
203 -203
0
36 64
0
0
0
0
0
90 -90
146 54
6 0
0
0
0
0
0
2151 849
0
300 -300
146 854
0
2588 3412
204 296
0
0
3762 9238
1 -1
3 -3
0
115 -115
20 -20
95 -95
0
0
239 761
0
92 8
0
0
0
0
84 -84
0
58 442
11 -11
0
0
5 -5
1 -1
0
0
1 -1
12 -12
0
10 14
0
0
500
0
0
0
0
402 598
0
0
89 511
0
160 340
0
0
5 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 2
0
0
0
6850 17150
0
1 -1
0
0
0
1 0
0
0
0
92 -92
0
0
371 129
0
40 -40
0
0
0
0
14 -14
0
23 -23
91 -91
0
0
544 -544
0
0
6 -6
0
0
100 -100
0
10 -10
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Exp Date
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kota JAMBI TIMUR
1 2 3 4 5 6 7
70 26.3 Tab 0
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0

21 H2O2 Btl 0
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
68 Asam Folat Tab 0
Bulan Desember
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0 0
0 0
0 0
65 -65
154 967 -967
291 899 -899
0 0
560 -560
318 181 19
1050 916 284
4009 3528 1472
186 1460 -1460
1 126 -126
1786 11456 -11456
0 0
3551 11549 -11549
2 52 -52
17 58 -58
19 77 -77
0 0
1 2 -2
0 0
4734 25394 -25394
0 0
30 440 -440
0 0
0 0
0 0
0 0
0 0
0 0
37 79 -79
5 -5
424 1265 -1265
602 3497 -3497
0 0
2837 18604 -18604
48 109 -109
3145 0
0 0
59 -59
324 1708 -1708
0 0
33 314 -314
5 95 -95
165 2490 -2490
0 0
52 -52
2 12 -12
0 0
42 508 -508
1 1 -1
0 0
0 0
0 0
6 -6
0 0
27 2612 -2612
0 0
0 0
17 35 -35
3 129 -129
141 183 17
296 -296
0 0
1305 -305
42 112 -112
0 0
120 814 -814
6242 30467 -30467
0 0
0 0
136 493 -493
0 0
40 340 -140
493 -493
214 2175 -2175
49 143 -143
1762 1155 -1155
105 715 -715
0 0
0 0
47 4030 -4030
29 1894 -1894
90 -90
0 0
0 0
1713 4732 -4732
3 16 -16
20 267 -267
0 0
12 17 -17
0 0 0
-384 384 -384
-122 122 -122
-3 3 -3
-10759 10759 -10759
0 0 0
0 0 0
0 0 0
0 0 0
-721 721 -721
0 0 0
0 0 0
0 0 0
0 0 0
-152 152 -152
-3378 3378 -3378
0 0 0
0 0 0
-118 118 -118
0 0 0
0 0 0
0 0 0
-245 245 -245
0 0 0
-552 552 -552
0 0 0
0 0 0
0 0 0
0 0 0
-67 67 -67
-95 95 -95
-120 120 -120
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
-41 41 -41
-10 10 -10
16 34 16
-73 73 -73
0 0 0
0 0 0
50 150 50
-500 500 -500
-37994 37994 -37994
0 0 0
-424 424 -424
-7008 7008 -7008
-430 430 -430
-5 5 -5
-6 6 -6
0 0 0
-5633 5633 -5633
0 0 0
0 0 0
-1038 1038 -1038
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
-243 243 -243
-155 155 -155
-410 410 -410
0 0 0
-498 498 -498
-92 92 -92
-43 43 -43
0 0 0
0 0 0
0 0 0
-2 2 -2
0 0 0
-420 420 -420
-424 424 -424
-1 1 -1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
-5460 5460 -5460
0 0 0
-4800 4800 -4800
-240 240 -240
-64 64 -64
-9453 9453 -9453
-187 187 -187
0 0 0
0 0 0
-12001 12001 -12001
-21 21 -21
-7 7 -7
0
-586 586 -586
-108 108 -108
-759 759 -759
0 0 0
0 0 0
-639 639 -639
0 0 0
-176 176 -176
0 0 0
0 0 0
0 0 0
0 0 0
-625 625 -625
0 0 0
0 0 0
-113 113 -113
0 0 0
0 0 0
-39 39 -39
-50 50 -50
-2 2 -2
0 0 0
-9 9 -9
-104 104 -104
0 0 0
-72 72 -72
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
-864 864 -864
0 0 0
0 0 0
-1003 1003 -1003
0 0 0
-578 578 -578
0 0 0
0
-7 7 -7
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
-550 550 -550
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
-1 1 -1
0 0 0
0 0 0
0 0 0
0 0 0
-100 100 -100
0 0 0
0 0 0
-100 100 -100
0 0 0
0 0 0
-699 699 -699
0 0 0
-275 275 -275
0 0 0
0 0 0
0 0 0
-213 213 -213
-99 99 -99
0 0 0
-79 79 -79
-814 814 -814
0 0 0
0 0 0
-1244 1244 -1244
0 0 0
0 0 0
-6 6 -6
0 0 0
0 0 0
-200 200 -200
-303 303 -303
-1630 1630 -1630
-100 100 -100
LB 2
Desember
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Exp Date
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2272 43 322 436 189 3262 2315 6649

KASANG JAYA 325 18 21 27 3 394 343 1350
SIJINJANG I 172 5 5 23 1 206 177 501
SIJINJANG II 123 9 29 28 0 189 132 493

(…………………………….) (…………………….)
ASKES JAMKESMAS
908 102 322 900 124 9 436 1636 177 15
ASKES JAMKESMAS
91 67 21 69 5 2 27 99 0 1
2 0 5 11 0 0 23 486 32 0
65 5 29 107 20 4 28 108 17 4

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN November 2011

189 493 71 6 6646 892 1632 490 18

3 9 0 3 1350 69 99 9 1527
1 4 0 0 501 11 486 4 1002
0 0 0 0 493 107 108 9 717

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001

2308 29 368 455 87 3247 2337 7074

KASANG JAYA 420 7 28 26 4 485 427 1969
SIJINJANG I 186 1 32 12 12 243 187 479
SIJINJANG II 140 13 30 24 0 207 153 573

(…………………………….) (…………………….)
ASKES JAMKESMAS
1010 122 368 995 132 10 455 1278 183 14
ASKES JAMKESMAS
151 94 28 89 2 1 26 87 1 1
32 5 32 12 0 0 12 30 2 0
81 12 30 113 21 6 24 93 18 3

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN November 2011

87 230 25 0 7070 990 1275 227 9562

4 12 0 0 1969 89 87 12 2157
12 27 2 0 479 12 30 27 548
0 0 0 0 573 113 93 12 791

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0

21 H2O2 Btl 0
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
68 Asam Folat Tab 0
Bulan November
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0 85 300
0 142,63 600
0
78 -78 103,9 300
436 -436 276,7 1000
0
0 30
255 -255 241,9 1000
2782 -2782 2445,4 12000
4692 -4692 4326 20000
332 -332 286,2 500
2 -2 33 100
2105 -2105 1862,4 6000
0
3696 -3696 3012,6 6000
9 -9 6 48
2 -2 8
0 9
0 14,3 300
0
0
4228 -4228 4727,4 15000
0
0
0
0
0
0
0
0
53 -53 44 100
0
350 -350 423,9 1500
621 -621 901,9 2000
0
3405 -3405 2939 6000
35 -35 30 100
0 592,7 2000
0
0
231 -231 261,2 1000
0
32 -32 28,5
0
198 -198 293
0 142,2 2000
1 -1
2 -2
0
25 -25 40,9
1 -1 1 3
0 1 3
0 102,8 1000
0
0
0
73 -73 78,7
0
0
5 -5 4,7 24
4 -4 3,4
117 -117 163,4 1000
0
0
1076 -1076 794,5 5000
18 -18 25,7
0 1
140 -140 163,3 500
5145 -5145 5299,2 15000
0
0
107 -107 100 300
0
113 -113 163,6 600
0
101 -101 192,1
49 -49 43,6 150
1988 -1988 1370,9 5000
20 -20
0
0
0 29,3
77 -77 90,5
20 -20 40 100
0 20
0
2205 -2205 1949 5000
1 -1 3,4 10
70 -70 70,7 200
5 -5 11,7 50
10 -10 13,4 50
0
34 -34 43,9
10 -10 14,9
28 -28 20 96
8552 -8552 7402 30000
0
0
0
0
215 -215 242,1 2000
0
0
0
400 -400 325,2 2000
175 -175 149,9 500
1534 -1534 1210,5 2000
0
0
30 -30 43 150
0
0
0 50
0
0
0 247,09
0 1000
0
0
7 -7 9
0
76 -76 61,5 200
0
0
0
0
0
53 -53 68,2 150
0
57 -57 54,5 250
9 -9 16,2
0
0
0 205 1000
0
13496 -13496 12967,6 20000
0
21 -21 41,7
2740 -2740 1970 6000
25 -25 68,4
1 -1 1,3
0
0
2793 -2793 2455 5000
236 -236
0
139 -139 137,1
0
0 67,5 500
0
75 -75 318 1000
0
0
30 -30 34,4
50 -50 56 300
0
0
0 151,1
10 -10 8,4
21 -21 23,5 100
0
0
0
0
0
50 -50 76,4 500
44 -44 93 200
0 1 6
0
0
0
0
0 9,6
2177 -2177 2330 3000
0
150 -150 132,3
160 -160 246,5 1000
0 11,6
3038 -3038 2909 6000
184 -184 140 500
0
0
5674 -5674 5414 15000
0
1 -1
46 -46 20
14 -14 18
111 -111 108,6
0 15 100
0
387 -387 348,4 1000
0
36 -36 57,2 100
0
0 1000
0 1000
0
137 -137 103,4 500
0
35 -35 500
6 -6 3,4
0 250 2000
0
11 -11
0
0
0 50
7 -7 5 24
10 -10
0
11 -11 13 24
0 1000
0
0 1000
0
0
0
0
227 -227 234,3 1000
0
0
8 -8 90,3
0 54,5 600
192 -192 293,9 1000
0 1 3
2 -2 3,3 6
0
0
2 -2
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
0 3
0
0
0
6000 -6000 5818,2 24000
0
0
0
0
0
0
3 -3 6
0
0
190 -190 153,3 300
0
0
280 -280 257,7 500
0 500
12 -12 23,5
0
0
0
157 -157 73,4
9 -9 12,5
0 50
7 -7
70 -70 159,6
0
0
295 -295 281,5 2000
0
0
0
0
1 -1
0 91,7
16 -16 36,8
20 -20 74
0
LB 2
November
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Exp Date
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2184 40 364 566 0 3154 2224 6622

KASANG JAYA 355 7 32 25 0 419 362 1539
SIJINJANG I 181 3 5 19 0 208 184 527
SIJINJANG II 150 12 27 25 0 214 162 597

(…………………………….) (…………………….)
ASKES JAMKESMAS
915 163 364 1063 130 12 566 1580 178 16
ASKES JAMKESMAS
91 82 32 109 2 1 25 96 1 1
34 3 5 10 0 0 19 43 2 0
79 12 27 103 20 2 25 91 21 2

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Oktober 2011

0 0 0 0 6622 1063 1580 0 9265

0 0 0 0 1539 109 96 0 1744
0 0 0 0 527 10 43 0 580
0 0 0 0 597 103 91 0 791

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
19 Antfungi DOEN kombinasi 18.3 Pot 48 48
58 Fenobarbital tablet 30 mg 5 Tab 1000 1000
95 Kloramfenikol salep mata 1 % 21.21 Pot 48 48
115 Metlergometrin tablet salut 22.1 Tab 200 200
144 Polikresulen 14.2 Btl 6 6
161 Salep 2-4 18.1 Pot 48 48
167 Serum ATS 20000 IU 28.1 Amp 0
168 Simvastatn Tab 300 300

19 Gentamycin salep kulit Pot 50 50
20 Gentamycin tetes mata Btl 50 50
21 H2O2 Btl 0
ALKES
4 Aqua destlata Btl 5 5
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 3 3
44 Alat suntk 3 cc pcs 600 600
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
68 Asam Folat Tab 0
Bulan Oktober
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
4 -4
0
120
424 576
0
30 -30
226 -126
1665 735
4128 5372
227 373
4 116
2198 7802
0
4038 962
36 39
8 42
16 32
0
3 -3
0
3948 11052
0
0
0
0
0
0
0
0
46 104
0
230 1770
827 2173
0
3134 6866
42 -42
579 1421
0
0
307 -307
0
40 -40
0
243 -243
0
0
2 4
0
61 -61
3 0
0
0
0
0
0
89 911
0
0
11 -11
3 -3
135 -135
0
0
942 1058
36 60
0
160 340
5379 14621
0
0
105 495
0
264 -264
0
111 -111
34 86
1811 -1811
40 -40
0
0
0
110 -110
10 -10
0
0
2262 738
4 16
60 140
5 5
5 -5
0
22 -22
11 37
16 32
8312 6688
0
0
0
0
150 -150
0
0
0
873 127
166 234
1295 -1295
0
0
64 56
0
0
0
200
0
404 -404
0
0
0
0
16 -16
0
77 -77
0
0
0
0
0
72 -12
0
29 121
9 -9
0
0
17 -17
1000 -1000
13581 46419
0
40 -40
2611 3389
51 249
1 5
6
0
2756 7244
0
0
0
0
0
0
241 -241
0
0
51 -51
59 -59
0
0
142 358
8 40
27 23
0
0
0
0
0
50 250
40 260
5 0
0
0
0
0
0
2431 -2431
0
50 4950
290 210
46 -46
3025 2975
114 186
0
0
5344 14656
26
1 9
300
28 122
67 233
0
0
314 686
0
45 155
0
0
0
0
1000
0
25 -25
7 -7
0
0
50
50
0
0
0
4 44
289 -289
19 77
0
0
0
0
0
0
0
280 -280
0
0
140 1060
0
39 961
0
4 6
0
0
1 4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
6000 -1000
0
1 2
0
0
0
0
4 -4
0
0
100 500
0
1 -1
265 735
0
11 -11
0
0
0
59 -59
2 -2
0
96
140 -140
0
0
190 1310
0
0
0
0
1 1
100 300
3 -3
25 -25
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2265 40 297 564 0 3166 2305 7127

KASANG JAYA 410 6 22 22 0 460 416 1947
SIJINJANG I 179 2 3 12 0 196 181 459
SIJINJANG II 135 9 29 27 0 200 144 528

(…………………………….) (…………………….)
ASKES JAMKESMAS
943 217 297 891 102 16 564 1577 191 10
ASKES JAMKESMAS
118 176 22 72 1 0 22 63 1 1
32 0 3 10 1 0 12 36 4 0
65 7 29 109 13 6 27 100 17 2

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN September 2011

0 0 0 0 7127 891 1577 0 9595

0 0 0 0 1947 72 63 0 2082
0 0 0 0 459 10 36 0 505
0 0 0 0 528 109 100 0 737

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001

1834 23 264 377 14 2512 1857 2349

KASANG JAYA 310 7 25 15 0 357 317 1194
SIJINJANG I 177 1 3 17 0 198 178 469
SIJINJANG II 145 7 25 28 0 205 152 561

(…………………………….) (…………………….)
ASKES JAMKESMAS
689 215 264 761 112 14 377 1096 137 13
ASKES JAMKESMAS
63 67 25 80 4 4 15 60 0 0
40 1 3 7 1 0 17 54 9 0
83 8 25 93 18 2 28 103 15 2

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Agustus 2011

14 36 3 0 2349 761 1096 36 4242

0 0 0 0 1194 80 60 0 1334
0 0 0 0 469 7 54 0 530
0 0 0 0 561 93 103 0 757

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0

21 H2O2 Btl 0
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
68 Asam Folat Tab 0
Bulan September
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
0
0
95 -95
455 -455
0
20 -20
226 -226
2665 -2665
3601 -101
251 -251
2 -2
1777 -1777
0
3940 -3940
49 -49
8 -8
21 -21
0
1 -1
0
3793 -3793
0
30 -30
0
0
0
0
0
0
57 -57
0
100 -100
910 -910
0
3033 -3033
44 -44
631 -631
0
0
266 -266
0
16 -16
0
345 -345
0
0
3 -3
0
10 -10
0
0
0
0
0
0
181 -181
0
0
8 -8
3 -3
303 -303
0
0
959 -359
28 -28
0
145 -145
5973 -5973
0
0
81 -81
0
120 -120
0
176 -176
48 -48
1932 -1932
0
0
0
0
90 -90
20 -20
0
0
1913 -1913
1 -1
135 -135
10 -10
16 -16
0
52 -52
21 -21
15 -15
8097 -8097
0
0
0
0
189 -189
0
0
0
472 -472
209
1653 -1653
0
0
30 -30
0
0
0
0
0
468 -468
0
0
0
0
7 -7
0
80 -80
0
0
0
0
0
75 -75
0
0
2 -2
0
0
60 -60
0
13272 -13272
0
38 -38
2557 -2557
24 -24
3 -3
0
0
2726 -2726
0
0
40 -40
60 -60
0
0
225 -225
0
0
10 -10
74 -74
9 -9
0
53 -53
6 -6
22 -22
0
0
0
0
0
20 -20
135 -135
2 3
0
0
0
0
0
2412 -2412
0
0
136 364
0
3250 -3250
90 -90
0
0
4756 -4756
1 -1
2 0
99 -99
22 -22
107 -107
0
0
363 -363
0
39 -39
0
0
0
0
285 -285
0
30 -30
3 -3
0
0
0
0
0
0
3 -3
4 -4
11 -11
3 21
0
0
0
0
0
0
0
230 -230
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3000 12000
0
0
0
0
0
0
4 -4
0
0
100 -100
0
0
422 -422
0
10 -10
0
0
0
63 -63
6 -6
0
0
120 -120
0
0
496 -496
0
0
0
0
0
0
40 -40
139 -139
0
LB 2
September
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0 Bon
0
0 Bon
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0

21 H2O2 Btl 0
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 Omeperazole Tab 150 150
68 Asam Folat Tab 0
69 Alat suntk 5 cc Pcs 100 100
Bulan Agustus
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
130 -130
0
71 -71
305 -305
0
40 -40
206 -206
1737 663
2684 -684
324 -324
4 -4
1154 -1154
0
3076 -3076
54 21
10 -10
15 -15
0
1 -1
0
3150 -3150
0
0
0
0
0
0
0
0
41 -41
0
440 -440
506 -506
0
3016 -3016
29 -29
515 -515
0
0
164 -164
21 -21
0
0
322 -322
0
0
2 -2
0
20 -20
1 -1
0
0
0
0
0
256 -256
0
0
5 -5
2 -2
477 -477
0
0
574 -574
27 -27
0
135 -135
5131 -5131
0
0
188 -188
0
185 -185
0
81 -81
56 -56
1179 -1179
0
0
0
0
78 -78
30 -30
0
0
1335 -1335
3 -3
115 -115
10 10
7 -7
0
84 -84
15 -15
44 -44
7711 -7711
0
0
0
0
185 -185
0
0
0
428 -428
110 -110
1009 -1009
0
0
3 -3
0
0
0
50 -50
0
324 -324
0
0
0
0
4 -4
0
63 -63
0
0
0
0
0
46 -46
0
0
0
0
0
151 -151
0
10116 -10116
0
36 -36
1923 -1923
52 -52
0
0
0
2280 -2280
0
0
134 -134
51 -51
0
0
1183 -1183
0
0
0
82 -82
0
0
18 -18
12 -12
21 -21
0
0
0
0
0
80 -80
138 -138
0
0
0
0
0
0
1630 -1630
0
314 -314
84 -84
0
1848 -1848
163 -163
0
0
3632 -3632
2 0
0
20 -20
13 -13
77 -77
0
0
153 847
0
68 -68
0
0
0
0
128 -128
0
30 -30
4 -4
0
0
0
0
0
0
2 -2
9 -9
0
8 -8
0
0
0
0
0
0
0
216 -216
0
0
0
0
0
0
2 -2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
2000 -2000
0
0
0
0
0
0
5 -5
0
177 -177
0
0
227 -227
0
30 -30
0
0
0
61 -61
11 -11
0
0
146 -146
0
0
275 225
0
0
0
0
0
0
44 106
86 -86
100
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0 Bon
0 Bon
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0 Bon
0
0 Bon

2141 19 323 467 61 3011 2160 6234

KASANG JAYA 360 5 17 20 0 402 365 1251
SIJINJANG I 212 0 3 24 0 239 212 604
SIJINJANG II 150 8 28 30 0 216 158 582

(…………………………….) (…………………….)
ASKES JAMKESMAS
863 122 323 981 135 12 467 1322 130 11
ASKES JAMKESMAS
101 79 17 81 1 2 20 80 1 1
34 4 3 12 0 0 24 59 5 0
86 10 28 105 22 4 30 107 17 3

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Juli 2011

61 161 22 0 6234 981 1322 161 8698

0 0 0 0 1251 81 80 0 1412
0 0 0 0 604 12 59 0 675
0 0 0 0 582 105 107 0 794

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 200 200
21 Aqua proinjeksi bebas pirogen 20.3 Amp 10 10
25 Asetosal tablet 100 mg 1.2 Tab 500 500
44 Difenhidramin HCl injeksi 10 mg/ml - ml 5 Amp 300 300
76 Halloperidol tablet 5 mg 23.4 Tab 500 500
149 Propiltourasil tablet 100 mg 16.3 Tab 500 500
161 Salep 2-4 18.1 Pot 48 48
167 Serum ATS 20000 IU 28.1 Amp 0

21 H2O2 Btl 0
25 Metoklorpropamide Hcl 10 mg Tab 300 300
ALKES
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
32 Natrium Sitrat 38 % Btl 2 2
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 300 300
50 Hemafort tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 Omeperazole Tab 300 300
68 Asam Folat Tab 2000 2000
69 0
Bulan Juli
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
97 -97
0
94 906
314 1686
0
30 170
243 757
1958 442
3845 1155
328 672
13 -13
1879 8121
0
3210 16790
48 52
5 25
5 91
0
2 8
0
4050 25950
0
500
0
0
0
0
0
0
49 101
0
201 -201
475 -475
0
2366 7634
28 272
576 1424
0
0
3000
163 -163
300
10 -10
280 -280
0
2 -2
4 6
0
50 -50
1 -1
0
0
0
0
0
70 -70
0
0
4 -4
2 -2
213 -213
10 -10
0
415 785
16 104
0
260 240
5312 24688
0
0
137 363
0
158 842
7 493
122 -122
47 193
1445 8555
120 880
0
0
35 -35
91 -91
60 -60
0
0
1786 6214
6 4
40 -40
0
19 31
0
24 576
14 106
21 27
8360 21640
0
0
0
0
263 737
0
0
0
329 671
142 258
761 9239
0
0
34 116
0
0
0
0
0
450 -450
0
0
0
0
12 -12
0
73 -73
0
0
0
0
0
109 131
0
10 -10
50
0
0
259 41
0
12318 17682
0
60 -60
2219 3781
74 -74
2 -2
0
0
2317 7683
0
0
73 427
20 -20
0
0
254 -254
0
0
3 197
84 216
200
0
0
10 38
27 23
0
0
0
0
0
40 -40
139 161
0
0
0
0
0
0
2343 3657
0
0
295 -295
22 -22
2700 3300
172 328
0
0
4402 5598
2 -2
0
442 -142
22 -22
118 182
0
0
454 -454
0
47 53
0
0
0
0
87 413
0
80 -80
4 -4
0
0
0
0
2 -2
0
8 -8
3 93
300
11 -11
0
0
0
0
0
0
0
252 748
0
0
0
0
0
0
6 4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
2 -2
0
1 1
0
6000 -6000
0
1 -1
0
0
0
0
54 -54
0
0
223 277
0
0
323 -323
0
300
0
0
0
25 -25
4 -4
0
0
110 -110
0
0
130 870
0
0
0
0
0
0
44 256
100 1900
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 0
68 0
69 0
Bulan Juni
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
187 -187
0
107 -107
191 -191
0
30 -30
254 -254
945 -945
4934 -4934
320 -320
0
2216 -2216
0
3453 -3453
0
6 -6
5 -5
0
0
0
4969 -4969
0
0
0
0
0
0
0
0
48 -48
0
297 -297
632 -632
3 -3
3106 -3106
34 -34
173 -173
0
0
0
358 -358
0
0
306 -306
114 -114
0
1 -1
0
50 -50
2 -2
0
84 -84
0
0
0
72 -72
0
0
4 -4
3 -3
23 -23
0
0
556 -556
25 -25
0
320 -320
6380 -6380
0
0
107 -107
0
170 -170
0
285 -285
40 -40
660 -660
0
0
0
23 -23
103 -103
50 -50
0
0
1756 -1756
3 -3
60 -60
0
17 -17
0
0
19 -19
22 -22
6115 -6115
0
0
0
0
221 -221
0
0
0
204 -204
149 -149
827 -827
0
0
64 -64
0
0
0
30 -30
0
583 -583
18 -18
0
0
0
14 -14
0
50 -50
0
0
0
0
0
34 -34
0
14 -14
0
0
0
253 -253
500 -500
12957 -12957
0
64 -64
2414 -2414
71 -71
1 -1
0
0
2532 -2532
7 -7
0
0
10 -10
0
0
283 -283
0
0
30 -30
71 -71
0
0
0
12 -12
29 -29
0
0
0
0
0
70 -70
37 -37
0
0
0
0
0
0
2223 -2223
0
53 -53
0
3 -3
1798 -1798
140 -140
0
0
2502 -2502
3 -3
0
0
28 -28
13 -13
60 -60
0
0
319 -319
0
57 -57
0
0
0
0
21 -21
0
22 -22
3 -3
0
0
0
0
0
0
9 -9
0
0
20 -20
0
0
0
0
675 -675
0
0
284 -284
0
0
0
0
211 -211
0
0
3 -3
0
0
0
1 -1
0
0
1 -1
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7000 -7000
0
1 -1
0
0
0
0
7 -7
0
0
0
0
0
298 -298
0
31 -31
0
0
0
202 -202
2 -2
0
0
20 -20
7 -7
0
116 -116
42 -42
0
0
0
0
100 -100
0
0
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1970 5 279 437 79 2770 1975 3935

KASANG JAYA 405 9 33 15 0 462 414 1522
SIJINJANG I 228 1 5 22 0 256 229 679
SIJINJANG II 140 8 27 29 0 204 148 543

(…………………………….) (…………………….)
ASKES JAMKESMAS
678 27 279 788 106 7 437 1240 139 16
ASKES JAMKESMAS
99 91 33 102 3 0 15 55 0 0
51 6 5 14 0 0 22 60 0 0
61 9 27 103 16 2 29 108 17 2

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN JUNI 2011

79 230 31 4 3935 788 1240 230 6193

0 0 0 0 1522 102 55 0 1679
0 0 0 0 679 14 60 0 753
0 0 0 0 543 103 108 0 754
Jambi, 4 Juli 2011

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001

2251 25 384 491 45 3196 2276 6701

KASANG JAYA 380 9 33 27 0 449 389 1446
SIJINJANG I 254 4 6 24 0 288 258 750
SIJINJANG II 148 8 27 29 0 212 156 581

(…………………………….) (…………………….)
ASKES JAMKESMAS
762 131 384 1106 138 9 491 1378 139 11
ASKES JAMKESMAS
80 77 33 128 3 1 27 98 1 0
37 3 6 11 0 0 24 65 2 0
76 0 27 107 18 3 29 111 19 5

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Mei 2011

45 134 15 3 6701 1106 1378 134 9319

0 0 0 0 1446 128 98 0 1672
0 0 0 0 750 11 65 0 826
0 0 0 0 581 107 111 0 799
Jambi, 6 Juni 2011

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 20 20
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 0
68 0
69 0
Bulan Mei
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
162 -162 1000
0
160 -160 1000
206 -206 2000
0
30 -30 200
191 -191 1000
903 -903 2400
4621 -4621 20000
379 -379 1000
23 -23 250
1994 -1994 10000
0
3493 -3493 20000
0 100
7 -7 50
7 -7 50
0
1 -1 10
0
4716 -4716 30000
0
0
0 500
0
0
0
0
0
41 -41 150
0
710 -710
840 -840
10 -10
2953 -2953 10000
74 -74 300
0 2000
0
1 -1
205 -205 3000
345 -345
8 -8 300
5 -5
173 -173
287 -287
0
2 -2 10
0
40 -40
0
0
140 -140 250
0 500
0
0
22 -22
0
0
7 -7
3 -3
0
4 -4
0
688 -688 1200
21 -21 120
0
120 -120 1500
6049 -6049 30000
0
0
199 -199 500
0
140 -140 500
0
302 -302
55 -55 240
1709 -1709 10000
0
0
0
42 -42
89 -89
50 -50
0 24
0
1896 -1896 8000
4 -4 20
0
0
15 -15 50
0
10 -10 500
11 -11 120
16 -16 48
4739 -4739 30000
0
0
0
0
231 -231 1000
0
0
0
162 -162 1000
123 -123 400
789 -789 3000
0
0
8 -8 150
0
0
0 30
0
0
192 -192
95 -95
0
0
0
9 -9
0
18 -18
0
0
0
0
0
71 -71 240
0
46 -46 250
39 -39 50
0
0
238 -238 1000
0
13215 -13215 30000
0
52 -52
1230 -1230 6000
40 -40
0
0
0
2760 -2760 10000
0
0
181 -181 500
50 -50
0
0
0
0
0
55 -55 200
54 -54 300
0 200
0
231 -231
2 -2 48
31 -31 50
0
0
0
1 -1
0
140 -140 1000
159 -159 300
0
0
0
0
0
11 -11
2570 -2570 6000
0
0
696 -696
3 -3
951 -951 6000
110 -110 500
0
0
1004 -1004 10000
1 -1
0 10
0
0 300
10 -10 100
63 -63 300
0 100
0
0 2000
0
24 -24 100
0
0 1000
0 2000
0
225 -225 1000
0
70 -70
5 -5
0
0
0
0
0
0 50
5 -5
4 -4 100
0 300
20 -20 100
0 1000
0
0 1000
0
225 -225
0
0
241 -241 1000
0
0
0 1200
0 1200
421 -421 1000
0 2
0
3 -3 10
0
0
0
1 -1
0
0
1 -1
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7000 -7000
0
1 -1
0
0
0
0
3 -3
0
0
0 300
0
1 19
336 -336 1000
0 300
20 -20 300
0
0
0
10 -10
3 -3
0 100
0 100
170 -170
0
0
399 -399 2000
227 -227 1000
0
0
0
0
170 -170
0
0
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2085 29 352 442 74 2982 2114 6349

KASANG JAYA 365 7 25 23 0 420 372 1582
SIJINJANG I 181 2 5 20 0 208 183 445
SIJINJANG II 144 8 26 25 0 203 152 549

(…………………………….) (…………………….)
ASKES JAMKESMAS
852 116 352 1069 135 13 442 1254 144 11
ASKES JAMKESMAS
86 78 25 88 2 0 23 72 1 0
29 4 5 15 1 0 20 50 3 0
53 8 26 99 15 2 25 91 16 2

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN April 2011

74 219 32 2 6349 1069 1254 219 8891

0 0 0 0 1582 88 72 0 1742
0 0 0 0 445 15 50 0 510
0 0 0 0 549 99 91 0 739
Jambi, 4 Mei 2011

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
131 Oksitetrasiklin hcl inj. 6.2.2 Amp 10 10
161 Salep 2-4 18.1 Pot 72 72
166 Serum ATS 1500 IU 27.1 Amp 3 3
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
8 Barium Klorida Btl 2 2
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 10 10
67 0
68 0
69 0
Bulan April
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
147 353
0
138 -138
279 521
0
30 -30
163 749
869 5131
4824 9176
218 782
82 -82
1952 1048
0
3163 2837
0
16 -16
0
0
1 -1
0
10214 4786
0
0
0
0
0
0
0
0
35 65
0
557 -557
1500 -1500
2 -2
1246 -1246
7 143
757 -757
0
0
214 -214
90 -90
29 -29
0
478 -478
273 -273
0
1 -1
0
37 -37
0
0
80 -80
0
0
0
8 -8
0
0
8 -8
4 -4
90 210
0
0
416 784
23 97
0
100 -100
5611 9389
0
0
21 -21
0
270 30
0
273 -273
41 79
1422 1578
0
0
0
28 -28
85 -85
0
0
0
1781 1219
3 3
0
0
10 40
0
142 -142
17 31
16 56
4780 -4780
0
0
0
0
366 634
0
0
0
200 -200
142 358
1045 955
0
0
65 -5
0
0
0
36 -36
0
0
140 -140
0
0
0
4 -4
0
35 -35
0
0
0
0
0
59 181
10
82 -32
8 -8
0
0
216 312
0
12252 -12252
0
39 -39
364 -364
57 443
1 5
0
0
1320 2680
0
0
130 -130
24 -24
0
0
178 -178
0
0
34 166
49 -49
0
0
206 -206
7 65
25 -25
0
0
0
3
0
100 -100
37 463
1 -1
0
0
0
0
11 -11
2087 6913
0
9 -9
376 624
2 -2
1649 3351
240 60
0
0
2555 -2555
3 7
1 -1
0
0
27 23
0
0
0
1000
0
39 261
0
0
0
0
104 -104
0
50 -50
2 -2
0
0
0
0
2 -2
0
3 -3
8 -8
0
15 -15
0
0
0
0
209 -209
0
0
108 -108
0
0
0
0
338 162
0
0
4 2
0
0
0
1 1
0
0
1 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
6000 -6000
0
2 1
0
0
0
0
2 -2
0
0
0
0
0
405 595
0
13 -13
0
0
0
10 -10
13 -13
0
0
130 -130
0
0
360 140
197 -197
0
10
0
0
30 270
0
0
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2392 36 406 531 69 3434 2428 7364

KASANG JAYA 410 9 40 25 0 484 419 1952
SIJINJANG I 205 1 10 31 0 247 206 556
SIJINJANG II 150 6 25 26 0 207 156 567

(…………………………….) (…………………….)
ASKES JAMKESMAS
927 132 406 1197 161 11 531 1494 159 15
ASKES JAMKESMAS
99 102 40 139 4 1 25 76 0 0
31 3 10 29 1 0 31 82 4 0
58 9 25 96 17 3 26 95 17 4

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Maret 2011

Lbr R/ Resep Lbr R/AB Lbr R/Poli R/Askes R/JKM R/JKD Jml
69 200 23 3 7364 1197 1494 200 10255

0 0 0 0 1952 139 76 0 2167
0 0 0 0 556 29 82 0 667
0 0 0 0 567 96 95 0 758
Jambi, 4 April 2011

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 0
68 0
69 0
Bulan Maret
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0
88 -88
3 -3
85 -85
2 -2
0
30 -30
103 -103
797 -797
5248 -5248
240 -240
176 -176
2014 -2014
0
749 -749
0
15 -15
16 -16
0
2 -2
0
5565 -5565
0
0
0
0
0
0
0
0
31 -31
0
1013 -1013
1874 -1874
0
386 -386
34 -34
809 -809
0
2 -2
401 -401
88 -88
30 -30
0
0
310 -310
0
0
0
106 -106
2 -2
0
100 -100
0
0
0
40 -40
0
0
0
0
52 -52
0
0
365 -365
29 -29
0
230 -230
6853 -6853
0
0
51 -51
0
90 -90
0
86 -86
44 -44
1448 -1448
0
0
0
21 -21
95 -95
0
0
0
1075 -1075
3 -3
15 -15
10 -10
17 -17
0
18 -18
24 -24
22 -22
3249 -3249
0
0
0
0
155 -155
0
0
0
71 -71
182 -182
1001 -1001
0
0
8 -8
0
0
0
10 -10
0
130 -130
360 -360
0
0
0
0
0
106 -106
0
0
0
0
0
98 -98
0
70 -70
5 -5
0
0
276 -276
0
1862 -1862
0
48 -48
33 -33
146 -146
1 -1
0
0
1926 -1926
7 -7
0
175 -175
75 -75
0
0
0
0
0
57 -57
35 -35
0
0
324 -324
0
23 -23
0
0
0
0
0
90 -90
99 -99
0
0
0
0
0
13 -13
2481 -2481
0
160 -160
34 -34
1 -1
1889 -1889
60 -60
0
0
2005 -2005
0
3 -3
0
0
16 -16
0
0
0
0
0
83 -83
0
0
0
0
130 -130
0
0
1 -1
0
0
0
0
0
0
5 -5
18 -18
0
11 -11
0
0
0
0
151 -151
0
0
367 -367
0
0
0
0
302 -302
0
0
0
0
0
0
1 1
0
0
1 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8000 -8000
0
1 2
0
0
0
0
0
0
0
0
0
0
97 -97
0
36 -36
0
0
0
0
11 -11
0
0
310 -310
0
0
320 -320
202 -202
8 -8
0
0
0
0
0
0
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 0
68 0
69 0
Bulan Februari
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
0 200
144 -144 500
0
60 -60
135 -135 1000
0
30 -30
228 -228 1200
767 -767 12000
4215 -4215 15000
246 -246 1000
33 -33
1801 -1801 3000
0
2202 -2202 6000
0
8 -8
11 -11
0
2 -2
0
4374 -4374 15000
0
0
0
0
0
0
0
0
47 -47 100
0
431 -431
836 -836
59 -59
1781 -1781
0 150
611 -611
0
0
315 -315
0
27 -27
0
0
291 -291
0
2 -2
0
0
1 -1
0
41 -41
0 250
0
0
18 -18
0
0
0
10 -10
115 -115 300
0
0
353 -353 1200
26 -26 120
0
116 -116
2123 -2123 15000
0
0
29 -29
0
140 -140 300
0
0
25 -25 120
873 -873
0
0
0
17 -17
63 -63
0
0
0
797 -797 3000
5 -5 6
0
20 -20
16 -16 50
0
42 -42
21 -21 48
17 -17 72
4798 -4798
0
0
0
0
204 -204 1000
0
0
0
109 -109
152 -152 500
1131 -1131 2000
0
0
94 -94 120
0
0
0 20
20 -20
0
122 -122
200 -200
0
0
0
6 -6
0
65 -65
0
0
0
0
0
67 -67 200
0 10
60 -60 100
39 -39
0
50 -50
210 -210 1000
0
5585 -5585
0
20 -20
524 -524
76 -76 500
1 -1 6
0
0
1383 -1383 4000
0
0
150 -150
74 -74
0
0
0
0
0
34 -34 200
20 -20
12 -12
0
74 -74
0 72
9 -9
0
0
0
0 3
0
70 -70
38 -38 500
0 6
0
0
0
0
6 -6
2192 -2192 9000
0
0
518 -518 1000
2 -2
640 -640 5000
128 -128 300
0
0
2337 -2337
0
0
0
0
15 -15 50
0
0
0
322 -322 1000
0
79 -79 300
0
0 1000
0
0
20 -20
0
0
2 -2
0 1000
0
0
0
0
0 48
4 -4
12 -12
0
9 -9 48
0 1000
0
0
0
39 -39
0
0
209 -209
0
0
537 -537 1200
600 -600
366 -366 1000
0 2
0
3 -3 6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6000 18000 48000
0
0
0
0
0
0
0
0
0
10 -10
0
0
74 -74 1000
0
42 -42
0
0
0
0
8 -8
0 100
0 100
280 -280
0
0
250 -250 1000
92 -92
2 -2
0 10
0
0
100 -100 300
0
0
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0 jps
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

2100 38 289 421 60 2908 2138 6529

KASANG JAYA 330 9 22 24 0 385 339 1547
SIJINJANG I 200 4 7 18 0 229 204 622
SIJINJANG II 125 7 28 31 0 191 132 481

(…………………………….) (…………………….)
ASKES JAMKESMAS
854 140 289 812 108 7 421 1192 149 11
ASKES JAMKESMAS
93 83 22 63 2 0 24 67 4 1
45 12 7 19 0 0 18 57 4 0
62 9 28 105 21 3 31 119 24 4

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Februari 2011

60 165 23 2 6529 812 1192 165 8698

0 0 0 0 1547 63 67 0 1677
0 0 0 0 622 19 57 0 698
0 0 0 0 481 105 119 0 705
Jambi, 4 Maret 2011

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001

2273 25 325 484 63 3170 2298 6690

KASANG JAYA 430 9 35 25 0 499 439 1663
SIJINJANG I 160 3 7 21 0 191 163 479
SIJINJANG II 150 5 24 29 0 208 155 565

(…………………………….) (…………………….)
ASKES JAMKESMAS
924 143 325 934 124 12 484 1345 158 8
ASKES JAMKESMAS
111 105 35 115 1 2 25 90 3 0
30 6 7 19 0 0 21 54 0 0
65 9 24 78 15 3 29 108 18 4

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Januari 2011

63 167 19 1 6690 934 1345 167 9136

0 0 0 0 1663 115 90 0 1868
0 0 0 0 479 19 54 0 552
0 0 0 0 565 78 108 0 751

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
51 Etambutol HCl 500 mg tablet 6.2.4 Tab 1000 1000
135 Paraformaldehid tablet 1 gram 13.2 Tab 100 100
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
175 Sulfasetamid natrium tetes mata 15 % 21.2.2 Btl 48 48
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 3 3
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
54 Antasida Syrup btl 100 100
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 0
68 0
69 0
Bulan Januari
Tahun 2011

8 9 10 11 12 13 14 15 16 17
0
125 -125
174 126
0
134 -134
297 -297
0
30 -30
228 -12
811 2189
4795 5205
283 317
24 96
1396 4604
0
2118 7882
2 -2
0
48
157 -157
4 -4
0
2994 3006
0
0
0
0
0
0
0
0
36 164
2 -2
326 -326
900 -900
14 -14
1897 8103
0
1868 132
0
0
248 -248
0
17 -17
0
0
289 -289
0
3 7
0
51 949
6
0
69 -69
0
0
0
37 -37
0
0
48
4 -4
109 891
0
0
195 1005
34 -34
0
70 930
4335 25665
0
0
79 421
0
150 150
0
2000
41 151
612 -612
0
0
0
10 -10
115 -115
0
0
0
1337 3663
5 5
300
10 -10
15 -15
0
55 -55
1 95
4 92
5711 24289
0
0
0
0
1000
364 -364
68 -68
0
329 -329
99 401
1171 829
0
0
74 -74
0
0
6 -6
40 -40
0
45 -45
40 -40
0
0
0
6 -6
0
34 -34
0
0
0
0
0
67 233
0
68 232
3 -3
0
50 50
251 749
2000
11983 -11983
0
41 -41
655 4345
136 -136
3 -3
0
0
2012 3988
0
0
212 788
176 124
0
0
105 -105
0
0
74 -74
38 462
0
0
161 -161
0
100
0
0
0
2 -2
0
130 870
158 -58
4 -4
0
0
0
0
7 41
3085 8915
0
58 -58
122 -122
2 -2
220 4780
102 198
0
0
3352 2648
0
3 3
0
373 -373
16 9
266 -266
0
0
395 -395
0
113 -113
0
0
0
0
500
0
10 -10
0
0
0
0
0
0
0
0
6 42
0
16 8
0
0
0
0
0
0
0
164 1836
0
0
308 -308
0
188 -188
2 -2
0
5 -5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
2 1
0
0
0
7000 -7000
0
0
0
0
0
0
50 -50
0
0
60 -60
0
0
108 1892
0
30 -30
0
0
0
0
68 32
0
0
260 -260
0
0
265 735
0
6 -6
2 -2
0
0
50 -50
0
0
0
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0 jps
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kota JAMBI TIMUR
1 2 3 4 5 6 7
151 Propanolol hcl tablet 10 mg 7.1 Tab
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 0
68 0
69 0

(…………………………….) (…………………….)
Bulan Desember
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
0
205 -205
6 -6
127 -127
522 -522
0
0
232 248
1003 -1003
4840 -4840
347 -347
25 -25
2175 -2175
0
3013 -3013
51 -51
18 -18
30 -30
9 -9
0
0
5107 -5107
0
0
0
0
0
0
0
0
0
0
836 -836
1114 -1114
6 -6
3181 -3181
48 -48
819 -819
0
10 -10
295 -295
17 -17
0
0
0
229 -229
5 -5
3 -3
0
0
0
0
75 -75
17 -17
0
0
26 -26
0
0
10 -10
3 -3
226 -226
21 -21
0
412 -412
22 -22
0
200 -200
3261 -3261
0
0
106 -106
0
90 -90
0
0
2 -2
1309 -1309
0
0
0
8 -8
42 -42
10 -10
0
0
2029 -2029
2 -2
0
10 -10
0
10 -10
128 -128
0
78 -78
8743 -8743
0
0
0
0
0
276 -276
20 -20
0
384 -384
200 -200
1231 -1231
0
0
4 -4
0
0
10 -10
40 -40
0
170 -170
50 -50
0
35 -35
0
7 -7
0
23 -23
0
0
0
0
0
100 -100
0
0
28 -28
0
0
279 -279
0
13179 -13179
0
38 -38
935 -935
16 -16
0
0
0
2688 -2688
0
0
90 -90
0
0
0
0
0
0
28 -28
0
10 -10
0
133 -133
4 -4
12 -12
0
0
0
0
0
0
47 -47
3 -3
0
0
0
0
14 -14
4527 -4527
0
38 -38
50 -50
3 -3
0
88 -88
0
0
1282 -1282
0
1 -1
0
72 -72
19 -19
0
0
0
283 -283
0
110 90
0
0
94 -94
0
58 -58
0
20 -20
2 -2
0
0
0
0
2 -2
0
0
0
0
18 54
0
147 -147
0
0
0
0
0
278 -278
0
0
246 -246
0
342 -342
0
0
2 -2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6000 -6000
0
0
0
0
0
0
50 -50
0
0
15 -15
0
0
240 -240
0
40 -40
0
0
0
0
11 139
9 -9
0
270 -270
0
237 -237
250 -250
0
2 -2
2 -2
0
1 -1
50 -50
0
0
0
Jambi, 5 Juli 2010

Yang menerima / Melapor Yang Menerima,
Ka. Puskesmas Petugas Puskesmas

NIP. 19731201 200604 1 013 NIP. 19721001 199203 2
LB 2
Desember
KET
JML
18 19
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0 jps
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0 jps
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010

Yang Menerima,
Petugas Puskesmas
NIP. 19721001 199203 2 001


2533 33 392 468 46 3472 2566 7670

KASANG JAYA 430 8 30 18 0 486 438 1976
SIJINJANG I 239 7 5 38 0 289 246 659
SIJINJANG II 130 6 32 32 0 200 136 511

(…………………………….) (…………………….)
ASKES JAMKESMAS
974 182 392 1160 173 17 468 1309 130 6
ASKES JAMKESMAS
108 128 30 128 3 2 18 82 1 0
47 12 5 17 1 0 38 84 4 0
64 6 32 113 18 2 32 126 18 3

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Desember 2010

46 124 19 1 7670 1160 1309 124 10263

0 0 0 0 1976 128 82 0 2186
0 0 0 0 659 17 84 0 760
0 0 0 0 511 113 126 0 750

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
46 26.1 Tab 0
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
Natrium Diklofenak 50 mg Tab 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 Bisturi 10,11,20,22 pcs 0
63 Jarum jhit 10,11,12,13,14 pcs 0
66 Hand scun set 0
67 0
68 0
69 0

(…………………………….) (…………………….)
Bulan November
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
65 -65 200
179 -179 300
0
108 -108
415 -415 1000
0
0
192 120 1000
1152 -1152 3000
5001 -1 20000
655 -655 600
70 170 240
1794 -1794 6000
0
3015 -3015 10000
33 -33 100
4 -4
96 -96
6 -6
2 -2
0
4972 -4972 20000
0
0
0 300
0
0
0
0
0
0 200
0
320 -320
797 -797
14 -14
3064 -3064 10000
45 -45 100
592 -592 2000
0
0
200 -200
0
0
8 -8
0
370 -370 2000
1 -1
6 -6 10
0
0 1000
2 -2 6
0
0
61 -61 500
0
0
37 -37
0
0
7 -7 48
3 -3
165 -165 1000
15 -15
0
656 -656 1200
9 63 96
0
70 930 2000
5032 -5032 30000
0
0
152 -152 500
0
110 -110 300
0
0 2000
45 -45 200
1181 -1181
0
0
0
25 -25
39 -39
0
0
0
1761 -1761 5000
5 -5 10
20 -20 300
15 -15
6 -6
3 -3
99 -99 500
16 -16 100
19 -19 100
9732 -9732 30000
0
0
0
0
25 -25 1000
360 -360
0
0
307 -307
236 -236 500
914 -914 2000
0
0
62 -62
0
0
2 -2
60 -60
0
224 -224
37 -37
0
0
0
8 -8
5 -5
0
0
0
0
0
0
82 -82 300
0 10
18 -18 300
30 -30
0
0 100
322 -322 1000
500 -500 2000
13371 -13371
0
53 -53
0 5000
30 -30
0
0 3
0
2319 -2319 6000
0
0
90 -90 1000
200 300
0
4 -4
45 -45
0
0
16 -16
0 500
14 -14
0
0
48 -48 100
59 -59 100
0
0
0
0
0
50 -50 1000
151 -151 300
0
0
0
0
0
21 -21 50
4826 -4826 10000
0
301 -301
50 -50
4 -4
1860 -1860 5000
90 -90 300
0
0
3574 -3574 6000
0
2 -2 6
0
53 -53
31 94 150
0
0
0
1000 2000
0
56 -56 200
0
0 300
170 -170 1000
0
112 -112 500
0
5 -5
7 -7
0 3000
0
0 50
0 50
0
0 50
0
0 50
0
16 -16 96
0 500
0
0
0
0
0
0
387 -387 2000
0
0
259 -259
0
271 -271
0
0
5 -5 6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
1 -1 3
0
0
0
7000 -7000
0
0
0
0
0
0
0
0
0
55 -55
0
0
889 -889 3000
0 500
36 -36
0
0
0
0
0 200
20 -20 200
0 100
210 -210
0
86 -86
256 -256 1000
0
2 -2
1 -1
1 -1
1 -1
100 -100
0
0
0
Jambi, 5 Juli 2010


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2
LB 2
November
KET
JML
18 19
0
0
0
0
0
0
0
0
0 Bon
0
0 Bon
0
0 Bon
0
0
0 jps
0
0 jps
0 Return
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0 Bon
0 jps
0
0
0 jps
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0 Return
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010

Yang Menerima,
Petugas Puskesmas
NIP. 19721001 199203 2 001


2452 101 349 473 69 3444 2553 7702

KASANG JAYA 450 15 35 25 0 525 465 2181
SIJINJANG I 219 12 9 16 0 256 231 585
SIJINJANG II 148 15 26 29 0 218 163 573

(…………………………….) (…………………….)
ASKES JAMKESMAS
1035 207 349 1056 137 13 473 1362 167 16
ASKES JAMKESMAS
141 132 35 141 3 2 25 86 3 2
22 37 9 28 0 1 16 51 2 3
52 9 26 101 13 3 29 113 15 0

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN November 2010

69 191 31 0 7702 1056 1362 191 10311

0 0 0 0 2181 141 86 0 2408
0 0 0 0 585 28 51 0 664
0 0 0 0 573 101 113 0 787

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
46 Efedrin HCl tablet 25 mg 26.1 Tab 5000 5000
54 Fenitoin natrium kapsul 100 mg 5 Kap 250 250
84 I N H tablet 300 mg 6.2.4 Tab 3000 3000
140 Pirantel pamoat tablet 365 mg 23.4 Tab 1000 1000
161 Salep 2-4 18.1 Pot 48 48
166 Serum ATS 1500 IU 27.1 Amp 3 3
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 10 10
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
18 Kertas Perkamen lbr 1000 1000
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
62 Bisturi 10,11,20,22 pcs 20 20
63 Jarum jhit 10,11,12,13,14 pcs 5 5
64 Duo care Gluko le st Ktk 1 1
67 0
68 0
69 0

(…………………………….) (…………………….)
Bulan Oktober
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
0
87 213
0
66 -66
379 921
0
60 240
256 -196
548 1852
4854 5146
199 -199
19 41
1922 4078
0
3243 8757
14 -14
13 87
37 -37
10 -10
2 8
0
3655 6345
0
0
0
0
0
0
0
0
0
1 -1
290 -290
564 -564
12 -12
3250 6750
33 67
2000
0
0
186 -186
1000
0
0
5000
0
0
0
0
0
2 -2
0
45 205
38 -38
2 -2
0
1 999
0
0
6 18
2 -2
190 310
5 -5
0
392 808
12 60
0
0
4816 184
0
0
62 138
0
120 380
0
143 -143
40 -40
1493 507
0
0
0
131 -131
3000
0
0
0
1272 5728
3 7
30 -30
50
3 47
2 -2
123 -123
29 -29
25 23
5706 9294
0
0
0
0
90 -90
1000
1 -1
0
212 1788
180 420
1073 2527
0
0
6 -6
0
0
3 -3
70 -70
0
201 -201
36 -36
0
188 -188
0
3 -3
0
10 -10
0
0
0
0
0
43 -43
0
71 -46
30 -30
0
0
230 270
500 -500
10991 49009
0
9 991
356 5644
16 484
1 5
1 -1
0
2176 824
0
0
129 -129
0
0
245 -245
120 -120
0
0
59 241
0
15 -15
0
59 -59
48
17 33
0
0
0
1 2
0
10 -10
41 -41
2 -2
0
0
0
0
13 35
3722 11278
0
278 -278
90 -90
2 -2
858 7142
60 240
0
0
282 19718
1 -1
1 -1
0
73 -73
35 -35
211 -211
0
0
0
0
22 78
0
0
278 -278
0
79 -79
0
10 190
2 -2
50 -50
0
0
0
10
0
0
0
193 -193
19 -19
0
10 -10
0
0
456 -456
326 -326
0
0
0
0
241 -241
120 -120
363 -363
0
0
3 7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 950
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
7000 23000
0
0
0
0
0
0
0 0
0
0
95 -95
0
0
430 70
0
30 -30
0
0
0
0
5 -5
6 -6
0
150 -150
2 -2
245 -245
405 95
50 -50
20
5
1
2
300
0
0
0
Jambi, 5 Juli 2010


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0 jps
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0 jps
0
0
0 jps
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010

Yang Menerima,
Petugas Puskesmas
NIP. 19721001 199203 2 001

Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
49 Cetrizin tab 0
50 Hemafort tab 0
60 Metformin Tab 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0

(…………………………….) (…………………….)
Bulan September
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
0
129 -129
0
45 -45
458 -458
0
0
228 -228
518 -518
4146 -4146
199 -199
0
1425 -1425
0
2474 -2474
0
22 -22
11 -11
15 -15
2 -2
0
2299 -2299
0
0
0
0
0
0
0
0
0
2 -2
70 -70
370 -370
8 -8
2662 -2662
26 -26
1016 -1016
0
2 -2
314 -314
0
0
0
0
197 -197
0
1 -1
0
0
0
0
0
76 -76
0
0
59 -59
0
0
5 -5
3 -3
167 -167
0
0
524 -524
29 -29
0
190 -190
6383 -6383
0
0
90 -90
0
90 -90
0
983 -983
81 -81
706 -706
0
0
0
248 -248
0
0
0
0
2108 -2108
1 -1
0
10 -10
0
10 -10
9 -9
14 -14
0
8306 -8306
0
0
0
0
89 -89
0
16 -16
0
323 -323
117 -117
1416 -1416
0
0
32 -32
0
0
6 -6
0
0
113 -113
76 -76
0
0
0
6 -6
0
0
0
0
0
0
0
40 -40
0
54 -54
0
0
0
275 -275
0
9118 -9118
0
78 -78
2576 -2576
120 -120
1 -1
0
0
1938 -1938
0
0
0
160 -160
0
36 -36
131 -131
0
0
11 -11
0
11 -11
0
10 -10
3 -3
18 -18
0
0
0
0
0
60 -60
51 -51
0
0
0
0
0
3 -3
1798 -1798
0
152 -152
20 -20
0
4745 -4745
90 -90
0
0
3369 -3369
0
2 -2
0
123 -123
38 -38
146 -146
0
0
0
0
31 -31
0
0
222 -222
0
71 -71
0
0
0
150 -150
0
0
0
0
0
0
0
0
12 -12
0
0
0
0
38 -38
40 -40
0
297 -297
0
0
292 -292
0
346 -346
0
0
3 -3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5000 15000
0
0
0
0
0
0
0
0
0
0
0
0
292 -292
0
47 -47
0
0
0
0
5 -5
9 -9
2 -2
110 -110
1 -1
607 -607
195 -195
10 -10
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2
LB 2
September
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010

Yang Menerima,
Petugas Puskesmas
NIP. 19721001 199203 2 001

Kota JAMBI TIMUR
1 2 3 4 5 6 7
41 Diazepam injeksi 5 mg/ml - 2 ml 5 Amp 8 8
56 Fenobarbital injeksi 50 mg/ml - 2 ml 5 Amp 8 8
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 142 142
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
28 Nipedipin tablet Tab 57 57
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
48 Clindamicin caps 15 15
50 Hemafort tab 0 0
52 Pembalut gip bks 2 2
53 Salbutamol 4 mg tab 800 800
55 Lysmin sirup btl 52 52
57 Mecobion tab Tab 3480 3480
58 Bismecon jelly Tube 13 13
59 Dolodon 500 mg Tab 1261 1261
61 Meloxicam 7,5 mg Tab 820 820
62 0 0
63 0 0
64 0
65 0
66 0
67 0
68 0
69 0

(…………………………….) (…………………….)
Bulan Agustus
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
10 -10
87 -52
0
85 -85
383 -383
0
30 -30
295 -295
1078 -1078
5419 -5326
263 -263
119 -119
1719 -1719
0
3475 -3475
0
37 -37
0
11 -11
2 -2
0
3920 -3920
0
0
0
0
0
0
0
0
0
0
294 5706
535 13865
6 -6
3184 -3184
28 -28
524 -524
0
8
191 -191
86 -86
152 -152
5 -5
0
156 -156
0
3 -3
0
0
0
1 -1
75 -75
24 -24
8
0
20 -20
0
0
10 -10
2 140
220 -220
10 -10
0
680 -680
29 -29
1 -1
424 -424
6227 -6227
0
0
151 -151
0
120 -120
0
141 -141
68 -68
1437 -1437
0
0
0
235 -235
0
0
0
0
1988 -1988
4 -4
0
10 -10
0
8 -8
187 -187
13 -13
28 -28
8763 -8763
0
0
0
0
124 -124
0
7 -7
0
313 -313
165 -165
928 -928
0
0
64 -64
0
0
3 -3
76 0
0
93 -93
140 -140
0
0
0
0
0
57
0
0
0
0
0
46 -46
0
67 -67
33 117
0
0
253 -253
0
14157 -14157
0
76 -76
830 -830
52 -52
0
0
0
2217 -2217
0
0
91 -91
0
0
193 -193
255 -255
0
0
37 -37
0
11 -11
0
148 -148
4 -4
33 -33
0
1 -1
0
0
0
158 -158
40 -40
2 -2
0
1 -1
0
0
13 -13
2396 -2396
0
253 -253
150 -150
0
4014 -4014
90 -90
0
0
3953 -3953
0
1 -1
0
76 -76
35 -35
0
0
0
0
0
23 -23
0
0
96 -96
0
65 -65
0
38 -38
0
160 -160
0
0
0
0
0
0
0
0
13 -13
0
57
0
0
26 -26
0
0
159 -159
0
0
63 -63
0
302 -302
0
0
5 -5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
75 -75
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
85 -85
0
0
256 -256
15 0
45 378
0
0
2
800
2 10
8 44
8 2
90 3390
3 10
86 1175
294 816
820
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010

Yang Menerima,
Petugas Puskesmas
NIP. 19721001 199203 2 001

Kota JAMBI TIMUR
1 2 3 4 5 6 7
20 Antmigrain DOEN kombinasi 7.2 Tab 100 100
114 Mebendazol Syrup 6.1.1 Tab 30 30
161 Salep 2-4 18.1 Pot 0
164 Semen seng fosfat serbuk dan cairan 14.2 Btl 1 1
167 Serum ATS 20000 IU 28.1 Amp 0
172 Spons gelatn cublices 1x1x1 cm 14.1 Sak 1 1
0
16 Erytromycin Syr Btl 60 60
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 6 6
31 Metanol 31 Btl 0
36 Rees echer Btl 0
41 Tes Kehamilan HCG Ktk 300 300
45 ACT ktk 0
46 Artesunate amp 0
48 Basitrasin SK tube 0
50 Cetrizin tab 0
51 Hemafort tab 0
55 Kantong plastk lbr 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0

(…………………………….) (…………………….)
Bulan Juli
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
0
108 492
0
100 -100
456 544
0
60 240
261 699
1353 -1353
5301 9699
142 2858
56 144
1827 1173
0
2821 7179
100
19 31
11 -11
59 41
12 -12
0
5380 9620
0
0
0
0
0
0
0
0
13 -13
0
1646 -1646
0
11 -11
3344 6656
35 65
355 2645
0
0
275 1725
42 -42
113 187
0
0
120 -120
0
2 -2
0
0
1 4
1
41 -41
58 -58
0
0
13 -13
0
0
10 38
4 26
405 595
0
0
660 1740
27 -27
1
281 -281
5871 14129
0
0
356 144
0
116 384
0
106 -106
78 162
1616 6384
0
0
0
263 -263
0
0
0
0
2158 3842
6 14
0
15 35
15 35
30 -30
167 333
18 -18
17 55
8311 21689
0
0
0
0
121 -121
0
0
0
394 606
240 260
682 4318
0
0
88 362
0
0
30
80 220
0
65 -65
100 -100
0
0
0
3 -3
0
0
0
0
0
0
0
86 154
0
84 166
8 42
0
0
138 862
500 -500
11816 48184
0
35 -35
79 7921
28 172
6
2 -1
0
2022 -2022
0
0
518 -518
30 -30
0
22 -22
80 -80
0
0
22 -22
0
5 -5
0
0
7 -7
11 189
0
1
0
0
0
112 -112
64 236
0
0
1
0
0
8 16
1550 1450
0
156 -156
160 -160
0
1189 4811
60 -60
0
0
257 9743
1 -1
2 3
0
95 -95
31 -31
118 -118
0
0
444 -444
0
22 78
0
0
104 -104
0
65 -65
0
70 -70
2 58
95 -95
0
0
0
0
0
0
0
0
13 83
0
0
0
0
118 -118
32 -32
0
67 -67
0
0
108 -108
0
215 -215
0
0
2 8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 -100
0
0
0
0
0
0
0
0
0
0
0
1 5
0
0
0
5500 0
0
0
0
0
0
0
300
0
0
115 185
0
0
182 818
0
20 -20
30 -30
0
0
0
0
0
6 -6
6 -6
5 -5
220 -220
2 -2
539 -539
50 950
0
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010

NIP. 19731201 200604 1 013 NIP. 19721001 199203 2
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0 jps
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Jambi, 5 Juli 2010

Yang Menerima,
Petugas Puskesmas
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
50 Cetrizin tab 0
51 Hemafort tab 0
62 Metformin Tab 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0

(…………………………….) (…………………….)
Bulan Juni
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
0
96 -96
3 -3
71 -71
388 -388
0
30 -30
254 -254
890 -890
4525 2475
75 -75
38 -38
1728 -1728
0
2409 -2409
0
20 -20
6 -6
21 -21
0
0
3680 -3680
0
0
0
0
0
0
0
0
40 -40
2 -2
21 -21
2004 -2004
4 -4
3031 -3031
24 -24
428 -428
0
0
109 -109
40 -40
47 -47
24 -24
0
116 -116
1 -1
1 -1
0
0
2 -2
0
37 -37
0
0
0
8 -8
0
0
10 -10
5 -5
181 -181
5 -5
0
724 -724
22 -22
0
395 -395
5904 -5904
0
0
105 -105
0
90 -90
0
203 -203
54 -54
1263 -1263
0
0
0
275 -275
0
10 -10
0
0
1634 -1634
5 -5
0
5 -5
0
47 -47
85 -85
17 -17
21 -21
8681 -8681
0
0
0
0
92 -92
0
0
0
233 -233
107 -107
793 -793
0
0
34 -34
0
0
0
0
0
64 -64
150 -150
0
10 -10
0
0
0
0
0
0
0
0
0
75 -75
0
61 -61
8 -8
0
0
284 -284
500 -500
11556 -11556
0
85 -85
259 -259
0
2 -2
0
0
2341 -2341
0
0
168 -168
40 -40
0
0
0
0
0
0
62 -62
1 -1
0
118 -118
0
0
0
0
0
0
0
30 -30
164 -164
2 -2
0
0
0
0
9 -9
2595 -2595
0
0
310 -310
13 -13
2544 -2544
60 -60
0
0
0
4 -4
3 -3
0
45 -45
25 -25
113 -113
40 -40
0
474 -474
0
45 -45
0
0
125 -125
0
83 -83
0
20 -20
1 -1
170 -170
0
0
4 -4
0
0
0
0
0
18 -18
178 -178
0
0
0
43 -43
6 -6
0
113 -113
0
0
149 -149
0
293 -293
0
0
3 -3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 -50
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
130 -130
0
0
276 -276
0
35 -35
97 -97
0
0
0
0
6000 -6000
5 -5
11 -11
9 -9
200 -200
1 -1
0
140 -140
20 -20
0
0
0
0
0
0
0


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Agustus 2010
1001 199203 2 001


2003 25 264 346 43 2681 2028 6254

KASANG JAYA 400 11 38 25 0 474 411 1979
SIJINJANG I 187 1 5 20 0 213 188 559
SIJINJANG II 157 5 30 32 0 224 162 595

(…………………………….) (…………………….)
ASKES JAMKESMAS
922 192 264 761 101 10 346 996 147 19
ASKES JAMKESMAS
104 111 38 131 1 1 25 87 2 2
39 117 5 11 0 4 20 57 5 12
59 6 30 119 19 2 32 123 23 3

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Oktober 2010

43 118 16 2 6254 761 996 118 8129

0 0 0 0 1979 131 87 0 2197
0 0 0 0 559 11 57 0 627
0 0 0 0 595 119 123 0 837

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
104 Kodein hcl tablet 10 mg 26.2 Tab 112 112
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
40 Stesolit Rectal supp Tube 2 2
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
50 Cetrizin tab 0
51 Hemafort tab 0
62 Metformin Tab 0

(…………………………….) (…………………….)
Bulan Mei
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
0
152 -152 600
10 -10
0
477 -477 1000
0
30 -30 300
262 -22 1000
1385 -1385
4706 -4706 15000
104 -104 300
36 -36 200
1883 -1883 3000
150 -150
4344 -4344 10000
0 100
15 -15 50
0
0 100
0
0
6280 -6280 15000
0
0
0 300
0
0
0
0
0
5 -5 150
0
4106 -4106
4074 -4074
406 -406
4327 -4327 10000
22 -22 100
464 -464 3000
0
0
208 -208 2000
0
45 -45 300
10 -10
992 -992
530 -530
0
3 -3
0
0 1000
1 -1 5
0
0
94 -94
0
0
45 -45
0
0
15 -15 48
11 -11 30
288 -288 1000
0
0
580 620 2400
25 -25
0
609 -609 2000
4591 -4591 20000
0
0
171 129 500
0
90 -90 500
0
177 -177
75 -75 240
2055 -2055 5000
0
0
0
411 -411
0 2000
30 -30
0 15
0
2433 -2433 6000
4 -4 20
14 -14
10 -10 50
5 -5 50
0
122 -122 500
14 -14 72
15 -15 72
9373 -9373 30000
613 -613
0
0
0
91 -91
0
112
100 -100
322 -322 1000
219 -219 500
1676 -1176 5000
0
0
109 -109 500
0
0
10 -10 30
30 -30 300
0
65 -65
70 -70
0
20 -20
0
3 -3
0
14 -14
0
0
0
0
0
46 -46 200
0 20
97 -97 250
14 -14 50
0
0
209 41 1000
0
11667 -11667 30000
0
30 -30
2807 -2807 8000
3 -3 1000
1 -1 6
0
0
2255 -2255
2652 -2652
0
332 -332
430 -430
0
0
0
0
0
6 -6
88 -88 500
0
0
0
10 -10
0 200
0
0
0
0
0
90 -90
184 -184 300
2 -2
0
0
0
0
17 -17 24
2173 -2173 3000
0
68 -68
100 -100
3 -3
3646 -3646 6000
60 -60
0
0
1421 -1421 10000
1 -1
4 -4 6
0
10 -10
22 -22
77 -77
20 -20 60
0
523 -523
0
29 -29 100
0
0
220 -220
0
48 -48
0
45 -45
9 -9 50
45 -45 2000
0
0 24
1 -1 24
0 10
0 50
3 -3
0 24
7 -7
24 -24 100
152 -152 1000
14 -14
0 500
0
0
0
0
138 -138
0
0
343 -343
0
199 -199
2
0
4 -4 10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
75 -75
0
0
0
0
0
0
0
0
0
0
0
0 6
0
0
0
0 40000
0
0
0
0
0
0
0 300
0
0
40 -40 300
0
0
255 -255 1000
0 100
90 -90 500
95 -95 500
0
60 -60
0
0
8000 -8000 40000
8 -8 30
4 -4 48
6 -6 48
50 -50
0
0
190 -190 1000
0
Jambi, 3 Juni 2010


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0 Return
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Return 700
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Return
0
0
0
0
0
0
0 Return
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0 Return
0
0
0 400 Return
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Return
0
0
0
0
0
0
0
0
0
0
0
1001 199203 2 001

Kota JAMBI TIMUR
1 2 3 4 5 6 7
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
50 Cetrizin tab 0
51 Hemafort tab 0
55 Kantong plastk lbr 20000 20000
62 Metformin Tab 0 500 500
63 Meloxicam 7,5 mg Tab 840 840

(…………………………….) (…………………….)
Bulan April
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
21 -21
0
0
85 -85
464 536 2
0
30 -30
245 105
1067 -1067
4902 -4902
196 104
40 -40
1692 1308
0
1105 3895
15 -15
12 38
15 -15
23 -23
20
0
4212 10788
0
0
0
0
0
0
0
0
48 52
0
139 -139
1625 -1625
6 -6
3479 11521
27 -27
457 -457
0
0
325 675
250
46 -46
0
43 -43
184 -184
0
5 -5
0
0
1 5
0
0
139 -139
0
0
27 -27
0
0
14 -14
18 12
260 240
0
0
727 -727
31 -31
0
581 -581
6098 -6098
0
0
266 34
0
120 -120
0
250 -250
61 179
2349 -2349
0
0
0
696 -696
0
0
0
0
2245 755
3 3
60 -60
10 -10
12 -12
0
123 377
32 16
21 51
6688 -6688
0
0
0
0
100 -100
0
0
0
456 144
67 -67
178 1822
0
0
2 -2
0
0
18 -18
40 -40
0
58 -58
119 -119
0
29 -29
0
4 -4
0
0
0
0
0
0
0
43 197
0
85 165
6 -6
0
0
245 255
0
10435 49565
0
14 286
2842 -2842
139 -139
2 -2
0
0
1988 12012
0
0
160 -160
30 -30
0
0
0
0
0
100 -100
151 -151
13 -13
0
114 -114
11 -11
20 -20
0
0
0
0
0
60 -60
75 425
2 16
0
0
0
0
12 12
3328 5372
0
0
240 -240
3 -3
3706 -3706
90 -90
0
0
2813 -2813
2 -2
1 -1
0
140 -140
43 -43
77 -77
20 -20
0
532 -532
0
36 -36
0
0
96 -96
0
75 -75
0
15 -15
14 -14
330 -330
0
0
0
0
0
0
0
33 -33
15 -15
49 -49
0
0
0
0
40 -40
0
280 -280
0
0
265 -265
0
302 -302
0
0
4 -4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 400
0
0
0
0
0
0
0
0
0
0
0
3 -3
0
0
0
0
0
0
0
0
0
0
0
0
0
200 -200
0
0
239 1261
0
45 -45
25 -25
0
0
0
0
6000 14000
6 -6
8 -8
6 -6
20 -20
6 -6
0
10 490
840
Jambi, 4 Mei 2010


NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
KET
JML
18 19
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1001 199203 2 001

Kota JAMBI TIMUR
1 2 3 4 5 6 7
19 Antfungi DOEN kombinasi 18.3 0
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
0
21 H2O2 Btl 0
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
50 Cetrizin tab 0
51 Hemafort tab 0
(…………………………….) (…………………….)
Bulan Maret
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
39 -39
177 -177
0
146 -146
364 -364
0
30 -30
249 -249
1006 -1006
5001 -5001
78 -78
32 -32
1796 -1796
0
3408 -3408
82 -82
13 -13
7 -7
9 -9
0
0
4679 -4679
0
0
0
0
0
0
0
0
36 -36
0
258 -258
1165 -1165
5 -5
3265 -3265
38 -38
539 -539
0
0
357 -357
0
34 -34
0
143 -143
204 -204
0
1 -1
0
0
1 -1
0
35 -35
20 -20
0
0
24 -24
0
0
14 -14
5 -5
210 -210
0
0
548 -548
21 -21
0
700 -700
5915 -5915
0
0
107 -107
0
200 -200
0
82 -82
49 -49
1562 -1562
0
0
0
501 -501
70 -70
10 -10
0
0
2142 -2142
2 -2
70 -70
10 -10
28 -28
0
124 -124
25 -25
19 -19
8394 -8394
0
0
0
0
151 -151
0
1 -1
0
308 -308
123 -123
965 -965
0
0
2 -2
0
0
1 -1
20 -20
0
187 -187
110 -110
0
24 -24
0
8 -8
0
5 -5
0
0
0
0
0
54 -54
0
20 -20
10 -10
0
0
263 -263
0
12322 -12322
0
62 -62
3040 -3040
14 -14
1 -1
0
0
2052 -2052
0
0
160 -160
10 -10
0
0
0
0
0
49 -49
167 -167
0
0
48 -48
9 -9
38 -38
0
0
0
0
0
130 -130
175 -175
0
0
0
0
0
15 -15
1912 -1912
0
160 -160
112 -112
3 -3
3009 -3009
170 -170
0
0
4134 -4134
2 -2
2 -2
0
124 -124
48 -48
138 -138
30 -30
0
617 -617
0
25 -25
0
0
127 -127
0
88 -88
0
25 -25
9 -9
340 -340
0
0
0
0
0
1 -1
0
20 -20
20 -20
40 -40
5 -5
0
0
179 -179
20 -20
0
113 -113
0
0
305 -305
0
336 -336
0
0
2 -2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15 -15
0
0
251 -251
0
10 -10
30 -30
0
0
0
0
5000 -5000
8 -8
8 -8
8 -8
20 -20
0
0
0
Jambi, 3 April 2010

NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
15 Antalgin injeksi 18.3 Amp 90 90
122 Nistatn 100.000 iu/g tablet vaginal 6.3 Tab 200 200
161 Salep 2-4 18.1 Pot 0
167 Serum ATS 20000 IU 28.1 Amp 0
180 Tiamin HCl (vit B1) inj. 100 mg/ml - 1ml 29 Amp 150 150
182 Triheksilfenidil HCl tablet 2 mg 2.2 0
0
21 H2O2 Btl 0
31 Obat Flu Indo Tab 1320 1320
ALKES 0
9 Beker Glass Btl 0
11 Erlemeyer Btl 0
13 Etanol 70 % 13.2 Btl 0
14 Fauchet Btl 0
16 Kapas 1 KG Rol 0
30 Lisol 31 Btl 0
31 Metanol 31 Btl 0
36 Rees echer Btl 0
45 ACT ktk 0
46 Artesunate amp 0
51 Hemafort tab 0
58 Lytamin syrup Btl 0 45 45
59 Mecobion tab Tab 0 4000 4000
61 Dolodon 500 mg Tab 0 1800 1800
62 Meloxicam 7,5 mg Tab 0 850 850
(…………………………….) (…………………….)
Bulan Februari
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0 0 0
15 -15
88 -88
0
98 802
602 -602 1000
0
30 -30
209 -29 250
898 -898
4721 3979
108 -108 300
45 5
1502 -1502 3000
90
3191 -3191 5000
0
9 -9 50
5 -5
21 -21
0 20
0
4817 -4817 5000
0
0
0
0
0
0
0
0
71 -71 100
0
240 -240
1649 -1649
9 -9
3549 -3549 5000
35 -35
537 -537
0
2 -2
220 -220 1000
29 -29 250
47 -47
8 -8
223 -223
257 -257
0
3 17
0
0
3 -3 6
0
0
14 -14
0
0
55 -55
0
0
9 -9
8 -8 30
123 -123 500
0
0
443 -443
28 44
0
543 357
5214 -5214
0
0
225 -225 300
0
150 -150
0
138 -138
49 -49 96
1887 -1887
21 -21
0
0
5 -5
194 -194 1000
10 390
0
0
2255 -2255 3000
1 -1 6
52 -52
10 -10
8 -8
20 -20
171 -171 240
44 -44 48
19 -19 72
7845 -7845
0
0
0
0
117 -117
0
0
0
322 -322 600
116 84
902 -902 2000
0
0
4 -4
0
0
0
10 -10
0
114 -114
78 -78
0
9 -9
0
200
0
10 -10
0
0
0
0
0
73 47 240
0
74 -74 150
12 -12
0
0
234 -184 500
0
11625 -11625 25000
0
78 -78 120
3212 -3212 5000
8 72 300
2 -2 6
0
0
2577 -2577 4000
7 -7
0
90 410
20 -20
0
0
0
0
0
0
138 -138 300
7 -7
0
62 -62
7 -7
57 -57 150
0
0
0
0
0
43 107
91 109 500
0 10
0
0
0
0
15 -15 24
2240 -2240 3000
0
2000
101 2099
12 138
4668 8332 5000
60 -60
0
0
4125 -4125 8000
5 -5
6
0
79 821
31 69
80 920
20 -20
0
400 1800
0
60 -10
0
0
58 -58
0
51 549
0
400
2 58
184 1216
0
0
5
0 10
2 -2 36
0
0
11 -11
20 -20
22 -22
10 -10
0
0
50 1270
20 -20
0
0
0
0
156 924
0
149 2951
0
0
2 15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
60 -60 100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
178 -178 600
0
25 -25
5 445
0
0
0
0
10000 -10000 40000
5 45
1 89
1 44
10 3990
1 22
1800
10 840
Jambi, 3 Maret 2010

NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
KET
JML
18 19
0
0
0
0
0 Askes
0
0
0
0 Askes
0
0 Askes
0
0 Askes
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Askes
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Askes
0
0
0
0
0
0 Askes
0
0
0
0
0
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Askes
0 Askes
0
0
0
0
0
0
0
0
0 Askes
0 Askes
0 Askes
0 Askes
0
0
0
0
0
0 Askes
0
0 Askes
0 Askes
0 Askes
0
0
0 Askes
0
0 Askes
0
0
0
0
0 Askes
0
0 Askes
0 Askes
0 Askes
0
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0 Askes
0
0
0
0
0
0 Askes
0
0 Askes
0
0
0 Askes
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Askes
0
0
0
0
0
0 Askes
0
0
0
0
0
0
0 Askes
0 Askes
0 Askes
0 Askes
0 Askes
0 Askes
1001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
1 Air Raksa Dental Use 14.1 Btl 0 0
7 Aminophylin inj 24 mg/ml 10 ml 26.1 Amp 0 0
22 Aquadest steril 30 Amp 0 0
24 Asam askorbat (vit C)250 mg 29 Tab 0 0
27 Atropin sulfat injeksi 0,25 mg/ml - ml 25.4 Amp 0 0
28 Atropin sulfat tablet 0,5 mg 9 Tab 0 0
29 Atropin sulfat tetes mata 0 5 % 21.2.4 Btl 0 0
30 Benzatn benzil penicillin inj. 2,4 juta IU/vial 6.2.1 Amp 0 0
31 Besi sirup 10.1 Btl 0 0
33 Catgut/benang bedah no. 2/0 - 3/0 32 Sak 0 0
36 Deksametason injeksi 5 mg/ml - 1 ml 3 Amp 0 0
40 Devitalisasi pasta 14.1 Btl 0 0
45 Digoksin tablet 0,25 mg 17.5 Tab 0 0
48 Epinephrin HCl injeksi 3 Amp 0 0
59 Fenoksi metl penisillin tablet 250 mg 6.2.1 Tab 0 0
64 Furosemid tablet 40 mg 14 Tab 0 0
65 Gameksan emulsi 1 % 18.5 Btl 0 0
71 Gliserin 26.6 Btl 0 0
72 Glukosa Larutan Infus 5 % Steril 20.2 Btl 0 0
81 Infusion set anak 32 Set 0 0
82 Infusion set dewasa 32 Set 0 0
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
86 Kalium permanganat serbuk 13.1 Btl 0 0
87 Kalsium hidroksida pasta 14.1 Tab 0 0
98 Kloroquin pospat tablet 250 mg 6.4.2.1 Tab 0 0
99 Klorpromazin hcl injeksi 25.4 Amp 0 0
100 Klorfenol kamfermenthol (CHKM) Btl 0 0
101 Klorpromazin hcl injeksi 5 mg/ml - 1 ml 23.4 Amp 0 0
109 Kuinin dihidroklorida injeksi 25 % - 2 ml 6.4.2.2. Amp 0 0
110 Kuinin sulfat tablet 222 mg ( 7H2O ) 6.4.2.2 Tab 0 0
112 Magnesium sulfat inj. 20% - 25 ml 5 Btl 0 0
114 Mebendazol Syrup 6.1.1 Tab 0 0
116 Metlergometrin Inj. 22.1 Amp 0 0
119 Mummifying pasta 14.1 Pot 0 0
120 Natrium bikarbonat tablet 500 mg 14.1 Tab 0 0
121 Natrium klorida larutan infus 0,9 % steril 20.2 Btl 0 0
123 Nistatn 500.000 iu/g tablet salut 6.3 Tab 0 0
128 Obat ant tuberkolusis sisipan 62.4 Tab 0 0
129 Obat ant tuberkolosis anak 62.4 Tab 0 0
134 Papaverin tablet 12.2 Tab 0 0
139 Perfenazin tablet 4 mg 23.4 Tab 0 0
145 Prazikuantel tablet 600 mg 6.1.1 Tab 0 0
147 Primaquin tablet 15 mg 6.4.2.2 Tab 0 0
148 Prokain benzyl penisillin 3 juta iu/vial inj. 6.2.1 Amp 0 0
159 Ringer laktat infus steril 20.2 Btl 0 0
161 Salep 2-4 18.1 Pot 48 48
163 Salisil spritus 10 % 18.3 Btl 0 0
165 Serum ABU polivalen inj. 27.1 Amp 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
171 Silver amalgam serbuk 65 - 75 % 14.1 Pot 0 0
173 Streptomycin serbuk inj. 1000 mg/vial 6.2.4 Amp 0 0
174 Sulfadimidin tablet 500 mg 6.2.2 Tab 0 0
177 Temporary stoping fletcher dan cairan 11.1 Btl 0 0
183 Trikresol formalin cairan 14.2 Btl 0 0
184 Vaksin Rabies Vero 27.2 Amp 0 0
0 0
4 Andalan Injeksi Amp 0 0
5 Asam mefenamat kapsul 250 mg Tab 0 0
7 Ampicilin injeksi 1 g Amp 0 0
9 Cefotaxime inj 1 gr Amp 0 0
10 Cimetdin tablet 200 mg Tab 0 0
11 Ciprofloxacin kaplet 500 mg Kap 0 0
12 Dasabion tab Tab 0 0
14 Erytromycin caps 250 mg Kap 0 0
18 Gentamycin injeksi Amp 0 0
21 H2O2 Btl 0 0
22 Ichtyol salap Pot 0 0
23 Levertran salep Pot 0 0
27 Methyl Prednisolon tab 4 mg Tab 0 0
30 Obat Tambah Darah Indo tab 0 0
32 Obat Maag indo Tab 0 0
33 Papaverin injeksi Amp 0 0
35 Piperazin 500 mg Tab 0 0
36 Piperazin sirup Btl 0 0
ALKES 0 0
2 Anisol soluton Btl 0 0
3 Asam Asetat Glasial Btl 0 0
6 Asam klorida 0,1 N Btl 0 0
7 Asam sulfosalisilat 20 % Btl 0 0
9 Beker Glass Btl 0 0
10 Blood Lancet Ktk 0 0
11 Erlemeyer Btl 0 0
12 Etanol asam 3 % Btl 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
15 Imersen Oil HB Btl 0 0
16 Kapas 1 KG Rol 0 0
17 Kertas Saring Whatman Rol 0 0
19 Larutan Bupper PH 7.2 31 Btl 0 0
20 Label Etket 31 Set 0 0
21 Larutan Metanol 31 Btl 0 0
22 Larutan Sulposalisilat 31 Btl 0 0
23 Larutan Benedict 31 Btl 0 0
24 Larutan Eosin 2 % 31 Btl 0 0
25 Larutan Etanol Asam 31 Btl 0 0
26 Larutan Giemsa Stalin 31 Btl 0 0
27 Larutan Karbol Fuksin 31 Btl 0 0
28 Larutan Metlen Biru 31 Btl 0 0
30 Lisol 31 Btl 0 0
31 Metanol 31 Btl 0 0
33 Objek Glass Ktk 0 0
35 Pipet Tetes Biasa Ktk 0 0
37 Rak Pewarna kaca pipet Ktk 0 0
38 Schlesinger Btl 0 0
39 Spiritus 100 ml Btl 0 0
42 Tabung Reaksi Set 0 0
43 Tissue lensa Set 0 0
45 ACT ktk 0 0
48 Basitrasin SK tube 0 0
50 Cetrizin tab 0 0
51 Hemafort tab 0 0
52 Oxytocin inj amp 0 0
55 Kantong plastk lbr 20000 20000

(…………………………….) (…………………….)
Bulan Januari
Tahun 2010

8 9 10 11 12 13 14 15 16 17
0
0
325 275
6 -6
100 500
387 613
0
90 210
247 53
1201 -1201
5003 -5003
135 -135
59 41
1546 -1546
0
2732 -2732
1 -1
21 29
0
90 -90
0
0
4755 -4755
0
0
0
0
0
0
0
0
86 14
0
140 -140
1190 -1190
19 -19
3467 1533
37 63
406 -406
0
2 -2
186 -186
81 -81
66 -66
5 -5
269 -269
193 -193
0
3 9
0
0
0
0
500
9 491
0
0
101 -101
0
0
9 -9
5 -5
193 307
4 -4
0
481 -481
21 29
0
522 478
6017 -6017
0
0
213 87
0
144 -144
0
100 -100
31 65
2360 -2360
200 -200
0
0
10 -10
178 -178
0
0
0
4009 991
3 7
19 281
3 -3
2 -2
20 -20
125 -125
18 174
30 -30
8578 -8578
0
0
0
0
1000
0
0
0
347 -347
150 50
1089 -89
0
0
96 204
0
0
1 -1
50 250
0
299 -299
165 -165
0
0
0
0
0
10 -10
0
0
0
0
0
77 -77
0
45 55
9 141
0
0
126 474
500 1500
12577 -12577
0
42 -42
2865 2135
16 84
2 8
0
0
1808 1192
0
0
100 1900
20 -20
0
0
0
0
0
166 -166
106 394
1 -1
0
198 -198
9 39
16 -16
0
0
0
0
0
7 593
161 339
0
0
0
0
0
4 44
2476 6524
0
0
233 267
2 -2
2566 12434
102 898
0
0
6449 -6449
10 -10
1 9
0
35 -35
17 83
29 -29
10 -10
0
374 -374
0
16 284
0
0
96 -96
0
15 -15
0
0
60
155 -155
0
0
0
0
7 -7
2 -2
0
0
24 -24
76 -76
10 -10
0
0
37 -37
44 -44
0
79 1921
0
0
275 -275
0
225 -225
0
0
4 6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40 60
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12 488
0
10 -10
20 -20
0
0
0
800
5000 15000
50

NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Februari 2010
1001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
105 Komb. primetamin 25 mg + suldok 500 mg 6.4.22 Tab 0 0
114 Mebendazol tablet 100 mg 6.1.1 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
18 Kertas Perkamen Rol 0 0
1.93E-195 Label Etket 31 Set 0 0
30 Lisol 31 Btl 0 0
45 ACT ktk 0 0
50 Cetrizin tab 0 0
51 Hemafort tab 0 0

(…………………………….) (…………………….)
Bulan DESEMBER
Tahun 2009

8 9 10 11 12 13 14 15 16 17
0
0
170 -170
3 -3
12 -12
523 -523
0
150 -150
277 -277
907 -907
6709 -6709
81 -81
35 -35
1670 -1670
0
3429 -3429
0
6 -6
14 -14
75 -75
7 -7
0
5913 -5913
0
0
0
0
0
0
0
0
32 -32
0
19686 -19686
4656 -4656
6 -6
6414 -6414
33 -33
509 -509
0
0
316 -316
80 -80
0
2 -2
251 -251
295 -295
0
3 -3
0
0
0
0
185 -185
21 -21
0
0
19 -19
0
0
10 -10
7 -7
300 -300
4 -4
0
715 -715
26 -26
0
556 -556
6254 -6254
0
0
138 -138
0
140 -140
0
152 -152
101 -5
2768 -2768
49 -49
0
0
70 -70
256 -256
0
0
0
2572 -2572
2 -2
91 -91
10 -10
9 -9
0
132 -132
67 -43
44 -44
9256 -9256
85 -85
0
0
0
0
0
44 -44
0
278 -278
154 -154
1040 -1040
0
0
0
0
0
1 -1
10 -10
0
75 -75
186 -186
0
0
0
0
0
10 -10
0
0
0
0
0
77 -77
0
75 -75
50 0
0
0
252 -252
0
14619 -14619
0
39 -39
3080 -3080
230 -130
0
0
0
3425 -3425
0
0
440 -440
40 -40
0
0
0
0
0
107 -107
133 -133
35 -35
0
61 -61
1 -1
66 -66
0
0
0
0
0
0
150 -150
0
0
0
0
0
18 -18
2333 -2333
0
0
369 -369
10 -10
4190 -4190
120 -120
0
0
4411 -4411
17 -17
0
0
73 -73
8 -8
141 -141
0
0
338 -338
0
37 -37
0
0
107 -107
0
57 -57
0
0
5 -5
225 -225
0
0
0
0
7 -7
2 -2
0
49 -49
26 -26
37 -37
10 -10
0
0
67 -67
73 -73
0
138 -138
0
0
137 -137
0
17 -17
0
0
4 -4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 -100
121 -121
2 -2
0
0
10 -10
20 -20
0
0
0
0

NIP. 19731201 200604 1 013 NIP. 19721001 199203 2 001
LB 2
DESEMBER
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Return 19500
0 Return 3900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 BON
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 BON
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 BON
0
0
0
0
0
0
0
0
0 BON
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 ED
0 ED
0
0
0
0
0
0
0
0
anuari 2010
1001 199203 2 001

Kota JAMBI TIMUR
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
114 Mebendazol Syrup 100 mg 6.1.1 btl 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
45 ACT ktk 0 0
50 Cetrizin tab 0 0
51 Hemafort tab 0 0
(…………………………….) (…………………….)
Bulan November
Tahun 2009

8 9 10 11 12 13 14 15 16 17
0
25 -25
162 -162 300
0
194 -194 600
355 -355 1000
0
80 -80 300
233 -233 300
614 -614
5206 -5206
117 -117
52 -52 100
1635 -1635
2 -2
3113 -3113
2 -2
12 -12 50
10 -10
0
0
0
4350 -4350
0
0
0
0
0
0
0
0
54 -54 96
0
310 -310
2363 -2363
0
5449 -5449 5000
29 -29 100
332 -332
0
0
265 -265
84 -84
139 -139
0
140 -140
116 -116
0
2 -2 6
21 -21 1000
0
2 -2
0
40 -40 250
111 -111 500
0
0
16 -16
0
0
8 -8
5 -5
225 -225 500
0
0
274 -274
38 -38 48
0
439 -439 1000
5389 -5389
0
0
155 -155 300
0
80 -80
0
152 -152
207 -207 144
1727 -1727
30 -30
0
0
156 -156
288 -288 1000
490 -490 100
0
0
2249 -2249 3000
3 -3 10
71 -71 300
10 -10
21 -21
0
164 -164
61 -61 192
21 -21
8556 -8556
20 -20
0
0
0
0 1000
0
0
0
290 -290
131 -131 200
914 -914 1000
0
270 -270
1 -1 300
0
0
0
30 -30 300
0
0
40 -40
0
0
0
79 -79
0
0
0
0
0
0
0
46 -46
0
48 -48 100
17 -17 96
0
0
214 -214 500
500 -500 2000
11920 -11920
0
26 -26
2919 -2919 5000
318 -318 1000
2 -2 10
0
0
3116 -3116 3000
0
0
270 -270 2000
50 -50
0
0
0
0
0
34 -34
123 -123 500
28 -28
0
0
7 -7 48
0
0
0
0
0
0
0
85 -85 500
5 -5
0
0
0
0
18 -18 48
2154 846 12000
0
0
189 -189 500
10 -10
3981 -3981 15000
60 -60 400
0
0
3931 -3931
18 -18
0 10
0
98 -98
25 -25 100
144 -144
4 -4
0
457 -457 500
0
40 -40 300
0
0
186 -186
0
33 -33
0
0
5 -5 50
376 -376 2000
0
0 24
0
0 6
7 -7 24
2 -2
40 -40 48
0
16 -16
74 -74
0
0
0
67 -67
125 -125
0
119 -119 2000
0
0
108 -108
0
284 -284
0 5
0
2 -2 10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
65 -65
0
0
0 500
0
5 -5
0
0 500
0
0
0
Yang menerima/Melapor
Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
November
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 ED 120
0
0
0
0
0
0
0 ED
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 ED
0
0
0
0
0
0
0
0
0
0
0
0 ED
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 Bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Yang Menerima,
Petugas Puskesmas
(………………………..)
Kota JAMBI TIMUR
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
45 ACT ktk 0 0
50 Cetrizin tab 0 0
51 Hemafort tab 0 0

(…………………………….) (…………………….)
Bulan OKTOBER
Tahun 2009

8 9 10 11 12 13 14 15 16 17
0
300
183 317
1 -1
39 961
67 -67
0
90 210
237 763
552 11448
5205 18795
167 833
46 54
754 9246
2 -2
3673 16327
100
10 -10
8 -8
48 152
0
0
6573 17427
0
0
0
0
0
0
0
0
24 -24
0
189 -189
1100 -1100
0
5148 4852
21 79
508 1492
0
3 -3
56 -56
89 -89
34 116
0
204 -204
179 -179
1 -1
2 -2
42 -42
0
3
0
59 191
60 -60
0
0
21 -21
0
0
8 -8
8 22
309 691
0
0
858 2142
29 -29
0
495 2505
6821 33179
0
0
218 382
0
90 910
0
199 1801
80 -80
2446 -2446
0
0
0
97 -97
213 -213
0
0
0
1712 13288
2 -2
50 250
2 -2
8 -8
0
115 -115
24 -24
20 76
8934 11066
20 -20
0
0
0
0
0
30 -30
0
306 -306
118 182
1241 759
0
0
64 -64
0
0
5 -5
80 120
0 0
244 -244
103 -103
0
71 -71
0
0
0
0
0
0
0
0
0
44 -44
0
27 173
4 -4
0
0
216 284
1000 -1000
12943 27057
0
3 297
3873 -3873
52 448
1 -1
0
0
2413 -2413
0
0
90 910
30 -30
0
0
0
0
0
62 -62
32 468
62 -62
0
38 -38
11 -11
31 89
0
0
0
0
0
30 -30
211 89
4 -4
0
0
0
0
5 -5
2187 813
0
0
220 780
60
4714 -4714
90 110
0
0
4738 3262
2 58
0
0
30 -30
7 193
119 -119
0
0
398 -398
0
33 67
0
0
197 -197
0
300
0
0
5 -5
120 880
0
0
0
0
10 -10
0
28 -28
82 -82
20 -20
127 -127
0
0
0
117 -117
0
0
367 -367
0
0
196 -196
0
188 -188
0
0
5 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
15 285
0
0
0
23 -23
85 -85
0
21 -21
0
0
0
Ka. Puskesmas
( dr. Emildan Pasai )
Nip. 19731201 200604 1 013
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Yang Menerima,
Petugas Puskesmas
(SusantI)
Nip. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
124 Nifedipin tab Tab 949 0 949
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
45 ACT ktk 0 0
50 Cetrizin tab 0 0
51 Hemafort tab 0 0

(…………………………….) (…………………….)
Bulan SEPTEMBER
Tahun 2009

8 9 10 11 12 13 14 15 16 17
0
0
87 -87
2 -2
199 -199
2330 -2330
0
62 -62
181 -181
493 -493
4682 -4682
13 -13
27 -27
1172 -1172
3
3573 -3573
0
15 -15
6 -6
43 -43
0
0
4082 -4082
0
0
0
0
0
0
2 -2
0
31 -31
0
260 -260
1018 -1018
0
3237 -3237
27 -27
486 -486
0
2 -2
223 -223
99 -99
53 -53
0
304 -304
99 -99
0
4 -4
0
0
0
0
124 -124
0
0
0
0
0
0
7 -7
6 -6
186 -186
0
0
588 -588
25 -25
1 -1
649 -649
7043 -7043
0
0
167 -167
0
60 -60
0
241 -241
73 -73
1889 -1889
200 -200
0
0
84 -84
146 -146
0
0
0
1123 -1123
4 -4
21 -21
10 -10
10 -10
0
144 -144
16 -16
20 -20
3529 -3529
5 -5
0
0
0
0
0
22 -22
0
428 -428
116 -116
1423 -1423
0
0
8 -8
0
0
2 -2
41 -41
0
242 -242
67 -67
0
20 -20
0
0
0
949
0
0
0
0
0
57 -57
0
2 -2
3 -3
0
20 -20
185 -185
0
11139 -11139
0
0
4025 -4025
47 -47
1 -1
0
0
2531 -2531
0
0
160 -160
0
0
0
0
0
0
52 -52
23 -23
86 -86
0
67 -67
14 -14
39 -39
0
0
0
0
0
0
65 -65
0
0
0
0
0
15 -15
1319 -1319
0
0
136 164
0
3189 -3189
60 -60
0
0
4838 -4838
5 -5
0
0
70 -70
0
59 -59
2 -2
0
366 -366
0
26 -26
0
0
131 -131
0
0
0
0
0
0
0
0
0
0
3 -3
2 -2
9 -9
19 -19
23 -23
24 -24
0
0
0
122 -122
59 -59
0
338 -338
0
0
169 -169
0
188 -188
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
55 -55
0
0
107 -107
33 -33
350
0
220 -220
0
0
0
Ka. Puskesmas
( dr. Emildan Pasai )
Nip. 19731201 200604 1 013
LB 2
Halaman 1
SEPTEMBER
KET
JML
18 19
0
0
0
0
0
0 2000 retur
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Yang Menerima,
Petugas Puskesmas
(SusantI)
Nip. 19721001 199203 2 001
Kota JAMBI TIMUR
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
153 Reserpin tablet 0,25 mg Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
45 ACT ktk 121 0 121
48 Basitrasin SK tube 71 0 71
50 Cetrizin tab 295 0 295

(…………………………….) (…………………….)
Bulan AGUSTUS
Tahun 2009

8 9 10 11 12 13 14 15 16 17
0
0
129 -129 500
0
264 -264 1000
459 -459
0
120 -120 300
289 -289 1000
527 -527 12000
6928 -6928 24000
83 -83 500
38 -38 100
1769 -1769 6000
3 -3
4327 -4327 15000
0
9 -9
12 -12
3 -3
0
0
6725 -6725 24000
0
0
0
0
0
0
3 -3
0
56 -56
0
166 -166
2540 -2540
0
5042 -5042 10000
45 -45 100
859 -859 2000
0
0
280 -280
0
49 -49 150
0
276 -276
176 -176
0
1 -1
0 600
0
0 3
0
20 -20
21 -21
0
0
21 -21
0
0
2 -2
6 -6 30
206 -206 800
6 -6
0
690 -690 1000
22 -22
0
404 -404 1500
10294 -10294 30000
0
0
116 -116 300
0
120 -120 300
0
272 -272 1000
121 -121
2876 -2876
0
0
0
57 -57
122 -122
1 -1
0
0
1737 -1737 7000
1 -1
76 -76 200
10 -10
6 -6
0
186 -186
15 -15
15 -15 48
16580 -16580 20000
10 -10
0
0
0
0
0
1 -1
0
835 -835
213 -213 300
1561 -1561 2000
0
0
0
0
0
0
50 -50 200
0
138 -138
70 -70
0
15 -15
0
4 -4
0
0
0
0
0
0
0
97 -97
0
36 -36 200
6 -6 25
0
20 -20
171 -171 400
500 -500
17290 -17290 30000
0
0
3888 -3888
68 -68 300
2 -2 6
0
0
2758 -2758
0
0
80 -80 500
0
0
0
0
0
0
0
123 -123 500
32 -32
0
66 -66
7 -7
49 -49 120
0
0
0
0
0
0
62 -62 300
0
0
0
0
0
5 -5
1563 -1563 3000
0
0
0
0
3488 -3488 5000
70 -70 200
0
0
5445 -5445 8000
6 -6
0 6
0
22 -22
0 100
70 -70
3 -3
0
336 -336
0
16 -16 100
0
0
82 -82
0
0
0
0
0
217 -217
0
0
0
0
1 -1
5 -5
19 -19
211 -211
8 -8
29 -29
10 -10
0
0
95 -95
107 785
0
329 -329 2000
0
0
93 -93
0
316 -316
0
0
2 -2 6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
255
121
2
194 107 1000
15 56
350
295
267 241 1500
60
1 2
800
Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Yang Menerima,
Petugas Puskesmas
(………………………..)
Kode Puskesmas : 05.01.02.01
Puskesmas : Tanjung Pinang
kecamatan : Jambi Timur
Kota : Jambi Timur
Provinsi : Jambi Timur
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
6 Asam klorida 0,1 N 31 Btl 0 0
7 Asam sulfosalisilat 20 % 31 Btl 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
45 ACT ktk 122 0 122
48 Basitrasin SK tube 43 48 91
50 Cetrizin tab 295 0 295
55 0 0
56 0 0
57 0 0
58 0 0
59 0 0
Bulan JULI
Tahun 2009

8 9 10 11 12 13 14 15 16 17
0
0
158 442
0
404 -204
349 -349
0
118 82
254 346
2106 -906
4242 22958
73 -73
37 163
2001 -2001
3 -3
4825 3175
0
12 -12
12 -12
36 164
0
0
4454 -4454
0
0
0
0
0
0
3 -3
0
49 -49
0
98 -98
303 23384
7 -7
3439 -3439
37 63
506 -506
0
0
225 -225
6 -6
51 -51
30 170
345 -345
131 -131
0
2 -2
62 -62
0
2 -2
0
33 217
0
0
0
24 -24
0
0
10 -10
8 -8
176 124
35 365
0
843 957
14 -14
1 1
302 1198
6839 -6839
0
0
110 190
0
60 240
0
148 1852
78 -78
2682 -2682
279 -279
0
0
111 -111
93 -93
0
0
0
2003 -2003
4 -4
32 168
0
7 -7
0
129 -129
25 -25
5 91
8451 -8451
0
0
0
0
0
0
0
0
1032 -1032
194 -194
1312 -1312
0
0
34 -34
0
0
0
10 -10
0
182 -182
69 -69
0
20 -20
0
6 -6
0
0
0
0
0
0
0
64 -64
0
48 -23
4 21
0
20 -20
181 219
500 -500
12771 -12771
0
0
3183 -3183
137 -137
2 4
0
0
3301 -3301
14 -14
0
86 -86
0
0
0
0
0
0
2 -2
87 -87
45 -45
0
37 -37
21 -21
39 -39
0
0
0
0
0
60 30
73 -73
0
0
0
0
0
5 -5
2676 3324
0
0
300 -300
0
3986 -3986
70 -70
0
0
4868 -4868
6 6
0
0
172 -172
3 -3
135 -135
2 -2
0
316 -316
0
23 -23
0
0
84 -84
0
0
0
0
3 -3
489 -489
0
0
0
0
7 -7
0
18 54
145 -145
18 -18
11 -11
6 -6
0
0
144 -144
0
0
272 -272
0
0
171 -171
120 -120
147 -147
0
0
4 -4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
1 -1
0
0
0
0
0
0
0
0
0
0
0
0
0
50 255
1 121
2
138 301
20 71
350
295
508
60
3
800
0
0
0
0
0
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Kode Puskesmas : 05.01.02.01
Puskesmas : Tanjung Pinang
kecamatan : Jambi Timur
Kota : Jambi Timur
Provinsi : Jambi Timur
1 2 3 4 5 6 7
3 Alat Suntk 2.5 ml 32 Set 338 0 338
5 Alupurinol 100 mg 1.2 Tab 750 0 750
6 Aminophylin 200 mg 26.1 Tab 11078 0 11078
8 Amitriptlin HCl tablet 25 mg 23.2 Tab 330 0 330
9 Amoksisillin sirup kering 125 mg/5 ml 6.2.1 Btl 557 0 557
10 Amoksisillin kapsul 250 mg 6.2.1 Kap 3080 0 3080
11 Amoksisillin kaplet 500 mg 6.2.1 Kap 5777 0 5777
12 Ampicillin kaplet 500 mg 1.2 Kap 438 0 438
13 Ampicillin sirup kering 125 mg/5 ml 1.2 Btl 111 0 111
14 Antalgin tablet 500 mg 18.3 Tab 14709 0 14709
18 Anthemoroid DOEN kombinasi 25.3 Pot 118 0 118
19 Antfungi DOEN kombinasi 18.3 Pot 294 0 294
20 Antmigrain DOEN kombinasi 7.2 Tab 205 0 205
32 Betametason krim 0,1 % 18.4 Tube 381 0 381
37 Deksametason tablet 0,5 mg 3 Tab 41047 0 41047
39 Dekstromethorpan HBr tablet 15 mg 26.2 Tab 6234 0 6234
42 Diazepam 2 mg 5 Tab 2840 0 2840
52 Etl klorida semprot 14.1 Btl 8 0 8
62 Fitomenadion (vit K) inj. 10 mg/ml - 1 ml 10.2 Amp 55 0 55
63 Fitomenadion (vit K) tablet salut 10 mg 10.2 Tab 929 0 929
66 Garam oralit 200 ml air 20.1 Sak 2652 0 2652
67 Gentan violet larutan 1 % 14.2 Btl 272 0 272
69 Glibenklamid tablet 5 mg 16.11 Tab 123 1000 1123
70 Gliseril guayakolat tablet 100 mg 26.3 Tab 48979 0 48979
73 Griseofulvin 125 mg micronized 6.3 Tab 628 0 628
77 Hidroklrotazed ( hct ) tablet 25 mg 15 Tab 1521 0 1521
78 Hidrokortson krim 2,5 % 18.4 Pot 710 0 710
83 I N H tablet 100 mg 6.2.4 Tab 7666 0 7666
84 I N H tablet 300 mg 6.2.4 Tab 1687 0 1687
88 Kalsium Laktat ( Kalk ) 500 mg 29 Tab 9359 0 9359
89 Kapas pembalut / Absorben 250 gram 32 Rol 23 0 23
95 Kloramfenikol salep mata 1 % 21.21 Pot 223 0 223
107 Kotrimoksazol suspensi 6.2.2 Btl 1354 0 1354
108 Kotrimoksazol dewasa tablet 6.2.2 Tab 9256 0 9256
111 Lidokain Kompositum injeksi 31 Amp 234 0 234
114 Mebendazol tablet 100 mg (sirup) 6.1.1 Tab 40 0 40
115 Metlergometrin tablet salut 22.1 Tab 167 0 167
130 Obat batuk hitam ( o b h ) cairan 26.3 Btl 661 0 661
132 Oksitetrasiklin hcl salep kulit 3 % 18.23 Pot 138 0 138
133 Oksitetrasiklin hcl salep mata 1 % 21.22 Pot 20 0 20
136 Parasetamol sirup 120 mg/5ml 1.2 Btl 634 0 634
141 Piridoxin hcl tablet 10 mg 29 Tab 34639 0 34639
142 Pyrazinamid tablet Tab 447 0 447
146 Prednison tablet 5 mg 16.4 Tab 30155 0 30155
149 Propiltourasil tablet 100 mg 16.3 Tab 623 0 623
161 Salep 2-4 18.1 Pot 92 0 92
162 Salisil bedak 2 % 18.4 Sak 280 0 280
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
169 Sianokobalamin inj. 500 mcg/ml 20.1 Amp 653 0 653
176 Tablet tambah darah kombinasi 10.1 Tab 6680 0 6680
181 Tiamin HCl mononitrat tablet 50 mg 29 Tab 29731 0 29731
0 0
2 Acyclovir cream Tube 21 0 21
6 Asam mefenamat tablet 500 mg Tab 3606 0 3606
11 Ciprofloxacin kaplet 500 mg Kap 2513 0 2513
21 H2O2 Btl 0 0
26 Mikonazole cream Pot 268 0 268
34 Papaverin tablet 40 mg Tab 2846 0 2846
39 Ranitdine 150 mg Tab 2880 0 2880
ALKES 0 0
1 Alkohol 70 % Btl 17 0 17
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 9 0 9
44 Xylol Btl 0 0
JUMLAH KUNJUNGAN PUSKESMAS

BAYAR T.BAYAR Lbr R/ Resep Lbr R/AB Lbr R/Poli
1554 19 249 613 2435 1573 4563 753 50
(…………………………….) (…………………….)
Bulan : Juni
Tahun : 2009

8 9 10 11 12 13 14 15 16 17
0
0
118 220
3 99
44 706
5566 5512
0
60 270
244 313
917 2163
5255 522
109 329
37 74
1971 12738
3 73
3890 10408
0
21 97
14 280
69 136
0 7
0
5270 37982
0
0
0
0
0
0
4 8
0
36 345
12
224 27413
1329 23587
9 607
4751 36296
30 124
233 6001
0
75
226 2614
6 468
53 672
30 7
246 3190
5116
10 63
2 23
229 125
0
1 7
0
33
20 263
0
0
52 2022
0
0
15 148
8 47
241 688
32 15
0
813 1839
7 265
0
433 690
6010 42969
0
0
87 541
0
60 70
0
108 1413
89 621
2548 28602
324 779
0
0
30 7636
127 1560
491
0
0
2341 7018
3 20
81 88
10 90
22 116
150
153 1600
39 184
13 33
8371 104363
753
0
0
0
0
0
18 209
100
337 5373
149 1205
1193 8063
0
270
83 151
0
0
2 38
40 127
0
201 5804
97 2519
0
18 441
0
89
100
0
0
0
0
0
0
103 558
0
76 62
11 9
0
20 60
254 380
3000
11730 85939
0
110 0
3646 30993
195 252
2 2
2
0
2935 27220
2923
0
297 326
900
0
500
4000
500 0
100 0
672
114 233
15 607
0
69 2447
15 77
45 235
0
0
0
0
0
60 120
180 473
9
0
0
0
0
22 66
2531 4149
0
0
349 300
0
4031 25700
60 310
0
0
4562 39173
5 8
0
0
78 1539
18 3
55 1745
2 151
0
231 3375
0
21 75
0
0
40 2473
0
0
0
0
8 39
471 706
0
9 0
0
0
3 44
4 74
27 42
143 770
27 241
123 819
10 965
0
0
128 1538
0
0
535 2311
0
0
81 3341
840
171 2709
1 0
0
3 14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ASKES JAMKESMAS JAMKESMASDA

Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep Lbr R/AB Lbr R/Poli Lbr R/ Resep
249 817 108 14 613 1892 25r 27
Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0 5000 kembalikan ke IFK
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 bon
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pemakaian Obat Generik

Lbr R/AB Lbr R/Poli R/Umum R/Askes R/JKM R/JKD Jumlah
4500 800 1880 7180
Yang Menerima,
Petugas Puskesmas
(………………………..)
Kode Puskesmas :
Puskesmas :
kecamatan :
Kota :
Provinsi :
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
44 Xylol Btl 0 0

0
(…………………………….) (…………………….)
Bulan :
Tahun :

8 9 10 11 12 13 14 15 16 17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Yang Menerima,
Petugas Puskesmas
(………………………..)
Kode Puskesmas :
Puskesmas :
kecamatan :
Kota :
Provinsi :
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
44 Xylol Btl 0 0

0
(…………………………….) (…………………….)
Bulan :
Tahun :

8 9 10 11 12 13 14 15 16 17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Yang Menerima,
Petugas Puskesmas
(………………………..)
Kode Puskesmas :
Puskesmas :
kecamatan :
Kota :
Provinsi :
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
44 Xylol Btl 0 0

0
(…………………………….) (…………………….)
Bulan :
Tahun :

8 9 10 11 12 13 14 15 16 17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Yang Menerima,
Petugas Puskesmas
(………………………..)
Kode Puskesmas :
Puskesmas :
kecamatan :
Kota :
Provinsi :
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
44 Xylol Btl 0 0

0
(…………………………….) (…………………….)
Bulan :
Tahun :

8 9 10 11 12 13 14 15 16 17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Yang Menerima,
Petugas Puskesmas
(………………………..)
Kode Puskesmas :
Puskesmas :
kecamatan :
Kota :
Provinsi :
1 2 3 4 5 6 7
83 I N H tablet 100 mg 6.2.4 Tab 0 0
84 I N H tablet 300 mg 6.2.4 Tab 0 0
161 Salep 2-4 18.1 Pot 0 0
166 Serum ATS 1500 IU 27.1 Amp 0 0
167 Serum ATS 20000 IU 28.1 Amp 0 0
0 0
21 H2O2 Btl 0 0
ALKES 0 0
13 Etanol 70 % 13.2 Btl 0 0
14 Fauchet Btl 0 0
30 Lisol 31 Btl 0 0
44 Xylol Btl 0 0

0

(…………………………….) (…………………….)
Bulan :
Tahun :

8 9 10 11 12 13 14 15 16 17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Ka. Puskesmas
(………………………….)
LB 2
Halaman 1
KET
JML
18 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Yang Menerima,
Petugas Puskesmas
(………………………..)
BUKU REGISTER PERSEDIAAN OBAT DI GUDANG PUSKESMAS
Nama Puskesmas : TANJUNG PINANG Bulan : Januari

Tahun : 2010
NO NAMA OBAKELAS SATUAN STOCK AW PENERIMA PERSEDIAAPEMAKIANSISA STOK KET
1 2 3 4 5 6 7 8 9 10
1 Air Raksa 14.1 Btl 0 0
2 Alat Suntk 32 Set 275 275 275
3 Alat Suntk 32 Set 250 600 850 520 330
4 Albendazol 32 Set 60 60 60
5 Alupurinol 1.2 Tab 400 600 1000 200 800
6 Aminophyl 26.1 Tab 1000 1000 700 300
7 Aminophyli 26.1 Amp 0 0
8 Amitriptli 23.2 Tab 300 300 100 200
9 Amoksisilli 6.2.1 Btl 350 300 650 285 365
10 Amoksisill 6.2.1 Kap 9360 9360 2280 7080
11 Amoksisilli 6.2.1 Kap 17900 17900 6700 11200
12 Ampicillin 1.2 Kap 600 600 300 300
13 Ampicillin 1.2 Btl 100 100 200 125 75
14 Antalgin t 18.3 Tab 12000 12000 3500 8500
15 Antalgin inj 18.3 Amp 60 60 60
16 Antasida D 25.1 Tab 12000 12000 6000 6000
17 Antbakter 18.2 Pot 75 75 75
18 Anthemor 25.3 Pot 20 50 70 20 50
19 Antfungi 18.3 Pot 192 192 20 172
20 Antmigrai 7.2 Tab 200 200 200
21 Aqua proin 20.3 Amp 0 0
22 Aquadest st 30 Amp 0 0
23 Asam askor 29 Tab 27000 27000 10000 17000
24 Asam askor 29 Tab 0 0
25 Asetosal t 1.2 Tab 0 0
26 Asetosal t 1.2 Tab 0 0
27 Atropin sul 25.4 Amp 0 0
28 Atropin sul 9 Tab 0 0
29 Atropin sul 21.2.4 Btl 0 0
30 Benzatn ben 6.2.1 Amp 0 0
32 Betametaso 18.4 Tube 50 100 150 100 50
33 Catgut/ben 32 Sak 12 12 2 10
34 Captopril 12.5 mg tablTab 6500 6500 500 6000
35 Captopril 25 mg tabletTab 10950 10950 2600 8350
36 Deksametas 3 Amp 575 575 35 540
37 Deksametas 3 Tab 13000 5000 18000 6000 12000
38 Dekstromet 26.2 Btl 80 100 180 85 95
39 Dekstromet 26.2 Tab 3000 3000 1000 2000
40 Devitalisas 14.1 Btl 0 0
41 Diazepam i 5 Amp 70 70 2 68
42 Diazepam 5 Tab 1000 1000 1000
43 Diazepam 5 Tab 0 0
44 Difenhidram 5 Amp 440 440 150 290
45 Digoksin ta 17.5 Tab 100 100 100
46 Efedrin HCl 26.1 Tab 0 0
47 Ekstrak bel 26.1 Tab 2000 2000 2000
48 Epinephrin 3 Amp 62 62 62
49 Etakridin ( 13.2 Btl 7 12 19 6 13
50 Etambutol 6.2.4 Tab 0 0
51 Etambutol 6.2.4 Tab 0 0
52 Etl klorid 14.1 Btl 6 6 2 4
53 Eugenol ca 14.1 Btl 0 0
54 Fenitoin n 5 Kap 500 500 250 250
55 Fenitoin n 5 Kap 500 500 250 250
56 Fenobarbita 5 Amp 0 0
57 Fenobarbit 5 Tab 0 0
58 Fenobarbit 5 Tab 1000 1000 1000
59 Fenoksi met6.2.1 Tab 0 0
60 Fenoksi met6.2.1 Tab 0 0
61 Fenol glise 28.2 Btl 86 86 14 72
62 Fitomenadio 10.2 Amp 30 30 20 10
63 Fitomenadio 10.2 Tab 300 500 800 400 400
64 Furosemid 14 Tab 200 200 200
65 Gameksan 18.5 Btl 0 0
66 Garam orali 20.1 Sak 2300 2300 900 1400
67 Gentan vio 14.2 Btl 96 50 146 78 68
68 Glass iono 14.1 Btl 0 0
69 Glibenklam 16.11 Tab 2200 1000 3200 600 2600
70 Gliseril gu 26.3 Tab 34000 34000 11000 23000
72 Glukosa Lar 20.2 Btl 0 0
73 Griseofulv 6.3 Tab 300 300 600 400 200
74 Halloperido 23.4 Tab 0 0
75 Halloperido 23.4 Tab 700 700 100 600
76 Halloperido 23.4 Tab 0 0
77 Hidroklrot 15 Tab 2000 2000 1000 1000
78 Hidrokort 18.4 Pot 48 96 144 96 48
79 Ibuprofen 1.2 Tab 13000 13000 3600 9400
80 Ibuprofen 1.2 Tab 0 0
81 Infusion se 32 Set 0 0
82 Infusion s 32 Set 0 0
83 I N H table 6.2.4 Tab 7000 7000 1000 6000
84 I N H table 6.2.4 Tab 0 0
85 Isosorbit dinitrat tabl Tab 300 300 300
86 Kalium per 13.1 Btl 0 0
87 Kalsium hi 14.1 Tab 0 0
88 Kalsium Lak 29 Tab 8000 3000 11000 5000 6000
89 Kapas pemb 32 Rol 2 10 12 4 8
90 Karbamazep 5 Tab 100 300 400 400
91 Kasa kompr 32 Rol 48 48 3 45
92 Kasa pemba 32 Rol 40 40 30 10
93 Kasa pemba 32 Rol 150 150 20 130
94 Kloramfeni 6.2.2 Kap 240 240 120 120
95 Kloramfeni 21.21 Pot 192 192 96 96
96 Kloramfenik 28.1 Btl 72 72 54 18
97 Klorfenira 3 Tab 64000 64000 18000 46000
98 Kloroquin 6.4.2.1 Tab 0 0
99 Klorpromazi 25.4 Amp 0 0
100 Klorfenol kamferment Btl 0 0
101 Klorpromazi 23.4 Amp 0 0
102 Klorpromazi 23.4 Tab 1000 1000 1000 0
103 Klorpromazi 23.4 Tab 0 0
104 Kodein hcl 26.2 Tab 0 0
105 Komb. prim6.4.22 Tab 0 0
106 Kotrimoksaz6.2.2 Tab 1300 1300 700 600
107 Kotrimoksa6.2.2 Btl 500 200 700 187 513
108 Kotrimoksa6.2.2 Tab 1800 1000 2800 1800 1000
109 Kuinin dihi 6.4.2.2. Amp 0 0
110 Kuinin sulf 6.4.2.2 Tab 0 0
111 Lidokain K 31 Amp 300 300 100 200
112 Magnesium s 5 Btl 0 0
113 Magnesium s 5 Btl 0 0
114 Mebendazol 6.1.1 Tab 25 25 25
115 Metlergome 22.1 Tab 300 300 300
116 Metlergome 22.1 Amp 0 0
117 Metronidaz 622 Tab 4700 4700 600 4100
118 Metronidaz 623 Tab 1900 1900 100 1800
119 Mummifying 14.1 Pot 0 0
120 Natrium bi 14.1 Tab 0 0
121 Natrium klo 20.2 Btl 0 0
122 Nistatn 10 6.3 Tab 0 0
123 Nistatn 50 6.3 Tab 0 0
125 Obat ant t 62.4 Tab 0 0
130 Obat batuk 26.3 Btl 140 140 140 0
131 Oksitetrasik6.2.2 Amp 0 0
132 Oksitetrasik 18.23 Pot 25 100 125 75 50
133 Oksitetrasi 21.22 Pot 150 150 60 90
134 Papaverin t 12.2 Tab 0 0
135 Paraformal 13.2 Tab 0 0
136 Parasetamo 1.2 Btl 50 600 650 275 375
137 Parasetamo 1.2 Tab 2000 2000 2000
138 Parasetamo 1.2 Tab 41000 41000 24000 17000
139 Perfenazin 23.4 Tab 0 0
140 Pirantel p 23.4 Tab 188 188 100 88
141 Piridoxin h 29 Tab 6000 5000 11000 7000 4000
143 Plester 5 y 32 Rol 10 10 5 5
144 Polikresule 14.2 Btl 2 2 2
145 Prazikuante6.1.1 Tab 0 0
146 Prednison 16.4 Tab 6000 3000 9000 5000 4000
147 Primaquin 6.4.2.2 Tab 2000 2000 2000
148 Prokain benz 6.2.1 Amp 0 0
149 Propiltour 16.3 Tab 200 2000 2200 400 1800
150 Propanolol 7.1 Tab 700 700 700
151 Propanolol 7.1 Tab 0 0
152 Reserpin t 17.1 Tab 250 250 250
153 Reserpin t 17.1 Tab 3000 3000 3000
154 Retnol ( Vi 29 Kap 0 0
155 Retnol ( Vi 29 Kap 0 0
156 Rifampisin 6.2.4 Kap 500 500 300 200
157 Rifampisin 6.2.4 Kap 100 500 600 100 500
158 Rifampisin 6.2.4 Kap 200 200 200
159 Ringer lakta 20.2 Btl 0 0
160 Salbutamol 26.1 Tab 2100 2100 300 1800
161 Salep 2-4 18.1 Pot 48 48 20 28
162 Salisil bed 18.4 Sak 120 120 60 60
163 Salisil spri 18.3 Btl 0 0
164 Semen seng 14.2 Btl 0 0
165 Serum ABU p 27.1 Amp 0 0
166 Serum ATS 27.1 Amp 0 0
167 Serum ATS 28.1 Amp 0 0
168 Simvastatn Tab 600 600 100 500
169 Sianokobal 20.1 Amp 500 500 250 250
170 Silk (benan 32 Rol 0 0
171 Silver ama 14.1 Pot 0 0
172 Spons gela 14.1 Sak 0 0
173 Streptomyci6.2.4 Amp 0 0
174 Sulfadimid 6.2.2 Tab 0 0
175 Sulfasetam21.2.2 Btl 48 48 24 24
176 Tablet tam 10.1 Tab 9000 9000 3600 5400
177 Temporary s 11.1 Btl 0 0
178 Tetrasiklin 6.2.2 Kap 0 0
179 Tetrasiklin 6.2.2 Kap 400 500 900 300 600
180 Tiamin HCl 29 Amp 40 40 10 30
181 Tiamin HCl 29 Tab 15000 15000 8000 7000
182 Triheksilfe 2.2 Tab 1000 1000 200 800
183 Trikresol f 14.2 Btl 0 0
184 Vaksin Rab 27.2 Amp 0 0
185 Vitamin B 29 Tab 15000 15000 9000 6000
186 Yodium pov 13.1 Btl 17 17 7 10
187 Yodium pov 13.1 Btl 10 10 3 7
0 0
1 Acyclovir tablet 200 mTab 600 600 100 500
3 Acyclovir tablet 400 mTab 700 700 100 600
5 Asam mefenamat kapsTab 0 0
6 Asam mefenamat tabl Tab 900 900 600 300
10 Cimetdin tablet 200 Tab 0 0
11 Ciprofloxacin kaplet Kap 1500 1500 1500
14 Erytromycin caps 250 Kap 0 0
15 Erytromycin capt 500 Kap 0 0
19 Gentamycin salep kuli Pot 0 0
20 Gentamycin tetes mat Btl 0 0
21 H2O2 Btl 0 0
24 Kloramphenicol tetes Btl 0 0
25 Metoklorpropamide HTab 200 200 200
27 Methyl Prednisolon ta Tab 300 300 300
29 Natrium Diklofenak 5 Tab 0 0
30 Obat Tambah Darah I tab 0 0
34 Papaverin tablet 40 m Tab 2000 2000 2000
37 Piroksikam tablet 10 Tab 2280 2280 240 2040
38 Piroksikam tablet 20 Tab 720 720 720
39 Ranitdine 150 mg Tab 1500 1500 300 1200
0 0
1 Alkohol 70 % Btl 1 10 11 7 4
6 Asam sulfosalisilat 20 Btl 2 2 2 0
12 Etanol 70 13.2 Btl 0 0
13 Fauchet Btl 0 0
16 Kertas Saring WhatmaRol 0 0
18 Larutan Bu 31 Btl 0 0
19 Label Etke 31 Set 0 0
20 Larutan Me 31 Btl 0 0
21 Larutan Sul 31 Btl 0 0
22 Larutan Be 31 Btl 4 4 4 0
23 Larutan Eo 31 Btl 0 0
24 Larutan Et 31 Btl 0 0
25 Larutan Gi 31 Btl 0 0
26 Larutan Kar 31 Btl 0 0
27 Larutan Me 31 Btl 0 0
28 Larutan Tu 31 Btl 3 3 3 0
29 Lisol 31 Btl 7 7 2 5
36 Rak Pewarna kaca pip Ktk 0 0
39 Tes Gol. Darah( A,B,ABKtk 1 1 1 0
44 ACT ktk 0 0
46 Ambroxol tab tab 500 500 100 400
49 Cetrizin tab 250 250 50 200
50 Hemafort tab 0 0
54 Pembalut givs pcs 2 2 2
55 Kantong plastk lbr 20000 20000 5000 15000
56 Antasida syrup Btl 50 50 50 0
57 0 0
58 0 0
59 0 0
60 0 0
61 0 0
62 0 0

2325 43 326 384 68 3146 2368 7755

KASANG JAYA 450 8 27 15 0 500 458 2159
SIJINJANG I 202 5 8 11 0 226 207 613
SIJINJANG II 150 12 36 32 0 230 162 575

(…………………………….) (…………………….)
ASKES JAMKESMAS
940 200 326 1012 124 18 384 1161 139 20
ASKES JAMKESMAS
140 131 27 98 3 2 15 50 1 1
21 6 8 23 0 0 11 30 1 0
81 8 36 146 27 3 32 129 24 2

Ka. Puskesmas

NIP. 19731201 200604 1 013
BULAN Februari 2010

68 210 26 1 7700 962 1150 205 10017

0 0 0 0 2159 98 50 0 2307
0 0 0 0 613 23 30 0 666
0 0 0 0 575 146 129 0 850
Jambi, 3 Maret 2010

Yang Menerima,
Petugas Puskesmas
SUSANTI
NIP. 19721001 199203 2 001

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JUMLAH KUNJUNGAN PUSKESMAS TANJUNG PINANG BULAN Maret 2014

UMUM UMUM JAMS/ASKES/BPJS JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

JUMLAH KUNJUNGAN PUSTU

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

Jambi, 3 April 2014

(…………………………….) (…………………….) dr.EMILDAN PASAI Rozalt

dr.EMILDAN PASAI Rozalt

UMUM UMUM JAMS/ASKES/BPJS JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

JUMLAH KUNJUNGAN PUSTU

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

275 4 28 30 2 339 279 1412 82 87 28 86 2 2 30 93 3 4 2 6 0 0 1412 86 93 6 1597

173 0 9 29 0 211 173 514 39 0 9 20 1 0 29 57 3 0 0 0 0 0 514 20 57 0 591

150 4 25 28 0 207 154 607 47 33 25 91 7 0 28 105 9 3 0 0 0 0 607 91 105 0 803

Jambi, 3 Maret 2014

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

1 Acyclovir tablet 200 mg Tab 1578 1578 36 1542 81.5 PKD&ASK

dr.EMILDAN PASAI SUSANTI

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

JUMLAH KUNJUNGAN PUSTU

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

325 0 30 54 3 412 325 1693 85 92 30 96 3 2 54 127 4 3 3 9 0 0 1693 96 127 9 1925

189 1 6 37 2 235 190 574 36 1 6 18 0 0 37 110 7 0 2 6 0 0 574 18 110 6 708

145 5 24 29 0 203 150 578 55 22 24 93 8 2 29 91 6 3 0 0 0 0 578 93 91 0 762

Jambi, 3 Februari 2014

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

dr.EMILDAN PASAI SUSANTI

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

JUMLAH KUNJUNGAN PUSTU

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

275 0 24 23 0 322 275 1412 82 87 24 89 0 0 23 85 0 0 0 0 0 0 1412 89 85 0 1586

187 2 2 12 0 203 189 582 36 1 2 6 0 0 12 29 0 0 0 0 0 0 582 6 29 0 617

135 4 26 30 0 195 139 520 40 12 26 94 9 2 30 85 10 3 0 0 0 0 520 94 85 0 699

Jambi, 3 Januari 2014

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

1 Acyclovir tablet 200 mg Tab 769 769 14 755

Jambi, 3 Januari 2014

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

JUMLAH KUNJUNGAN PUSTU

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

300 4 25 33 2 364 304 1499 94 83 25 86 2 2 33 96 1 1 2 7 0 0 1499 86 96 7 1688

136 1 5 31 1 174 137 404 35 0 5 8 0 0 31 56 4 0 1 0 0 0 404 8 56 0 468

145 3 25 30 0 203 148 555 45 14 25 93 8 1 30 84 7 2 0 0 0 0 555 93 84 0 732

Jambi, 3 Desember 2013

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

1 Acyclovir tablet 200 mg Tab 834 834 65 769 100 300

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

JUMLAH KUNJUNGAN PUSTU

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

300 0 30 31 1 362 300 1442 55 57 30 102 0 0 31 98 0 0 1 3 0 0 1442 102 98 3 1645

117 1 3 45 1 167 118 345 23 1 3 6 0 0 45 60 5 0 1 3 1 0 345 6 60 3 414

150 3 26 31 0 210 153 574 52 17 26 99 9 1 31 109 10 2 0 0 0 0 574 99 109 0 782

Jambi, 2 November 2013

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

1 Acyclovir tablet 200 mg Tab 471 500 971 137 834

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

JUMLAH KUNJUNGAN PUSTU

UMUM UMUM ASKES JAMKESMAS JAMKESMASDA Pemakaian Obat Generik

251 3 16 31 1 302 254 1218 24 23 16 59 0 0 31 107 4 4 1 3 0 0 1218 59 107 3 1387

165 0 4 46 1 216 165 479 33 3 4 6 1 0 46 113 11 0 1 4 1 0 479 6 113 4 602

145 6 25 30 0 206 151 576 56 20 25 96 10 3 30 108 9 1 0 0 0 0 576 96 108 0 780

Jambi, 2 Oktober 2013

(…………………………….) (…………………….) dr.EMILDAN PASAI SUSANTI

1 Acyclovir tablet 200 mg Tab 614 614 143 471 askes