LAPORAN PENERIMAAN DAN PENGGUNAAN OBAT

PUSKESMAS : SUMBERMALANG
BULAN : APRIL
TAHUN : 2007

STOK AWAL PENERIMAAN PENGGUNAAN STOK AKHIR Jumlah

Kode Nama Obat Satu- PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain Stok
an BBM BBM BBM BBM Akhir
0101 Air Raksa Dental Use Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0102 Alat Suntik Sekali Pakai 1 ml Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0103 Alat Suntik Sekali Pakai 2,5 ml Set 0 280 0 0 0 0 0 0 0 20 0 0 0 260 0 0 260
0104 Alat Suntik Sekali Pakai 5 ml Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0105 Albendazol Tab 400 mg Tab 0 120 0 0 0 0 0 0 0 0 0 0 0 120 0 0 120
0106 Alopurinol Tab 100 mg Tab 0 605 0 0 0 0 0 0 0 0 0 0 0 605 0 0 605
0107 Aminofilin Tab 200 mg Tab 1167 0 0 0 0 0 0 0 156 0 0 0 1011 0 0 0 1011
0108 Aminofilin inj.24 mg/ml-10 ml Amp 0 30 0 0 0 0 0 0 0 2 0 0 0 28 0 0 28
0109 Amitriptilin HCl Tab Salut 25 mg Tab 0 100 0 0 0 0 0 0 0 0 0 0 0 100 0 0 100
0110 Amoksisilin Sir Ker 125 mg/5 ml Btl 40 80 0 0 0 0 0 0 0 44 0 0 40 36 0 0 76
0111 Amoksisilin Kapsul 250 mg Kaps 0 480 0 0 0 0 0 0 0 20 0 0 0 460 0 0 460
0112 Ampisilin Kaplet 500 mg Kapl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0113 Ampisilin Sir Ker 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0114 Antalgin Tab 500 mg Tab 17000 16574 0 0 0 0 0 0 10000 6926 0 0 7000 9648 0 0 16648
0115 Antalgin Injeksi 250 mg/ml- 2ml Amp 0 30 0 0 0 0 0 0 0 0 0 0 0 30 0 0 30
0116 Antasida DOEN Tab. Komb Tab 6000 5817 400 0 0 0 0 0 0 403 0 0 6000 5414 400 0 11814
0117 Antibakteri DOEN Salep Komb Tube 0 92 0 0 0 0 0 0 0 3 0 0 0 89 0 0 89
0118 Antihemoroid DOEN Komb Sup 0 54 0 0 0 0 0 0 0 0 0 0 0 54 0 0 54
0119 Antifungi DOEN Komb Pot 0 23 0 0 0 0 0 0 0 2 0 0 0 21 0 0 21
0120 Antimigren DOEN Komb Tab 0 315 0 0 0 0 0 0 0 0 0 0 0 315 0 0 315
0121 Antiparkinson DOEN Tab Komb Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0123 Aqua Pro Inj. Steril Bebas Pirogen Amp 5 35 0 0 0 0 0 0 0 0 0 0 5 35 0 0 40
0124 Aquades Steril Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0125 Asam Askorbat (Vit.C) Tab 250 mg Tab 750 0 0 0 0 0 0 0 0 0 0 0 750 0 0 0 750
0126 Asam Askorbat (Vit.C) Tab 50 mg Tab 5256 0 0 0 0 0 0 0 256 0 0 0 5000 0 0 0 5000
0127 Asam Klorid 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0128 Asam Sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0129 Asetosal Tab 100 mg Tab 0 100 0 0 0 0 0 0 0 0 0 0 0 100 0 0 100
0130 Asetosal Tab 500 mg Tab 346 500 0 0 0 0 0 0 0 0 0 0 346 500 0 0 846
0131 Atropin Sulfat Inj.0,25 mg/ml-1 ml Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0132 Atropin Sulfat Tab 0,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0133 Atropin Sulfat Tetes Mata 0,5% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0201 Benzatin Benzil Penisilin Inj.1,2 Juta IU/Vial Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0202 Benzatin Benzil Penisilin Inj.2,4 Juta IU/Vial Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

STOK AWAL PENERIMAAN PENGGUNAAN STOK AKHIR Jumlah

Kode Nama Obat Satu- PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain Stok
an BBM BBM BBM BBM Akhir
0203 Besi Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0204 Betametason Krim 0,1% Tube 75 67 0 0 0 0 0 0 42 0 0 0 33 67 0 0 100
0301 Catgut/Benang Bedah No. 2/0-3/0 Sak 0 48 0 0 0 0 0 0 0 0 0 0 0 48 0 0 48
0401 Dapson Tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0402 Deksametason Inj.5 mg/ml-1 ml Amp 67 600 0 0 0 0 0 0 12 0 0 0 55 600 0 0 655
0403 Deksametason Tab 0,5 mg Tab 3000 3060 0 0 0 0 0 0 0 147 0 0 3000 2913 0 0 5913
0404 Dekstran 70-Lart Infus 6% Steril Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0405 Dekstrometorfan HBR Sirup 10 mg/5 ml Btl 0 70 0 0 0 0 0 0 0 0 0 0 0 70 0 0 70
0406 Dekstrometorfan HBR Tab 15 mg Tab 371 5000 0 0 0 0 0 0 99 0 0 0 272 5000 0 0 5272
0407 Devitalisasi Pasta ( Non Arsen ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0408 Diazepam Inj. 5 mg/ml-2 ml Amp 20 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 20
0409 Diazepam Tab 2 mg Tab 2835 1000 0 0 0 0 0 0 3 0 0 0 2832 1000 0 0 3832
0410 Diazepam Tab 5 mg Tab 4000 0 0 0 0 0 0 0 0 0 0 0 4000 0 0 0 4000
0411 Dietilkarbamazin Sitrat Tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0412 Difenhidramin HCl Inj.10 mg/ml-1 ml Amp 0 410 0 0 0 0 0 0 0 20 0 0 0 390 0 0 390
0413 Digoksin Tab 0,25 mg Tab 0 0 275 0 0 0 0 0 0 0 23 0 0 0 252 0 252
0501 Efedrin HCl Tab 25 mg Tab 3132 0 0 0 0 0 0 0 13 0 0 0 3119 0 0 0 3119
0502 Ekstrak Belladon Tab 10 mg Tab 0 2822 0 0 0 0 0 0 0 0 0 0 0 2822 0 0 2822
0503 Epinefrin HCl/Bitartrat Inj. 0,1%-ml Amp 0 18 0 0 0 0 0 0 0 1 0 0 0 17 0 0 17
0504 Etakridin (Rivanol) Larutan 0,1% Btl 26 0 0 0 0 0 0 0 16 0 0 0 10 0 0 0 10
0505 Etambutol HCl Tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0506 Etanol 70% Btl 31 1 0 0 0 0 0 0 16 0 0 0 15 1 0 0 16
0507 Eteranestetik Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0508 Etil Klorida Semprot Btl 9 5 0 0 0 0 0 0 0 0 0 0 9 5 0 0 14
0509 Eugenol Cairan Btl 0 11 0 0 0 0 0 0 0 0 0 0 0 11 0 0 11
0601 Fenitoin Natrium Inj. 50 mg/ml Amp 0 10 0 0 0 0 0 0 0 0 0 0 0 10 0 0 10
0602 Fenitoin Natrium Kapsul 100 mg Kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0603 Fenitoin Natrium Kapsul 30 mg Kaps 0 500 0 0 0 0 0 0 0 0 0 0 0 500 0 0 500
0604 Fenobarbital Inj. 50 mg/ml-2 ml Amp 0 30 0 0 0 0 0 0 0 0 0 0 0 30 0 0 30
0605 Fenobarbital Tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0606 Fenobarbital Tab 30 mg Tab 2290 0 0 0 0 0 0 0 0 0 0 0 2290 0 0 0 2290
0607 Fenoksimetil Penisilin Tab 250 mg Tab 1300 200 0 0 0 0 0 0 800 0 0 0 500 200 0 0 700
0608 Fenoksimetil Penisilin Tab 500 mg Tab 1500 700 0 0 0 0 0 0 1500 100 0 0 0 600 0 0 600
0609 Fenol Gliserol Tetes Telinga 10% Btl 20 0 0 0 0 0 0 0 3 0 0 0 17 0 0 0 17
0610 Fitomenadion (Vit.K) Inj. 10 mg/ml-1 ml Amp 0 75 0 0 0 0 0 0 0 0 0 0 0 75 0 0 75
0611 Fitomenadion (Vit.K) Tab Salut 10 mg Tab 925 0 0 0 0 0 0 0 7 0 0 0 918 0 0 0 918
0612 Fluor Tab 0,5 mg Tab 0 200 0 0 0 0 0 0 0 0 0 0 0 200 0 0 200
0613 Furosemid Tab 40 mg Tab 900 0 0 0 0 0 0 0 7 0 0 0 893 0 0 0 893

STOK AWAL PENERIMAAN PENGGUNAAN STOK AKHIR Jumlah

Kode Nama Obat Satu- PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain Stok
an BBM BBM BBM BBM Akhir
0701 Gameksan Emulsi 1% Btl 18 12 0 0 0 0 0 0 8 0 0 0 10 12 0 0 22
0702 Garam Oralit Untuk 1000 ml Air Sak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0703 Garam Oralit Untuk 200 ml Air Sak 902 1500 0 0 0 0 0 0 75 800 0 0 827 700 0 0 1527
0704 Gentian Violet Larutan 1% Btl 28 0 0 0 0 0 0 0 4 0 0 0 24 0 0 0 24
0705 Glass Ionomer Cemen (GC IX) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0706 Glibenklamid Tab 5 mg Tab 0 800 0 0 0 0 0 0 0 0 0 0 0 800 0 0 800
0707 Gliseril Guayakolat Tab 100 mg Tab 7000 5994 0 0 0 530 0 0 5000 3356 0 0 2000 3168 0 0 5168
0708 Gliserin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0709 Glukosa Larutan Infus 10% Steril Btl 0 5 0 0 0 0 0 0 0 0 0 0 0 5 0 0 5
0710 Glukosa Larutan Infus 40% Steril Btl 0 15 0 0 0 0 0 0 0 0 0 0 0 15 0 0 15
0711 Glukosa Larutan Infus 5% Steril Btl 0 40 0 0 0 0 0 0 0 0 0 0 0 40 0 0 40
0712 Griseofulvin Tab 125 mg Micronized Tab 0 700 0 0 0 0 0 0 0 0 0 0 0 700 0 0 700
0801 Haloperidol Tab 0,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0802 Haloperidol Tab 1,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0803 Hidroklorotiazid (HCT) Tab 25 mg Tab 1000 1692 0 0 0 0 0 0 0 52 0 0 1000 1640 0 0 2640
0804 Hidrocortison Krim 2,5% Tube 24 59 0 0 0 0 0 0 0 28 0 0 24 31 0 0 55
0901 Ibuprofen Tab 200 mg Tab 0 1300 0 0 0 0 0 0 0 175 0 0 0 1125 0 0 1125
0902 Ibuprofen Tab 400 mg Tab 0 843 0 0 0 0 0 0 0 88 0 0 0 755 0 0 755
0903 Infusion Set Anak Set 0 30 0 0 0 0 0 0 0 1 0 0 0 29 0 0 29
0904 Infusion Set Dewasa Set 0 57 0 0 0 0 0 0 0 2 0 0 0 55 0 0 55
0905 Insulen Reguler Inj.40 IU/ml-10 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0906 Iodiol Kapsul Lunak Kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0907 Ipeka Sirup 0,14% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0908 Isoniazid Tab 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0909 Isosorbid Dinitrat Tab Sublingual 5 mg Tab 0 600 0 0 0 0 0 0 0 0 0 0 0 600 0 0 600
1001 Jarum (Bedah) No. 9 s/d 14 Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1002 Kalium Permanganat Serbuk Btl 15 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 15
1003 Kalsium Hidroksida Pasta Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1004 Kalsium Laktat (Kalk) Tab 500 mg Tab 1000 5411 0 0 0 0 0 0 0 9 0 0 1000 5402 0 0 6402
1005 Kapas Berlemak 500 Gram Bks 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2
1006 Kapas Pembalut / Absorben 250 Gram Bks 0 4 0 0 0 0 0 0 0 0 0 0 0 4 0 0 4
1007 Karbamazepin Tab 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1008 Kasa Kompres 40/40 Steril Rol 0 20 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20
1009 Kasa Pembalut 2 m x 80 cm Rol 0 24 0 0 0 0 0 0 0 0 0 0 0 24 0 0 24
1010 Kasa Pembalut Hidrofil 4 m x 15 cm Rol 0 74 0 0 0 0 0 0 0 0 0 0 0 74 0 0 74
1011 Kasa Pembalut Hidrofil 4 m x 3 cm Rol 33 46 0 0 0 0 0 0 0 0 0 0 33 46 0 0 79
1012 Ketamin Injeksi 10 mg/ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1013 Klofazimin Kapsul 100 mg Micronized Kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

STOK AWAL PENERIMAAN PENGGUNAAN STOK AKHIR Jumlah

Kode Nama Obat Satu- PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain Stok
an BBM BBM BBM BBM Akhir
1014 Kloramfenikol Kapsul 250 mg Kaps 0 2000 0 0 0 0 0 0 0 12 0 0 0 1988 0 0 1988
1015 Kloramfenikol Salep Mata 1% Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1016 Kloramfenikol Tetes Telinga 3% Btl 36 0 0 0 0 0 0 0 16 0 0 0 20 0 0 0 20
1017 Klorfeniramin Maleat (CTM) Tab 4 mg Tab 8801 0 0 0 0 0 0 0 801 0 0 0 8000 0 0 0 8000
1018 Klorokuin Fosfat Tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1019 Klorpromazin HCl Inj.25 mg/ml-1 ml Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1020 Klorpromazin HCl Inj.5 mg/ml-2 ml Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1021 Klorpromazin HCl Tab Salut 25 mg Tab 0 1898 0 0 0 0 0 0 0 0 0 0 0 1898 0 0 1898
1022 Klorpromazin HCl Tab Salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1023 Klorpropamid Tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1024 Kodein Tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1025 Kombinasi Pirimetamin 25 mg +
Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sulfadoksin 500 mg
1026 Kotrimoksazole Tab Pediatrik Tab 200 600 0 0 0 0 0 0 0 0 0 0 200 600 0 0 800
1027 Kotrimoksazole Suspensi Btl 0 55 0 0 0 0 0 0 0 5 0 0 0 50 0 0 50
1028 Kotrimoksazole Tab Dewasa Tab 0 1722 0 0 0 0 0 0 0 33 0 0 0 1689 0 0 1689
1029 Kuinin Dihidroklorida Inj. 25%-2 ml Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1030 Kuinin Sulfat Tab 222 mg ( 7 H2O ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1101 Larutan Benidict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1102 Larutan Eosin 2% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1103 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1104 Larutan Giemsa Stain Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1105 Larutan Karbol Fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1106 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1107 Larutan Turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1108 Lidokain Kompositum Injeksi Amp 0 600 0 0 0 0 0 0 0 0 0 0 0 600 0 0 600
1109 Lisol Btl 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
1201 Magnesium Sulfat Inj.(IV) 20%-25 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1202 Magnesium Sulfat Inj.(IV) 40%-25 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1203 Mebendazol Sirup 100 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1204 Mebendazol Tab 100 mg Tab 0 200 0 0 0 0 0 0 0 0 0 0 0 200 0 0 200
1205 Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1206 Metilergometrin Maleat Tab Salut 0,125 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1207 Metilergometrin Maleat Inj.0,200 mg-1 ml Amp 0 40 0 0 0 0 0 0 0 0 0 0 0 40 0 0 40
1208 Metronidazol Tab 250 mg Tab 0 1616 0 0 0 0 0 0 0 87 0 0 0 1529 0 0 1529
1209 Monoklorkamfer Mentol Cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1210 Mummifying Pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1301 Natrium Bikarbonat Tab 500 mg Tab 0 3000 0 0 0 0 0 0 0 0 0 0 0 3000 0 0 3000

STOK AWAL PENERIMAAN PENGGUNAAN STOK AKHIR Jumlah

Kode Nama Obat Satu- PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain Stok
an BBM BBM BBM BBM Akhir
1302 Natrium Fluoresien Tetes Mata 2% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1303 Natrium Klorida Lart. Infus 0,9% Steril Btl 0 5 0 0 0 0 0 0 0 0 0 0 0 5 0 0 5
1304 Natrium Tiosulfat Injeksi 25%-10 ml Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1305 Nistatin Tab Vaginal 100.000 IU/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1306 Nistatin Tab Salut 500.000 IU Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1307 Obat Anti Tuberkulosis Kategori 1 Pkt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1308 Obat Anti Tuberkulosis Kategori 2 Pkt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1309 Obat Batuk Hitam (OBH) Cairan Btl 59 0 0 0 0 0 0 0 26 0 0 0 33 0 0 0 33
1310 Oksigen Gas Dalam Tabung Tbg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1311 Oksitetrasiklin HCl Inj.I.M.50 mg/ml-10 ml Vial 0 37 0 0 0 0 0 0 0 0 0 0 0 37 0 0 37
1312 Oksitetrasiklin HCl Salep 3% Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1313 Oksitetrasiklin HCl Salep Mata Tube 36 0 0 0 0 0 0 0 2 0 0 0 34 0 0 0 34
1314 Oksitosin Inj.10 IU/ml-1 ml Amp 0 40 0 0 0 0 0 0 0 0 0 0 0 40 0 0 40
1401 Paraformaldehid Tab 1 gram Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1402 Parasetamol Sirup 120 mg/5 ml Btl 36 105 0 0 0 0 0 0 0 58 0 0 36 47 0 0 83
1403 Parasetamol Tab 100 mg Tab 0 980 0 0 0 0 0 0 0 0 0 0 0 980 0 0 980
1404 Parasetamol Tab 500 mg Tab 2000 0 0 0 620 0 0 0 220 0 0 0 2400 0 0 0 2400
1405 Pembalut Gips Rol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1406 Perfenasin Tab 16 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1407 Perfenasin Tab 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1408 Petidin HCl Inj.50 mg/ml-2 ml Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1409 Pilokarpin HCl/Nitrat Tetes Mata 2% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1410 Pyrantel Pamoat Tab 365 mg Tab 0 720 0 0 0 0 0 0 0 0 0 0 0 720 0 0 720
1411 Pyridoksin HCl Tab 10 mg Tab 0 4305 0 0 0 0 0 0 0 60 0 0 0 4245 0 0 4245
1412 Plester 5 yard x 2 inch Rol 0 18 0 0 0 0 0 0 0 0 0 0 0 18 0 0 18
1413 Polikresulen Btl 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1
1414 Polipeptida Komb.DOEN Lart. Infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1415 Prazikuantel Tab 600 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1416 Prednison Tab 5 mg Tab 0 7836 0 0 0 0 0 0 0 57 0 0 0 7779 0 0 7779
1417 Primakuin Tab 15 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1418 Prokain Benzil Penisilin Inj.3 juta IU Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1419 Propiltiourasil Tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1420 Propanolol HCl Tab 40 mg Tab 0 100 0 0 0 0 0 0 0 0 0 0 0 100 0 0 100
1501 Rabies Imune Globulin 150 IU/ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1502 Reserpin Tab 0,10 mg Tab 0 400 0 0 0 0 0 0 0 12 0 0 0 388 0 0 388
1503 Reserpin Tab 0,25 mg Tab 0 250 0 0 0 0 0 0 0 0 0 0 0 250 0 0 250
1504 Retinol (Vit.A) Kapsul 200.000 IU Kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1505 Rifampisin Kaplet 600 mg Kapl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

STOK AWAL PENERIMAAN PENGGUNAAN STOK AKHIR Jumlah

Kode Nama Obat Satu- PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain Stok
an BBM BBM BBM BBM Akhir
1506 Rifampisin Kapsul 300 mg Kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1507 Rifampisin Kapsul 450 mg Kaps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1508 Ringer Laktat Lart. Infus Steril Btl 0 90 0 0 0 0 0 0 0 3 0 0 0 87 0 0 87
1601 Salbutamol Tab 2 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1602 Salep 2-4 Kombinasi Pot 24 22 0 0 0 0 0 0 16 4 0 0 8 18 0 0 26
1603 Salisil Bedak 2% Ktk 41 44 0 0 0 0 0 0 40 6 0 0 1 38 0 0 39
1604 Salisil Spiritus 10% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1605 Semen Seng Fosfat serbuk dan cairan Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1606 Serum Anti Bisa Ular Polivalen Inj.5 ml (ABU I) Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1607 Serum Anti Bisa Ular Polivalen Inj.50 ml (ABU I) Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1608 Serum Anti Difteri Inj.20.000 IU/Vial (A.D.S) Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1609 Serum Anti Tetanus Inj.1.500 IU/Amp (A.T.S) Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1610 Serum Anti Tetanus Inj.20.000 IU/Amp (A.T.S) Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1611 Sianokobalamin (Vit.B12) Inj.500 mcg/ml Amp 0 1819 0 0 0 0 0 0 0 0 0 0 0 1819 0 0 1819
1612 Silk (Benang Bedah Sutera) No. 3/0 Sak 0 108 0 0 0 0 0 0 0 0 0 0 0 108 0 0 108
1613 Silver Amalgam Serbuk 65-75% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1614 Spons Gelatin Cubicles 1 x 1 x 1 cm Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1615 Streptomisin Sulfat Serbuk Inj.1.000 mg/Vial Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1616 Streptomisin Sulfat Serbuk Inj.1.500 mg/Vial Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1617 Sulfadimidin Tab 500 mg Tab 1000 0 0 0 0 0 0 0 0 0 0 0 1000 0 0 0 1000
1618 Sulfasetamid Natrium Tetes Mata 15% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1619 Suspensi Seng Insulin Inj.40 IU/ml-10 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1701 Tablet Tambah Darah Kombinasi Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1702 Temporary Stopping Fletcher serbuk dan cairan Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1703 Tetrakain HCl Tetes Mata Btl 0 19 0 0 0 0 0 0 0 0 0 0 0 19 0 0 19
1704 Tetrasiklin HCl Kapsul 250 mg Kaps 7000 6725 0 0 0 0 0 0 7000 1000 0 0 0 5725 0 0 5725
1705 Tetrasiklin HCl Kapsul 500 mg Kaps 800 375 0 0 0 0 0 0 0 0 0 0 800 375 0 0 1175
1706 Thiamin HCl (Vit.B1) Inj. 100mg/ml-1 ml Amp 90 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 90
1707 Thiamin HCl Mononitrat (Vit.B1) Tab 50 mg Tab 5187 0 0 0 0 0 0 0 260 0 0 0 4927 0 0 0 4927
1708 Tiopental Natrium Serbuk Inj.1.000 mg/Amp Amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1709 Triheksifenidil HCl Tab 2 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1710 Trikresol Formalin (TKF) Cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1801 Vaksin Rabies Vero Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1802 Vitamin B Kompleks Tablet Tab 4000 7254 0 0 0 0 0 0 0 458 0 0 4000 6796 0 0 10796
1901 Yodium Povidon Larutan 10% 30 ml Btl 23 14 0 0 0 0 0 0 8 0 0 0 15 14 0 0 29
1902 Yodium Povidon Larutan 10% 300 ml Btl 0 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2
Amoksisilin Tab 500 mg Tab 700 3608 900 0 0 0 0 0 0 2633 0 0 700 975 900 0 2575
Ciprofloxacin Tab 500 mg Tab 550 0 0 0 0 0 0 0 0 0 0 0 550 0 0 0 550

STOK AWAL PENERIMAAN PENGGUNAAN STOK AKHIR Jumlah

Kode Nama Obat Satu- PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain PKD PKPS- Askes Lain-lain Stok
an BBM BBM BBM BBM Akhir
1 Acyclovir Cream Tube 0 0 14 0 0 0 0 0 0 0 1 0 0 0 13 0 13
2 Alat Suntik Sekali Pakai 3 ml Set 0 175 0 0 0 0 0 0 0 0 0 0 0 175 0 0 175
3 Asam Mefenamat 500 mg Kapl 0 0 220 0 0 0 0 0 0 0 160 0 0 0 60 0 60
4 Captopril 12,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Captopril 25 mg Tab 200 0 1262 0 0 0 0 0 100 0 826 0 100 0 436 0 536
6 Cimetidine Tab 0 0 31 0 0 0 0 0 0 0 9 0 0 0 22 0 22
7 Erythromycin 250 mg Kapl 0 0 240 0 0 0 0 0 0 0 0 0 0 0 240 0 240
8 Lidokain Injeksi 2% Amp 0 78 0 0 0 0 0 0 0 0 0 0 0 78 0 0 78
9 Ranitidine Tab 0 0 200 0 0 0 0 0 0 0 0 0 0 0 200 0 200
10 Sarung Tangan Steril (Sarung Tangan Steril) Set 105 0 0 0 0 0 0 0 7 0 0 0 98 0 0 0 98
11 Antasida DOEN Syr. Btl 0 0 7 0 0 0 0 0 0 0 0 0 0 0 7 0 7
12 Acyclovir 200 mg Tab 0 0 100 0 0 0 0 0 0 0 0 0 0 0 100 0 100
13 Ciprofloxacin 50 mg Tab 0 0 550 0 0 0 0 0 0 0 0 0 0 0 550 0 550

UMUM ASKES JUMLAH

JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR
427 907 24 1358
KEPALA PUSKESMAS PENGELOLA OBAT

dr. Rokhmad Sun'an Joni Hardianto

NIP. 140 365 700 NIP. 510 151 309