LAPORAN PENGGUNAAN OBAT 2013

DAN
RENCANA KEBUTUHAN OBAT 2014

No. Stok Stok Rata-rata Jumlah Permintaan

Nama Obat Satuan Penerimaan Pengeluaran
Obat Awal Akhir pemakaian per bln Kebutuhan per tahun
1 2 3 4 5 6 7 8 9 10
1 Acyclovir 200mg tablet Tablet 100 1,800 1,850 50 150 2,100 2,050
2 Acyclovir SK Tube - 110 110 - 9 126 126
3 Alat Suntik 10 ml Set - 50 35 15 15 210 175
4 Alat Suntik Sekali Pakai 1 ml Set 50 1,500 1,500 50 125 1,750 1,700
5 Alat Suntik Sekali Pakai 2,5 ml Set 100 2,500 2,500 100 208 2,912 2,013
6 Alat Suntik Sekali Pakai 5 ml Set 40 800 760 100 100 100 100
7 Albendazol Tab 400 mg Tablet 600 20,280 2,000 18,880 18,880 18,880 18,880
8 Alopurinol Tablet 100 mg Tablet - 1,900 1,700 200 200 200 200
9 Ambroksol Tablet 100 1,300 1,300 100 100 100 100
10 Aminofilin injeksi 24 mg/ml - 10 ml Ampul 20 90 80 30 30 30 30
11 Aminofilin Tablet 200 mg Tablet 200 1,200 1,400 - - - -
12 Amlodipine 5mg Tablet - 360 360 - - - -
13 Amoksisilin 500 mg Kaplet Kaplet 100 28,000 28,000 100 100 100 100
14 Amoksisilin Kapsul 250 mg Kapsul 200 - 200 - - - -
15 Amoksisilin Sirup Kering 125 mg/5 ml Botol 30 650 650 30 30 30 30
16 Antalgin injeksi 250 mg/ml - 2 ml Ampul 20 210 200 30 30 30 30
17 Antalgin Tablet 500 mg Tablet 2,500 14,000 13,500 3,000 3,000 3,000 3,000
18 Antasida DOEN Tablet Tablet 1,800 21,000 22,800 - - - -
19 Antasida Sirup Botol 30 300 330 - - - -
20 Anti Bakteri Doen Salep Kom Pot - - - - - - -
21 Anti Fungi Doen Kom Pot 12 240 229 23 23 23 23
22 Anti Hemoroid Doen Kom Supp - 18 18 - - - -
23 Anti Migren Doen Tablet - - - - - - -
24 Aqua Pro Injeksi Steril 20 ml Vial 10 50 52 8 8 8 8
25 Asam Askorbat 50 mg Tablet 2,000 18,000 19,000 1,000 1,000 1,000 1,000
26 Asam Mefenamat Tablet 100 1,700 1,600 200 200 200 200
27 Asetosal tablet 500 mg Tablet 100 300 400 - - - -
28 Atropin Sulfat Injeksi 0,25 mg Ampul - 5 2 3 3 3 3
29 Betameson Krim 0,1% Tube 15 225 220 20 20 20 20
30 Captopril 12,5 mg Tablet - 1,500 1,300 200 200 200 200
31 Captopril 25 mg Tablet 300 3,000 3,300 - - - -
32 Catgut/Benang Bedah Kotak 1 5 5 1 1 1 1
33 Cefadroksil 500mg Tablet 100 1,300 1,200 200 200 200 200
34 Cefixime 100-200 mg Kasul Kapsul - - - - - - -
35 Cefotaxim Injeksi Vial - - - - - - -
36 Ceftriaxon Injeksi Vial - - - - - - -
37 Deksametason Injeksi 5 mg Ampul 40 150 170 20 20 20 20
38 Deksametason Tablet 0,5 mg Tablet 800 15,000 13,800 2,000 2,000 2,000 2,000
39 Dektrometorfan Sirup 10 mg Botol 45 350 345 50 50 50 50
40 Dektrometorfan Tablet 15 mg Tablet 800 800 1,300 300 300 300 300
41 Devitalisasi Pasta Botol - 2 2 - - - -
42 Diaform New tablet Tablet - - - - - - -
43 Diazepam Injeksi 5 mg Ampul 5 23 21 7 7 7 7
44 Diazepan Tablet 2 mg Tablet 400 2,800 3,200 - - - -
45 Dietilkarbamazin Sitrat Tablet 500 mg Tablet - - - - - - -
46 Difenhidramin HCL Inj 10 mg Ampul 20 240 230 30 30 30 30
47 Digosin Tablet 0,25 mg Tablet 100 900 800 200 200 200 200
48 Doksisiklin 100 mg kapsul Kapsul - - - - - - -
49 Efedrin HCL Tablet 25 mg Tablet - - - - - - -
50 Ekstrak Beladona Tablet 10 mg Tablet - 3,000 2,000 1,000 1,000 1,000 1,000
51 Epinefrin HCL/Bitartrat Ampul 10 70 80 - - - -
52 Eritromisin 500 mg Tablet - - - - - - -
53 Eritromisin Sirop Kering Botol - - - - - - -
54 Eritromisisn 250 mg Tablet - - - - - - -
55 Etakridin (Rivanol ) Botol 2 17 14 5 5 5 5
56 Etanol 70 % -1000 ml Botol 2 11 13 - - - -
57 Etil Klorida Semprot Botol 1 3 2 2 2 2 2
58 Euganol Cairan Botol - 1 1 - - - -
59 Fenobarbital Inj 50 Mg Ampul - - - - - - -
60 Fenobarbital Tablet 30 mg Tablet - 1,000 300 700 700 700 700
61 Fitomedion ( Vit. K1 ) Inj10 mg Ampul 10 90 70 30 30 30 30
62 Fitomedion ( Vit. K1 ) TabletSalut Tablet 200 2,000 2,000 200 200 200 200
63 Fenol Gliserol Tetes Telinga 10 mg Botol 20 144 120 44 44 44 44
64 Furosemid Tablet 40 mg Tablet - 2,000 1,900 100 100 100 100
65 Fusosemid Injeksi Ampul - 25 - 25 25 25 25
66 Garam oralit 200 ml air Sachet 300 700 800 200 200 200 200
67 Gentamisin Injeksi 80 mg Ampul - - - - - - -
68 Gentamisin Salp Kulit Tube - 25 15 10 10 10 10
69 Gentamycin Injeksi Ampul - - - - - - -
70 Gentian Violet larutan 1%-10 ml Botol - 60 60 - - - -
71 Glass lonomer Cement Set 1 3 2 2 2 2 2
72 Glibenklamid Tablet 5 mg Tablet 300 1,300 1,300 300 300 300 300
73 Gliseril Guayakolat Tablet 100 mg Tablet 2,000 19,000 19,000 2,000 2,000 2,000 2,000
74 Glukasa larutan infus 5% Steril Botol 20 120 120 20 20 20 20
75 Griseopulvin Tab 125 mg Tablet 200 1,500 1,500 200 200 200 200
76 Hidroklorotiacid 25 mg Tablet - - - - - - -
77 Hidrokortison Kream 2,5 % Tube 26 246 247 25 25 25 25
78 Ibupropen Tab 200 mg Tablet 200 3,500 3,700 - - - -
79 Infusion Set Anak Set 16 60 71 5 5 5 5
80 Infusion Set Dewasa Set 23 80 93 10 10 10 10
81 Isosorbid Tablet 5 mg Tablet - 600 400 200 200 200 200
82 IV Cateter Set - 60 55 5 5 5 5
83 Jarum Jahit ( Bedah ) No 9 s/d 14 Biji - - - - - - -
84 Jarum Suntik Set - - - - - - -
85 Kalium Diklofenak 50 mg tablet Tablet - 300 300 - - - -
86 Kalsium Hidroksida Pasta Tube - - - - - - -
87 Kalsium Laktat tablet 500 mg Tablet 1,000 15,000 13,000 3,000 3,000 3,000 3,000
88 Kapas Pembalut/ Absorben 250 mg Bungkus 2 10 10 2 2 2 2
89 Kaporit Galon - - - - - - -
90 Kasa Kompres 40/40 Steril Bungkus - 19 19 - - - -
91 Kasa Pembalut 2mx 80 cm Rol - - - - - - -
92 Kasa Pembalut 4m x 15 cm Rol - 30 30 - - - -
93 Kasa Pembalut Hidrofil 4 m x 3 cm Rol - 120 120 - - - -
94 Kassa 36x80 Rol - - - - - - -
95 Klindamisin Kapsul 150 mg Kapsul - - - - - - -
96 Kloramfenikol kap 250 mg Kapsul 200 1,800 2,000 - - - -
97 Kloramfenikol Salp mata Tube 10 192 182 20 20 20 20
98 Kloramfenikol Tetes telinga 3% Botol 20 192 182 30 30 30 30
99 Klorfeneramin ( CTM) tablet 4 mg Tablet 1,000 23,000 24,000 - - - -
100 Klorokuin tablet 150 mg Tablet - - - - - - -
101 Klorpromazin HCL Tab 25 mg Tablet - - - - - - -
102 Kotrimoksazol Suspen 240 mg Botol 50 500 500 50 50 50 50
103 Kotrimoksazol Tab 480 mg Tablet 100 2,100 2,000 200 200 200 200
104 Lidokain Komp Inj Ampul 40 300 340 - - - -
105 Lisol 50%-1000 ml Botol 1 2 1 2 2 2 2
106 Loratadine Tablet - 600 500 100 100 100 100
107 Magnesium Sulfat Inj 20 %-25 ml Vial - - - - - - -
108 Magnesium Sulfat Inj 40 %-25 ml Vial 10 - 10 - - - -
109 Masker Buah 25 300 275 50 50 50 50
110 Metilergimetrin Meleat Inj 0,200 mg- Ampul 40 420 390 70 70 70 70
111 Metilergometrin Maleat Tablet Tablet 200 2,000 2,100 100 100 100 100
112 Metoklopramid Inj Ampul - - - - - - -
113 Metronidazol 500 mg tablet Tablet 200 2,100 2,000 300 300 300 300
114 Metronidazol infus Botol - - - - - - -
115 Metronidazol Tablet 250 mg Tablet - - - - - - -
116 Monoklamper Mentol Cair Botol - - - - - - -
117 Multivitamin Kaplet Tablet - 5,200 5,200 - - - -
118 Multivitamin Sirop Botol - 506 506 - - - -
119 Mummifying Pasta Botol - - - - - - -
120 Myconazole SK Tube - 50 50 - - - -
121 Natrium Bicarbonat Tablet 500 mg Tablet 1,000 19,000 18,000 2,000 2,000 2,000 2,000
122 Natrium Klorida Larutan Infus 0,9% Botol 20 80 80 20 20 20 20
123 Nistatin Tablet Vagina 100.000 IU/g Ovula 80 - 80 - - - -
124 Norit Tablet 500 mg Tablet - - - - - - -
125 OAT FDC Katagori 1 Paket 6 45 34 17 17 17 17
126 Obat Antituberkulasis Katagori 1 Paket - 1 - 1 1 1 1
127 Obat Antituberkulasis Katagori 2 Paket - - - - - - -
128 Obat Antituberkulasis Katagori 3 Paket - - - - - - -
129 Obat Antituberkulasis Katagori Anak Paket - - - - - - -
130 Obat Antituberkulasis Sisipan Paket - - - - - - -
131 Obat Batuk Hitam 100 ml Botol 20 300 300 20 20 20 20
132 Oksigen Gas dalam tabung m3 - - - - - - -
133 Oksitetrasiklin HCL 1% Salep Mata Tube 30 150 155 25 25 25 25
134 Oksitetrasiklin HCL Salep 3% Tube 20 100 120 - - - -
135 Oksitosin Inj 10 IU/Ml-1ml Ampul - 30 30 - - - -
136 Omeprazole Tablet - 120 120 - - - -
137 Parasetamol Tablet 500 mg Tablet 2,000 29,000 30,000 1,000 1,000 1,000 1,000
138 Parasetanol sir 120 mg/5ml Botol 50 500 550 - - - -
139 Pirantel Tab125 mg Tablet - - - - - - -
140 Piridoksin Hcl (Vit B 6 ) Tablet 10 mg Tablet 1,000 20,000 19,000 2,000 2,000 2,000 2,000
141 Piroksikam Tablet - 1,500 1,200 300 300 300 300
142 Plester 5 Yard x2 Inch Rol 1 14 14 1 1 1 1
143 Polikresulen 10 ml Botol - - - - - - -
144 Popidon lodida 10 %-30ml Botol - 10 10 - - - -
145 Popidonlodida 10 %-300ml Botol 2 14 13 3 3 3 3
146 Prednison Tab 5 % Tablet 1,000 19,000 18,000 2,000 2,000 2,000 2,000
147 Primakuiin Tab 15 mg Tablet - - - - - - -
148 Propanolol HCL Tab 40 mg Tablet - - - - - - -
149 Ranitidin Injeksi Ampul 5 125 110 20 20 20 20
150 Ranitidin tablet Tablet 200 2,700 2,900 - - - -
151 Reserpin Ta 0,10 mg Tablet - - - - - - -
152 Reserpin Tablet 0,25 mg Tablet - - - - - - -
153 Retinol ( VIT A ) Kapsul 100.000 IU Kapsul - 900 900 - - - -
154 Retinol ( VIT A ) Kapsul 200.000 IU Kapsul - 2,100 2,100 - - - -
155 Retinol ( VIT A ) Kapsul 50.000 IU Kapsul - - - - - - -
156 Ringer Laktat larutan Infus Steril Botol 25 210 215 20 20 20 20
157 Salbutamol Tab 2 mg Tablet 100 1,500 1,400 200 200 200 200
158 Salep 2-4 Komb Pot 10 192 182 20 20 20 20
159 Salisil Bedak 2%- 50 mg Kotak 10 70 70 10 10 10 10
160 Sarung Tangan Buah 50 400 400 50 50 50 50
161 Semen Seng Faspat Serbuk Botol - - - - - - -
162 Serum Anti Bisa Ular Polivalen Inj 5ml Vial 1 - 1 - - - -
163 Serum Anti Difteri Vial - - - - - - -
164 Serum Anti Tetanus inj 1.500 IU Ampul 1 2 3 - - - -
165 Serum Anti Tetanus inj 20.000 IU Vial - - - - - - -
166 Sianokobalamin (Vit B12) inj 500mcg/ml-1ml Ampul 40 330 340 30 30 30 30
167 Silk (Benang bedah Sutera) No 3/0 Kotak 1 3 3 1 1 1 1
168 Simvastatin Tablet - 390 360 30 30 30 30
169 Siprofloksasin Kaplet 500 mg Tablet - - - - - - -
170 Sulfasetamida Natrium Tetes Mata15 % Botol 25 192 197 20 20 20 20
171 Tablet Tambah Darah Kom :Besi II Sulpat Tablet 2,000 69,000 70,400 600 600 600 600
172 Tempoprary Stopping Fletcher Serbuk Set - - - - - - -
173 Tetrasiklin HCL Kapsul 250 mg Kapsul 100 1,300 400 1,000 1,000 1,000 1,000
174 Tetrasiklin HCL Kapsul 500 mg Kapsul 300 700 800 200 200 200 200
175 Tiamin HCL/ (Vit B I ) inj 100 mg/ml-1ml Ampul 60 210 240 30 30 30 30
176 Tiamin HCL/Mononitrat (Vit B I ) Tab 50 mg Tablet 2,000 22,000 24,000 - - - -
177 Tramadol Tablet Tablet 200 1,100 1,250 50 50 50 50
178 Urinal Bag Set - 20 20 - - - -
179 Vaksin Anti Rabies Vero Vial - - - - - - -
180 Vitamin B Complek Tablet Tablet 1,000 21,000 20,000 2,000 2,000 2,000 2,000
181 Volly Cateter Set 2 15 17 - - - -
182 Wingneedle Set - - - - - - -
183 Zink Tablet 20 mg Tablet 300 3,700 2,800 1,200 1,200 1,200 1,200
184 Kassa 4 x 10 cm - 50 50 - - - -
 - - -

Petugas Pengelola Obat Kepala UPTD Puskesmas

Parungponteng

R Yulia Ningsih Dayat, SKM.

NIP 19690411 1991302 008 NIP 19640812 1988031011

Mengetahui,
Mengetahui Kepala Dinas Kesehatan
Kabupaten Tasikmalaya

dr. H. Oki Zulkifli Duski, M.Epid.

Pembina Utama Muda IV C
NIP. 19581016 198911 1002
 LAPORAN PENGGUNAAN OBAT 2014
DAN
RENCANA KEBUTUHAN OBAT 2015

No. Stok Stok Rata-rata Jumlah Permintaan

Nama Obat Satuan Penerimaan Pengeluaran
Obat Awal Akhir pemakaian per bln Kebutuhan per tahun
1 2 3 4 5 6 7 8 9 10
1 Acyclovir 200mg tablet Tablet 50 1,200 1,250 - 2,000 12,000
2 Acyclovir SK Tube - - - - 300 1,800 126
3 Alat Suntik 10 ml Set 15 - 15 - 200 1,200 175
4 Alat Suntik Sekali Pakai 1 ml Set 50 900 850 100 300 1,800 1,700
5 Alat Suntik Sekali Pakai 2,5 ml Set 100 2,000 1,900 200 700 4,200 2,013
6 Alat Suntik Sekali Pakai 5 ml Set 100 800 760 140 400 2,400 100
7 Albendazol Tab 400 mg Tablet 18,880 - 11,380 7,500 100 600 18,880
8 Alopurinol Tablet 100 mg Tablet 200 2,900 3,100 - 5,000 30,000 200
9 Ambroksol Tablet 100 1,400 1,500 - 5,000 30,000 100
10 Aminofilin injeksi 24 mg/ml - 10 ml Ampul 30 120 120 30 30 30
11 Aminofilin Tablet 200 mg Tablet - 2,000 1,800 200 400 - -
12 Amlodipine 5mg Tablet - 1,800 1,770 30 2,000 - -
13 Amoksisilin 500 mg Kaplet Kaplet 100 64,000 62,100 2,000 21,000 100 100
14 Amoksisilin Kapsul 250 mg Kapsul - 1,200 1,200 - 1,000 - -
15 Amoksisilin Sirup Kering 125 mg/5 ml Botol 30 1,256 1,236 50 350 30 30
16 Antalgin injeksi 250 mg/ml - 2 ml Ampul 30 360 360 30 60 30 30
17 Antalgin Tablet 500 mg Tablet 3,000 31,000 33,000 1,000 3,000 3,000 3,000
18 Antasida DOEN Tablet Tablet - 55,500 55,000 500 20,000 - -
19 Antasida Sirup Botol - 500 500 - 600 - -
20 Anti Bakteri Doen Salep Kom Pot - 400 385 15 150 - -
21 Anti Fungi Doen Kom Pot 23 288 298 13 150 23 23
22 Anti Hemoroid Doen Kom Supp - 48 48 - 1,000 - -
23 Anti Migren Doen Tablet - - - - 100 - -
24 Aqua Pro Injeksi Steril 20 ml Vial 8 140 128 20 30 8 8
25 Asam Askorbat 50 mg Tablet 1,000 5,000 5,800 200 15,000 1,000 1,000
26 Asam Mefenamat Tablet 200 8,600 8,650 150 10,000 200 200
27 Asetosal tablet 500 mg Tablet - - - - - -
28 Atropin Sulfat Injeksi 0,25 mg Ampul 12 - - 12 3 3
29 Betameson Krim 0,1% Tube 20 344 349 15 150 20 20
30 Captopril 12,5 mg Tablet 200 8,500 8,700 - 5,000 200 200
31 Captopril 25 mg Tablet - 2,000 2,000 - 8,000 - -
32 Catgut/Benang Bedah Kotak 1 11 12 - 2 1 1
33 Cefadroksil 500mg Tablet 200 3,600 3,800 - 4,000 200 200
34 Cefixime 100-200 mg Kasul Kapsul - 150 150 - 500 - -
35 Cefotaxim Injeksi Vial - - - - - -
36 Ceftriaxon Injeksi Vial - - - - - -
37 Deksametason Injeksi 5 mg Ampul 20 550 530 40 200 20 20
38 Deksametason Tablet 0,5 mg Tablet 2,000 48,000 46,800 3,200 14,000 2,000 2,000
39 Dektrometorfan Sirup 10 mg Botol 50 468 518 - 150 50 50
40 Dektrometorfan Tablet 15 mg Tablet 300 1,100 1,400 - 1,500 300 300
41 Devitalisasi Pasta Botol - - - - - -
42 Diaform New tablet Tablet - - - - 2,000 - -
43 Diazepam Injeksi 5 mg Ampul 7 20 22 5 7 7
44 Diazepan Tablet 2 mg Tablet - 5,300 4,700 600 2,000 - -
45 Dietilkarbamazin Sitrat Tablet 500 mg Tablet - - - - - -
46 Difenhidramin HCL Inj 10 mg Ampul 30 450 420 60 120 30 30
47 Digosin Tablet 0,25 mg Tablet 200 - 200 - 2,000 200 200
48 Doksisiklin 100 mg kapsul Kapsul - - - - - -
49 Efedrin HCL Tablet 25 mg Tablet - - - - 1,000 - -
50 Ekstrak Beladona Tablet 10 mg Tablet 1,000 - 1,000 - 2,000 1,000 1,000
51 Epinefrin HCL/Bitartrat Ampul - 185 173 12 30 - -
52 Eritromisin 500 mg Tablet - - - - - - -
53 Eritromisin Sirop Kering Botol - - - - - - -
54 Eritromisisn 250 mg Tablet - - - - - - -
55 Etakridin (Rivanol ) Botol 5 44 45 4 15 5 5
56 Etanol 70 % -1000 ml Botol - 11 11 - 12 - -
57 Etil Klorida Semprot Botol 2 3 5 - - 2 2
58 Euganol Cairan Botol - 2 2 - - - -
59 Fenobarbital Inj 50 Mg Ampul - - - - - - -
60 Fenobarbital Tablet 30 mg Tablet 700 500 500 700 - 700 700
61 Fitomedion ( Vit. K1 ) Inj10 mg Ampul 30 60 90 - 60 30 30
62 Fitomedion ( Vit. K1 ) TabletSalut Tablet 200 1,000 1,100 100 2,000 200 200
63 Fenol Gliserol Tetes Telinga 10 mg Botol 44 336 344 36 96 44 44
64 Furosemid Tablet 40 mg Tablet 100 3,300 3,300 100 2,000 100 100
65 Fusosemid Injeksi Ampul 25 50 60 15 60 25 25
66 Garam oralit 200 ml air Sachet 200 4,400 4,200 400 1,200 200 200
67 Gentamisin Injeksi 80 mg Ampul - - - - - - -
68 Gentamisin Salp Kulit Tube 10 10 20 - - 10 10
69 Gentamycin Injeksi Ampul - 10 10 - 30 - -
70 Gentian Violet larutan 1%-10 ml Botol - 125 121 4 30 - -
71 Glass lonomer Cement Set 2 1 3 - 2 2
72 Glibenklamid Tablet 5 mg Tablet 300 1,600 1,900 - 800 300 300
73 Gliseril Guayakolat Tablet 100 mg Tablet 2,000 44,000 44,000 2,000 10,000 2,000 2,000
74 Glukasa larutan infus 5% Steril Botol 20 280 275 25 60 20 20
75 Griseopulvin Tab 125 mg Tablet 200 4,200 4,200 200 2,000 200 200
76 Hidroklorotiacid 25 mg Tablet - 2,000 2,000 - 5,000 - -
77 Hidrokortison Kream 2,5 % Tube 25 240 265 - 200 25 25
78 Ibupropen Tab 200 mg Tablet - 34,900 34,900 - 7,000 - -
79 Infusion Set Anak Set 5 70 65 10 25 5 5
80 Infusion Set Dewasa Set 10 175 170 15 50 10 10
81 Isosorbid Tablet 5 mg Tablet 200 1,300 1,400 100 1,000 200 200
82 IV Cateter Set 5 140 141 4 50 5 5
83 Jarum Jahit ( Bedah ) No 9 s/d 14 Biji - - - - - -
84 Jarum Suntik Set - - - - - -
85 Kalium Diklofenak 50 mg tablet Tablet - 2,700 2,700 - 5,000 - -
86 Kalsium Hidroksida Pasta Tube - 1 1 - - -
87 Kalsium Laktat tablet 500 mg Tablet 3,000 25,000 27,000 1,000 7,000 3,000 3,000
88 Kapas Pembalut/ Absorben 250 mg Bungkus 2 29 28 3 7 2 2
89 Kaporit Galon - 1 1 - - -
90 Kasa Kompres 40/40 Steril Bungkus - 101 86 15 60 - -
91 Kasa Pembalut 2mx 80 cm Rol - - - - 50 - -
92 Kasa Pembalut 4m x 15 cm Rol - - - - 50 - -
93 Kasa Pembalut Hidrofil 4 m x 3 cm Rol - 125 125 - 50 - -
94 Kassa 36x80 Rol - 11 7 4 4 - -
95 Klindamisin Kapsul 150 mg Kapsul - - - - 500 - -
96 Kloramfenikol kap 250 mg Kapsul - 7,260 6,420 840 2,000 - -
97 Kloramfenikol Salp mata Tube 20 96 116 - 150 20 20
98 Kloramfenikol Tetes telinga 3% Botol 30 288 284 34 150 30 30
99 Klorfeneramin ( CTM) tablet 4 mg Tablet - 57,000 55,000 2,000 15,000 - -
100 Klorokuin tablet 150 mg Tablet - - - - - - -
101 Klorpromazin HCL Tab 25 mg Tablet - - - - - - -
102 Kotrimoksazol Suspen 240 mg Botol 50 1,300 1,300 50 300 50 50
103 Kotrimoksazol Tab 480 mg Tablet 200 12,900 12,800 300 5,000 200 200
104 Lidokain Komp Inj Ampul - 830 750 80 180 - -
105 Lisol 50%-1000 ml Botol 2 5 6 1 5 2 2
106 Loratadine Tablet 100 3,500 3,500 100 1,000 100 100
107 Magnesium Sulfat Inj 20 %-25 ml Vial - - - - - -
108 Magnesium Sulfat Inj 40 %-25 ml Vial - 258 253 5 20 - -
109 Masker Buah 50 1,300 1,300 50 500 50 50
110 Metilergimetrin Meleat Inj 0,200 mg- Ampul 70 1,860 1,930 - - 70 70
111 Metilergometrin Maleat Tablet Tablet 100 - 100 - 1,000 100 100
112 Metoklopramid Inj Ampul - 30 30 - - - -
113 Metronidazol 500 mg tablet Tablet 300 35,200 35,300 200 1,500 300 300
114 Metronidazol infus Botol - - - - - - -
115 Metronidazol Tablet 250 mg Tablet - - - - - - -
116 Monoklamper Mentol Cair Botol - - - - - - -
117 Multivitamin Kaplet Tablet - 7,500 7,200 300 2,000 - -
118 Multivitamin Sirop Botol - 266 253 13 400 - -
119 Mummifying Pasta Botol - - - - - -
120 Myconazole SK Tube - 249 239 10 150 - -
121 Natrium Bicarbonat Tablet 500 mg Tablet 2,000 14,000 16,000 - 7,000 2,000 2,000
122 Natrium Klorida Larutan Infus 0,9% Botol 20 180 180 20 60 20 20
123 Nistatin Tablet Vagina 100.000 IU/g Ovula - 200 200 - 200 - -
124 Norit Tablet 500 mg Tablet - 2,146 2,106 40 1,500 - -
125 OAT FDC Katagori 1 Paket 17 11 28 - - 17 17
126 Obat Antituberkulasis Katagori 1 Paket 1 - 1 - - 1 1
127 Obat Antituberkulasis Katagori 2 Paket - 1 1 - - - -
128 Obat Antituberkulasis Katagori 3 Paket - - - - - - -
129 Obat Antituberkulasis Katagori Anak Paket - - - - - - -
130 Obat Antituberkulasis Sisipan Paket - - - - - - -
131 Obat Batuk Hitam 100 ml Botol 20 726 721 25 150 20 20
132 Oksigen Gas dalam tabung m3 - - - - 1 - -
133 Oksitetrasiklin HCL 1% Salep Mata Tube 25 425 436 14 150 25 25
134 Oksitetrasiklin HCL Salep 3% Tube - 225 225 - 150 - -
135 Oksitosin Inj 10 IU/Ml-1ml Ampul - 970 970 - 50 - -
136 Omeprazole Tablet - 780 780 - 2,000 - -
137 Parasetamol Tablet 500 mg Tablet 1,000 56,000 55,300 1,700 15,000 1,000 1,000
138 Parasetanol sir 120 mg/5ml Botol - 1,344 1,305 39 200 - -
139 Pirantel Tab125 mg Tablet - - - - - -
140 Piridoksin Hcl (Vit B 6 ) Tablet 10 mg Tablet 2,000 9,000 11,000 - 15,000 2,000 2,000
141 Piroksikam Tablet 300 1,700 2,000 - 5,000 300 300
142 Plester 5 Yard x2 Inch Rol 1 25 21 5 10 1 1
143 Polikresulen 10 ml Botol - - - - - -
144 Popidon lodida 10 %-30ml Botol - 63 63 - 15 - -
145 Popidonlodida 10 %-300ml Botol 3 25 28 - 10 3 3
146 Prednison Tab 5 % Tablet 2,000 - 2,000 - 15,000 2,000 2,000
147 Primakuiin Tab 15 mg Tablet - - - - - - -
148 Propanolol HCL Tab 40 mg Tablet - - - - - - -
149 Ranitidin Injeksi Ampul 20 350 330 40 120 20 20
150 Ranitidin tablet Tablet - 3,500 3,400 100 4,000 - -
151 Reserpin Ta 0,10 mg Tablet - - - - - - -
152 Reserpin Tablet 0,25 mg Tablet - - - - - - -
153 Retinol ( VIT A ) Kapsul 100.000 IU Kapsul - - - - - - -
154 Retinol ( VIT A ) Kapsul 200.000 IU Kapsul - - - - - - -
155 Retinol ( VIT A ) Kapsul 50.000 IU Kapsul - - - - - - -
156 Ringer Laktat larutan Infus Steril Botol 20 360 360 20 80 20 20
157 Salbutamol Tab 2 mg Tablet 200 1,000 1,200 - 2,000 200 200
158 Salep 2-4 Komb Pot 20 240 248 12 72 20 20
159 Salisil Bedak 2%- 50 mg Kotak 10 145 155 - 60 10 10
160 Sarung Tangan Buah 50 1,300 1,280 70 700 50 50
161 Semen Seng Faspat Serbuk Botol - 2 2 - - - -
162 Serum Anti Bisa Ular Polivalen Inj 5ml Vial - 4 4 - - - -
163 Serum Anti Difteri Vial - - - - - - -
164 Serum Anti Tetanus inj 1.500 IU Ampul - 4 4 - - - -
165 Serum Anti Tetanus inj 20.000 IU Vial - - - - - - -
166 Sianokobalamin (Vit B12) inj 500mcg/ml-1m Ampul 30 650 660 20 200 30 30
167 Silk (Benang bedah Sutera) No 3/0 Kotak 1 11 12 - 2 1 1
168 Simvastatin Tablet 30 980 1,010 - 2,000 30 30
169 Siprofloksasin Kaplet 500 mg Tablet - - - - 500 - -
170 Sulfasetamida Natrium Tetes Mata15 % Botol 20 216 236 - 120 20 20
171 Tablet Tambah Darah Kom :Besi II Sulpat Tablet 600 119,820 120,420 - 600 600
172 Tempoprary Stopping Fletcher Serbuk Set - - - - - - -
173 Tetrasiklin HCL Kapsul 250 mg Kapsul 1,000 - 1,000 - - 1,000 1,000
174 Tetrasiklin HCL Kapsul 500 mg Kapsul 200 500 520 180 500 200 200
175 Tiamin HCL/ (Vit B I ) inj 100 mg/ml-1ml Ampul 30 330 330 30 90 30 30
176 Tiamin HCL/Mononitrat (Vit B I ) Tab 50 m Tablet - 22,000 22,000 - 12,000 - -
177 Tramadol Tablet Tablet 50 - 50 - 12,000 50 50
178 Urinal Bag Set - 30 26 4 10 - -
179 Vaksin Anti Rabies Vero Vial - - - - - -
180 Vitamin B Complek Tablet Tablet 2,000 37,000 38,000 1,000 8,000 2,000 2,000
181 Volly Cateter Set - 45 42 3 20 - -
182 Wingneedle Set - - - - - -
183 Zink Tablet 20 mg Tablet 1,200 8,600 9,200 600 2,000 1,200 1,200
184 Kassa 4 x 10 cm - 100 100 - 50 - -
10 10 - 10
 - - - -
5 -
45

Petugas Pengelola Obat Kepala UPTD Puskesmas -

Parungponteng

R Yulia Ningsih Dayat, SKM.

NIP 19690411 1991302 008 NIP 19640812 1988031011

Mengetahui,
Mengetahui Kepala Dinas Kesehatan
Kabupaten Tasikmalaya

dr. H. Oki Zulkifli Duski, M.Epid.

Pembina Utama Muda IV C
NIP. 19581016 198911 1002