LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

SUB UNIT PELAYANAN PUSKESMAS MAHALONA

SUB UNIT PELAYANAN : Tole Januari

PUSKESMAS : PKM MAHALONA 2019
KAB. : LUWU TIMUR
PROPINSI : SULAWESI SELATAN

STOK PENERIMA PEMAKAIA STOK PERMINTA

NO NAMA OBAT SATUAN
AWAL AN N AKHIR AN

1 Alat Suntik Sekali Pakai 1 ml SET 3 5 8

2 Alat Suntik Sekali Pakai 2,5 ml / 3 ml Set 5 5

3 Alat Suntik Sekali Pakai 5 ml Set 4 4
4 Alkohol Swab - 0
5 Bisturi No.11 Pcs - 0
6 Blood lancet - 0
7 Catgut / Benang Bedah No. 3/0 dan 2/0 dgn ja Set - 0
8 Cuticell Classic 10 cm x 10 cm - 0
9 Devitalisasi pasta (non arsen) Tube - 0
10 Disable Syringes 0,05 ml Set - 0
11 Disable Syringes 0,5 ml Set - 0
12 Etakridin (rivanol) larutan 0,1 % Botol - 0
13 Etanol 70% Botol - 0
14 Fixomull Stretch 5 cm x 5 cm - 0
15 Folley catheter No.14 Pcs - 0
16 Folley catheter No.16 Pcs - 0
17 Folley catheter No.18 Pcs - 0
18 GC Tooth Mouse Tube - 0
19 Glass lonomer cement (gc ix ) Set - 0
20 Handscoen Ginecolog - 0
21 Hanscoen ( Steril ) Pasang 5 5
22 Hanscoen Non Steril Pasang 20 50 70
23 Infusion Set Anak Set 1 1
24 Infusion Set Dewasa Set 1 1
25 Iodine Tes Botol - 0
26 IV Catheter No. 18 Buah 2 2
27 IV Catheter No. 20 Buah 2 2
28 IV Catheter No. 22 Buah 2 2
29 IV Catheter No. 24 Buah 2 2
30 IV Catheter No. 26 Buah - 0
31 Jarum jahit ( bedah ) no. 10 Set - 0
32 Jarum jahit ( bedah ) no. 11 Set - 0
33 Jarum jahit ( bedah ) no. 12 Set - 0
34 Jarum jahit ( bedah ) no. 13 Set - 0
35 Jarum jahit ( bedah ) no. 14 Set - 0
36 Jarum jahit ( bedah ) no. 9 Set - 0
37 Kalsium hidroksida pasta Tube - 0
38 Kapas pembalut/absorben 250 mg Gulung - 0
39 Kasa kompres 40/40 steril Bungkus - 0
40 Kasa pembalut 2 m x 80 cm Rol - 0
41 Kasa pembalut hidrofil 4 m x 15 cm Rol - 2 2
42 Kasa Pembalut Hidrofil 4 x 10 cm Roll - 0
43 Kasa Pembalut Hidrofil 38 Yds x 80 cm Roll - 0
44 Klorfenol kamfer mentol (CHKM) Botol - 0
45 Larutan Benedict Botol - 0
46 Larutan dental mercuri Botol - 0
47 Larutan giemsa stain Botol - 0
48 Larutan HCl Alkohol 3 % Botol - 0
49 Larutan Karbol Fuchsin 0,3% Botol - 0
50 Larutan Methylen Blue 0,3 % Botol - 0
51 Larutan pemutih gigi / Remover Staint Botol - 0
52 Larutan turk Botol - 0
53 Leukomed IV Film 6 cm x 8 cm steril - 0
54 Lisol Botol - 0
55 Maag Slang 14 set - 0
56 Maag Slang 16 set - 0
57 Maag Slang 18 set - 0
58 Masker Buah 60 60
59 Masker Fogging Buah - 0
60 Mummifying Pasta Botol - 0
61 Nasal canula anak Set - 0
62 Nasal canula bayi Set - 0
63 Nasal Canula dewasa Set - 0
64 Needle Carpule Pcs - 0
65 Onemed Gluco Protein - 0
66 Pembalut Gips Rol - 0
67 Pita LILA buah - 0
68 Plester 5 yard x 2 inch Rol 1 1
69 Pot Dahak Buah - 0
70 Reagen Pemeriksaan TB Paru Paket - 0
71 Safety Box Ktk - 0
72 Semen seng fosfat serbuk dan cairan Botol - 0
73 Silk ( Benang Bedah Sutera ) No 3/0 dgn jarum Set - 3 3
74 Slide Dos - 0
75 Softpad ( underpad ) 60 x 90 - 0
76 Spon Gelatin Pcs - 0
77 Tambalan Sementara Pot - 0
78 Temporary stopping fletcher Pasang - 0
79 Tes Kehamilan strip 3 5 8
80 Umbilical Cord Klem 5 5
81 Urine bag Pcs - 0
82 Urine Rapid Test strip - 0
83 USG Gel 250 ml - 0
84 Wing Needle No. 21 G Set - 0
85 Wing Needle No. 23 G Set - 0
 86 Wing Needle No. 25 G Set - 0
87 Wing Needle No. 27 G Set - 0
88 Yodium povidon larutan 10% 30 ml Botol - 0
89 Yodium povidon larutan 10% 300 ml Botol - 1 1
90 Alat Deteksi Resiko Kehamilan (ADRK) Paket - 0
91 SD HIV-1/2 3.0 (multi) (R1) test - 0
92 Fokus Diagnostic (R2) test - 0
93 VIKIA-HIV 1/2 (R3) test - 0
94 RDT Malaria - 0
95 Laboratorium Kit - 0
96 Slide Box - 0
97 Immerision Oil - 0
98 Aximed nonwoven Fixation 5cm x 10 m - 0
99 Safety Box 2,5 L - 0
100 Needle (Jarum Suntik) - 0
101 RDT Hepatitis - 0
102 pot steril - 0
103 RDT DBD (NS1) - 0
104 ACT (Artesunate + Amodiaquin) tablet - 0
105 Albendazole Tablet - 0
106 Alopurinol tablet 100 mg Tablet 30 50 80
107 Ambroxol syrup 15 mg/ml Botol - 0
108 Ambroxol tab 30 mg Tablet 170 100 270
109 Aminofilin Injeksi 24 mg/ml - 10 ml Ampul - 0
110 Aminofilin tablet 200 mg Tablet - 0
111 Amitriptilin tab Tablet - 0
112 Amlodipin 10 mg Tablet - 0
113 Amoksisilin 500 mg Tablet 200 100 300
114 Amoksisilin Kapsul 250 mg Kapsul - 0
115 Amoksisilin sirup kering 125 mg/5 ml Botol 2 10 12
116 Ampisilin injeksi I,m/i.v 500 mg/vial Vial - 0
117 Antalgin (metampiron) tablet 500 mg Tablet - 0
118 Antalgin injeksi 250 mg/ml - 2 ml Ampul - 0
119 Antasida doen suspensi Botol 16 16
120 Antasida doen tablet kombinasi Tablet 170 100 270
121 Antibakteri doen salep kombinasi Tube - 0
122 Antifungi Kombinasi Pot - 0
123 Antihemoroid supp supp - 0
124 Antimigrain doen kombinasi Tablet - 0
125 Antiparkinson doen tablet kombinasi Tablet - 0
126 Aqua proinjeksi steril, bebas pirogen Botol - 0
127 Artemeter Injeksi Ampul - 0
128 Artesunate Injeksi Ampul - 0
129 Asam askorbat (vit c) tablet 250 mg Tablet - 0
130 Asam askorbat (vit c) tablet 50 mg Tablet 290 290
131 Asam folat tab 0,4 mg Tab - 0
132 Asam mefenamat 500 mg Tablet 240 100 340
133 Asam Traneksamat 500 mg Tablet - 0
134 Asetosal tablet 100 mg Tablet - 0
135 Asetosal tablet 500 mg Tablet - 0
136 Asetosal tablet 80 mg Tablet - 0
137 Asiklovir 200 mg Tab - 0
138 Asiklovir krim 5 % Tube - 0
139 Asiklovir tab 400 mg Tablet - 0
140 Atropin sulfat injeksi 0,25 mg/ml - 1 ml Ampul - 0
141 Atropin sulfat injeksi 0,5 mgl Ampul - 0
142 Atropin sulfat tetes mata 0,5 % Botol - 0
143 Attapulgite 600 mg Tab - 0
144 Betametason krim 0,1 % Tube 3 3
145 Bisakodil Suppositoria 10 mg supp - 0
146 Bisakodil Suppositoria 5 mg Tab - 0
147 Captopril 25 mg Tablet 120 100 220
148 Cetirizin Tab Kapsul - 0
149 Setirizin syr 5mg/ml Botol - 0
150 Cimetidin Tablet - 0
151 Ciprofloxasin 500 mg Tablet - 0
152 Clobazam 10 mg Tablet - 0
153 Clozapine 25 mg Tablet - 0
154 Darplex ( antimalaria ) Tablet - 0
155 Deksametason inj Ampul - 0
156 Deksametason tablet 0,5 mg Tablet 90 200 290
157 Diazepam 5 mg Tablet - 0
158 Diazepam inj 5 mg/ml - 2 ml Ampul - 0
159 Diazepam Rektal 10 mg/2,5 ml / Stesolid Tube - 0
160 Diazepam Rektal 5 mg/2,5 ml / Stesolid Tube - 0
161 Diazepam tablet 2 mg Tablet - 0
162 Dietilkarbamazin sitrat tablet 100 mg Tablet - 0
163 Difenhidramin hcl inj 10 mg/ml - 1 ml Ampul - 0
164 Digoksin tablet 0,25 mg Tablet - 0
165 Diltiazem 30 mg tab Tablet - 0
166 Dimenhidrinat 50 mg - 0
167 Doksisiklin 100 mg Tablet - 0
168 Domperidon Suspensi 5 mg/5 ml Botol 7 7
169 Domperidon Tab Tablet - 0
170 Efedrin hcl tablet 25 mg Tablet - 0
171 Ekstrak Belladona Tablet - 0
172 Epinefrin(adrenalin) inj 0,1 %-1 ml Ampul - 0
173 Eritromisin kapsul 500 mg Kapsul - 0
174 Eritromisin Sirup Botol - 0
175 Etil klorida semprot Botol - 0
176 Eugenol cairan Botol - 0
177 Fenobarbital injeksi 50 mg/ml - 2 Ampul - 0
178 Fenobarbital tablet 30 mg Tablet - 0
179 Fenol gliserol tetes telinga 10 % Botol - 0
180 Fitomenadion injeksi 10 mg/ml - 1 ml Ampul - 0
181 Fitomenadion injeksi 2 mg/ml - 1 ml (infant) AMPUL - 0
182 Fitomenadion tablet salut 10 mg Tablet - 0
183 Fluoksetin kap 20 mg Kapsul - 0
184 Furosemid inj 10 mg/ml Ampul - 0
185 Furosemid tablet 40 mg Tablet - 0
186 Garam oralit untuk 200 ml air Bungkus 109 109
187 Gemfibrozil 300 mg Kapsul - 0
188 Gentamisin injeksi 80 mg/2 ml Ampul - 0
189 Gentamisin salep kulit Tube - 0
190 Gentamisin sulfat tts mata 0,3 % Botol - 0
191 Gentian violet larutan 1 % Botol - 0
192 Glibenklamid tablet 5 mg Tablet - 0
193 Glimepiride 2 mg Tab - 0
194 Gliseril guayakolat tablet 100 mg Tablet - 0
195 Gliserin Botol - 0
196 Glukosa larutan infus 10 % steril Botol - 0
197 Glukosa larutan infus 5 % steril Botol - 0
198 Griseofulvin tablet 125 mg, micronized Tablet - 0
199 Glukosa kalsikus ampul - 0
200 Haloperidol 5 mg Tablet - 0
201 Haloperidol tablet 0,5 mg Tablet - 0
202 Haloperidol tablet 1,5 mg Tablet - 0
203 Haloperidol tablet 2 mg Tablet - 0
204 Haloperidol 50 mg/ml Ampul - 0
205 Haloperidol 5 mg/ml Ampul - 0
206 Hidroklorotiazid (hct) tablet 25 mg Tablet - 0
207 Hidrokortison krim 2,5 % Tube - 0
208 Hyocine H Butilbromide inj AMPUL - 0
209 Ibuprofen Suspensi 200 mg/5ml Botol - 0
210 Ibuprofen tablet 400 mg Tablet - 0
211 Isoniazid tab 100 mg Tablet - 0
212 Isosorbid dinitrat tablet subling 5 mg Tablet - 0
213 Kalsium Laktat (Kalk) tab 500 mg Tablet 110 110
214 Karbamazepin tab 200 mg Tablet - 0
215 Ketokenazol krim 2% Tube - 0
216 Ketokenazol tab 200 mg Tablet - 0
217 klindamisin kap 150 mg Kapsul - 0
218 Klonidin tab 0,15 mg Tablet - 0
219 Kloramfenikol kapsul 250 mg Kapsul - 0
220 Kloramfenikol Kapsul 500 mg - 0
221 Kloramfenikol Salep Kulit 2 % - 0
222 Kloramfenikol salep mata 1 % Tube - 0
223 Kloramfenikol suspensi 125 mg/ 5 ml Botol - 0
224 Kloramfenikol tetes mata 0,5 % Botol - 0
225 Kloramfenikol tetes telinga 3 % Botol - 0
226 Klorfeniramin maleat (ctm) tablet 4 mg Tablet 150 200 350
227 Klorokuin fosfat tablet 150 mg Tablet - 0
228 Klorpromazin hcl tablet salut 100 mg Tablet - 0
229 Klorpromazin hcl tablet salut 25 mg Tablet - 0
230 Klorpromazin inj 25 mg/ml-1ml Ampul - 0
231 Klorpromazin inj 5 mg/ml Ampul - 0
232 Kodein hcl tablet 10 mg Tablet - 0
233 Komb. Primetamin + sulfadoksin Tablet - 0
234 Kombinasi ipatropium bromida 0,5mg dan salbu ampul - 0
235 Kombipak Kategori 1 Paket - 0
236 Kotrimoksazol 480 mg Tablet Tablet - 0
237 Kotrimoksazol Suspensi Botol - 0
238 Kuinin dihidroklorida injeksi 25 % - 2 ml Ampul - 0
239 Kuinin sulfat tablet 222 mg ( 7 h2o ) Tablet - 0
240 Larutan Mengandung Elektrolit (Na 130 mEq, CI Botol - 0
241 Larutan mengandung karbohidrat + Elektrolit (NaCBotol - 0
242 Lidokain injeksi 2 % Ampul 2 2
243 Lidokain kompositum injeksi Ampul - 5 5
244 Loperamid tab 2 mg Tablet - 0
245 Loratidin Tablet - 0
246 Magnesium Sulfat Injeksi 20 %-25 ml Ampul - 0
247 Magnesium Sulfat Injeksi 40 %-25 ml Ampul - 0
248 Metformin 500 mg tablet Tab - 0
249 Metilergometrin maleat injeksi 0,200 mg-1 ml Ampul - 0
250 Metilergometrin maleat tablet salut 0,125 mg Tablet - 0
251 metilprednisolon 4 mg Tablet - 0
252 Metoklopramid injeksi 5 mg/ml Ampul - 0
253 Metoklopramid sirup 5 mg/ml Botol - 0
254 Metoklopramid tab 10 mg Tablet - 0
255 Metronidazol tablet 500 mg Tablet - 0
256 metronidazole syr Botol - 0
257 Mikonazol krim 2 % Tube 2 5 7
258 Mineral Mix Sachet - 0
259 Multivitamin Syrup Botol - 0
260 N - Asetil Sistein Kapsul 200 mg Tab - 0
261 Natrium diklofenat 50 mg Tablet - 0
262 Natrium klorida larutan infus 0,9 % steril Botol 1 1
263 Natrium Tiroksin Tablet - 0
264 Nifedipin 10 mg Tablet - 0
265 Nistatin tab 500.000UI/g Tablet - 0
266 Nistatin tablet vaginal 100.000UI/g Tablet - 0
267 OAT Kategori Sisipan Paket - 0
268 Obat anti tuberculosis kategori anak Paket - 0
269 Obat anti tuberculosis kategori I Paket - 0
270 Obat anti tuberculosis kategori II Paket - 0
271 Obat batuk (o.b.h ) cairan Botol - 0
272 Oksitetrasiklin hcl inj.I.m.50 mg/ml-10ml Vial - 0
273 Oksitetrasiklin hcl salep 3 % Tube - 0
274 Oksitetrasiklin hcl salep mata Tube - 0
275 Oksitosin injeksi 10 iu/ml - 1 ml Ampul 5 5
276 Omeprazol inj 40 mg/ml Vial - 0
277 Omeprazol Kap 20 mg Kapsul - 0
278 Papaverin injeksi 40 mg/ml Ampul - 0
279 Papaverin tab 40 mg Tablet - 0
280 Parasetamol Drops Botol 2 2
281 Parasetamol sirup 120 mg/5 ml Botol 10 10 20
282 Parasetamol tablet 500 mg Tablet 100 200 300
283 Perak Sulfodiazin Tube - 0
284 Permetrim Krim 5% Tube - 0
285 Piracetam 400 mg Tablet - 0
286 Piridoksin ( B6 ) 10mg Tab Tablet - 0
287 Piroksikam 20 mg Tablet - 0
288 Polikresulen Botol - 0
289 Prednison tablet 5 mg Tablet 110 100 210
290 Primakuin tab 15 mg Tablet - 0
291 Prokain benzil penisilin 3 juta iu/vial injeksi Vial - 0
292 Propitiourasil tablet 100 mg Tablet - 0
293 Propranolol hcl tablet 40 mg Tablet - 0
294 Pyrantel pamoat tablet 125 mg Tablet - 0
295 Pyrantel Suspensi 125 mg/5ml Botol - 0
296 Ranitidin Injeksi 25 mg/2ml Ampul - 0
297 Ranitidin Tab 150 mg Tablet - 0
298 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul - 0
299 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul - 0
300 Ringer laktat larutan infus steril Botol 1 1
301 Risperidone 2 mg - 0
302 Salbutamol Cairan ih 0,1 % AMPUL - 0
303 Salbutamol Inhalasi/Aerosol 100mcg/Dosis Botol - 0
304 Salbutamol tablet 4 mg Tablet 80 80
305 Salep 2-4 Pot - 0
306 Salisil bedak 2% Bungkus 1 1
307 Sefadroksil kapsul 500 mg Kapsul - 0
308 Sefadroksil Syrup 250 mg/5 ml Botol - 0
309 Sefotaksim injeksi 1 g Vial - 0
310 Seftriakson injeksi 1 g Vial - 0
311 Sianokobalamin (vit b 12) inj. 500 mcg/ml Ampul - 0
312 Sianokobalamin tab Tablet - 0
313 Simvastatin 10 mg Tablet - 0
314 Streptomicin serbuk inj 1000 mg/ml Vial - 0
315 Sulfacetamid sodium Botol - 0
316 Tablet tambah darah Tablet - 300 300
317 Taburia Sach Sachet - 0
318 Tamiflu Kapsul - 0
319 Tetrakain hcl tetes mata Botol - 0
320 Tetrasiklinhcl kapsul 250 mg Kapsul - 0
321 Tetrasiklinhcl kapsul 500 mg Kapsul - 0
322 Tiamin hcl ( vit b1 ) inj. Ampul - 0
323 Tiamin hcl mononitrat 50 mg / Vit B1 Tablet 30 100 130
324 Tiampenikol tab 500 mg Tablet - 0
325 Tramadol injeksi 50 mg/ml Ampul - 0
326 Triheksifenidil hidroklorida tab 2 mg Tablet - 0
327 Vitamin B-Compleks Tablet 150 200 350
328 Zinc dispersibel tab Tablet 100 100
329 Zinc Sirup 20 mg/5 ml Botol 5 5
330 Vaksin Anti Influenza Kuur - 0
331 Vaksin Anti Rabies Kuur - 0
332 Vaksin HB PID Kantong 0,5ml - 0
333 Vaksin BCG + Pelarut vial 1 ml - 0
334 Vaksin Polio ( bOPV ) vial 1 ml - 0
335 Vaksin DPT-HB-HIB vial 2,5 ml - 0
336 Vaksin IPV vial 2,5 ml - 0
337 Vaksin Campak + Pelarut vial 5 ml - 0
338 Vaksin TD ( Tetanus Difteri ) vial 5 ml - 0
339 Vaksin DT ( Difteri Tetanus ) vial 5 ml - 0
340 Efavirenz (EFV) 600 mg tablet - 0
341 Lamivudine (3TC) 150 mg tablet - 0
342 Nevirapine (NVP) 200 mg Tablet - 0
343 Tenofovir (TDF) 300 mg Tablet - 0
344 Triple FDC Dewasa (TDF300+3TC300+EFV600) Tablet - 0
345 Triple FDC Ped (ZDV60+3TC30+NVP50) Tablet - 0
346 Zidovudine (ZDV) 100 mg Tablet - 0
347 Zidovudine 300 mg + Lamivudine 150 mg (DUVI Tablet - 0
348 Xylocain spray/ lidokain spray oral 10% Botol - 0
349 Betahistin Tablet - 0
350 Bisakodil tab 5 mg Tablet - 0
351 Ketorolak Injeksi AMPUL - 0
352 Kotrimoksasole Adult Forte tablet - 0
353 Lactulose Syrup Botol - 0
354 Vaksin Meningitis Vial - 0
355 Vaksin HBIG Vial - 0
356 Human Hexagon Spilis Test - 0
357 RPR Focus Test - 0
358 Micropipet 60 Pcs - 0
359 Micropipet 61 Pcs - 0
360 Pipet TIPS Pcs - 0
361 Vaksin Measles Rubella (MR) + Pelarut Vial 5 ml - 0
Program - 0
1 Albendazole - 0
2 fenobarbital injeksi 50 mg/ml - 2 Ampul - 0
3 obat anti tuberculosis kategori 1 paKET - 0
4 Obat anti tuberculosis kategori II Paket - 0
5 Primakuin tab 15 mg Tablet - 0
6 Garam oralit untuk 200 ml air Bungkus - 0
7 Retinol (Vitamin A) 200.000 IU kapsul lunak kapsul - 0
8 Safety box buah 1 1
9 Zinc dispersibel tab Tab 18 18
10 pot dahak buah - 0
11 Gentamicin Injeksi Ampul - 0
12 Fitomenadion injeksi 2 mg/ml Ampul - 0
13 Alat Deteksi Resiko Kehamilan (ADRK) Paket - 0
14 SD HIV-1/2 3.0 (multi) (R1) test - 0
15 Mineral Mix Sachet - 0
16 Darplex Tablet - 0
17 Iodine Tes botol - 0
18 RDT Hepatitis strip - 0
19 Retinol (Vitamin A) 100.000 IU kapsul lunak - 0
20 RDT DBD (NS1) - 0
21 Vaksin HB PID Kantong 0,5 ml 0
22 Vaksin BCG + Pelarut Vial 1 ml 0
23 Vaksin Polio (bOPV) Vial 1 ml 0
24 Vaksin DPT-HB-HIB Vial 2,5 ml 0
25 Vaksin IPV Vial 2,5 ml 0
26 Vaksin Campak + Pelarut Vial 5 ml 0
27 Vaksin TD (Tetanus Difteri) Vial 5 ml 0
28 Vaksin DT (Difteri Tetanus) Vial 5 ml 0
29 Alat Suntik Sekali Pakai 5 ml Set 0
30 Vaksin MR Vial 0
31 Disable Syringes 0,5 ml Set 0
32 Human Hexagon Spilis test - 0
APBD PUSKESMAS - 0
1 Spiritus botol - 0
2 Larutan HCL 0,1 N Botol - 0
3 Steril Water Botol - 0
4 Kertas puyer Bks - 0
5 Sak Obat 5 x 8 cm Bks - 0
6 Sak Obat 8 X 12 cm Bks - 0
7 Klip Plastik 5x8 cm Bungkus - 0
8 Kertas Puyer Bungkus - 0
9 Kertas Puyer Press Bungkus - 0
- 0
JKN - 0
1 Piroxicam Tab kapsul - 0
2 Ambroxol Syr Botol 10 10 20
3 Digoxin Tablet - 0
4 Ambroxol tab 30 mg Tab - 0
5 Aseptic gel 500 cc + Dispenser OM Botol - 0
6 Bisturi Buah - 0
7 Jelly Dopler Botol - 0
8 Under Pad Pak - 0
9 Gliceril Guaicolate Tab - 0
10 Salbutamol 4 mg Tab Tablet - 0
11 Ketorolak Injeksi Ampul - 0
12 Metoklopramide Tablet Tablet - 0
13 Gliceril Guaicolate Tab - 0
14 Piroxicam 10 Mg Tab - 0
BMHP - 0
1 RDT Malaria Strip - 0
2 Urine Gluco Protein pH Test strip - 0
3 Needle Septoject Buah - 0
4 Strip Asam Urat Strip - 0
5 Strip Gula Darah Strip - 0
6 Strip HB Strip - 0
TRANSMIGRASI - 0
2 Cefadroxil Syr 125mg botol - 0
3 Griseofulvin Tablet Tablet - 0
10 Hanscoen Non Steril Buah - 0
11 Klorfeniramin maleat (ctm) tablet 4 mg Tablet - 0
12 Vitamin B-Compleks Tablet - 0
13 Metronidazole Tablet - 0
14 Mecobalamin Tablet - 0
1 Alat suntik sekali pakai 3 ml Set - 0
2 Alkohol 100 ml Botol - 0
5 Amoxicillin susp Botol - 0
7 Antalgin 500 Tablet - 0
8 Antasida doen Tablet - 0
9 Antasida susp Botol - 0
11 Amlodipine 5 mg Tablet - 0
12 Betametason krim 0,1% Tube - 0
13 Betadine 5 ml Botol - 0
14 Bioplacenton Tube - 0
15 Bedak salicyl 60 gram Botol - 0
16 Captopril 25 mg Tablet - 0
18 Cotrimoxasole Tablet - 0
19 Cotrimoxasole susp Botol - 0
22 Domperidone Tablet - 0
23 Gliceril guaicolate Tablet - 0
24 Hidrocortison krim 2,5% Tube - 0
26 Kalk 50 mg Tablet - 0
27 Ketonasole krim 2% Tube - 0
28 Kasa pembalut Roll - 0
29 Loperamid tab 2 mg Tablet - 0
30 Lidocain injeksi 2 % Ampul - 0
31 Metronidazol tablet 500 mg Tablet - 0
32 Masker Pck - 0
33 OBH Combi 6o ml Botol - 0
34 OBH Combi 100 ml Botol - 0
35 Oxytetracilin hcl slp kulit Tube - 0
36 Oxytetracilin hcl slp mata Tube - 0
37 Papaverine botol - 0
38 Piridoxin (B6) 10 mg Tablet - 0
39 Prednison 5 mg Tablet - 0
40 Paracetamol 500 mg Tablet - 0
41 Rivanol 100 ml Botol - 0
42 Ranitidin Tablet - 0
43 Sianokobalamin (B 12) Tablet - 0
44 Salbutamol 2 mg tablet - 0
45 Tiamphenicol 500mg Tablet - 0
46 Tiamin Hcl (B1) Tablet - 0
47 Tes Kehamilan strip - 0
48 Uni Baby's cought 60 ml Botol - 0
49 Vitamin B-bompleks Tablet - 0
- 0
BHP DAK - 0
1 Strip Asam Urat strip - 0
2 Strip Kolesterol strip - 0
3 Strip Glukosa strip - 0
4 Blood Lancet Buah - 0
5 Alkohol Swab Buah - 0
6 Jelly Dopler Botol - 0
7 Aseptik gel refill 5 Liter Galon - 0
8 Strip HB strip - 0
9 Bisturi Buah - 10 10
BHP DAK 2017 / PTM - 0
1 Strip Kolesterol strip - 0
2 Strip Glukosa strip - 0
3 Blood Lancet strip - 0
4 STRIP GDS strip - 0
4 Alkohol Swab strip - 0

BKKBN - 0
1 Suntik KB 3 Bulan Vial 9 20 29
2 Spoit 3 cc Buah 9 20 29
3 Pil KB Strip 4 10 14
7 Susuk KB II Buah - 0
8 Dermatix Buah - 0
9 Handscoen Steril Buah - 0
10 Lidocain injeksi 2 % Ampul - 0
11 IUD Copper T Buah - 0
12 Spoit Lidocain Buah - 0
13 Povidon Iodin botol - 0
14 Masker Buah - 0
15 Kondom Buah - 0

Penanggung Jawab Obat Bidan Penanggung Jawab Pustu

UPTD Puskesmas Mahalona : Tole

Hamka Achmad, Amd.F Ayu Lestari, Amd.keb

Nip: 19881129 201001 1 003

Mengetahui
Kepala Puskesmas
 Hardian Waly, S.Kep.,Ns
Nip: 19820920 200902 1 005
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN PUSKESMAS MAHALONA

SUB UNIT PELAYANAN : Pustu Tole Februari

PUSKESMAS : PKM MAHALONA 2019
KAB. : LUWU TIMUR
PROPINSI : SULAWESI SELATAN

STOK PENERIMA PEMAKAIA STOK PERMINTA

NO NAMA OBAT SATUAN
AWAL AN N AKHIR AN

1 Alat Suntik Sekali Pakai 1 ml SET 8 - 8

2 Alat Suntik Sekali Pakai 2,5 ml / 3 ml Set - 4 4

3 Alat Suntik Sekali Pakai 5 ml Set 4 - 4
4 Alkohol Swab - - 0
5 Bisturi No.11 Pcs - - 0
6 Blood lancet - - 0
7 Catgut / Benang Bedah No. 3/0 dan 2/0 dgn ja Set - - 0
8 Cuticell Classic 10 cm x 10 cm - - 0
9 Devitalisasi pasta (non arsen) Tube - - 0
10 Disable Syringes 0,05 ml Set - - 0
11 Disable Syringes 0,5 ml Set - - 0
12 Etakridin (rivanol) larutan 0,1 % Botol - 1 1
13 Etanol 70% Botol - - 0
14 Fixomull Stretch 5 cm x 5 cm - - 0
15 Folley catheter No.14 Pcs - - 0
16 Folley catheter No.16 Pcs - - 0
17 Folley catheter No.18 Pcs - - 0
18 GC Tooth Mouse Tube - - 0
19 Glass lonomer cement (gc ix ) Set - - 0
20 Handscoen Ginecolog - - 0
21 Hanscoen ( Steril ) Pasang 4 - 4
22 Hanscoen Non Steril Pasang 60 - 60
23 Infusion Set Anak Set 1 - 1
24 Infusion Set Dewasa Set 1 - 1
25 Iodine Tes Botol - - 0
26 IV Catheter No. 18 Buah 2 - 2
27 IV Catheter No. 20 Buah 2 - 2
28 IV Catheter No. 22 Buah 2 - 2
29 IV Catheter No. 24 Buah 2 - 2
30 IV Catheter No. 26 Buah - - 0
31 Jarum jahit ( bedah ) no. 10 Set - - 0
32 Jarum jahit ( bedah ) no. 11 Set - - 0
33 Jarum jahit ( bedah ) no. 12 Set - - 0
34 Jarum jahit ( bedah ) no. 13 Set - - 0
35 Jarum jahit ( bedah ) no. 14 Set - - 0
36 Jarum jahit ( bedah ) no. 9 Set - - 0
37 Kalsium hidroksida pasta Tube - - 0
38 Kapas pembalut/absorben 250 mg Gulung - - 0
39 Kasa kompres 40/40 steril Bungkus - - 0
40 Kasa pembalut 2 m x 80 cm Rol - - 0
41 Kasa pembalut hidrofil 4 m x 15 cm Rol 2 - 2
42 Kasa Pembalut Hidrofil 4 x 10 cm Roll - - 0
43 Kasa Pembalut Hidrofil 38 Yds x 80 cm Roll - - 0
44 Klorfenol kamfer mentol (CHKM) Botol - - 0
45 Larutan Benedict Botol - - 0
46 Larutan dental mercuri Botol - - 0
47 Larutan giemsa stain Botol - - 0
48 Larutan HCl Alkohol 3 % Botol - - 0
49 Larutan Karbol Fuchsin 0,3% Botol - - 0
50 Larutan Methylen Blue 0,3 % Botol - - 0
51 Larutan pemutih gigi / Remover Staint Botol - - 0
52 Larutan turk Botol - - 0
53 Leukomed IV Film 6 cm x 8 cm steril - - 0
54 Lisol Botol - - 0
55 Maag Slang 14 set - - 0
56 Maag Slang 16 set - - 0
57 Maag Slang 18 set - - 0
58 Masker Buah 50 - 50
59 Masker Fogging Buah - - 0
60 Mummifying Pasta Botol - - 0
61 Nasal canula anak Set - - 0
62 Nasal canula bayi Set - - 0
63 Nasal Canula dewasa Set - - 0
64 Needle Carpule Pcs - - 0
65 Onemed Gluco Protein - - 0
66 Pembalut Gips Rol - - 0
67 Pita LILA buah - - 0
68 Plester 5 yard x 2 inch Rol - - 0
69 Pot Dahak Buah - - 0
70 Reagen Pemeriksaan TB Paru Paket - - 0
71 Safety Box Ktk - - 0
72 Semen seng fosfat serbuk dan cairan Botol - - 0
73 Silk ( Benang Bedah Sutera ) No 3/0 dgn jarum Set 3 - 3
74 Slide Dos - - 0
75 Softpad ( underpad ) 60 x 90 - - 0
76 Spon Gelatin Pcs - - 0
77 Tambalan Sementara Pot - - 0
78 Temporary stopping fletcher Pasang - - 0
79 Tes Kehamilan strip 6 - 6
 80 Umbilical Cord Klem 5 - 5
81 Urine bag Pcs - - 0
82 Urine Rapid Test strip - - 0
83 USG Gel 250 ml - - 0
84 Wing Needle No. 21 G Set - - 0
85 Wing Needle No. 23 G Set - - 0
86 Wing Needle No. 25 G Set - - 0
87 Wing Needle No. 27 G Set - - 0
88 Yodium povidon larutan 10% 30 ml Botol - - 0
89 Yodium povidon larutan 10% 300 ml Botol 1 - 1
90 Alat Deteksi Resiko Kehamilan (ADRK) Paket - - 0
91 SD HIV-1/2 3.0 (multi) (R1) test - - 0
92 Fokus Diagnostic (R2) test - - 0
93 VIKIA-HIV 1/2 (R3) test - - 0
94 RDT Malaria - - 0
95 Laboratorium Kit - - 0
96 Slide Box - - 0
97 Immerision Oil - - 0
98 Aximed nonwoven Fixation 5cm x 10 m - - 0
99 Safety Box 2,5 L - - 0
100 Needle (Jarum Suntik) - - 0
101 RDT Hepatitis - - 0
102 pot steril - - 0
103 RDT DBD (NS1) - - 0
104 ACT (Artesunate + Amodiaquin) tablet - - 0
105 Albendazole Tablet - - 0
106 Alopurinol tablet 100 mg Tablet 60 100 160
107 Ambroxol syrup 15 mg/ml Botol - - 0
108 Ambroxol tab 30 mg Tablet 150 200 350
109 Aminofilin Injeksi 24 mg/ml - 10 ml Ampul - - 0
110 Aminofilin tablet 200 mg Tablet - - 0
111 Amitriptilin tab Tablet - - 0
112 Amlodipin 10 mg Tablet - - 0
113 Amoksisilin 500 mg Tablet - 400 400
114 Amoksisilin Kapsul 250 mg Kapsul - - 0
115 Amoksisilin sirup kering 125 mg/5 ml Botol 10 - 10
116 Ampisilin injeksi I,m/i.v 500 mg/vial Vial - - 0
117 Antalgin (metampiron) tablet 500 mg Tablet - - 0
118 Antalgin injeksi 250 mg/ml - 2 ml Ampul - - 0
119 Antasida doen suspensi Botol 14 - 14
120 Antasida doen tablet kombinasi Tablet 40 300 340
121 Antibakteri doen salep kombinasi Tube - - 0
122 Antifungi Kombinasi Pot - - 0
123 Antihemoroid supp supp - - 0
124 Antimigrain doen kombinasi Tablet - - 0
125 Antiparkinson doen tablet kombinasi Tablet - - 0
126 Aqua proinjeksi steril, bebas pirogen Botol - - 0
127 Artemeter Injeksi Ampul - - 0
128 Artesunate Injeksi Ampul - - 0
129 Asam askorbat (vit c) tablet 250 mg Tablet - - 0
130 Asam askorbat (vit c) tablet 50 mg Tablet 120 400 520
131 Asam folat tab 0,4 mg Tab - 100 100
132 Asam mefenamat 500 mg Tablet - 400 400
133 Asam Traneksamat 500 mg Tablet - - 0
134 Asetosal tablet 100 mg Tablet - - 0
135 Asetosal tablet 500 mg Tablet - - 0
136 Asetosal tablet 80 mg Tablet - - 0
137 Asiklovir 200 mg Tab - - 0
138 Asiklovir krim 5 % Tube - - 0
139 Asiklovir tab 400 mg Tablet - - 0
140 Atropin sulfat injeksi 0,25 mg/ml - 1 ml Ampul - - 0
141 Atropin sulfat injeksi 0,5 mgl Ampul - - 0
142 Atropin sulfat tetes mata 0,5 % Botol - - 0
143 Attapulgite 600 mg Tab - - 0
144 Betametason krim 0,1 % Tube 2 5 7
145 Bisakodil Suppositoria 10 mg supp - - 0
146 Bisakodil Suppositoria 5 mg Tab - - 0
147 Captopril 25 mg Tablet 100 100 200
148 Cetirizin Tab Kapsul - - 0
149 Setirizin syr 5mg/ml Botol - - 0
150 Cimetidin Tablet - - 0
151 Ciprofloxasin 500 mg Tablet - - 0
152 Clobazam 10 mg Tablet - - 0
153 Clozapine 25 mg Tablet - - 0
154 Darplex ( antimalaria ) Tablet - - 0
155 Deksametason inj Ampul - - 0
156 Deksametason tablet 0,5 mg Tablet 40 400 440
157 Diazepam 5 mg Tablet - - 0
158 Diazepam inj 5 mg/ml - 2 ml Ampul - - 0
159 Diazepam Rektal 10 mg/2,5 ml / Stesolid Tube - - 0
160 Diazepam Rektal 5 mg/2,5 ml / Stesolid Tube - - 0
161 Diazepam tablet 2 mg Tablet - - 0
162 Dietilkarbamazin sitrat tablet 100 mg Tablet - - 0
163 Difenhidramin hcl inj 10 mg/ml - 1 ml Ampul - - 0
164 Digoksin tablet 0,25 mg Tablet - - 0
165 Diltiazem 30 mg tab Tablet - - 0
166 Dimenhidrinat 50 mg - - 0
167 Doksisiklin 100 mg Tablet - - 0
168 Domperidon Suspensi 5 mg/5 ml Botol 3 5 8
169 Domperidon Tab Tablet - - 0
170 Efedrin hcl tablet 25 mg Tablet - - 0
171 Ekstrak Belladona Tablet - - 0
172 Epinefrin(adrenalin) inj 0,1 %-1 ml Ampul - - 0
173 Eritromisin kapsul 500 mg Kapsul - - 0
174 Eritromisin Sirup Botol - - 0
175 Etil klorida semprot Botol - - 0
176 Eugenol cairan Botol - - 0
177 Fenobarbital injeksi 50 mg/ml - 2 Ampul - - 0
178 Fenobarbital tablet 30 mg Tablet - - 0
179 Fenol gliserol tetes telinga 10 % Botol - - 0
180 Fitomenadion injeksi 10 mg/ml - 1 ml Ampul - - 0
181 Fitomenadion injeksi 2 mg/ml - 1 ml (infant) AMPUL - - 0
182 Fitomenadion tablet salut 10 mg Tablet - - 0
183 Fluoksetin kap 20 mg Kapsul - - 0
184 Furosemid inj 10 mg/ml Ampul - - 0
185 Furosemid tablet 40 mg Tablet - - 0
186 Garam oralit untuk 200 ml air Bungkus 64 - 64
187 Gemfibrozil 300 mg Kapsul - - 0
188 Gentamisin injeksi 80 mg/2 ml Ampul - - 0
189 Gentamisin salep kulit Tube - - 0
190 Gentamisin sulfat tts mata 0,3 % Botol - - 0
191 Gentian violet larutan 1 % Botol - - 0
192 Glibenklamid tablet 5 mg Tablet - - 0
193 Glimepiride 2 mg Tab - - 0
194 Gliseril guayakolat tablet 100 mg Tablet - - 0
195 Gliserin Botol - - 0
196 Glukosa larutan infus 10 % steril Botol - - 0
197 Glukosa larutan infus 5 % steril Botol - - 0
198 Griseofulvin tablet 125 mg, micronized Tablet - - 0
199 Glukosa kalsikus ampul - - 0
200 Haloperidol 5 mg Tablet - - 0
201 Haloperidol tablet 0,5 mg Tablet - - 0
202 Haloperidol tablet 1,5 mg Tablet - - 0
203 Haloperidol tablet 2 mg Tablet - - 0
204 Haloperidol 50 mg/ml Ampul - - 0
205 Haloperidol 5 mg/ml Ampul - - 0
206 Hidroklorotiazid (hct) tablet 25 mg Tablet - - 0
207 Hidrokortison krim 2,5 % Tube - - 0
208 Hyocine H Butilbromide inj AMPUL - - 0
209 Ibuprofen Suspensi 200 mg/5ml Botol - - 0
210 Ibuprofen tablet 400 mg Tablet - - 0
211 Isoniazid tab 100 mg Tablet - - 0
212 Isosorbid dinitrat tablet subling 5 mg Tablet - - 0
213 Kalsium Laktat (Kalk) tab 500 mg Tablet - 100 100
214 Karbamazepin tab 200 mg Tablet - - 0
215 Ketokenazol krim 2% Tube - - 0
216 Ketokenazol tab 200 mg Tablet - - 0
217 klindamisin kap 150 mg Kapsul - - 0
218 Klonidin tab 0,15 mg Tablet - - 0
219 Kloramfenikol kapsul 250 mg Kapsul - - 0
220 Kloramfenikol Kapsul 500 mg - - 0
221 Kloramfenikol Salep Kulit 2 % - - 0
222 Kloramfenikol salep mata 1 % Tube - - 0
223 Kloramfenikol suspensi 125 mg/ 5 ml Botol - - 0
224 Kloramfenikol tetes mata 0,5 % Botol - - 0
225 Kloramfenikol tetes telinga 3 % Botol - - 0
226 Klorfeniramin maleat (ctm) tablet 4 mg Tablet 100 300 400
227 Klorokuin fosfat tablet 150 mg Tablet - - 0
228 Klorpromazin hcl tablet salut 100 mg Tablet - - 0
229 Klorpromazin hcl tablet salut 25 mg Tablet - - 0
230 Klorpromazin inj 25 mg/ml-1ml Ampul - - 0
231 Klorpromazin inj 5 mg/ml Ampul - - 0
232 Kodein hcl tablet 10 mg Tablet - - 0
233 Komb. Primetamin + sulfadoksin Tablet - - 0
234 Kombinasi ipatropium bromida 0,5mg dan salbu ampul - - 0
235 Kombipak Kategori 1 Paket - - 0
236 Kotrimoksazol 480 mg Tablet Tablet - 100 100
237 Kotrimoksazol Suspensi Botol - 10 10
238 Kuinin dihidroklorida injeksi 25 % - 2 ml Ampul - - 0
239 Kuinin sulfat tablet 222 mg ( 7 h2o ) Tablet - - 0
240 Larutan Mengandung Elektrolit (Na 130 mEq, CI Botol - - 0
241 Larutan mengandung karbohidrat + Elektrolit (NaCBotol - - 0
242 Lidokain injeksi 2 % Ampul 2 - 2
243 Lidokain kompositum injeksi Ampul 5 - 5
244 Loperamid tab 2 mg Tablet - - 0
245 Loratidin Tablet - - 0
246 Magnesium Sulfat Injeksi 20 %-25 ml Ampul - - 0
247 Magnesium Sulfat Injeksi 40 %-25 ml Ampul - - 0
248 Metformin 500 mg tablet Tab - - 0
249 Metilergometrin maleat injeksi 0,200 mg-1 ml Ampul - - 0
250 Metilergometrin maleat tablet salut 0,125 mg Tablet - - 0
251 metilprednisolon 4 mg Tablet - - 0
252 Metoklopramid injeksi 5 mg/ml Ampul - - 0
253 Metoklopramid sirup 5 mg/ml Botol - - 0
254 Metoklopramid tab 10 mg Tablet - 100 100
255 Metronidazol tablet 500 mg Tablet - - 0
256 metronidazole syr Botol - - 0
257 Mikonazol krim 2 % Tube 4 - 4
258 Mineral Mix Sachet - - 0
259 Multivitamin Syrup Botol - - 0
260 N - Asetil Sistein Kapsul 200 mg Tab - - 0
261 Natrium diklofenat 50 mg Tablet - - 0
262 Natrium klorida larutan infus 0,9 % steril Botol - 5 5
263 Natrium Tiroksin Tablet - - 0
264 Nifedipin 10 mg Tablet - - 0
265 Nistatin tab 500.000UI/g Tablet - - 0
266 Nistatin tablet vaginal 100.000UI/g Tablet - - 0
267 OAT Kategori Sisipan Paket - - 0
268 Obat anti tuberculosis kategori anak Paket - - 0
269 Obat anti tuberculosis kategori I Paket - - 0
270 Obat anti tuberculosis kategori II Paket - - 0
271 Obat batuk (o.b.h ) cairan Botol - - 0
272 Oksitetrasiklin hcl inj.I.m.50 mg/ml-10ml Vial - - 0
273 Oksitetrasiklin hcl salep 3 % Tube - - 0
274 Oksitetrasiklin hcl salep mata Tube - - 0
275 Oksitosin injeksi 10 iu/ml - 1 ml Ampul 5 - 5
276 Omeprazol inj 40 mg/ml Vial - - 0
277 Omeprazol Kap 20 mg Kapsul - - 0
278 Papaverin injeksi 40 mg/ml Ampul - - 0
279 Papaverin tab 40 mg Tablet - - 0
280 Parasetamol Drops Botol - 5 5
281 Parasetamol sirup 120 mg/5 ml Botol 4 10 14
282 Parasetamol tablet 500 mg Tablet 130 300 430
283 Perak Sulfodiazin Tube - - 0
284 Permetrim Krim 5% Tube - - 0
285 Piracetam 400 mg Tablet - - 0
286 Piridoksin ( B6 ) 10mg Tab Tablet - - 0
287 Piroksikam 20 mg Tablet - - 0
288 Polikresulen Botol - - 0
289 Prednison tablet 5 mg Tablet 210 - 210
290 Primakuin tab 15 mg Tablet - - 0
291 Prokain benzil penisilin 3 juta iu/vial injeksi Vial - - 0
292 Propitiourasil tablet 100 mg Tablet - - 0
293 Propranolol hcl tablet 40 mg Tablet - - 0
294 Pyrantel pamoat tablet 125 mg Tablet - - 0
295 Pyrantel Suspensi 125 mg/5ml Botol - - 0
296 Ranitidin Injeksi 25 mg/2ml Ampul - - 0
297 Ranitidin Tab 150 mg Tablet - 100 100
298 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul - - 0
299 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul - - 0
300 Ringer laktat larutan infus steril Botol 1 - 1
301 Risperidone 2 mg - - 0
302 Salbutamol Cairan ih 0,1 % AMPUL - - 0
303 Salbutamol Inhalasi/Aerosol 100mcg/Dosis Botol - - 0
304 Salbutamol tablet 4 mg Tablet 40 - 40
305 Salep 2-4 Pot - - 0
306 Salisil bedak 2% Bungkus 1 - 1
307 Sefadroksil kapsul 500 mg Kapsul - - 0
308 Sefadroksil Syrup 250 mg/5 ml Botol - - 0
309 Sefotaksim injeksi 1 g Vial - - 0
310 Seftriakson injeksi 1 g Vial - - 0
311 Sianokobalamin (vit b 12) inj. 500 mcg/ml Ampul - - 0
312 Sianokobalamin tab Tablet - - 0
313 Simvastatin 10 mg Tablet - - 0
314 Streptomicin serbuk inj 1000 mg/ml Vial - - 0
315 Sulfacetamid sodium Botol - - 0
316 Tablet tambah darah Tablet - 300 300
317 Taburia Sach Sachet - - 0
318 Tamiflu Kapsul - - 0
319 Tetrakain hcl tetes mata Botol - - 0
320 Tetrasiklinhcl kapsul 250 mg Kapsul - - 0
321 Tetrasiklinhcl kapsul 500 mg Kapsul - - 0
322 Tiamin hcl ( vit b1 ) inj. Ampul - - 0
323 Tiamin hcl mononitrat 50 mg / Vit B1 Tablet 60 100 160
324 Tiampenikol tab 500 mg Tablet - - 0
325 Tramadol injeksi 50 mg/ml Ampul - - 0
326 Triheksifenidil hidroklorida tab 2 mg Tablet - - 0
327 Vitamin B-Compleks Tablet - - 0
328 Zinc dispersibel tab Tablet 100 - 100
329 Zinc Sirup 20 mg/5 ml Botol 1 5 6
330 Vaksin Anti Influenza Kuur - - 0
331 Vaksin Anti Rabies Kuur - - 0
332 Vaksin HB PID Kantong 0,5ml - - 0
333 Vaksin BCG + Pelarut vial 1 ml - - 0
334 Vaksin Polio ( bOPV ) vial 1 ml - - 0
335 Vaksin DPT-HB-HIB vial 2,5 ml - - 0
336 Vaksin IPV vial 2,5 ml - - 0
337 Vaksin Campak + Pelarut vial 5 ml - - 0
338 Vaksin TD ( Tetanus Difteri ) vial 5 ml - - 0
339 Vaksin DT ( Difteri Tetanus ) vial 5 ml - - 0
340 Efavirenz (EFV) 600 mg tablet - - 0
341 Lamivudine (3TC) 150 mg tablet - - 0
342 Nevirapine (NVP) 200 mg Tablet - - 0
343 Tenofovir (TDF) 300 mg Tablet - - 0
344 Triple FDC Dewasa (TDF300+3TC300+EFV600) Tablet - - 0
345 Triple FDC Ped (ZDV60+3TC30+NVP50) Tablet - - 0
346 Zidovudine (ZDV) 100 mg Tablet - - 0
347 Zidovudine 300 mg + Lamivudine 150 mg (DUVI Tablet - - 0
348 Xylocain spray/ lidokain spray oral 10% Botol - - 0
349 Betahistin Tablet - - 0
350 Bisakodil tab 5 mg Tablet - - 0
351 Ketorolak Injeksi AMPUL - - 0
352 Kotrimoksasole Adult Forte tablet - - 0
353 Lactulose Syrup Botol - - 0
354 Vaksin Meningitis Vial - - 0
355 Vaksin HBIG Vial - - 0
356 Human Hexagon Spilis Test - - 0
357 RPR Focus Test - - 0
358 Micropipet 60 Pcs - - 0
359 Micropipet 61 Pcs - - 0
360 Pipet TIPS Pcs - - 0
361 Vaksin Measles Rubella (MR) + Pelarut Vial 5 ml - - 0
Program - - 0
1 Albendazole - - 0
2 fenobarbital injeksi 50 mg/ml - 2 Ampul - - 0
3 obat anti tuberculosis kategori 1 paKET - - 0
4 Obat anti tuberculosis kategori II Paket - - 0
5 Primakuin tab 15 mg Tablet - - 0
6 Garam oralit untuk 200 ml air Bungkus - - 0
7 Retinol (Vitamin A) 200.000 IU kapsul lunak kapsul - - 0
8 Safety box buah - 1 1
9 Zinc dispersibel tab Tab 18 - 18
10 pot dahak buah - - 0
11 Gentamicin Injeksi Ampul - - 0
12 Fitomenadion injeksi 2 mg/ml Ampul - - 0
13 Alat Deteksi Resiko Kehamilan (ADRK) Paket - - 0
14 SD HIV-1/2 3.0 (multi) (R1) test - - 0
15 Mineral Mix Sachet - - 0
16 Darplex Tablet - - 0
17 Iodine Tes botol - - 0
18 RDT Hepatitis strip - - 0
19 Retinol (Vitamin A) 100.000 IU kapsul lunak - - 0
20 RDT DBD (NS1) - - 0
21 Vaksin HB PID Kantong 0,5 ml - - 0
22 Vaksin BCG + Pelarut Vial 1 ml - - 0
23 Vaksin Polio (bOPV) Vial 1 ml - - 0
24 Vaksin DPT-HB-HIB Vial 2,5 ml - - 0
25 Vaksin IPV Vial 2,5 ml - - 0
26 Vaksin Campak + Pelarut Vial 5 ml - - 0
27 Vaksin TD (Tetanus Difteri) Vial 5 ml - - 0
28 Vaksin DT (Difteri Tetanus) Vial 5 ml - - 0
29 Alat Suntik Sekali Pakai 5 ml Set - - 0
30 Vaksin MR Vial - - 0
31 Disable Syringes 0,5 ml Set - - 0
32 Human Hexagon Spilis test - - 0
 APBD PUSKESMAS - - 0
1 Spiritus botol - - 0
2 Larutan HCL 0,1 N Botol - - 0
3 Steril Water Botol - - 0
4 Kertas puyer Bks - - 0
5 Sak Obat 5 x 8 cm Bks - - 0
6 Sak Obat 8 X 12 cm Bks - - 0
7 Klip Plastik 5x8 cm Bungkus - - 0
8 Kertas Puyer Bungkus - - 0
9 Kertas Puyer Press Bungkus - - 0
- - 0
JKN - - 0
1 Piroxicam Tab kapsul - - 0
2 Ambroxol Syr Botol 11 - 11
3 Digoxin Tablet - - 0
4 Ambroxol tab 30 mg Tab - - 0
5 Aseptic gel 500 cc + Dispenser OM Botol - - 0
6 Bisturi Buah - - 0
7 Jelly Dopler Botol - - 0
8 Under Pad Pak - - 0
9 Gliceril Guaicolate Tab - - 0
10 Salbutamol 4 mg Tab Tablet - - 0
11 Ketorolak Injeksi Ampul - - 0
12 Metoklopramide Tablet Tablet - - 0
13 Gliceril Guaicolate Tab - 200 200
14 Piroxicam 10 Mg Tab - 100 100
BMHP - - 0
1 RDT Malaria Strip - - 0
2 Urine Gluco Protein pH Test strip - - 0
3 Needle Septoject Buah - - 0
4 Strip Asam Urat Strip - - 0
5 Strip Gula Darah Strip - - 0
6 Strip HB Strip - - 0
TRANSMIGRASI - - 0
2 Cefadroxil Syr 125mg botol - - 0
3 Griseofulvin Tablet Tablet - - 0
10 Hanscoen Non Steril Buah - - 0
11 Klorfeniramin maleat (ctm) tablet 4 mg Tablet - - 0
12 Vitamin B-Compleks Tablet - 300 300
13 Metronidazole Tablet - - 0
14 Mecobalamin Tablet - - 0
1 Alat suntik sekali pakai 3 ml Set - - 0
2 Alkohol 100 ml Botol - - 0
5 Amoxicillin susp Botol - - 0
7 Antalgin 500 Tablet - - 0
 8 Antasida doen Tablet - - 0
9 Antasida susp Botol - - 0
11 Amlodipine 5 mg Tablet - - 0
12 Betametason krim 0,1% Tube - - 0
13 Betadine 5 ml Botol - - 0
14 Bioplacenton Tube - - 0
15 Bedak salicyl 60 gram Botol - - 0
16 Captopril 25 mg Tablet - - 0
18 Cotrimoxasole Tablet - - 0
19 Cotrimoxasole susp Botol - - 0
22 Domperidone Tablet - - 0
23 Gliceril guaicolate Tablet - - 0
24 Hidrocortison krim 2,5% Tube - - 0
26 Kalk 50 mg Tablet - - 0
27 Ketonasole krim 2% Tube - - 0
28 Kasa pembalut Roll - - 0
29 Loperamid tab 2 mg Tablet - - 0
30 Lidocain injeksi 2 % Ampul - - 0
31 Metronidazol tablet 500 mg Tablet - - 0
32 Masker Pck - - 0
33 OBH Combi 6o ml Botol - - 0
34 OBH Combi 100 ml Botol - - 0
35 Oxytetracilin hcl slp kulit Tube - - 0
36 Oxytetracilin hcl slp mata Tube - - 0
37 Papaverine botol - - 0
38 Piridoxin (B6) 10 mg Tablet - - 0
39 Prednison 5 mg Tablet - - 0
40 Paracetamol 500 mg Tablet - - 0
41 Rivanol 100 ml Botol - - 0
42 Ranitidin Tablet - - 0
43 Sianokobalamin (B 12) Tablet - - 0
44 Salbutamol 2 mg tablet - - 0
45 Tiamphenicol 500mg Tablet - - 0
46 Tiamin Hcl (B1) Tablet - - 0
47 Tes Kehamilan strip - - 0
48 Uni Baby's cought 60 ml Botol - - 0
49 Vitamin B-bompleks Tablet - - 0
- - 0
BHP DAK - - 0
1 Strip Asam Urat strip - - 0
2 Strip Kolesterol strip - - 0
3 Strip Glukosa strip - - 0
4 Blood Lancet Buah - - 0
5 Alkohol Swab Buah - - 0
6 Jelly Dopler Botol - - 0
7 Aseptik gel refill 5 Liter Galon - - 0
8 Strip HB strip - - 0
9 Bisturi Buah 9 - 9
BHP DAK 2017 / PTM - - 0
1 Strip Kolesterol strip - - 0
2 Strip Glukosa strip - - 0
3 Blood Lancet strip - - 0
4 STRIP GDS strip - - 0
4 Alkohol Swab strip - - 0

BKKBN - - 0
1 Suntik KB 3 Bulan Vial 13 20 33
2 Spoit 3 cc Buah 13 20 33
3 Pil KB Strip 13 - 13
7 Susuk KB II Buah - - 0
8 Dermatix Buah - - 0
9 Handscoen Steril Buah - - 0
10 Lidocain injeksi 2 % Ampul - - 0
11 IUD Copper T Buah - - 0
12 Spoit Lidocain Buah - - 0
13 Povidon Iodin botol - - 0
14 Masker Buah - - 0
15 Kondom Buah - - 0

Penanggung Jawab Obat Penangggung Jawab

UPTD Puskesmas Mahalona : Pustu Tole

Hamka Achmad, Amd.F .....................................

Nip: 19881129 201001 1 003

Mengetahui
Kepala Puskesmas

Hardian Waly, S.Kep.,Ns

Nip: 19820920 200902 1 005
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN PUSKESMAS MAHALONA

SUB UNIT PELAYANAN : Tole APRIL

PUSKESMAS : PKM MAHALONA 2019
KAB. : LUWU TIMUR
PROPINSI : SULAWESI SELATAN

STOK PENERIMA PEMAKAIA STOK PERMINTA

NO NAMA OBAT SATUAN
AWAL AN N AKHIR AN

1 Alat Suntik Sekali Pakai 1 ml SET 5 2 3 5

2 Alat Suntik Sekali Pakai 3 ml Set 3 2 1 5
3 Alat Suntik Sekali Pakai 5 ml Set 4 0 4 0
4 Alkohol Swab - 0
5 Bisturi No.11 Pcs - 0
6 Blood lancet - 0
7 Catgut / Benang Bedah No. 3/0 dan 2/0 dgn ja Set 5 0 5 0
8 Cuticell Classic 10 cm x 10 cm - 0
9 Devitalisasi pasta (non arsen) Tube - 0
10 Disable Syringes 0,05 ml Set - 0
11 Disable Syringes 0,5 ml Set - 0
12 Etakridin (rivanol) larutan 0,1 % Botol 1 1 0 0
13 Etanol 70% Botol 1 1 0 0
14 Fixomull Stretch 5 cm x 5 cm - 0
15 Folley catheter No.14 Pcs - 0
16 Folley catheter No.16 Pcs - 0
17 Folley catheter No.18 Pcs - 0
18 GC Tooth Mouse Tube - 0
19 Glass lonomer cement (gc ix ) Set - 0
20 Handscoen Ginecolog - 0
21 Hanscoen ( Steril ) Pasang 4 0 4 0
22 Hanscoen Non Steril Pasang 40 30 10 100
23 Infusion Set Anak Set 1 0 1 0
24 Infusion Set Dewasa Set 1 0 1 0
25 Iodine Tes Botol - 0
26 IV Catheter No. 18 Buah 2 0 2 0
27 IV Catheter No. 20 Buah 2 0 2 0
28 IV Catheter No. 22 Buah 2 0 2 0
29 IV Catheter No. 24 Buah 2 0 2 0
30 IV Catheter No. 26 Buah - 0
31 Jarum jahit ( bedah ) no. 10 Set - 0
32 Jarum jahit ( bedah ) no. 11 Set - 0
33 Jarum jahit ( bedah ) no. 12 Set - 0
34 Jarum jahit ( bedah ) no. 13 Set - 0
35 Jarum jahit ( bedah ) no. 14 Set - 0
36 Jarum jahit ( bedah ) no. 9 Set - 0
37 Kalsium hidroksida pasta Tube - 0
38 Kapas pembalut/absorben 250 mg Gulung - 0
39 Kasa kompres 40/40 steril Bungkus - 0
40 Kasa pembalut 2 m x 80 cm Rol - 0
41 Kasa pembalut hidrofil 4 m x 15 cm Rol 1 0 1 0
42 Kasa Pembalut Hidrofil 4 x 10 cm Roll - 0
43 Kasa Pembalut Hidrofil 38 Yds x 80 cm Roll - 0 1
44 Klorfenol kamfer mentol (CHKM) Botol - 0
45 Larutan Benedict Botol - 0
46 Larutan dental mercuri Botol - 0
47 Larutan giemsa stain Botol - 0
48 Larutan HCl Alkohol 3 % Botol - 0
49 Larutan Karbol Fuchsin 0,3% Botol - 0
50 Larutan Methylen Blue 0,3 % Botol - 0
51 Larutan pemutih gigi / Remover Staint Botol - 0
52 Larutan turk Botol - 0
53 Leukomed IV Film 6 cm x 8 cm steril - 0
54 Lisol Botol - 0
55 Maag Slang 14 set - 0
56 Maag Slang 16 set - 0
57 Maag Slang 18 set - 0
58 Masker Buah 20 10 10 100
59 Masker Fogging Buah - 0
60 Mummifying Pasta Botol - 0
61 Nasal canula anak Set - 0
62 Nasal canula bayi Set - 0
63 Nasal Canula dewasa Set - 0
64 Needle Carpule Pcs - 0
65 Onemed Gluco Protein - 0
66 Pembalut Gips Rol - 0
67 Pita LILA buah - 0
68 Plester 5 yard x 2 inch Rol - 0
69 Pot Dahak Buah - 0
70 Reagen Pemeriksaan TB Paru Paket - 0
71 Safety Box Ktk - 0
72 Semen seng fosfat serbuk dan cairan Botol - 0
73 Silk ( Benang Bedah Sutera ) No 3/0 dgn jarum Set 5 0 5 0
74 Slide Dos - 0
75 Softpad ( underpad ) 60 x 90 - 0
76 Spon Gelatin Pcs - 0
77 Tambalan Sementara Pot - 0
78 Temporary stopping fletcher Pasang - 0
79 Tes Kehamilan strip - 10 1 9 0
 80 Umbilical Cord Klem 5 0 5 0
81 Urine bag Pcs - 0
82 Urine Rapid Test strip - 0
83 USG Gel 250 ml - 0
84 Wing Needle No. 21 G Set - 0
85 Wing Needle No. 23 G Set - 0
86 Wing Needle No. 25 G Set - 0
87 Wing Needle No. 27 G Set - 0
88 Yodium povidon larutan 10% 30 ml Botol - 0
89 Yodium povidon larutan 10% 300 ml Botol - 0
90 Alat Deteksi Resiko Kehamilan (ADRK) Paket - 0
91 SD HIV-1/2 3.0 (multi) (R1) test - 0
92 Fokus Diagnostic (R2) test - 0
93 VIKIA-HIV 1/2 (R3) test - 0
94 RDT Malaria - 0
95 Laboratorium Kit - 0
96 Slide Box - 0
97 Immerision Oil - 0
98 Aximed nonwoven Fixation 5cm x 10 m - 0
99 Safety Box 2,5 L - 0
100 Needle (Jarum Suntik) - 0
101 RDT Hepatitis - 0
102 pot steril - 0
103 RDT DBD (NS1) - 0
104 ACT (Artesunate + Amodiaquin) tablet - 0
105 Albendazole Tablet - 0
106 Alopurinol tablet 100 mg Tablet 100 0 100 0
107 Ambroxol syrup 15 mg/ml Botol - 0
108 Ambroxol tab 30 mg Tablet 180 100 140 140 200
109 Aminofilin Injeksi 24 mg/ml - 10 ml Ampul - 0
110 Aminofilin tablet 200 mg Tablet - 0
111 Amitriptilin tab Tablet - 0
112 Amlodipin 10 mg Tablet - 0
113 Amoksisilin 500 mg Tablet 270 100 90 280 100
114 Amoksisilin Kapsul 250 mg Kapsul 80 10 70 0
115 Amoksisilin sirup kering 125 mg/5 ml Botol 4 5 0 9 0
116 Ampisilin injeksi I,m/i.v 500 mg/vial Vial - 0
117 Antalgin (metampiron) tablet 500 mg Tablet - 0
118 Antalgin injeksi 250 mg/ml - 2 ml Ampul - 0
119 Antasida doen suspensi Botol 10 3 7 5
120 Antasida doen tablet kombinasi Tablet 340 90 250 0
121 Antibakteri doen salep kombinasi Tube - 0
122 Antifungi Kombinasi Pot - 0
123 Antihemoroid supp supp - 0
124 Antimigrain doen kombinasi Tablet - 0
125 Antiparkinson doen tablet kombinasi Tablet - 0
126 Aqua proinjeksi steril, bebas pirogen Botol - 0
127 Artemeter Injeksi Ampul - 0
128 Artesunate Injeksi Ampul - 0
129 Asam askorbat (vit c) tablet 250 mg Tablet - 0
130 Asam askorbat (vit c) tablet 50 mg Tablet 170 100 240 30 300
131 Asam folat tab 0,4 mg Tab 100 0 100 0
132 Asam mefenamat 500 mg Tablet 230 200 220 210 200
133 Asam Traneksamat 500 mg Tablet - 0
134 Asetosal tablet 100 mg Tablet - 0
135 Asetosal tablet 500 mg Tablet - 0
136 Asetosal tablet 80 mg Tablet - 0
137 Asiklovir 200 mg Tab - 0
138 Asiklovir krim 5 % Tube - 0
139 Asiklovir tab 400 mg Tablet - 0
140 Atropin sulfat injeksi 0,25 mg/ml - 1 ml Ampul - 0
141 Atropin sulfat injeksi 0,5 mgl Ampul - 0
142 Atropin sulfat tetes mata 0,5 % Botol - 0
143 Attapulgite 600 mg Tab - 0
144 Betametason krim 0,1 % Tube 5 4 1 5
145 Bisakodil Suppositoria 10 mg supp - 0
146 Bisakodil Suppositoria 5 mg Tab - 0
147 Captopril 25 mg Tablet 120 100 90 130 100
148 Cetirizin Tab Kapsul - 0
149 Cetirizin syr 5mg/ml Botol - 0
150 Cimetidin Tablet - 0
151 Ciprofloxasin 500 mg Tablet - 0
152 Clobazam 10 mg Tablet - 0
153 Clozapine 25 mg Tablet - 0
154 Darplex ( antimalaria ) Tablet - 0
155 Deksametason inj Ampul - 0
156 Deksametason tablet 0,5 mg Tablet 130 100 180 50 300
157 Diazepam 5 mg Tablet - 0
158 Diazepam inj 5 mg/ml - 2 ml Ampul - 0
159 Diazepam Rektal ( Stesolid ) 10 mg/2,5 ml Tube - 0
160 Diazepam Rektal ( Stesolid ) 5 mg/2,5 ml Tube - 0
161 Diazepam tablet 2 mg Tablet - 0
162 Dietilkarbamazin sitrat tablet 100 mg Tablet - 0
163 Difenhidramin hcl inj 10 mg/ml - 1 ml Ampul - 0
164 Digoksin tablet 0,25 mg Tablet - 0
165 Diltiazem 30 mg tab Tablet - 0
166 Dimenhidrinat 50 mg - 0
167 Doksisiklin 100 mg Tablet - 0
168 Domperidon Suspensi 5 mg/5 ml Botol 4 3 5 2 10
169 Domperidon Tab Tablet - 0
170 Efedrin hcl tablet 25 mg Tablet - 0
171 Ekstrak Belladona Tablet - 0
172 Epinefrin(adrenalin) inj 0,1 %-1 ml Ampul - 0
173 Eritromisin kapsul 500 mg Kapsul - 0
174 Eritromisin Sirup Botol - 0
175 Etil klorida semprot Botol - 0
176 Eugenol cairan Botol - 0
177 Fenobarbital injeksi 50 mg/ml - 2 Ampul - 0
178 Fenobarbital tablet 30 mg Tablet - 0
179 Fenol gliserol tetes telinga 10 % Botol - 0
180 Fitomenadion injeksi 10 mg/ml - 1 ml Ampul - 0
181 Fitomenadion injeksi 2 mg/ml - 1 ml (infant) AMPUL - 0
182 Fitomenadion tablet salut 10 mg Tablet - 0
183 Fluoksetin kap 20 mg Kapsul - 0
184 Furosemid inj 10 mg/ml Ampul - 0
185 Furosemid tablet 40 mg Tablet - 0
186 Garam oralit untuk 200 ml air Bungkus 30 10 20 0
187 Gemfibrozil 300 mg Kapsul - 0
188 Gentamisin injeksi 80 mg/2 ml Ampul - 0
189 Gentamisin salep kulit Tube - 0
190 Gentamisin sulfat tts mata 0,3 % Botol - 0
191 Gentian violet larutan 1 % Botol - 0
192 Glibenklamid tablet 5 mg Tablet - 0
193 Glimepiride 2 mg Tab - 0
194 Gliseril guayakolat tablet 100 mg Tablet - 0
195 Gliserin Botol - 0
196 Glukosa larutan infus 10 % steril Botol - 0
197 Glukosa larutan infus 5 % steril Botol - 0
198 Griseofulvin tablet 125 mg, micronized Tablet - 0
199 Glukosa kalsikus ampul - 0
200 Haloperidol 5 mg Tablet - 0
201 Haloperidol tablet 0,5 mg Tablet - 0
202 Haloperidol tablet 1,5 mg Tablet - 0
203 Haloperidol tablet 2 mg Tablet - 0
204 Haloperidol 50 mg/ml Ampul - 0
205 Haloperidol 5 mg/ml Ampul - 0
206 Hidroklorotiazid (hct) tablet 25 mg Tablet - 0
207 Hidrokortison krim 2,5 % Tube - 0
208 Hyocine H Butilbromide inj AMPUL - 0
209 Ibuprofen Suspensi 200 mg/5ml Botol - 0
210 Ibuprofen tablet 400 mg Tablet - 0
211 Isoniazid tab 100 mg Tablet - 0
212 Isosorbid dinitrat tablet subling 5 mg Tablet - 0
213 Kalsium Laktat (Kalk) tab 500 mg Tablet 200 0 200 0
214 Karbamazepin tab 200 mg Tablet - 0
215 Ketokenazol krim 2% Tube - 0
216 Ketokenazol tab 200 mg Tablet - 0
217 klindamisin kap 150 mg Kapsul - 0
218 Klonidin tab 0,15 mg Tablet - 0
219 Kloramfenikol kapsul 250 mg Kapsul - 0
220 Kloramfenikol Kapsul 500 mg - 0
221 Kloramfenikol Salep Kulit 2 % 5 1 4 0
222 Kloramfenikol salep mata 1 % Tube - 0
223 Kloramfenikol suspensi 125 mg/ 5 ml Botol - 0
224 Kloramfenikol tetes mata 0,5 % Botol - 0
225 Kloramfenikol tetes telinga 3 % Botol - 0
226 Klorfeniramin maleat (ctm) tablet 4 mg Tablet 210 210 0 0
227 Klorokuin fosfat tablet 150 mg Tablet - 0
228 Klorpromazin hcl tablet salut 100 mg Tablet - 0
229 Klorpromazin hcl tablet salut 25 mg Tablet - 0
230 Klorpromazin inj 25 mg/ml-1ml Ampul - 0
231 Klorpromazin inj 5 mg/ml Ampul - 0
232 Kodein hcl tablet 10 mg Tablet - 0
233 Komb. Primetamin + sulfadoksin Tablet - 0
234 Kombinasi ipatropium bromida 0,5mg dan salbu ampul - 0
235 Kombipak Kategori 1 Paket - 0
236 Kotrimoksazol 480 mg Tablet Tablet 100 100 0 200 0
237 Kotrimoksazol Suspensi Botol 6 5 1 10 0
238 Kuinin dihidroklorida injeksi 25 % - 2 ml Ampul - 0
239 Kuinin sulfat tablet 222 mg ( 7 h2o ) Tablet - 0
240 Larutan Mengandung Elektrolit (Na 130 mEq, CI Botol - 0
241 Larutan mengandung karbohidrat + Elektrolit (NaCl
Botol - 0
242 Lidokain injeksi 2 % Ampul - 0
243 Lidokain kompositum injeksi Ampul 10 2 8 0
244 Loperamid tab 2 mg Tablet - 0
245 Loratidin Tablet - 0
246 Magnesium Sulfat Injeksi 20 %-25 ml Ampul - 0
247 Magnesium Sulfat Injeksi 40 %-25 ml Ampul - 0
248 Metformin 500 mg tablet Tab - 0
249 Metilergometrin maleat injeksi 0,200 mg-1 ml Ampul - 0
250 Metilergometrin maleat tablet salut 0,125 mg Tablet - 0
251 metilprednisolon 4 mg Tablet - 0
252 Metoklopramid injeksi 5 mg/ml Ampul - 0
253 Metoklopramid sirup 5 mg/ml Botol - 0
254 Metoklopramid tab 10 mg Tablet 80 100 0 180 0
255 Metronidazol tablet 500 mg Tablet - 0
256 metronidazole syr Botol - 0
257 Mikonazol krim 2 % Tube 7 3 4 5
258 Mineral Mix Sachet - 0
259 Multivitamin Syrup Botol - 0
260 N - Asetil Sistein Kapsul 200 mg Tab - 0
261 Natrium diklofenak 50 mg Tablet - 0
262 Natrium klorida larutan infus 0,9 % steril Botol 4 0 4 0
263 Natrium Tiroksin Tablet - 0
264 Nifedipin 10 mg Tablet - 0
265 Nistatin tab 500.000UI/g Tablet - 0
266 Nistatin tablet vaginal 100.000UI/g Tablet - 0
267 OAT Kategori Sisipan Paket - 0
268 Obat anti tuberculosis kategori anak Paket - 0
269 Obat anti tuberculosis kategori I Paket - 0
270 Obat anti tuberculosis kategori II Paket - 0
271 Obat batuk (o.b.h ) cairan Botol - 0
272 Oksitetrasiklin hcl inj.I.m.50 mg/ml-10ml Vial - 0
273 Oksitetrasiklin hcl salep 3 % Tube - 0
274 Oksitetrasiklin hcl salep mata Tube - 0
275 Oksitosin injeksi 10 iu/ml - 1 ml Ampul 5 0 5 0
276 Omeprazol inj 40 mg/ml Vial - 0
277 Omeprazol Kap 20 mg Kapsul - 0
278 Papaverin injeksi 40 mg/ml Ampul - 0
279 Papaverin tab 40 mg Tablet - 0
280 Parasetamol Drops Botol 10 10 0 10
281 Parasetamol sirup 120 mg/5 ml Botol 1 10 11 0 15
282 Parasetamol tablet 500 mg Tablet 100 200 260 40 300
283 Perak Sulfodiazin Tube - 0
284 Permetrim Krim 5% Tube - 0
285 Piracetam 400 mg Tablet - 0
286 Piridoksin ( B6 ) 10mg Tab Tablet - 0
287 Piroksikam 20 mg Tablet - 0
288 Polikresulen Botol - 0
289 Prednison tablet 5 mg Tablet 190 10 180 0
290 Primakuin tab 15 mg Tablet - 0
291 Prokain benzil penisilin 3 juta iu/vial injeksi Vial - 0
292 Propitiourasil tablet 100 mg Tablet - 0
293 Propranolol hcl tablet 40 mg Tablet - 0
294 Pyrantel pamoat tablet 125 mg Tablet - 0
295 Pyrantel Suspensi 125 mg/5ml Botol - 0
296 Ranitidin Injeksi 25 mg/2ml Ampul - 0
297 Ranitidin Tab 150 mg Tablet 180 0 180 0
298 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul - 0
299 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul - 0
300 Ringer laktat larutan infus steril Botol 5 0 5 0
301 Risperidone 2 mg - 0
302 Salbutamol Cairan ih 0,1 % AMPUL - 0
303 Salbutamol Inhalasi/Aerosol 100mcg/Dosis Botol - 0
304 Salbutamol tablet 4 mg Tablet - 100 0 100 0
305 Salep 2-4 Pot - 0
306 Salisil bedak 2% Bungkus 1 0 1 0
307 Sefadroksil kapsul 500 mg Kapsul - 0
308 Sefadroksil Syrup 250 mg/5 ml Botol - 0
309 Sefotaksim injeksi 1 g Vial - 0
310 Seftriakson injeksi 1 g Vial - 0
311 Sianokobalamin (vit b 12) inj. 500 mcg/ml Ampul - 0
312 Sianokobalamin tab Tablet - 0
313 Simvastatin 10 mg Tablet - 90 30 60 0
314 Streptomicin serbuk inj 1000 mg/ml Vial - 0
315 Sulfacetamid sodium Botol - 0
316 Tablet tambah darah Tablet 20 300 170 150 210
317 Taburia Sach Sachet - 0
318 Tamiflu Kapsul - 0
319 Tetrakain hcl tetes mata Botol - 0
320 Tetrasiklinhcl kapsul 250 mg Kapsul - 0
321 Tetrasiklinhcl kapsul 500 mg Kapsul - 0
322 Tiamin hcl ( vit b1 ) inj. Ampul - 0
323 Tiamin hcl mononitrat 50 mg / Vit B1 Tablet 110 40 70 200
324 Tiampenikol tab 500 mg Tablet - 0
325 Tramadol injeksi 50 mg/ml Ampul - 0
326 Triheksifenidil hidroklorida tab 2 mg Tablet - 0
327 Vitamin B-Compleks Tablet 30 300 240 90 300
328 Zinc dispersibel tab Tablet 100 100 0
329 Zinc Sirup 20 mg/5 ml Botol 8 4 4 0
330 Vaksin Anti Influenza Kuur - 0
331 Vaksin Anti Rabies Kuur - 0
332 Vaksin HB PID Kantong 0,5ml - 0
333 Vaksin BCG + Pelarut vial 1 ml - 0
334 Vaksin Polio ( bOPV ) vial 1 ml - 0
335 Vaksin DPT-HB-HIB vial 2,5 ml - 0
336 Vaksin IPV vial 2,5 ml - 0
337 Vaksin Campak + Pelarut vial 5 ml - 0
338 Vaksin TD ( Tetanus Difteri ) vial 5 ml - 0
339 Vaksin DT ( Difteri Tetanus ) vial 5 ml - 0
340 Efavirenz (EFV) 600 mg tablet - 0
341 Lamivudine (3TC) 150 mg tablet - 0
342 Nevirapine (NVP) 200 mg Tablet - 0
343 Tenofovir (TDF) 300 mg Tablet - 0
344 Triple FDC Dewasa (TDF300+3TC300+EFV600) Tablet - 0
345 Triple FDC Ped (ZDV60+3TC30+NVP50) Tablet - 0
346 Zidovudine (ZDV) 100 mg Tablet - 0
347 Zidovudine 300 mg + Lamivudine 150 mg (DUVI Tablet - 0
348 Xylocain spray/ lidokain spray oral 10% Botol - 0
349 Betahistin Tablet - 0
350 Bisakodil tab 5 mg Tablet - 0
351 Ketorolak Injeksi AMPUL - 0
352 Kotrimoksasole Adult Forte tablet - 0
353 Lactulose Syrup Botol - 0
354 Vaksin Meningitis Vial - 0
355 Vaksin HBIG Vial - 0
356 Human Hexagon Spilis Test - 0
357 RPR Focus Test - 0
358 Micropipet 60 Pcs - 0
359 Micropipet 61 Pcs - 0
360 Pipet TIPS Pcs - 0
361 Vaksin Measles Rubella (MR) + Pelarut Vial 5 ml - 0
362 Multivitamin Tab Tab - 0
Program - 0
1 Albendazole - 0
2 fenobarbital injeksi 50 mg/ml - 2 Ampul - 0
3 obat anti tuberculosis kategori 1 paKET - 0
4 Obat anti tuberculosis kategori II Paket - 0
5 Primakuin tab 15 mg Tablet - 0
6 Garam oralit untuk 200 ml air Bungkus 80 10 70 0
7 Retinol (Vitamin A) 200.000 IU kapsul lunak kapsul - 0
8 Safety box buah 1 1 0 0
9 Zinc dispersibel tab Tab - 0
10 pot dahak buah - 0
11 Gentamicin Injeksi Ampul - 0
12 Fitomenadion injeksi 2 mg/ml Ampul - 0
13 Alat Deteksi Resiko Kehamilan (ADRK) Paket - 0
14 SD HIV-1/2 3.0 (multi) (R1) test - 0
15 Mineral Mix Sachet - 0
16 Darplex Tablet - 0
17 Iodine Tes botol - 0
18 RDT Hepatitis strip - 0
19 Retinol (Vitamin A) 100.000 IU kapsul lunak - 0
20 RDT DBD (NS1) - 0
21 Vaksin HB PID Kantong 0,5 ml - 0
22 Vaksin BCG + Pelarut Vial 1 ml - 0
23 Vaksin Polio (bOPV) Vial 1 ml - 0
24 Vaksin DPT-HB-HIB Vial 2,5 ml - 0
25 Vaksin IPV Vial 2,5 ml - 0
26 Vaksin Campak + Pelarut Vial 5 ml - 0
27 Vaksin TD (Tetanus Difteri) Vial 5 ml - 0
28 Vaksin DT (Difteri Tetanus) Vial 5 ml - 0
29 Alat Suntik Sekali Pakai 5 ml Set - 0
30 Vaksin MR Vial - 0
31 Disable Syringes 0,5 ml Set - 0
32 Human Hexagon Spilis test - 0
APBD PUSKESMAS - 0
1 Spiritus botol - 0
2 Larutan HCL 0,1 N Botol - 0
3 Steril Water Botol - 0
4 Kertas puyer Bks - 0
5 Sak Obat 5 x 8 cm Bks - 0
6 Sak Obat 8 X 12 cm Bks - 0 1
7 Klip Plastik 5x8 cm Bungkus - 0
8 Kertas Puyer Bungkus - 0
9 Kertas Puyer Press Bungkus - 0
10 Kantong Kresek Bungkus - 0
JKN - 0
1 Piroxicam Tab kapsul - 0
2 Ambroxol Syr Botol 6 10 16 0 15
3 Digoxin Tablet - 0
4 Ambroxol tab 30 mg Tab - 0
5 Aseptic gel 500 cc + Dispenser OM Botol - 0
6 Bisturi Buah - 0
7 Jelly Dopler Botol - 0
8 Under Pad Pak - 0
9 Gliceril Guaicolate Tab - 0
10 Salbutamol 4 mg Tab Tablet - 0
11 Ketorolak Injeksi Ampul - 0
12 Metoklopramide Tablet Tablet - 0
13 Gliceril Guaicolate Tab 100 100 100 100 100
14 Piroxicam 10 Mg Tab 60 100 0 160 0
BMHP - 0
1 RDT Malaria Strip - 0
2 Urine Gluco Protein pH Test strip - 0
3 Needle Septoject Buah - 0
4 Strip Asam Urat Strip - 0
5 Strip Gula Darah Strip - 0
6 Strip HB Strip - 0
TRANSMIGRASI - 0
2 Cefadroxil Syr 125mg botol - 0
3 Griseofulvin Tablet Tablet - 0
10 Hanscoen Non Steril Buah - 0
11 Klorfeniramin maleat (ctm) tablet 4 mg Tablet - 1,000 0 1000 0
12 Vitamin B-Compleks Tablet 40 0 40 0
13 Metronidazole Tablet - 0
14 Mecobalamin Tablet - 0
1 Alat suntik sekali pakai 3 ml Set - 0
2 Alkohol 100 ml Botol - 0
5 Amoxicillin susp Botol - 0
 7 Antalgin 500 Tablet - 0
8 Antasida doen Tablet - 0
9 Antasida susp Botol - 0
11 Amlodipine 5 mg Tablet - 0
12 Betametason krim 0,1% Tube - 0
13 Betadine 5 ml Botol - 0
14 Bioplacenton Tube - 0
15 Bedak salicyl 60 gram Botol - 0
16 Captopril 25 mg Tablet - 0
18 Cotrimoxasole Tablet - 0
19 Cotrimoxasole susp Botol - 0
22 Domperidone Tablet - 0
23 Gliceril guaicolate Tablet - 0
24 Hidrocortison krim 2,5% Tube - 0
26 Kalk 50 mg Tablet - 0
27 Ketonasole krim 2% Tube - 0
28 Kasa pembalut Roll - 0
29 Loperamid tab 2 mg Tablet - 0
30 Lidocain injeksi 2 % Ampul - 0
31 Metronidazol tablet 500 mg Tablet - 0
32 Masker Pck - 0
33 OBH Combi 6o ml Botol - 0
34 OBH Combi 100 ml Botol - 0
35 Oxytetracilin hcl slp kulit Tube - 0
36 Oxytetracilin hcl slp mata Tube - 0
37 Papaverine botol - 0
38 Piridoxin (B6) 10 mg Tablet - 0
39 Prednison 5 mg Tablet - 0
40 Paracetamol 500 mg Tablet - 0
41 Rivanol 100 ml Botol - 0
42 Ranitidin Tablet - 0
43 Sianokobalamin (B 12) Tablet - 0
44 Salbutamol 2 mg tablet - 0
45 Tiamphenicol 500mg Tablet - 0
46 Tiamin Hcl (B1) Tablet - 0
47 Tes Kehamilan strip - 0
48 Uni Baby's cought 60 ml Botol - 0
49 Vitamin B-bompleks Tablet - 0
- 0
BHP DAK - 0
1 Strip Asam Urat strip - 0
2 Strip Kolesterol strip - 0
3 Strip Glukosa strip - 0
4 Blood Lancet Buah - 0
5 Alkohol Swab Buah - 0
6 Jelly Dopler Botol - 0
7 Aseptik gel refill 5 Liter Galon - 0
8 Strip HB strip - 0
9 Bisturi Buah 9 2 7 0
BHP DAK 2017 / PTM - 0
1 Strip Kolesterol strip - 0
2 Strip Glukosa strip - 0
3 Blood Lancet strip - 0
4 STRIP GDS strip - 0
4 Alkohol Swab strip - 0

BKKBN - 0
1 Suntik KB 3 Bulan Vial 4 20 7 17 0
2 Spoit 3 cc Buah 4 20 7 17 0
3 Pil KB Strip 8 10 8 10 0
7 Susuk KB II Buah - 0
8 Dermatix Buah - 0
9 Handscoen Steril Buah - 0
10 Lidocain injeksi 2 % Ampul - 0
11 IUD Copper T Buah - 0
12 Spoit Lidocain Buah - 0
13 Povidon Iodin botol - 0
14 Masker Buah - 0
15 Kondom Buah - 0

Penanggung Jawab Obat PENANGGUNG JAWAB

UPTD Puskesmas Mahalona : Tole

Hamka Achmad, Amd.F Ayu Lestari, Amd.Keb

Nip: 19881129 201001 1 003

Mengetahui
Kepala Puskesmas

Hardian Waly, S.Kep.,Ns

Nip: 19820920 200902 1 005