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PUSKESMAS ....................

DINAS KESEHATAN KAB ENREKANG


PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

NO NAMA OBAT SATUAN

A OBAT
1 Ambroxol 30 mg Tablet
2 Ambroxol sirup Botol
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul
4 Amoxicilin Sirup Kering 125 mg/5 ml Botol
5 Amlodipine 5 mg Tablet
6 Amlodipine 10 mg Tablet
7 Antasida doen tablet kombinasi Tablet
8 Asam Traneksamat Injeksi Ampul
9 Aseptic Gel 500 ml Botol
11 Atropin sulfat injeksi Ampul
12 Betahistin Mesilat 6 mg Tablet
13 Betametason krim 0,1% Tube
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol
17 Chloramfenicol suspensi Botol
18 Chlorfeniramin maleat (CTM) 4 mg Tablet
19 Cotrimoksazol suspensi Botol
20 Deksametason inj. 5 mg/ml-1 ml Ampul
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet
23 Epinefrin injeksi Ampul
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul
26 Forumen tetes telinga Botol
27 Gentamicin salep kulit Tube
28 Guanistrep Suspensi Botol
NO NAMA OBAT SATUAN

A OBAT
29 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet
31 Kalsium laktat (kalk) 500 mg Tablet
32 Ketorolac Injeksi 10 mg Ampul
33 Ketorolac Injeksi 30 mg Ampul
34 Komposite A3 Pieces
35 Komposite A2 Pieces
36 Lidokain injeksi (Pehacain) Ampul
37 Loperamide Tablet
38 Mediamer Tablet Tablet
39 Metilprednisolon 4 mg Tablet
40 Metoclopramida Injeksi Ampul
41 Metformin 500 mg Tablet
42 Natrium diklofenak 50 mg Tablet
43 Neurosanbe Injeksi Ampul
44 Nifedipin 10 mg Tablet
45 Oksitetrasiklin Hcl salep kulit 3% Tube
46 Oksitetrasiklin Hcl salep mata 1% Tube
47 Oksitosin injeksi 10 iu/ml-1 ml Ampul
48 Omeprazol 20mg Kapsul
49 Ondansetron Injeksi Ampul
50 Paracetamol 500 mg Tablet
51 Parasetamol sirup 120 mg mg/5 ml Botol
52 Ranitidin injeksi. Ampul
53 Tablet tambah darah kombinasi (Ramabion) Tablet
54 Tambalan Sementara Botol
55 Topical Anastetikum Botol
56 Ultrasonic Gel Botol
57 Vaseline Alba Botol
58 Ventolin Nebules Vial
59 Xylestesin Ktk/50 vial
NO NAMA OBAT SATUAN

A OBAT
60 Xylestesin Vial

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces
2 Abbocath no. 20 pieces
MUTASI PENGELUARAN OBAT / BAHAN MEDIS HABIS PAKAI / ALKES TA 201
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENGELUARA
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN BULAN JANUARI 2017
S/D 31
JANUARI 2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet -
Ambroxol 30 mg (@160) Tablet -
Ambroxol 30 mg (@300) Tablet -
Ambroxol 30 mg (@220) Tablet -
2 Ambroxol sirup Botol - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472 5 5 5 5 10 5 5
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
5 Amlodipine 5 mg (@333.33) Tablet -
Amlodipine 5 mg (@340) Tablet -
Amlodipine 5 mg (@300) Tablet -
6 Amlodipine 10 mg Tablet -
7 Antasida doen tablet kombinasi Tablet 4,000
8 Asam Traneksamat Injeksi (@1100) Ampul 10
Asam Traneksamat Injeksi (@33000) Ampul 30
9 Aseptic Gel 500 ml Botol 4
10 Aseptic Gel 5 Liter Botol -
11 Atropin sulfat injeksi Ampul -
12 Betahistin Mesilat 6 mg Tablet 2,790 60 60
13 Betametason krim 0,1% (@7000) Tube 11 3
Betametason krim 0,1% (@4000) Tube -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN BULAN JANUARI 2017
S/D 31
JANUARI 2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
15 Cetrizine Tablet -
16 Chloramfenicol suspensi Botol -
17 Chlorfeniramin maleat (CTM) 4 mg Tablet -
18 Cotrimoksazol suspensi Botol -
19 Deksametason inj. 5 mg/ml-1 ml Ampul -
20 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
21 Dulcolax Tablet Tablet -
22 Epinefrin injeksi Ampul -
23 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
24 Forumen tetes telinga (@35497) Botol 6 1 1 1
Forumen tetes telinga (@31000) Botol -
Forumen tetes telinga (@32000) Botol -
25 Gentamicin salep kulit Tube 40 5 5
26 Guanistrep Suspensi (@5500) Botol -
Guanistrep Suspensi (@6000) Botol -
27 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
28 Kalsium laktat (kalk) 500 mg Tablet -
29 Ketorolac Injeksi 10 mg Ampul 20
30 Ketorolac Injeksi 30 mg (@4400) Ampul -
Ketorolac Injeksi 30 mg (@12000) Ampul -
31 Lidokain injeksi (Pehacain) Ampul 1,480
32 Loperamide (@750) Tablet -
Loperamide (@120) Tablet -
33 Mediamer Tablet Tablet -
34 Metilprednisolon 4 mg Tablet -
35 Metoclopramida Injeksi (@6600) Ampul -
Metoclopramida Injeksi (@7000) Ampul -
Metoclopramida Injeksi (@5000) Ampul -
Metoclopramida Injeksi (@6500) Ampul -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN BULAN JANUARI 2017
S/D 31
JANUARI 2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
36 Metformin 500 mg Tablet -
37 Natrium diklofenak 50 mg Tablet 1,150 100
38 Neurosanbe Injeksi (@6500) Ampul -
Neurosanbe Injeksi (@7000) Ampul -
39 Nifedipin 10 mg Tablet 200
40 Oksitetrasiklin Hcl salep kulit 3% Tube -
41 Oksitetrasiklin Hcl salep mata 1% Tube -
42 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul -
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
43 Omeprazol 20mg Kapsul -
44 Ondansetron Injeksi Ampul -
45 Paracetamol 500 mg (@175) Tablet 30,000
Paracetamol 500 mg (@190) Tablet -
46 Ranitidin injeksi (@2100.56) Ampul 12 4 2 6
Ranitidin injeksi (@3300) Ampul -
Ranitidin injeksi (@4000) Ampul -
Ranitidin injeksi (@3500) Ampul -
47 Tablet tambah darah kombinasi (Ramabion) Tablet -
48 Ultrasonic Gel Botol 7
49 Ultrasonic Gel 5 Liter Botol -
50 Vaseline Alba Botol -
51 Ventolin Nebules Vial -
52 Xylestesin (@600000) Ktk/50 vial 2
Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces -
2 Abbocath no. 24 pieces -
3 Abbocath no. 26 pieces -
4 Alat Pengukur Lingkar Lengan pieces 10
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN BULAN JANUARI 2017
S/D 31
JANUARI 2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
5 Alat Suntik Sekali Pakai 3 ml pieces -
6 Alat Suntik Sekali Pakai 5 ml pieces -
7 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 96 1 1
Alat Suntik Sekali Pakai 10 ml (@1500) pieces -
8 Bisturi No. 11 (@1650) pieces 186 5 1 2 4 6
Bisturi No. 11 (@900) pieces -
9 Bisturi No. 15 pieces 100
10 Bowl pieces 1
11 Carpule No. 12 pieces 197 1 1
12 Carpule No. 14 pieces 200
13 Catheter Nelanton No. 16 pieces -
14 Catheter Nelanton No. 18 pieces -
15 Celluloid Strip pieces 1
16 Composite Polishing Bur Kotak 1
17 Doopler (@950000) Set 1
18 Excafator pieces 3
19 Folleycatheter No. 8 pieces 2
20 Folley catheter No. 10 pieces 5
21 Folley catheter No. 16 pieces -
22 Folley catheter No.18 pieces -
23 Handscoen Non Steril (single use) (@1800) Pasang 2,850 90 60 60 60 60 120 60 270
Handscoen Non Steril (single use) (@1100) Pasang -
24 Handscoen Ginekologi (Obgin) Pasang 7
25 Head Lamp (Senter Kepala) Set -
26 Hypafix 20 cm x 5 m Roll 9 1
27 Hypafix 15 cm x 5 m Roll 2
28 Hypafix 10 cm x 5 m (@155000) Roll 5
Hypafix 10 cm x 5 m (@140000) Roll -
29 Hypafix 5 cm x 5 m (@90000) Roll 9
Hypafix 5 cm x 5 m (@80000) Roll -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN BULAN JANUARI 2017
S/D 31
JANUARI 2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
30 Hypafix 5 cm x 1 m Roll -
31 Kaca Mulut (Mirror) (@11550) pieces 3
Kaca Mulut (Mirror) (@90000) pieces -
32 Kapas absorben 500 gram Roll 2
33 Kasa pembalut 40 m x 80cm Roll -
34 Kasa pembalut hidrofil 4 m x 15 cm 9@2000) Roll -
Kasa pembalut hidrofil 4 m x 15 cm 9@3000) Roll -
35 Knabel Tang pieces 1
36 Manset Tensimeter pieces -
37 Masker (@1450) pieces 1,000
Masker (@700) pieces -
38 Masker Oksigen Anak pieces 2
39 Masker Oksigen Dewasa pieces -
40 Mortir Stamper Set -
41 Nebulizer Set 1
42 Penghisap Lendir pieces 5 1
43 Pengangga Leher pieces -
44 Pinset Gigi pieces 2
45 Plester 5 yard x 2 inch (@27500) Roll 24
Plester 5 yard x 2 inch (@41000) Roll -
46 Regulator Set -
47 Sendok Obat pieces -
48 Sendok Cetak Protesa No. 1 pieces 1
49 Sendok Cetak Protesa No. 2 pieces 1
50 Sendok Cetak Protesa No. 3 pieces 1
51 Serumen Kit Set -
52 Silk (Benang bedah sutera) No. 3/0 pieces -
53 Slang Oksigen Anak pieces -
54 Slang Oksigen dewasa (@10000) pieces -
Slang Oksigen dewasa (@15000) pieces -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN BULAN JANUARI 2017
S/D 31
JANUARI 2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
55 Slim Seher pieces 5
56 Sonde pieces 5
57 Spatele Besi pieces -
58 Suction Catheter No. 8 pieces 1
59 Suction Catheter No. 10 pieces 1
60 Suction Catheter No. 14 pieces 1
61 Suction Catheter No. 18 pieces 2
62 Tensimeter Air Raksa Set -
63 Thermometer Air Raksa pieces 10
64 Thermometer Digital pieces 10
65 Under Pad 60x90 (@7700) Pcs 100
Under Pad 60x90 (@4500) Pcs -

C LABORATORIUM
1 Aquadest steril 25 ml Botol 10 2
2 Aquadest steril 1000 ml Botol -
3 Batang Pengaduk Pieces 3
4 Deck Glass Pieces 4
5 Easy Touch Test Strip Cholesterol (@250000) Botol 22 1 1 1 1
Easy Touch Test Strip Cholesterol (@155000) Botol -
6 HbSAg (@9500) Strip 50
HbSAg (@6200) Strip -
7 Kamar Hitung Pieces -
8 Kertas Lensa Blok 3
9 Larutan Chlorin Btl/20 L 1 1
10 Larutan Ressecker Botol 5
11 Larutan Turk Botol -
12 Larutan Giemza Botol 1
13 Larutan Spiritus Botol 3
14 Lubrican Gel Botol 5
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN BULAN JANUARI 2017
S/D 31
JANUARI 2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
15 NESCO Test Kit Set -
16 NESCO Test Strip Glucosa (@175000) Botol 10
NESCO Test Strip Glucosa (@100000) Botol -
17 NESCO Test Strip Uric Acid Botol 10
18 NESCO Test Strip Chlolesterol (@250000) Botol 30
NESCO Test Strip Chlolesterol (@200000) Botol -
NESCO Test Strip Chlolesterol (@155000) Botol -
19 Oil Imersi Botol 1
20 Objek Glass (Slide) Pieces 5
21 Pipet Leukosit Pieces 4
22 Pipet Tetes Pieces 8
23 Plano test (@1460) Pieces -
Plano test (@1500) Pieces -
24 Pot Sputum Pot 271
25 Tabung EDTA Pieces -
KES TA 2017
KANG

GELUARAN

UARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - - -
-
-
-
- - - -
1 - 1
8 2 5 5 5 13 68 - 146
-
- -
-
-
- -
- 350 350
-
-
-
-
-
60 180
8 11
-
-
UARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
3
-
-
5 5 20
-
-
-
-
-
1 3 2 6
-
-
-
-
-
-
-
-
-
-
-
UARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
100 200
-
-
-
-
-
-

-
-
-
-
12
-
-
-
-
-
-
-
-
1 1
-

-
-
-
-
UARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
2
-
2 2 5 27
-
-
-
40 42
-
-
-
-
-
-
-
-
-
-
-
60 60 60 50 80 50 80 80 1,300
-
-
-
1
-
-
-
-
-
UARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
3 3
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
1 3 4

-
-
-
-
-
-
-
-
-
-
UARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
1 1
-
-
-

2
-
-
-
1 1 1 7
-
-
-
-
-
1
-
-
-
-
-
UARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
1 1
-
-
-
30 30
-
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKA
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PERSEDIAAN
NETTO JUMLAH
NO NAMA OBAT SATUAN PENERIMAAN BUL
(Per BULAN FEBRUARI
31/01/2017) 1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet - -
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet - -
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 29 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 326 - 5 5 5 -
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - -
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet - -
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet 3,650 - 100
8 Asam Traneksamat Injeksi (@1100) Ampul 10 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol 4 - 1
10 Aseptic Gel 5 Liter Botol - -
11 Atropin sulfat injeksi Ampul - -
12 Betahistin Mesilat 6 mg Tablet 2,610 -
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
15 Cetirizine Tablet - -
PERSEDIAAN
NETTO JUMLAH
NO NAMA OBAT SATUAN PENERIMAAN BUL
(Per BULAN FEBRUARI
31/01/2017) 1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
16 Chloramfenicol suspensi Botol - -
17 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
18 Cotrimoksazol suspensi Botol - -
19 Deksametason inj. 5 mg/ml-1 ml Ampul - -
20 Dexametason 0,5 mg (Ktk 200 tab) Tablet - -
21 Dulcolax Tablet Tablet - -
22 Epinefrin injeksi Ampul - -
23 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
24 Forumen tetes telinga (@35497) Botol 3 - 1
Forumen tetes telinga (@31000) Botol - -
Forumen tetes telinga (@32000) Botol - -
25 Gentamicin salep kulit Tube 20 -
26 Guanistrep Suspensi (@5500) Botol - -
Guanistrep Suspensi (@6000) Botol - -
27 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
28 Kalsium laktat (kalk) 500 mg Tablet - -
29 Ketorolac Injeksi 10 mg Ampul 14 - 8
30 Ketorolac Injeksi 30 mg (@4400) Ampul - -
Ketorolac Injeksi 30 mg (@12000) Ampul - -
31 Lidokain injeksi (Pehacain) Ampul 1,480 -
32 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
33 Mediamer Tablet Tablet - -
34 Metilprednisolon 4 mg Tablet - -
35 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul - -
Metoclopramida Injeksi (@5000) Ampul - -
Metoclopramida Injeksi (@6500) Ampul - -
36 Metformin 500 mg Tablet - -
PERSEDIAAN
NETTO JUMLAH
NO NAMA OBAT SATUAN PENERIMAAN BUL
(Per BULAN FEBRUARI
31/01/2017) 1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
37 Natrium diklofenak 50 mg Tablet 950 - 100
38 Neurosanbe Injeksi (@6500) Ampul - -
Neurosanbe Injeksi (@7000) Ampul - -
39 Nifedipin 10 mg Tablet 200 -
40 Oksitetrasiklin Hcl salep kulit 3% Tube - -
41 Oksitetrasiklin Hcl salep mata 1% Tube - -
42 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul - -
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
43 Omeprazol 20mg Kapsul - -
44 Ondansetron Injeksi Ampul - -
45 Paracetamol 500 mg (@175) Tablet 30,000 -
Paracetamol 500 mg (@190) Tablet - -
46 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul - -
Ranitidin injeksi (@3500) Ampul - -
47 Tablet tambah darah kombinasi (Ramabion) Tablet - -
48 Ultrasonic Gel Botol 7 -
49 Ultrasonic Gel 5 Liter Botol - -
50 Vaseline Alba Botol - -
51 Ventolin Nebules Vial - -
52 Xylestesin (@600000) Ktk/50 vial 1 -
Xylestesin (@9900) Ktk/50 vial - -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces - -
2 Abbocath no. 24 pieces - -
3 Abbocath no. 26 pieces - -
4 Alat Pengukur Lingkar Lengan pieces 10 -
5 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN
NETTO JUMLAH
NO NAMA OBAT SATUAN PENERIMAAN BUL
(Per BULAN FEBRUARI
31/01/2017) 1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
6 Alat Suntik Sekali Pakai 5 ml pieces - -
7 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 94 - 1
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
8 Bisturi No. 11 (@1650) pieces 159 - 3 1 5 5
Bisturi No. 11 (@900) pieces - -
9 Bisturi No. 15 pieces 100 -
10 Bowl pieces 1 -
11 Carpule No. 12 pieces 155 -
12 Carpule No. 14 pieces 200 -
13 Catheter Nelanton No. 16 pieces - -
14 Catheter Nelanton No. 18 pieces - -
15 Celluloid Strip pieces 1 -
16 Composite Polishing Bur Kotak 1 -
17 Doopler (@950000) Set 1 -
18 Excafator pieces 3 -
19 Folleycatheter No. 8 pieces 2 -
20 Folley catheter No. 10 pieces 5 - 1
21 Folley catheter No. 16 pieces - -
22 Folley catheter No.18 pieces - -
23 Handscoen Non Steril (single use) (@1800) Pasang 1,550 - 30 50 30 30
AB ENREKANG

PENGELUARAN

BULAN FEBRUARI 2017


JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

- - -
-
-
-
- -
-
2 5 9 5 5 41
-
-
-
-
-
200 300
-
-
1
-
-
60 60
-
-
-
-
BULAN FEBRUARI 2017
JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

-
-
-
-
-
-
-
-
1 2
-
-
5 5 10
-
-
-
-
-
8
-
-
-
-
-
-
-
-
-
-
-
-
BULAN FEBRUARI 2017
JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

200 300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 1 2
-
-
-
-
-

-
-
-
-
-
BULAN FEBRUARI 2017
JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

-
5 6
-
10 10 25 59
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
30 80 60 30 30 30 60 460
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN MARE
28/02/2017) BULAN MARET
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet - -
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet - -
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 29 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 285 - 5 10 5
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - -
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet - -
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet 3,350 - 100 100 100
8 Asam Traneksamat Injeksi (@1100) Ampul 10 - 1
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol 3 -
10 Aseptic Gel 5 Liter Botol - -
11 Atropin sulfat injeksi Ampul - -
12 Betahistin Mesilat 6 mg Tablet 2,550 - 90
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
15 Cetirizine - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN MARE
28/02/2017) BULAN MARET
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
16 Chloramfenicol suspensi Botol - -
17 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
18 Cotrimoksazol suspensi Botol - -
19 Deksametason inj. 5 mg/ml-1 ml Ampul - -
20 Dexametason 0,5 mg (Ktk 200 tab) Tablet - -
21 Dulcolax Tablet Tablet - -
22 Epinefrin injeksi Ampul - -
23 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
24 Forumen tetes telinga (@35497) Botol 1 -
Forumen tetes telinga (@31000) Botol - -
Forumen tetes telinga (@32000) Botol - -
25 Gentamicin salep kulit Tube 10 - 10
26 Guanistrep Suspensi (@5500) Botol - -
Guanistrep Suspensi (@6000) Botol - -
27 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
28 Kalsium laktat (kalk) 500 mg Tablet - -
29 Ketorolac Injeksi 10 mg Ampul 6 - 6
30 Ketorolac Injeksi 30 mg (@4400) Ampul - -
Ketorolac Injeksi 30 mg (@12000) Ampul - -
31 Lidokain injeksi (Pehacain) Ampul 1,480 - 5 10
32 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
33 Mediamer Tablet Tablet - -
34 Metilprednisolon 4 mg Tablet - -
35 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul - -
Metoclopramida Injeksi (@5000) Ampul - -
Metoclopramida Injeksi (@6500) Ampul - -
36 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN MARE
28/02/2017) BULAN MARET
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
37 Natrium diklofenak 50 mg Tablet 650 -
38 Neurosanbe Injeksi (@6500) Ampul - -
Neurosanbe Injeksi (@7000) Ampul - -
39 Nifedipin 10 mg Tablet 200 -
40 Oksitetrasiklin Hcl salep kulit 3% Tube - -
41 Oksitetrasiklin Hcl salep mata 1% Tube - -
42 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul - -
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
43 Omeprazol 20mg Kapsul - -
44 Ondansetron Injeksi Ampul - -
45 Paracetamol 500 mg (@175) Tablet 30,000 - 300 100 200 300 600
Paracetamol 500 mg (@190) Tablet - -
46 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul - -
Ranitidin injeksi (@3500) Ampul - -
47 Tablet tambah darah kombinasi (Ramabion) Tablet - -
48 Ultrasonic Gel Botol 5 -
49 Ultrasonic Gel 5 Liter Botol - -
50 Vaseline Alba Botol - -
51 Ventolin Nebules Vial - -
52 Xylestesin (@600000) Ktk/50 vial 1 -
Xylestesin (@9900) Ktk/50 vial - -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces - -
2 Abbocath no. 24 pieces - -
3 Abbocath no. 26 pieces - -
4 Alat Pengukur Lingkar Lengan pieces 10 -
5 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN MARE
28/02/2017) BULAN MARET
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
6 Alat Suntik Sekali Pakai 5 ml pieces - -
7 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 88 -
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
8 Bisturi No. 11 (@1650) pieces 100 -
Bisturi No. 11 (@900) pieces - -
9 Bisturi No. 15 pieces 100 -
10 Bowl pieces 1 - 1
11 Carpule No. 12 pieces 155 -
12 Carpule No. 14 pieces 200 -
13 Catheter Nelanton No. 16 pieces - -
14 Catheter Nelanton No. 18 pieces - -
15 Celluloid Strip pieces 1 - 1
16 Composite Polishing Bur Kotak 1 - 1
17 Doopler (@950000) Set 1 -
18 Excafator pieces 3 - 3
19 Folleycatheter No. 8 pieces 2 -
20 Folley catheter No. 10 pieces 4 -
21 Folley catheter No. 16 pieces - -
22 Folley catheter No.18 pieces - -
ENREKANG

PENGELUARAN

BULAN MARET 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
-
-
-
- -
-
4 20 5 5 5 59
-
-
-
-
-
300
4 5
-
1 1 1 3
-
-
90 90 270
-
-
-
-
BULAN MARET 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
1 1
-
-
10
-
-
-
-
-
6
-
-
3 12 10 1 5 11 57
-
-
-
-
-
-
-
-
-
BULAN MARET 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

150 150
-
-
-
-
-
-
-
-
-
200 100 300 400 300 100 2,900
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
2 2
-
BULAN MARET 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
5 5

-
1
-
-
-
-
1
1
-
3
2 2
-
-
-
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN APR
31/03/2017) BULAN APRIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet - -
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet - -
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 29 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 226 - 10 5 5
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - -
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet - -
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet 3,050 - 100 200 200
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol - -
11 Atropin sulfat injeksi Ampul - -
12 Betahistin Mesilat 6 mg Tablet 2,280 - 60 60
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
Cetrizine Tablet - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN APR
31/03/2017) BULAN APRIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol - -
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol - -
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet - -
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul - -
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol - -
27 Forumen tetes telinga (@32000) Botol - -
Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol - -
Guanistrep Suspensi (@6000) Botol - -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet - -
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul - -
Ketorolac Injeksi 30 mg (@12000) Ampul - -
36 Lidokain injeksi (Pehacain) Ampul 1,423 - 10 10 2 5
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet - -
39 Metilprednisolon 4 mg Tablet - -
40 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul - -
Metoclopramida Injeksi (@5000) Ampul - -
Metoclopramida Injeksi (@6500) Ampul - -
41 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN APR
31/03/2017) BULAN APRIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet 500 - 100
43 Neurosanbe Injeksi (@6500) Ampul - -
Neurosanbe Injeksi (@7000) Ampul - -
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube - -
46 Oksitetrasiklin Hcl salep mata 1% Tube - -
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul - -
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
48 Omeprazol 20mg Kapsul - -
49 Ondansetron Injeksi Ampul - -
50 Paracetamol 500 mg (@175) Tablet 27,100 - 300 100 200 200 300
Paracetamol 500 mg (@190) Tablet - -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul - -
Ranitidin injeksi (@3500) Ampul - -
53 Tablet tambah darah kombinasi (Ramabion) Tablet - -
56 Ultrasonic Gel Botol 5 -
Ultrasonic Gel 5 liter Botol - -
57 Vaseline Alba Botol - -
58 Ventolin Nebules Vial - -
59 Xylestesin (@600000) Ktk/50 vial 1 -
Xylestesin (@9900) Ktk/50 vial - -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces - -
2 Abbocath No. 24 pieces - -
3 Abbocath no. 26 pieces - -
4 Alat Pengukur Lingkar Lengan pieces 8 -
5 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN APR
31/03/2017) BULAN APRIL
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
6 Alat Suntik Sekali Pakai 5 ml pieces - -
7 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 83 - 5
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
8 Bisturi No. 11 (@1650) pieces 100 - 5 5
Bisturi No. 11 (@900) pieces - -
9 Bisturi No. 15 pieces 100 -
10 Bowl pieces - -
11 Carpule No. 12 pieces 155 -
12 Carpule No. 14 pieces 200 -
13 Catheter Nelanton No. 16 pieces - -
14 Catheter Nelanton No. 18 pieces - -
15 Celluloid Strip pieces - -
16 Composite Polishing Bur Kotak - -
17 Doopler (@950000) Set 1 -
18 Excafator pieces - -
19 Folleycatheter No. 8 pieces - -
20 Folley catheter No. 10 pieces 4 - 1
21 Folley catheter No. 16 pieces - -
22 Folley catheter No.18 pieces - -
ENREKANG

PENGELUARAN

BULAN APRIL 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

- - -
-
-
-
- -
-
41 10 10 10 5 96
-
-
-
-
-
100 250 850
-
-
-
-
-
90 210
-
-
-
-
BULAN APRIL 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
31 10 8 7 83
-
-
-
-
-
-
-
-
-
BULAN APRIL 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

200 300
-
-
-
-
-
-
-
-
-
1,000 200 600 200 100 3,200
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
BULAN APRIL 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
5 5 5 20
-
90 100
-
-
-
-
-
-
-
-
-
1 1
-
-
1 2
-
-
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN ME
30/04/2017) BULAN MEI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet - -
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet - -
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 29 - 1 3
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 130 - 10 5
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - -
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet - -
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet 2,200 -
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol - 4
11 Atropin sulfat injeksi Ampul - 100
12 Betahistin Mesilat 6 mg Tablet 2,070 - 90
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
Cetrizine Tablet - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN ME
30/04/2017) BULAN MEI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol - -
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol - -
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet - -
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul - -
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol - -
Forumen tetes telinga (@32000) Botol - -
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol - -
Guanistrep Suspensi (@6000) Botol - -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet - -
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul - 30
Ketorolac Injeksi 30 mg (@12000) Ampul - -
36 Lidokain injeksi (Pehacain) Ampul 1,340 - 10 1 5
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet - 200
39 Metilprednisolon 4 mg Tablet - -
40 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul - -
Metoclopramida Injeksi (@5000) Ampul - -
Metoclopramida Injeksi (@6500) Ampul - -
41 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN ME
30/04/2017) BULAN MEI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet 200 -
43 Neurosanbe Injeksi (@6500) Ampul - -
Neurosanbe Injeksi (@7000) Ampul - -
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube - -
46 Oksitetrasiklin Hcl salep mata 1% Tube - -
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul - 50
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
48 Omeprazol 20mg Kapsul - -
49 Ondansetron Injeksi Ampul - -
50 Paracetamol 500 mg (@175) Tablet 23,900 - 500 700
Paracetamol 500 mg (@190) Tablet - -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul - -
Ranitidin injeksi (@3500) Ampul - -
53 Tablet tambah darah kombinasi (Ramabion) Tablet - -
56 Ultrasonic Gel Botol 5 -
Ultrasonic Gel 5 Liter Botol - -
57 Vaseline Alba Botol - -
58 Ventolin Nebules Vial - -
59 Xylestesin (@600000) Ktk/50 vial 1 -
Xylestesin (@9900) Ktk/50 vial - -

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces - 130
Abbocath no. 24 pieces - 100
4 Abbocath no. 26 pieces - -
6 Alat Pengukur Lingkar Lengan pieces 8 -
8 Alat Suntik Sekali Pakai 3 ml pieces - 400
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN ME
30/04/2017) BULAN MEI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 63 -
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces - 200
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces 155 -
17 Carpule No. 14 pieces 200 -
19 Catheter Nelanton No. 16 pieces - -
20 Catheter Nelanton No. 18 pieces - -
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces 2 -
29 Folley catheter No. 16 pieces - 10
30 Folley catheter No.18 pieces - 10
ENREKANG

PENGELUARAN

BULAN MEI 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
-
-
-
- -
1 1 6
10 5 40 20 5 95
-
-
-
-
-
100 500 200 500 100 200 1,600
-
-
-
-
-
90
-
-
-
-
BULAN MEI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 35 10 25 20 126
-
-
-
-
-
-
-
-
-
BULAN MEI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

200 200
-
-
-
-
-
5 5
-
-
-
200 300 300 600 300 900 400 200 4,400
-
-
-
-
-
-
-
-
-
-
1 1

10 10 20
-
-
8 8
40 40 20 20 120
BULAN MEI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
8 5 13
-
-
-
-
-
20 20
-
-
-
-
-
-
-
-
1 1
-
-
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN JUMLH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN JUN
31/05/2017) BULAN JUNI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet - -
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet - -
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 23 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 35 -
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - -
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet - -
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet 600 - 200
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol 4 -
11 Atropin sulfat injeksi Ampul 100 -
12 Betahistin Mesilat 6 mg Tablet 1,980 - 90
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - 100 5
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
Cetrizine Tablet - -
PERSEDIAAN JUMLH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN JUN
31/05/2017) BULAN JUNI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol - -
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol - -
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet - -
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul - -
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol - 5
Forumen tetes telinga (@32000) Botol - -
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol - 10
Guanistrep Suspensi (@6000) Botol - -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet - -
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul 30 -
Ketorolac Injeksi 30 mg (@12000) Ampul - -
36 Lidokain injeksi (Pehacain) Ampul 1,214 - 5 29 10 10
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet 200 -
39 Metilprednisolon 4 mg Tablet - -
40 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul - -
Metoclopramida Injeksi (@5000) Ampul - -
Metoclopramida Injeksi (@6500) Ampul - -
41 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN JUN
31/05/2017) BULAN JUNI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet - -
43 Neurosanbe Injeksi (@6500) Ampul - 30
Neurosanbe Injeksi (@7000) Ampul - -
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube - -
46 Oksitetrasiklin Hcl salep mata 1% Tube - -
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 45 - 5 5
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
48 Omeprazol 20mg Kapsul - -
49 Ondansetron Injeksi Ampul - 20
50 Paracetamol 500 mg (@175) Tablet 19,500 - 500
Paracetamol 500 mg (@190) Tablet - -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - 30
Ranitidin injeksi (@4000) Ampul - -
Ranitidin injeksi (@3500) Ampul - -
53 Tablet tambah darah kombinasi (Ramabion) Tablet - -
56 Ultrasonic Gel Botol 5 -
Ultrasonic Gel 5 Liter Botol - 1
57 Vaseline Alba Botol - -
58 Ventolin Nebules Vial - 20
59 Xylestesin (@600000) Ktk/50 vial - -
Xylestesin (@9900) Ktk/50 vial - -

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces 110 - 10 10 10 10
Abbocath no. 24 pieces 100 - 10 10
4 Abbocath no. 26 pieces - -
6 Alat Pengukur Lingkar Lengan pieces - -
8 Alat Suntik Sekali Pakai 3 ml pieces 280 - 20 20 30 20
PERSEDIAAN JUMLH
NO NAMA OBAT SATUAN NETTO (Per PENERIMAAN BULAN JUN
31/05/2017) BULAN JUNI
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 50 -
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces 200 -
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces 135 -
17 Carpule No. 14 pieces 200 -
19 Catheter Nelanton No. 16 pieces - -
20 Catheter Nelanton No. 18 pieces - -
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces 1 -
29 Folley catheter No. 16 pieces 10 - 2
30 Folley catheter No.18 pieces 10 - 2
ENREKANG

PENGELUARAN

BULAN JUNI 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
-
-
-
- -
1 1 1 3
5 10 10 25
-
-
-
-
-
200 200 600
-
-
-
1 1
-
90
-
12 9 3 4 6 39
-
-
BULAN JUNI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10 40 8 10 32 154
-
-
-
-
-
-
-
-
-
BULAN JUNI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
5 5 10
-
-
-
-
8 15 7 5 45
-
-
-
200 800 1,300 300 300 3,400
-
-
2 2 2 3 1 2 2 6 20
-
-
-
-
1 1
-
1 1
-

10 5 2 15 7 10 10 11 110
10 13 10 5 58
-
-
10 20 70 60 10 20 280
BULAN JUNI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2 4
2 2 6
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN
JUMLAH
NETTO
NO NAMA OBAT SATUAN PENERIMAAN BULAN JUL
(Per
BULAN JULI
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - 200 100 100
Ambroxol 30 mg (@160) Tablet - 800
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet - -
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 20 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 10 - 10
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - -
5 Amlodipine 5 mg (@333.33) Tablet - 300 90
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet - -
6 Amlodipine 10 mg Tablet - 300
7 Antasida doen tablet kombinasi Tablet - -
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol 3 -
11 Atropin sulfat injeksi Ampul 100 -
12 Betahistin Mesilat 6 mg Tablet 1,890 -
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube 61 50 9
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
Cetrizine Botol - 60 60
PERSEDIAAN
JUMLAH
NETTO
NO NAMA OBAT SATUAN PENERIMAAN BULAN JUL
(Per
BULAN JULI
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol - 10
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol - 12
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet - 4,000 200 200
Dulcolax Tablet Tablet - 80
23 Epinefrin injeksi Ampul - -
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol 5 -
Forumen tetes telinga (@32000) Botol - -
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol 10 - 1
Guanistrep Suspensi (@6000) Botol - -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - 200 100
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet - -
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul 30 - 5
Ketorolac Injeksi 30 mg (@12000) Ampul - -
36 Lidokain injeksi (Pehacain) Ampul 1,060 - 10 20
37 Loperamide (@750) Tablet - 200 200
Loperamide (@120) Tablet - 100 100
38 Mediamer Tablet Tablet 200 -
39 Metilprednisolon 4 mg Tablet - 1,000 100 100 100 100 100
40 Metoclopramida Injeksi (@6600) Ampul - 30 5 5
Metoclopramida Injeksi (@7000) Ampul - -
Metoclopramida Injeksi (@5000) Ampul - -
Metoclopramida Injeksi (@6500) Ampul - -
41 Metformin 500 mg Tablet - -
PERSEDIAAN
JUMLAH
NETTO
NO NAMA OBAT SATUAN PENERIMAAN BULAN JUL
(Per
BULAN JULI
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet - -
43 Neurosanbe Injeksi (@6500) Ampul 20 30 2 3 2 3 3
Neurosanbe Injeksi (@7000) Ampul - -
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube - 25
46 Oksitetrasiklin Hcl salep mata 1% Tube - -
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul - 50 5 5
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
48 Omeprazol 20mg Kapsul - 100
49 Ondansetron Injeksi Ampul 20 -
50 Paracetamol 500 mg (@175) Tablet 16,100 - 300
Paracetamol 500 mg (@190) Tablet - -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul 10 - 2 1 1 2 1 3
Ranitidin injeksi (@4000) Ampul - 70 4 5
Ranitidin injeksi (@3500) Ampul - -
53 Tablet tambah darah kombinasi (Ramabion) Tablet - -
56 Ultrasonic Gel Botol 5 -
Ultrasonic Gel 5 Liter Botol - -
57 Vaseline Alba Botol - -
58 Ventolin Nebules Vial 19 -
59 Xylestesin (@600000) Ktk/50 vial - -
Xylestesin (@9900) Ktk/50 vial - -

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces - -
Abbocath no. 24 pieces 42 - 10 10 10
4 Abbocath no. 26 pieces - -
6 Alat Pengukur Lingkar Lengan pieces - -
8 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN
JUMLAH
NETTO
NO NAMA OBAT SATUAN PENERIMAAN BULAN JUL
(Per
BULAN JULI
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 50 -
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces 200 -
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces 135 - 35
17 Carpule No. 14 pieces 200 - 20
19 Catheter Nelanton No. 16 pieces - -
20 Catheter Nelanton No. 18 pieces - -
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces 1 -
29 Folley catheter No. 16 pieces 6 -
30 Folley catheter No.18 pieces 4 -
ENREKANG

PENGELUARAN

BULAN JULI 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- 200
100 100 100 300
-
-
- -
1 1
10
-
90 120 300
-
-
60 60
-
-
-
-
1 1
2 2 4
90 90
-
5 6 12 9 15 56
-
60
BULAN JULI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
5 5
-
200 200 200 200 1,200
80 80
-
-
-
1 1
-
-
1 2
-
100
-
-
-
5 10
-
10 20 1 25 25 29 20 8 168
200
100
10 10
100 100 700
5 5 3 23
-
-
-
-
BULAN JULI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
3 3 2 21
-
-
5 5
-
3 5 2 8 3 31
-
50 50
5 5 10
300 200 800 200 900 600 200 3,500
-
-
10
3 5 5 5 5 5 37
-
-
-
-
-
-
-
-

-
12 42
-
-
-
BULAN JULI 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
5 5
-
-
-
-
-
35
20
-
-
-
-
-
-
-
-
5 5
2 2
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PEN
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN AGU
(Per BULAN
31/07/2017) AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet 500 - 100 100 100
Ambroxol 30 mg (@300) Tablet - 1,000
Ambroxol 30 mg (@220) Tablet - -
2 Ambroxol sirup Botol - 50 -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 19 - 3
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol - -
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - 120 3 7 5
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - 150
Amlodipine 5 mg (@300) Tablet - -
6 Amlodipine 10 mg Tablet 240 150 30 60 30 60 60
7 Antasida doen tablet kombinasi Tablet - -
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol 2 -
11 Atropin sulfat injeksi Ampul 96 - 10
12 Betahistin Mesilat 6 mg Tablet 1,800 - 30 60
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube 55 - 10 5
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
Cetrizine Tablet - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN AGU
(Per BULAN
31/07/2017) AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol 10 - 6 4
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - 500 500
19 Cotrimoksazol suspensi Botol 7 50 5 5 5
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet 2,800 - 400 100 200 200
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul - -
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - 10
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol 4 - 1
Forumen tetes telinga (@32000) Botol - -
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol 8 - 2 3
Guanistrep Suspensi (@6000) Botol - -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet 100 - 100
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - 200
31 Kalsium laktat (kalk) 500 mg Tablet - -
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul 20 - 5 5 5
Ketorolac Injeksi 30 mg (@12000) Ampul - -
36 Lidokain injeksi (Pehacain) Ampul 892 - 12 10 1
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet 190 -
39 Metilprednisolon 4 mg Tablet 300 - 100 100
40 Metoclopramida Injeksi (@6600) Ampul 7 - 4 1 1
Metoclopramida Injeksi (@7000) Ampul - 55
Metoclopramida Injeksi (@5000) Ampul - -
Metoclopramida Injeksi (@6500) Ampul - -
41 Metformin 500 mg Tablet - 200 100 100
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN AGU
(Per BULAN
31/07/2017) AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet - -
43 Neurosanbe Injeksi (@6500) Ampul 29 60 5 2 10 2 10
Neurosanbe Injeksi (@7000) Ampul - -
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube 20 - 5
46 Oksitetrasiklin Hcl salep mata 1% Tube - 25
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 19 - 5 5 5
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - 50
48 Omeprazol 20mg Kapsul 50 400 50 50
49 Ondansetron Injeksi Ampul 10 -
50 Paracetamol 500 mg (@175) Tablet 12,600 - 100 200 300 100 300
Paracetamol 500 mg (@190) Tablet - -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul 33 60 3 2 8 5 12
Ranitidin injeksi (@3500) Ampul - -
53 Tablet tambah darah kombinasi (Ramabion) Tablet - 3,000 500
56 Ultrasonic Gel Botol 5 -
Ultrasonic Gel 5 Liter Botol - -
57 Vaseline Alba Botol - -
58 Ventolin Nebules Vial 19 -
59 Xylestesin (@600000) Ktk/50 vial - -
Xylestesin (@9900) Ktk/50 vial - 100 50

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces - -
Abbocath no. 24 pieces - -
4 Abbocath no. 26 pieces - -
6 Alat Pengukur Lingkar Lengan pieces - -
8 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN AGU
(Per BULAN
31/07/2017) AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 45 -
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces 200 -
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces 100 -
17 Carpule No. 14 pieces 180 -
19 Catheter Nelanton No. 16 pieces - -
20 Catheter Nelanton No. 18 pieces - -
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces 1 -
29 Folley catheter No. 16 pieces 1 -
30 Folley catheter No.18 pieces 2 - 1
ENREKANG

PENGELUARAN

BULAN AGUSTUS 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- -
100 100 500
200 200
-
5 5 10
3
-
5 3 5 5 5 38
-
-
-
60 30 60 390
-
-
-
-
-
10
60 150
-
23 3 5 5 51
-
-
BULAN AGUSTUS 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

10
500
5 5 25
-
300 500 400 500 100 2,700
-
-
10 10
-
1 2
-
-
5
-
100
100 100 200
-
-
15
-
5 13 5 15 4 1 10 76
-
-
-
100 300
1 7
4 5 9
-
-
200
BULAN AGUSTUS 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
10 5 44
-
-
5 10
-
2 2 19
3 3
50 50 50 250
-
300 1,100 800 200 300 200 300 400 4,600
-
-
-
10 40
-
1,100 400 100 300 200 100 2,700
-
-
-
-
-
50

-
-
-
-
-
BULAN AGUSTUS 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
10 10
-
-
-
-
-
100 100
80 80
-
-
-
-
-
-
-
-
1 1
1 2
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN SEPTEM
(Per BULAN
31/08/2017) SEPTEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet - -
Ambroxol 30 mg (@300) Tablet 800 -
Ambroxol 30 mg (@220) Tablet - 1,500
2 Ambroxol sirup Botol 40 - 7 9 9 9
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 16 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol - -
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol 82 70 5 3 3 3 5 18 13 19 8
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet 150 - 60 30 30
Amlodipine 5 mg (@300) Tablet - 1,500
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet - -
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol 2 -
11 Atropin sulfat injeksi Ampul 86 -
12 Betahistin Mesilat 6 mg Tablet 1,650 -
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube 4 - 4
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
Cetrizine Tablet - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN SEPTEM
(Per BULAN
31/08/2017) SEPTEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol - -
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol 32 - 5
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet 100 - 100
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul - -
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol 2 - 1
Forumen tetes telinga (@32000) Botol - 5
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol 3 -
Guanistrep Suspensi (@6000) Botol - 30
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet - 3,000
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul 5 - 5
Ketorolac Injeksi 30 mg (@12000) Ampul - -
36 Lidokain injeksi (Pehacain) Ampul 816 - 5 8 10 18 25
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet 190 -
39 Metilprednisolon 4 mg Tablet - -
40 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul 46 - 5 5
Metoclopramida Injeksi (@5000) Ampul - 50
Metoclopramida Injeksi (@6500) Ampul - -
41 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN SEPTEM
(Per BULAN
31/08/2017) SEPTEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet - -
43 Neurosanbe Injeksi (@6500) Ampul 45 50 5
Neurosanbe Injeksi (@7000) Ampul - -
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube 10 - 5
46 Oksitetrasiklin Hcl salep mata 1% Tube 25 100 7 3 14
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul - 100
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul 47 - 2 5
48 Omeprazol 20mg Kapsul 200 1,000 50 50
49 Ondansetron Injeksi Ampul 10 -
50 Paracetamol 500 mg (@175) Tablet 8,000 - 200 200 400 200 400 100
Paracetamol 500 mg (@190) Tablet - -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul 53 - 10
Ranitidin injeksi (@3500) Ampul - 50
53 Tablet tambah darah kombinasi (Ramabion) Tablet 300 - 200 100
56 Ultrasonic Gel Botol 5 -
Ultrasonic Gel 5 Liter Botol - -
57 Vaseline Alba Botol - 2
58 Ventolin Nebules Vial 19 -
59 Xylestesin (@600000) Ktk/50 vial - -
Xylestesin (@9900) Ktk/50 vial 50 -

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces - -
Abbocath no. 24 pieces - -
4 Abbocath no. 26 pieces - 10
6 Alat Pengukur Lingkar Lengan pieces - -
8 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN SEPTEM
(Per BULAN
31/08/2017) SEPTEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 35 - 5
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - -
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces 200 -
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces - -
17 Carpule No. 14 pieces 100 -
19 Catheter Nelanton No. 16 pieces - 10
20 Catheter Nelanton No. 18 pieces - 10
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces 1 -
29 Folley catheter No. 16 pieces - -
30 Folley catheter No.18 pieces - -
ENREKANG

PENGELUARAN

BULAN SEPTEMBER 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
200 100 100 400
-
6 40
1 1
-
5 10 5 5 5 107
-
30 150
60 60 30 150
-
-
-
-
-
1 1
2 2
120 120
-
4
-
-
BULAN SEPTEMBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
5 8 5 23
-
100
-
-
-
-
1 2
-
-
3 3
-
-
-
-
-
5
-
20 10 11 107
-
-
-
-
-
5 5 20
-
-
-
BULAN SEPTEMBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
5 10
-
-
3 8
1 25
-
15 10 2 4 38
100
10 10
900 400 600 300 100 100 3,900
-
-
-
5 5 3 23
-
300
-
-
-
-
-
-

-
-
-
-
-
BULAN SEPTEMBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN OKTOB
(Per BULAN
30/09/2017) OKTOBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet - 5,000
Ambroxol 30 mg (@300) Tablet 400 - 100 100
Ambroxol 30 mg (@220) Tablet 1,500 -
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 15 - -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol - -
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol 45 - 5 5 35
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet 1,350 - 50 30 70
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet - -
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol 1 -
11 Atropin sulfat injeksi Ampul 84 -
12 Betahistin Mesilat 6 mg Tablet 1,530 -
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - -
Cetrizine Tablet - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN OKTOB
(Per BULAN
30/09/2017) OKTOBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol - -
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol 9 - 5 4
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet - -
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul - 10
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol - -
Forumen tetes telinga (@32000) Botol 5 -
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol - -
Guanistrep Suspensi (@6000) Botol 30 -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet 3,000 5,000
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul - -
Ketorolac Injeksi 30 mg (@12000) Ampul - 15
36 Lidokain injeksi (Pehacain) Ampul 709 - 11 10 19 5 16
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet 190 -
39 Metilprednisolon 4 mg Tablet - -
40 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul 26 - 6 5 5
Metoclopramida Injeksi (@5000) Ampul 50 -
Metoclopramida Injeksi (@6500) Ampul - -
41 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN OKTOB
(Per BULAN
30/09/2017) OKTOBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet - -
43 Neurosanbe Injeksi (@6500) Ampul 85 - 5 5
Neurosanbe Injeksi (@7000) Ampul - -
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube 2 - 2
46 Oksitetrasiklin Hcl salep mata 1% Tube 100 - 5
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 100 100
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul 9 - 9
48 Omeprazol 20mg Kapsul 1,100 - 50
49 Ondansetron Injeksi Ampul - -
50 Paracetamol 500 mg (@175) Tablet 4,100 - 100 300 100 100 300 100 1,400
Paracetamol 500 mg (@190) Tablet - -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul 30 - 5 5
Ranitidin injeksi (@3500) Ampul 50 -
53 Tablet tambah darah kombinasi (Ramabion) Tablet - -
56 Ultrasonic Gel Botol 5 -
Ultrasonic Gel 5 Liter Botol - -
57 Vaseline Alba Botol 2 - 1
58 Ventolin Nebules Vial 19 - 1
59 Xylestesin (@600000) Ktk/50 vial - -
Xylestesin (@9900) Ktk/50 vial 50 -

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces - -
Abbocath no. 24 pieces - -
4 Abbocath no. 26 pieces 10 -
6 Alat Pengukur Lingkar Lengan pieces - -
8 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN OKTOB
(Per BULAN
30/09/2017) OKTOBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 30 - 10 10 5
Alat Suntik Sekali Pakai 10 ml (@1500) pieces - 100
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces 200 -
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces - -
17 Carpule No. 14 pieces 100 -
19 Catheter Nelanton No. 16 pieces 10 -
20 Catheter Nelanton No. 18 pieces 10 -
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces 1 - 1
29 Folley catheter No. 16 pieces - -
30 Folley catheter No.18 pieces - -
ENREKANG

PENGELUARAN

BULAN OKTOBER 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
-
100 100 400
100 200 300
- -
-
-
45
-
-
100 150 50 100 550
-
-
-
-
-
-
14 14
60 60
-
-
-
-
BULAN OKTOBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
9
-
-
-
-
-
-
-
-
-
-
-
-
-
200 200
-
-
-
10 5 10 86
-
-
-
-
-
5 21
-
-
-
BULAN OKTOBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
5 5 5 25
-
-
2
5 10
10 10
9
50 100 200
-
1,200 300 200 4,100
-
-
-
10 5 5 30
10 10
-
-
-
1
1
-
-

-
-
-
-
-
BULAN OKTOBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
-
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PENG
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN NOVEM
(Per BULAN
31/10/2017) NOVEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet 5,000 -
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet 1,200 - 100
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 15 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol - -
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - -
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet 800 3,000 100 50 100
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet - -
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol 1 - 1
11 Atropin sulfat injeksi Ampul 70 -
12 Betahistin Mesilat 6 mg Tablet 1,470 - 60
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol - 50
Cetrizine Botol - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN NOVEM
(Per BULAN
31/10/2017) NOVEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
17 Chloramfenicol suspensi Botol - -
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol - -
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet - -
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul 10 -
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol - -
Forumen tetes telinga (@32000) Botol 5 -
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol - -
Guanistrep Suspensi (@6000) Botol 30 -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet 7,800 - 500
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul - -
Ketorolac Injeksi 30 mg (@12000) Ampul 15 -
36 Lidokain injeksi (Pehacain) Ampul 623 - 10 1 10 18
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet 190 -
39 Metilprednisolon 4 mg Tablet - -
40 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul 5 - 5
Metoclopramida Injeksi (@5000) Ampul 50 - 5
Metoclopramida Injeksi (@6500) Ampul - 30
41 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN NOVEM
(Per BULAN
31/10/2017) NOVEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
42 Natrium diklofenak 50 mg Tablet - -
43 Neurosanbe Injeksi (@6500) Ampul 60 - 6 5
Neurosanbe Injeksi (@7000) Ampul - 50
44 Nifedipin 10 mg Tablet 200 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube - -
46 Oksitetrasiklin Hcl salep mata 1% Tube 90 - 5 5
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 190 - 4
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
48 Omeprazol 20mg Kapsul 900 1,000 100 50
49 Ondansetron Injeksi Ampul - -
50 Paracetamol 500 mg (@175) Tablet - -
Paracetamol 500 mg (@190) Tablet - 8,000
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul - -
Ranitidin injeksi (@3500) Ampul 40 50 3 5
53 Tablet tambah darah kombinasi (Ramabion) Tablet - -
56 Ultrasonic Gel Botol 5 - 1
Ultrasonic Gel 5 Liter Botol - -
57 Vaseline Alba Botol 1 -
58 Ventolin Nebules Vial 18 -
59 Xylestesin (@600000) Ktk/50 vial - -
Xylestesin (@9900) Ktk/50 vial 50 - 50

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces - -
Abbocath no. 24 pieces - -
4 Abbocath no. 26 pieces 10 -
6 Alat Pengukur Lingkar Lengan pieces - -
8 Alat Suntik Sekali Pakai 3 ml pieces - -
PERSEDIAAN JUMLAH
NETTO PENERIMAAN
NO NAMA OBAT SATUAN BULAN NOVEM
(Per BULAN
31/10/2017) NOVEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14

A OBAT
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces 5 -
Alat Suntik Sekali Pakai 10 ml (@1500) pieces 100 -
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces 200 -
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces - -
17 Carpule No. 14 pieces 100 -
19 Catheter Nelanton No. 16 pieces 10 - 5
20 Catheter Nelanton No. 18 pieces 10 - 5
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces - -
29 Folley catheter No. 16 pieces - -
30 Folley catheter No.18 pieces - -
ENREKANG

PENGELUARAN

BULAN NOVEMBER 2017


JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

- -
-
-
100 100 100 100 200 700
- -
-
-
-
-
-
100 50 100 50 100 650
-
-
-
-
-
1
5 5
60 120
-
-
-
-
BULAN NOVEMBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
-
-
-
1 1
-
-
200 100 200 1,000
-
-
-
22 10 10 10 10 3 104
-
-
-
-
-
5
5 10 20
-
-
BULAN NOVEMBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
5 3 19
-
100 100
-
9 15 6 3 43
5 13 3 10 5 3 10 53
-
100 250
-
-
-
-
-
-
5 13
-
1
-
1 1
-

50

-
-
3 3
-
-
BULAN NOVEMBER 2017
JUMLAH
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
5 5
-
-
-
-
-
-
-
5
5
-
-
-
-
-
-
-
-
PUSKESMAS ANGGERAJA DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ANGGERAJA
KEPALA PKM : SULEMAN, SKM
PENANGGUNG JAWAB OBAT DI PKM....... : RAHMADIAN. A , S.FARM, APT

PE
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN (Per PENERIMAAN BULAN DE
30/11/2017) BULAN DESEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
Ambroxol 30 mg (@160) Tablet 5,000 -
Ambroxol 30 mg (@300) Tablet - -
Ambroxol 30 mg (@220) Tablet 500 - 200
2 Ambroxol sirup Botol - - -
3 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 15 -
4 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol - -
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol - 240
5 Amlodipine 5 mg (@333.33) Tablet - -
Amlodipine 5 mg (@340) Tablet - -
Amlodipine 5 mg (@300) Tablet 3,150 - 100 50 100
6 Amlodipine 10 mg Tablet - -
7 Antasida doen tablet kombinasi Tablet - -
8 Asam Traneksamat Injeksi (@1100) Ampul 5 -
Asam Traneksamat Injeksi (@33000) Ampul 30 -
9 Aseptic Gel 500 ml Botol - -
Aseptic Gel 5 Liter Botol - -
11 Atropin sulfat injeksi Ampul 65 -
12 Betahistin Mesilat 6 mg Tablet 1,350 - 60 60
13 Betametason krim 0,1% (@7000) Tube - -
Betametason krim 0,1% (@4000) Tube - -
14 Cefadroxil Siirup Kering 125 mg/5 ml Botol 50 -
Cetrizine Tablet - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN (Per PENERIMAAN BULAN DE
30/11/2017) BULAN DESEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
17 Chloramfenicol suspensi Botol - -
18 Chlorfeniramin maleat (CTM) 4 mg Tablet - -
19 Cotrimoksazol suspensi Botol - -
20 Deksametason inj. 5 mg/ml-1 ml Ampul - -
21 Dexametason 0,5 mg (Ktk 200 tab) Tablet - 6,000
Dulcolax Tablet Tablet - -
23 Epinefrin injeksi Ampul 10 - 5
25 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - -
26 Forumen tetes telinga (@35497) Botol - -
Forumen tetes telinga (@31000) Botol - -
Forumen tetes telinga (@32000) Botol 5 - 1 1
27 Gentamicin salep kulit Tube - -
28 Guanistrep Suspensi (@5500) Botol - -
Guanistrep Suspensi (@6000) Botol 29 -
29 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - -
Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - -
31 Kalsium laktat (kalk) 500 mg Tablet 6,800 - 200
32 Ketorolac Injeksi 10 mg Ampul - -
33 Ketorolac Injeksi 30 mg (@4400) Ampul - -
Ketorolac Injeksi 30 mg (@12000) Ampul 15 -
36 Lidokain injeksi (Pehacain) Ampul 519 - 10 10 2
37 Loperamide (@750) Tablet - -
Loperamide (@120) Tablet - -
38 Mediamer Tablet Tablet 190 -
39 Metilprednisolon 4 mg Tablet - -
40 Metoclopramida Injeksi (@6600) Ampul - -
Metoclopramida Injeksi (@7000) Ampul - -
Metoclopramida Injeksi (@5000) Ampul 30 -
Metoclopramida Injeksi (@6500) Ampul 30 -
41 Metformin 500 mg Tablet - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN (Per PENERIMAAN BULAN DE
30/11/2017) BULAN DESEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
42 Natrium diklofenak 50 mg Tablet - -
43 Neurosanbe Injeksi (@6500) Ampul 41 -
Neurosanbe Injeksi (@7000) Ampul 50 -
44 Nifedipin 10 mg Tablet 100 -
45 Oksitetrasiklin Hcl salep kulit 3% Tube - -
46 Oksitetrasiklin Hcl salep mata 1% Tube 47 - 5
47 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 137 - 5
Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - -
48 Omeprazol 20mg Kapsul 1,650 - 100 50
49 Ondansetron Injeksi Ampul - -
50 Paracetamol 500 mg (@175) Tablet - -
Paracetamol 500 mg (@190) Tablet 8,000 -
52 Ranitidin injeksi (@2100.56) Ampul - -
Ranitidin injeksi (@3300) Ampul - -
Ranitidin injeksi (@4000) Ampul - -
Ranitidin injeksi (@3500) Ampul 77 - 7
53 Tablet tambah darah kombinasi (Ramabion) Tablet - -
56 Ultrasonic Gel Botol 4 -
Ultrasonic Gel 5 Liter Botol - -
57 Vaseline Alba Botol - -
58 Ventolin Nebules Vial 18 - 3 2
59 Xylestesin (@600000) Ktk/50 vial - -
Xylestesin (@9900) Ktk/50 vial - -
SUB J U M L A H

B ALAT KESEHATAN / BHP


2 Abbocath no. 20 pieces - -
Abbocath no. 24 pieces - -
4 Abbocath no. 26 pieces 7 -
6 Alat Pengukur Lingkar Lengan pieces - -
PERSEDIAAN JUMLAH
NO NAMA OBAT SATUAN (Per PENERIMAAN BULAN DE
30/11/2017) BULAN DESEMBER
1 2 3 4 5 6 7 8 9 10 11 12 13

A OBAT
8 Alat Suntik Sekali Pakai 3 ml pieces - -
9 Alat Suntik Sekali Pakai 5 ml pieces - -
10 Alat Suntik Sekali Pakai 10 ml (@1960) pieces - -
Alat Suntik Sekali Pakai 10 ml (@1500) pieces 100 -
12 Bisturi No. 11 (@1650) pieces - -
Bisturi No. 11 (@900) pieces 200 -
13 Bisturi No. 15 pieces 100 -
14 Bowl pieces - -
15 Carpule No. 12 pieces - -
17 Carpule No. 14 pieces 100 -
19 Catheter Nelanton No. 16 pieces 5 -
20 Catheter Nelanton No. 18 pieces 5 -
21 Celluloid Strip pieces - -
22 Composite Polishing Bur Kotak - -
23 Doopler (@950000) Set - -
25 Excafator pieces - -
27 Folleycatheter No. 8 pieces - -
28 Folley catheter No. 10 pieces - -
29 Folley catheter No. 16 pieces - -
30 Folley catheter No.18 pieces - -
KAB ENREKANG

PENGELUARAN

BULAN DESEMBER 2017


JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- -
200 200 400
-
100 200 500
- -
- -
-
-
-
-
150 90 490
-
-
-
-
-
-
1 1
60 90 60 330
-
-
5 5 5 15
-
BULAN DESEMBER 2017
JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
5
-
-
-
1 1 4
-
-
-
-
-
500 300 1,200 200 2,400
-
-
-
18 11 3 15 5 1 34 109
-
-
10 10
-
-
-
5 5 5 15
-
-
BULAN DESEMBER 2017
JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
5 5 10 20
-
-
-
5 3 9 6 9 3 7 47
5 5 3 10 9 2 10 49
-
100 100 100 450
-
-
-
-
-
-
5 5 10 27
-
-
-
-
3 8
-
-

-
-
3 2 5
-
BULAN DESEMBER 2017
JUMLAH
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
10 10
-
-
10 10
-
-
100 100
-
-
-
-
-
-
-
-
-
-