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DATA

HARIAN
BASE
INPUT DATA LPLPO
FEBRUAR FEBRUAR
JANUARI MARET JANUARI
I I
APRIL MEI JUNI APRIL MEI
SEPTEMB
JULI AGUSTUS JULI AGUSTUS
ER
LPLPO
NOVEMBE DESEMBE NOVEMBE
OKTOBER OKTOBER
R R R
LPLPO
FEBRUAR
MARET
I
MEI JUNI
SEPTEMB
AGUSTUS
ER
NOVEMBE DESEMBE
R R
MENU

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KABUPATEN : PRINGSEWU
PROVINSI : LAMPUNG
TAHUN : 2019

PENGELOLA
JEJARING : Apotik
NAMA : xxxxxxxxxxxxxx
NIP : 19860606 201001 1 012

Ka. UPT PUSKESMAS


NAMA : Muhammad Subagja, SKM.MM.
NIP : 19670430 198710 1 001
LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : JANUARI
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0
2 Albendazol tablet 0
3 Allupurinol Tab. 100 mg. tablet 0
4 Allupurinol Tab. 300 mg. tablet 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0
6 Alpentin (Gabapentin) 300 mg tablet 0
7 Ambroxol syr botol 0
8 Ambroxol tab 30 mg tablet 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0
10 Aminofillin tab. 200 mg. tablet 0
11 Amitriptillin HCl tab salut 25 mg tablet 0
12 Amlodipine tab 10 mg tablet 0
13 Amlodipine tab 5 mg tablet 0
14 Amoksisillin Kaplet 500 mg. tablet 0
15 Amoksisillin Kapsul 250 mg. tablet 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0
18 Anabion (multivitamin anak syr) botol 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0
20 Antalgin tab. 500 mg. tablet 0
21 Antasida Doen tab. Kombinasi tablet 0
22 Antasida Syrup botol 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0
24 Antibakteri Doen Salep Kombinasi pot 0
25 Antifungi Doen Kombinasi pot 0
26 Antihemoroid doen Komb. Supp. supp 0
27 Apidra solostar (analog insulin rapid acting) pen 0
28 Aqu pro inj. Steril, bebas pirogen vial 0
29 Artemether inj 80 mg/ml (Artem) ampul 0
30 Artesunat inj ampul 0
31 Asam Asetil salisilat (miniaspi) tablet 0
32 Asam Askorbat tab 250 mg. tablet 0
33 Asam Askorbat tab 50 mg. tablet 0
34 Asam folat (Profolat) tablet 0
35 Asam Mefenamat 500 mg tablet 0
36 Asam Traneksamat inj 100mg/ml ampul 0
37 Asam traneksamat inj 50mg/ml ampul 0
38 Asam retinoat/Neotinex tube 0
39 Asiklovir tab 200 mg tablet 0
40 Asiklovir krim tube 0
41 Asiklovir Tablet 400 mg tablet 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0
43 Attalpugite ( new antides) tablet 0
44 Azithromycin 250 mg tablet 0
45 Alprazolam tablet 0
46 Berotec pcs 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0
49 Betahistin Mesilat tab 6 mg tablet 0
50 Betametason krim 0,1 % tube 0
51 Betason N tube 0
52 Bisakodil 10 mg suppositria supp 0
53 Bisakodil 5 mg suppositria supp 0
54 Bisoprolol 5 mg tablet 0
55 Bromheksin tab 8 mg tablet 0
56 Betadin salep tube 0
57 Candesartan 8 mg tablet 0
58 Carbamazepine 200 mg tablet 0
59 Cefixim tablet 0
60 Cefixim syr botol 0
61 Cendo Lyteers botol 0
62 Cendo Mydriatil botol 0
63 Cetirizine syr botol 0
64 Cetirizine tab 10 mg tablet 0
65 Cloramfecort cr tablet 0
66 Combivent vial 0
67 Clozapin tablet 0
68 Colchitine / Kolkisin tablet 0
69 Clobazam tablet 0
70 D artep tablet 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0
72 Deksametason tab 0,5 mg. tablet 0
73 Dexosimethason tube 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0
75 Diazepam tab 2mg. tablet 0
76 Diazepam tab 5mg. tablet 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0
79 Digoksin tab. 0,25 mg tablet 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0
81 Dimenhidrinat 50 mg tablet 0
82 Doksisiklin kap 100 mg tablet 0
83 Domperidon suspensi botol 0
84 Domperidon tab 10 mg tablet 0
85 Dopamed tablet 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0
87 Ekstrak Belladon tab 10 mg. tablet 0
88 Erithromisin 250 mg tablet 0
89 Erithromisin 500 mg tablet 0
90 Erithromisin syr 200 mg/5 ml botol 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0
93 Etambutol 250 mg. tablet 0
94 Etambutol 500 mg tablet 0
95 Etanol 70 % 100 ml botol 0
96 Etanol 70 % 1000 ml botol 0
97 Etanol 70 % 300 ml botol 0
98 Elizac 20 tablet 0
99 Famotidine tablet 0
100 Fenitoin 100 mg tablet 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0
102 Fenofibrate 100 mg tablet 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0
106 Flixotide Nebules 0,5mg/2ml ampul 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0
108 Furosemid inj ampul 0
109 Furosemid tab 40 mg. tablet 0
110 Flurin DMP tablet 0
111 Garam Oralit untuk 200ml air sack 0
112 Genoint SM tube 0
113 Gentamisin sulfat 0,5 % OTM botol 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0
115 Gentamisin sulfat inj ampul 0
116 Gentianviolet 1 % botol 0
117 Glibenklamid tab 5 mg. tablet 0
118 Glikazid ( Glikab ) tablet 0
119 Glimepirid 2 mg tablet 0
120 Glimepirid 3 mg tablet 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0
122 Glukosa Lar Infus 10 %. plabot 0
123 Glukosa Lar Infus 40 %. plabot 0
124 Glukosa Lar Infus 5 %. plabot 0
125 GOM botol 0
126 Gored 80 mg tablet 0
127 Griseufulvin tab 125 mg. tablet 0
128 Guaiafenesin tablet 0
129 Gemfribozil 300 mg tablet 0
130 Haloperidol tab 0,5 mg tablet 0
131 Haloperidol tab 1,5 mg tablet 0
132 Haloperidol tab 5 mg tablet 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0
134 Haldol Decanoat ampul 0
135 Herbesser CD 100 tablet 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0
137 Hidrokortison Krim 25 % tube 0
138 Herbakof botol 0
139 Ibuprofen Tab. 200 mg. tablet 0
140 Ibuprofen Tab. 400 mg tablet 0
141 Ibupropen Suspensi botol 0
142 Ichtiol pot 0
143 Iliadin Tetes hidung botol 0
144 Irbesartan 150 mg tablet 0
145 Isoniazid 100 mg. tablet 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0
147 Imundo Capl tablet 0
148 Kalsium Glukonas ampul 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0
150 Kaptoril 12,5 mg tablet 0
151 Kaptoril 25 mg tablet 0
152 Ketokonazol 200 mg. tablet 0
153 Ketokonazol Krim 2 % tube 0
154 Ketorolac inj 10 mg ampul 0
155 Ketorolac inj 30 mg ampul 0
156 Klindamisin 150 mg Kapsul 0
157 Klindamisin 300 mg Kapsul 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0
160 Kloramfenikol Salep Mata 1 % tube 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetin botol 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0
164 Klorpromazin tab 100 mg tablet 0
165 Klorpromazin tab 25 mg tablet 0
166 Kodein Hcl tab 10 mg. tablet 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup) botol 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabl tablet 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0
170 Kotrimoksazol Suspensi botol 0
171 KSR tablet 0
172 Kloramfenicol SK/Bufacetine Salep tube 0
173 Lansoprazole Kapsul 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0
176 Levemir Flexpen pen 0
177 Levertran salep pot 0
178 Levopar 100 mg tablet 0
179 Lidokain 2% Injeksi ampul 0
180 Lisinopril 10 mg tablet 0
181 Lisinopril 5 mg tablet 0
182 Lisol botol 0
183 Loperamid tablet 2 mg tablet 0
184 Loratadin tablet 10 mg tablet 0
185 Latus Analog Insulin Injeksi Solotar Pen 0
186 Lactulosa Syrup botol 0
187 Lytacur Syrup botol 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0
190 Mebendazol syr botol 0
191 Mebendazol tab 100 mg. tablet 0
192 Meloksikam tablet 15 mg tablet 0
193 Meloksikam tablet 7,5 mg tablet 0
194 Mersibion inj ampul 0
195 Metformin 500 mg tablet 0
196 Metformin 850 mg tablet 0
197 Metil Prednisolon 16 mg tablet 0
198 Metil Prednisolon Tab 4 mg tablet 0
199 Metil Prednisolon Tab 8 mg tablet 0
200 Metoklopamid inj 5 mg/ml ampul 0
201 Metoklopamid tab 10 mg tablet 0
202 Metronidazol infus botol 0
203 Metronidazol tab 250 mg. tablet 0
204 Metronidazol tab 500 mg. tablet 0
205 Metronidazol syr botol 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0
208 Mikonazol krim 2 % tube 0
209 N Acetyl Sistein Kapsul 0
210 Natrium Bikarbonat tab 500 mg. tablet 0
211 Natrium Diklofenak 25 mg tablet 0
212 Natrium Diklofenak 50 mg tablet 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0
216 Nerilon krim tube 0
217 Neurodial tablet 0
218 Nifedipin tab tablet 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0
220 Nistatin 500.000 iu/g tab salut tablet 0
221 Nitral-Gliseril trinitrat tablet 0
222 Novabion tablet 0
223 Novorapid Flexpen pen 0
224 Obat Batuk Hitam (OBH) botol 0
225 Oksitetrasiklin HCl Salep 3 % tube 0
226 OksitetrasiklinHCl Salep 1 % tube 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0
228 Omeprazole 20 mg tablet 0
229 Ondansentron Dihidrate inj ampul 0
230 Ondansetron tablet 4 mg tablet 0
231 Ondansetron tablet 8 mg tablet 0
232 Papaverin Tab tablet 0
233 Paracetamol drop botol 0
234 Parasetamol Syrup 120 mg/ml. botol 0
235 Parasetamol tablet 100 mg tablet 0
236 Parasetamol tablet 500 mg tablet 0
237 Paracetamol Infuse botol 0
238 Permetrim krim (Scabimite) tube 0
239 Piracetam 400 mg tab tablet 0
240 Piracetam 800 mg tab tablet 0
241 Piracetam inj ampul 0
242 Pirantel Pamoat tablet 125 mg. tablet 0
243 Piridoksin Hcl tablet 10 mg. tablet 0
244 Piroksikam 10 mg tablet 0
245 Piroksikam 20 mg tablet 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0
248 Povidon Iodida Lar. 10% 30 ml botol 0
249 Prednison Tablet 5 mg. tablet 0
250 Primakuina tablet 15 mg tablet 0
251 Prokain Penisilin Vial ampul 0
252 Propanolol HCl tablet 10 mg. tablet 0
253 Propanolol HCl tablet 40 mg. tablet 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0
255 Ranitidin Inj 25 mg/ ml ampul 0
256 Ranitidin tab 150 mg tablet 0
257 Rifampisin Kaplet 300 mg tablet 0
258 Rifampisin Kaplet 600 mg tablet 0
259 Rifampisin Kapsul 450 mg tablet 0
260 Ringer Laktat Larutan Infus Steril plabot 0
261 Risperidon 1 mg tablet 0
262 Risperidon 2 mg tablet 0
263 Salbutamol nebules ampul 0
264 Salbutamol Tablet 2 mg. tablet 0
265 Salbutamol Tablet 4 mg. tablet 0
266 Salep 2-4 Kombinasi pot 0
267 Salisil Bedak 2 % sak 0
268 Sefadroksil Kaplet 500 mg tablet 0
269 Sefadroksil syrup botol 0
270 Sefotaksim injeksi 1 g ampul 0
271 Seftriakson injeksi 1 g ampul 0
272 Seretide diskus 250 mcg pcs 0
273 Seretide diskus 50 mcg pcs 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0
275 Sianokobalamin tablet tablet 0
276 Simetidin 200 mg tablet 0
277 Simvastatin 10 mg tablet 0
278 Simvastatin 20 mg tablet 0
279 Siprofloksasin 500 mg tablet 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0
283 Spironolakton tab 25 mg tablet 0
284 Stesolid 5 mg diazepam tablet 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0
287 Synarcus Huocinolone tube 0
288 Sucralfat Syrup 500 mg botol 0
289 Tiamfenikol 500 mg tablet 0
290 Tiamina Mononitrat tab 50 mg. tablet 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0
292 Tramadol inj 50 mg/ml ampul 0
293 Tramadol Tablet 50 mg tablet 0
294 Triheksifenidil HCl tab 2 mg tablet 0
295 Urinter (asam pipemidat 400 mg) tablet 0
296 Valsartan 80 mg tablet 0
297 Ventolin Inhaler tablet 0
298 Vitamin B komplek Tablet tablet 0
299 Xylocaine Jelly 2% Syringe 0
300 Zink tablet 0
301 Zink sir 20 mg/5 ml botol 0
VAKSIN 0
302 ABU vial 0
303 ATS 1500 IU ampul 0
304 VAR ampul 0
OBAT PROGRAM GIZI 0
305 Mineral Mix sack 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0
308 Tablet Tambah Darah Kombinasi tablet 0
0
OBAT PROGRAM P2PL 0
309 OAT KAT ANAK paket 0
310 OAT KAT I paket 0
311 OAT KAT II paket 0
312 OAT KAT SISIPAN paket 0
0
REAGEN 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0
314 Anti -A,B Monoclonal Blood Reagent botol 0
315 Anti -B Monoclonal Blood Reagent botol 0
316 Anti -D Duoclone Monoclonal botol 0
317 Febrile Antigen H Typhi Pcs 0
318 Febrile Antigen H-A paratyphi Pcs 0
319 Febrile Antigen H-B paratyphi Pcs 0
320 Febrile Antigen H-C paratyphi pcs 0
321 Febrile Antigen O-A paratyphi pcs 0
322 Febrile Antigen O-D paratyphi pcs 0
323 H2O2 botol 0
324 Larutan Asam Asetat botol 0
325 Larutan Asam Sulfosalisilat botol 0
326 Larutan EDTA botol 0
327 Larutan Giemsa botol 0
328 Larutan HCL 0,5 N botol 0
329 Larutan Ress Ecker botol 0
330 Larutan Turk botol 0
331 Larutan Ziehl Nelsen botol 0
332 Tabung EDTA pack 0
333 Tabung Non EDTA pack 0
- 0
OBAT GIGI 0
334 Cavit pcs 0
335 Devitalisasi Pasta pcs 0
336 Etil Klorida Semprot pcs 0
337 Eugenol Cairan botol 0
338 Eviplac Disclosing pcs 0
339 Glass Ionomer Cement (gc IX) botol 0
340 Hydral pcs 0
341 Kalsium Hidroksida Pasta pcs 0
342 Monoklor Mentol Cairan/CHKM/paramoncloro pcs 0
343 Mummfying Pasta / Iodoform pcs 0
344 Semen Seng Fosfat Cair pcs 0
345 Trikloroformalin/formocresol pcs 0
346 Zinc Sement pcs 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0
ALAT-ALAT KESEHATAN 0
348 Alat Suntik 1 ml. pcs 0
349 Alat Suntik 10 ml pcs 0
350 Alat Suntik 20 ml pcs 0
351 Alat Suntik 3 ml. pcs 0
352 Alat Suntik 5 ml. pcs 0
353 Alat Suntik Spuit 0,05 cc pcs 0
354 Alat Suntik Spuit 0,5 cc pcs 0
355 Alkohol swab kotak 0
356 Antiseptik gel botol 0
357 Alkapharm (pencuci instrumen medis) Botol 0
358 Benechek asam urat kotak 0
359 Benechek cholesterol kotak 0
360 Benechek glukosa kotak 0
361 Blood lanset box 0
362 Blood tranfusion set pcs 0
363 Box object glass pcs 0
364 Cat gut plain 2/0 pcs 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0
367 Cuticell classic 10 x 10 cm box 0
368 Easy Touch HB kotak 0
369 Feeding tube no.10 pcs 0
370 Fixomul pcs 0
371 Folley Cathether No. 16 pcs 0
372 Folley Cathether No. 18 pcs 0
373 Folley Cathether No. 20 pcs 0
374 Handscon Nonsteril Uk S kotak 0
375 Handscon Nonsteril Uk M kotak 0
376 Hanscond non steril All size kotak 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0
378 Hydrogel Wound dressing kotak 0
379 Infusion Set anak pcs 0
380 Infusion Set dewasa pcs 0
381 IV Cateter No.18 pcs 0
382 IV Cateter No.20 pcs 0
383 IV Cateter No.22 pcs 0
384 IV Cateter No.24 pcs 0
385 IV catheter no 26 pcs 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0
387 Kasa Elastis 4 inchi pcs 0
388 Kasa Meteran 36 m x 80 cm pcs 0
389 Kasa Pembalut 2m x 80cm. pcs 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0
391 Kasa Steril (16 x 16 ) pcs 0
392 Masker ear loop box 0
393 Masker plus 3 play plus earloop box 0
394 Masker ties on pcs 0
395 Mikropipet pcs 0
396 Nasal Oxygen Uk L pcs 0
397 Nasal Oxygen Uk M pcs 0
398 Nasal Oxygen Uk S pcs 0
399 Nasal Oxygen Uk XS pcs 0
400 Needle 25 G Pcs 0
401 Needle Vacutainer flashback kotak 0
402 Plester 5 Yard x 2 Inc. pcs 0
403 Pot sputum pcs 0
404 Queck Cek Hb Kotak 0
405 Safety Box 5 Liter pcs 0
406 Silk (benang bedah sutra) no 3/0 pcs 0
407 Slide (hibah propinsi) kotak 0
408 Stomach tube no. 18 pcs 0
409 Stomach tube no. 20 pcs 0
410 Surgical Blade no.11 kotak 0
411 Softaman antiseptic gel btl 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0
413 Test pack pcs 0
414 Underpad pcs 0
415 Urine bag pcs 0
416 White Tips pack 0
417 Wing Needle 25 G pcs 0
418 Wing Needle 27 G pcs 0
419 Wing Needle 21 G pcs 0
420 Wing Needle 23 G pcs 0
421 Yellow Tips pcs 0
OBAT BARU 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0
423 Lidokain kompositum injeksi Ampul 0
424 Catgut plain 2/0 Pcs 0 -
425 Domperidon 5 mg Drop Botol 0
426 Dengue Tes dus 0
427 Diazepam stesolid supp 0
428 Biolysin Tablet 0
429 Biolysin sirup Botol 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : FEBRUARI
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : MARET
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : APRIL
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : MEI
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : JUNI
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : JULI
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : AGUSTUS
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : SEPTEMBER
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : OKTOBER
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : NOVEMBER
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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LAPORAN

KODE PUSKESMAS : P 1810040202


PUSKESMAS : REJOSARI
KECAMATAN : PRINGSEWU
KAB/KOTA : PRINGSEWU
PROPINSI : LAMPUNG
BULAN : DESEMBER
TAHUN MENU : 2019

STOK PENERI PERSE


KODE JUMLAH RESEP / NAMA OBAT SAT
AWAL MAAN DIAAN 1 2 3 4
1 2 3 4 5 6 7 8 9 10
NAMA OBAT
1 Acdat (asam fusidat)/ Fucilek tube 0 0
2 Albendazol tablet 0 0
3 Allupurinol Tab. 100 mg. tablet 0 0
4 Allupurinol Tab. 300 mg. tablet 0 0
5 Alpentin (Gabapentin) 100 mg Kapsul 0 0
6 Alpentin (Gabapentin) 300 mg tablet 0 0
7 Ambroxol syr botol 0 0
8 Ambroxol tab 30 mg tablet 0 0
9 Aminofillin inj. 24mg/ml-10 ml ampul 0 0
10 Aminofillin tab. 200 mg. tablet 0 0
11 Amitriptillin HCl tab salut 25 mg tablet 0 0
12 Amlodipine tab 10 mg tablet 0 0
13 Amlodipine tab 5 mg tablet 0 0
14 Amoksisillin Kaplet 500 mg. tablet 0 0
15 Amoksisillin Kapsul 250 mg. tablet 0 0
16 Amoksisillin Syrup Kering 125/5ml. botol 0 0
17 Amoksisillin Syrup Kering 250/5ml. botol 0 0
18 Anabion (multivitamin anak syr) botol 0 0
19 Antalgin inj 250 mg/ml-2ml. ampul 0 0
20 Antalgin tab. 500 mg. tablet 0 0
21 Antasida Doen tab. Kombinasi tablet 0 0
22 Antasida Syrup botol 0 0
23 Anti Malaria Kombinasi ( ACT ) tablet 0 0
24 Antibakteri Doen Salep Kombinasi pot 0 0
25 Antifungi Doen Kombinasi pot 0 0
26 Antihemoroid doen Komb. Supp. supp 0 0
27 Apidra solostar (analog insulin rapid acting) pen 0 0
28 Aqu pro inj. Steril, bebas pirogen vial 0 0
29 Artemether inj 80 mg/ml (Artem) ampul 0 0
30 Artesunat inj ampul 0 0
31 Asam Asetil salisilat (miniaspi) tablet 0 0
32 Asam Askorbat tab 250 mg. tablet 0 0
33 Asam Askorbat tab 50 mg. tablet 0 0
34 Asam folat (Profolat) tablet 0 0
35 Asam Mefenamat 500 mg tablet 0 0
36 Asam Traneksamat inj 100mg/ml ampul 0 0
37 Asam traneksamat inj 50mg/ml ampul 0 0
38 Asam retinoat/Neotinex tube 0 0
39 Asiklovir tab 200 mg tablet 0 0
40 Asiklovir krim tube 0 0
41 Asiklovir Tablet 400 mg tablet 0 0
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul 0 0
43 Attalpugite ( new antides) tablet 0 0
44 Azithromycin 250 mg tablet 0 0
45 Alprazolam tablet 0 0
46 Berotec pcs 0 0
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul 0 0
48 Benzatin B. Penisillin inj. 3 juta IU ampul 0 0
49 Betahistin Mesilat tab 6 mg tablet 0 0
50 Betametason krim 0,1 % tube 0 0
51 Betason N tube 0 0
52 Bisakodil 10 mg suppositria supp 0 0
53 Bisakodil 5 mg suppositria supp 0 0
54 Bisoprolol 5 mg tablet 0 0
55 Bromheksin tab 8 mg tablet 0 0
56 Betadin salep tube 0 0
57 Candesartan 8 mg tablet 0 0
58 Carbamazepine 200 mg tablet 0 0
59 Cefixim tablet 0 0
60 Cefixim syr botol 0 0
61 Cendo Lyteers botol 0 0
62 Cendo Mydriatil botol 0 0
63 Cetirizine syr botol 0 0
64 Cetirizine tab 10 mg tablet 0 0
65 Cloramfecort cr tablet 0 0
66 Combivent vial 0 0
67 Clozapin tablet 0 0
68 Colchitine / Kolkisin tablet 0 0
69 Clobazam tablet 0 0
70 D artep tablet 0 0
71 Deksametason inj. 5mg/ml-1ml. ampul 0 0
72 Deksametason tab 0,5 mg. tablet 0 0
73 Dexosimethason tube 0 0
74 Diazepam inj 5 mg/ml-2ml. ampul 0 0
75 Diazepam tab 2mg. tablet 0 0
76 Diazepam tab 5mg. tablet 0 0
77 Dietilkarbamazin Sitrat tab 100 mg tablet 0 0
78 Difenhidramin HCL inj 10 mg/ml ampul 0 0
79 Digoksin tab. 0,25 mg tablet 0 0
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet 0 0
81 Dimenhidrinat 50 mg tablet 0 0
82 Doksisiklin kap 100 mg tablet 0 0
83 Domperidon suspensi botol 0 0
84 Domperidon tab 10 mg tablet 0 0
85 Dopamed tablet 0 0
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul 0 0
87 Ekstrak Belladon tab 10 mg. tablet 0 0
88 Erithromisin 250 mg tablet 0 0
89 Erithromisin 500 mg tablet 0 0
90 Erithromisin syr 200 mg/5 ml botol 0 0
91 Erphavitalgin (Multivitamin Neurotripik) tablet 0 0
92 Etakridin (Rivanol) Lar 0,1 % botol 0 0
93 Etambutol 250 mg. tablet 0 0
94 Etambutol 500 mg tablet 0 0
95 Etanol 70 % 100 ml botol 0 0
96 Etanol 70 % 1000 ml botol 0 0
97 Etanol 70 % 300 ml botol 0 0
98 Elizac 20 tablet 0 0
99 Famotidine tablet 0 0
100 Fenitoin 100 mg tablet 0 0
101 Fenobarbital inj 50 mg/ml-2ml. ampul 0 0
102 Fenofibrate 100 mg tablet 0 0
103 Fenol Gliserol Tetes Telinga 10 % botol 0 0
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul 0 0
105 Fitomenadion (Vit. K) tab. 10 mg. tablet 0 0
106 Flixotide Nebules 0,5mg/2ml ampul 0 0
107 Flumin (Obat Batuk Kombinasi dewasa) tube 0 0
108 Furosemid inj ampul 0 0
109 Furosemid tab 40 mg. tablet 0 0
110 Flurin DMP tablet 0 0
111 Garam Oralit untuk 200ml air sack 0 0
112 Genoint SM tube 0 0
113 Gentamisin sulfat 0,5 % OTM botol 0 0
114 Gentamisin Sulfat 1 mg/g salep kulit tube 0 0
115 Gentamisin sulfat inj ampul 0 0
116 Gentianviolet 1 % botol 0 0
117 Glibenklamid tab 5 mg. tablet 0 0
118 Glikazid ( Glikab ) tablet 0 0
119 Glimepirid 2 mg tablet 0 0
120 Glimepirid 3 mg tablet 0 0
121 Gliseril Guayakolat tab. 100 mg. tablet 0 0
122 Glukosa Lar Infus 10 %. plabot 0 0
123 Glukosa Lar Infus 40 %. plabot 0 0
124 Glukosa Lar Infus 5 %. plabot 0 0
125 GOM botol 0 0
126 Gored 80 mg tablet 0 0
127 Griseufulvin tab 125 mg. tablet 0 0
128 Guaiafenesin tablet 0 0
129 Gemfribozil 300 mg tablet 0 0
130 Haloperidol tab 0,5 mg tablet 0 0
131 Haloperidol tab 1,5 mg tablet 0 0
132 Haloperidol tab 5 mg tablet 0 0
133 Haloperidol injeksi 5 mg (Lodomer) ampul 0 0
134 Haldol Decanoat ampul 0 0
135 Herbesser CD 100 tablet 0 0
136 Hidroklortiazida (Hct) tab 25 mg. tablet 0 0
137 Hidrokortison Krim 25 % tube 0 0
138 Herbakof botol 0 0
139 Ibuprofen Tab. 200 mg. tablet 0 0
140 Ibuprofen Tab. 400 mg tablet 0 0
141 Ibupropen Suspensi botol 0 0
142 Ichtiol pot 0 0
143 Iliadin Tetes hidung botol 0 0
144 Irbesartan 150 mg tablet 0 0
145 Isoniazid 100 mg. tablet 0 0
146 Isosorbit Dinitrat tab subling 5 mg. tablet 0 0
147 Imundo Capl tablet 0 0
148 Kalsium Glukonas ampul 0 0
149 Kalsium Laktat (Kalk) tab 500 mg. tablet 0 0
150 Kaptoril 12,5 mg tablet 0 0
151 Kaptoril 25 mg tablet 0 0
152 Ketokonazol 200 mg. tablet 0 0
153 Ketokonazol Krim 2 % tube 0 0
154 Ketorolac inj 10 mg ampul 0 0
155 Ketorolac inj 30 mg ampul 0 0
156 Klindamisin 150 mg Kapsul 0 0
157 Klindamisin 300 mg Kapsul 0 0
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul 0 0
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol 0 0
160 Kloramfenikol Salep Mata 1 % tube 0 0
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicetinbotol 0 0
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet 0 0
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul 0 0
164 Klorpromazin tab 100 mg tablet 0 0
165 Klorpromazin tab 25 mg tablet 0 0
166 Kodein Hcl tab 10 mg. tablet 0 0
167 Kombinasi Obat Flu Anak ( Colortusin Syrup)botol 0 0
168 Kombinasi Obat Flu Dewasa ( Colortusin Tabltablet 0 0
169 Kotrimoksazol Dewasa tab. 480 mg. tablet 0 0
170 Kotrimoksazol Suspensi botol 0 0
171 KSR tablet 0 0
172 Kloramfenicol SK/Bufacetine Salep tube 0 0
173 Lansoprazole Kapsul 0 0
174 Lar mengandung Karboh + Elekt ( Kaen) plabot 0 0
175 Larutan mengandung Elektrolit ( Asering ) plabot 0 0
176 Levemir Flexpen pen 0 0
177 Levertran salep pot 0 0
178 Levopar 100 mg tablet 0 0
179 Lidokain 2% Injeksi ampul 0 0
180 Lisinopril 10 mg tablet 0 0
181 Lisinopril 5 mg tablet 0 0
182 Lisol botol 0 0
183 Loperamid tablet 2 mg tablet 0 0
184 Loratadin tablet 10 mg tablet 0 0
185 Latus Analog Insulin Injeksi Solotar P 0 0
186 Lactulosa Syrup botol 0 0
187 Lytacur Syrup botol 0 0
188 Magnesium Sulfat Inj.20%-25 ml. ampul 0 0
189 Magnesium Sulfat Inj.40%-25 ml. ampul 0 0
190 Mebendazol syr botol 0 0
191 Mebendazol tab 100 mg. tablet 0 0
192 Meloksikam tablet 15 mg tablet 0 0
193 Meloksikam tablet 7,5 mg tablet 0 0
194 Mersibion inj ampul 0 0
195 Metformin 500 mg tablet 0 0
196 Metformin 850 mg tablet 0 0
197 Metil Prednisolon 16 mg tablet 0 0
198 Metil Prednisolon Tab 4 mg tablet 0 0
199 Metil Prednisolon Tab 8 mg tablet 0 0
200 Metoklopamid inj 5 mg/ml ampul 0 0
201 Metoklopamid tab 10 mg tablet 0 0
202 Metronidazol infus botol 0 0
203 Metronidazol tab 250 mg. tablet 0 0
204 Metronidazol tab 500 mg. tablet 0 0
205 Metronidazol syr botol 0 0
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul 0 0
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet 0 0
208 Mikonazol krim 2 % tube 0 0
209 N Acetyl Sistein Kapsul 0 0
210 Natrium Bikarbonat tab 500 mg. tablet 0 0
211 Natrium Diklofenak 25 mg tablet 0 0
212 Natrium Diklofenak 50 mg tablet 0 0
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot 0 0
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul 0 0
215 Natrium Tiroksin tab (Euthyrox) tablet 0 0
216 Nerilon krim tube 0 0
217 Neurodial tablet 0 0
218 Nifedipin tab tablet 0 0
219 Nistatin 100.000 iu/g tab Vagina tablet 0 0
220 Nistatin 500.000 iu/g tab salut tablet 0 0
221 Nitral-Gliseril trinitrat tablet 0 0
222 Novabion tablet 0 0
223 Novorapid Flexpen pen 0 0
224 Obat Batuk Hitam (OBH) botol 0 0
225 Oksitetrasiklin HCl Salep 3 % tube 0 0
226 OksitetrasiklinHCl Salep 1 % tube 0 0
227 Oksitosin inj. 10 IU/ ml-1ml. ampul 0 0
228 Omeprazole 20 mg tablet 0 0
229 Ondansentron Dihidrate inj ampul 0 0
230 Ondansetron tablet 4 mg tablet 0 0
231 Ondansetron tablet 8 mg tablet 0 0
232 Papaverin Tab tablet 0 0
233 Paracetamol drop botol 0 0
234 Parasetamol Syrup 120 mg/ml. botol 0 0
235 Parasetamol tablet 100 mg tablet 0 0
236 Parasetamol tablet 500 mg tablet 0 0
237 Paracetamol Infuse botol 0 0
238 Permetrim krim (Scabimite) tube 0 0
239 Piracetam 400 mg tab tablet 0 0
240 Piracetam 800 mg tab tablet 0 0
241 Piracetam inj ampul 0 0
242 Pirantel Pamoat tablet 125 mg. tablet 0 0
243 Piridoksin Hcl tablet 10 mg. tablet 0 0
244 Piroksikam 10 mg tablet 0 0
245 Piroksikam 20 mg tablet 0 0
246 Povidon Iodida Lar. 10 % 300 ml. botol 0 0
247 Povidon Iodida Lar. 10 % 60 ml. botol 0 0
248 Povidon Iodida Lar. 10% 30 ml botol 0 0
249 Prednison Tablet 5 mg. tablet 0 0
250 Primakuina tablet 15 mg tablet 0 0
251 Prokain Penisilin Vial ampul 0 0
252 Propanolol HCl tablet 10 mg. tablet 0 0
253 Propanolol HCl tablet 40 mg. tablet 0 0
254 Propil Tio Urasil Tablet 100 mg. tablet 0 0
255 Ranitidin Inj 25 mg/ ml ampul 0 0
256 Ranitidin tab 150 mg tablet 0 0
257 Rifampisin Kaplet 300 mg tablet 0 0
258 Rifampisin Kaplet 600 mg tablet 0 0
259 Rifampisin Kapsul 450 mg tablet 0 0
260 Ringer Laktat Larutan Infus Steril plabot 0 0
261 Risperidon 1 mg tablet 0 0
262 Risperidon 2 mg tablet 0 0
263 Salbutamol nebules ampul 0 0
264 Salbutamol Tablet 2 mg. tablet 0 0
265 Salbutamol Tablet 4 mg. tablet 0 0
266 Salep 2-4 Kombinasi pot 0 0
267 Salisil Bedak 2 % sak 0 0
268 Sefadroksil Kaplet 500 mg tablet 0 0
269 Sefadroksil syrup botol 0 0
270 Sefotaksim injeksi 1 g ampul 0 0
271 Seftriakson injeksi 1 g ampul 0 0
272 Seretide diskus 250 mcg pcs 0 0
273 Seretide diskus 50 mcg pcs 0 0
274 Sianokobalamin Inj 500 mcg/ml. ampul 0 0
275 Sianokobalamin tablet tablet 0 0
276 Simetidin 200 mg tablet 0 0
277 Simvastatin 10 mg tablet 0 0
278 Simvastatin 20 mg tablet 0 0
279 Siprofloksasin 500 mg tablet 0 0
280 Sorvitral (Multivitamin dan Mineral) tablet 0 0
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak 0 0
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul 0 0
283 Spironolakton tab 25 mg tablet 0 0
284 Stesolid 5 mg diazepam tablet 0 0
285 Sulfasetamid Nat. Tetes Mata 15 % botol 0 0
286 Suprafenid ( Ketoprofen supp 100mg) supp 0 0
287 Synarcus Huocinolone tube 0 0
288 Sucralfat Syrup 500 mg botol 0 0
289 Tiamfenikol 500 mg tablet 0 0
290 Tiamina Mononitrat tab 50 mg. tablet 0 0
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul 0 0
292 Tramadol inj 50 mg/ml ampul 0 0
293 Tramadol Tablet 50 mg tablet 0 0
294 Triheksifenidil HCl tab 2 mg tablet 0 0
295 Urinter (asam pipemidat 400 mg) tablet 0 0
296 Valsartan 80 mg tablet 0 0
297 Ventolin Inhaler tablet 0 0
298 Vitamin B komplek Tablet tablet 0 0
299 Xylocaine Jelly 2% Syringe 0 0
300 Zink tablet 0 0
301 Zink sir 20 mg/5 ml botol 0 0
0 VAKSIN 0 0 0
302 ABU vial 0 0
303 ATS 1500 IU ampul 0 0
304 VAR ampul 0 0
0 OBAT PROGRAM GIZI 0 0 0
305 Mineral Mix sack 0 0
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul 0 0
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul 0 0
308 Tablet Tambah Darah Kombinasi tablet 0 0
0 0 0 0
0 OBAT PROGRAM P2PL 0 0 0
309 OAT KAT ANAK paket 0 0
310 OAT KAT I paket 0 0
311 OAT KAT II paket 0 0
312 OAT KAT SISIPAN paket 0 0
0 0 0 0
0 REAGEN 0 0 0
313 Anti -A Monoclonal Blood Grouping Reagent botol 0 0
314 Anti -A,B Monoclonal Blood Reagent botol 0 0
315 Anti -B Monoclonal Blood Reagent botol 0 0
316 Anti -D Duoclone Monoclonal botol 0 0
317 Febrile Antigen H Typhi Pcs 0 0
318 Febrile Antigen H-A paratyphi Pcs 0 0
319 Febrile Antigen H-B paratyphi Pcs 0 0
320 Febrile Antigen H-C paratyphi pcs 0 0
321 Febrile Antigen O-A paratyphi pcs 0 0
322 Febrile Antigen O-D paratyphi pcs 0 0
323 H2O2 botol 0 0
324 Larutan Asam Asetat botol 0 0
325 Larutan Asam Sulfosalisilat botol 0 0
326 Larutan EDTA botol 0 0
327 Larutan Giemsa botol 0 0
328 Larutan HCL 0,5 N botol 0 0
329 Larutan Ress Ecker botol 0 0
330 Larutan Turk botol 0 0
331 Larutan Ziehl Nelsen botol 0 0
332 Tabung EDTA pack 0 0
333 Tabung Non EDTA pack 0 0
0 0 0 0 0
0 OBAT GIGI 0 0 0
334 Cavit pcs 0 0
335 Devitalisasi Pasta pcs 0 0
336 Etil Klorida Semprot pcs 0 0
337 Eugenol Cairan botol 0 0
338 Eviplac Disclosing pcs 0 0
339 Glass Ionomer Cement (gc IX) botol 0 0
340 Hydral pcs 0 0
341 Kalsium Hidroksida Pasta pcs 0 0
342 Monoklor Mentol Cairan/CHKM/paramoncloropcs 0 0
343 Mummfying Pasta / Iodoform pcs 0 0
344 Semen Seng Fosfat Cair pcs 0 0
345 Trikloroformalin/formocresol pcs 0 0
346 Zinc Sement pcs 0 0
347 Tooth Mousse GC Tube Stawberry / Flouride botol 0 0
0 ALAT-ALAT KESEHATAN 0 0 0
348 Alat Suntik 1 ml. pcs 0 0
349 Alat Suntik 10 ml pcs 0 0
350 Alat Suntik 20 ml pcs 0 0
351 Alat Suntik 3 ml. pcs 0 0
352 Alat Suntik 5 ml. pcs 0 0
353 Alat Suntik Spuit 0,05 cc pcs 0 0
354 Alat Suntik Spuit 0,5 cc pcs 0 0
355 Alkohol swab kotak 0 0
356 Antiseptik gel botol 0 0
357 Alkapharm (pencuci instrumen medis) Botol 0 0
358 Benechek asam urat kotak 0 0
359 Benechek cholesterol kotak 0 0
360 Benechek glukosa kotak 0 0
361 Blood lanset box 0 0
362 Blood tranfusion set pcs 0 0
363 Box object glass pcs 0 0
364 Cat gut plain 2/0 pcs 0 0
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs 0 0
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs 0 0
367 Cuticell classic 10 x 10 cm box 0 0
368 Easy Touch HB kotak 0 0
369 Feeding tube no.10 pcs 0 0
370 Fixomul pcs 0 0
371 Folley Cathether No. 16 pcs 0 0
372 Folley Cathether No. 18 pcs 0 0
373 Folley Cathether No. 20 pcs 0 0
374 Handscon Nonsteril Uk S kotak 0 0
375 Handscon Nonsteril Uk M kotak 0 0
376 Hanscond non steril All size kotak 0 0
377 Hanscond steril Size 7,5 (DAK 2017) pcs 0 0
378 Hydrogel Wound dressing kotak 0 0
379 Infusion Set anak pcs 0 0
380 Infusion Set dewasa pcs 0 0
381 IV Cateter No.18 pcs 0 0
382 IV Cateter No.20 pcs 0 0
383 IV Cateter No.22 pcs 0 0
384 IV Cateter No.24 pcs 0 0
385 IV catheter no 26 pcs 0 0
386 Kapas Pembalut/Adsorben 250 mg. pcs 0 0
387 Kasa Elastis 4 inchi pcs 0 0
388 Kasa Meteran 36 m x 80 cm pcs 0 0
389 Kasa Pembalut 2m x 80cm. pcs 0 0
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs 0 0
391 Kasa Steril (16 x 16 ) pcs 0 0
392 Masker ear loop box 0 0
393 Masker plus 3 play plus earloop box 0 0
394 Masker ties on pcs 0 0
395 Mikropipet pcs 0 0
396 Nasal Oxygen Uk L pcs 0 0
397 Nasal Oxygen Uk M pcs 0 0
398 Nasal Oxygen Uk S pcs 0 0
399 Nasal Oxygen Uk XS pcs 0 0
400 Needle 25 G Pcs 0 0
401 Needle Vacutainer flashback kotak 0 0
402 Plester 5 Yard x 2 Inc. pcs 0 0
403 Pot sputum pcs 0 0
404 Queck Cek Hb Kotak 0 0
405 Safety Box 5 Liter pcs 0 0
406 Silk (benang bedah sutra) no 3/0 pcs 0 0
407 Slide (hibah propinsi) kotak 0 0
408 Stomach tube no. 18 pcs 0 0
409 Stomach tube no. 20 pcs 0 0
410 Surgical Blade no.11 kotak 0 0
411 Softaman antiseptic gel btl 0 0
412 Terumo nanopass needle (32,5G x 4 mm) pcs 0 0
413 Test pack pcs 0 0
414 Underpad pcs 0 0
415 Urine bag pcs 0 0
416 White Tips pack 0 0
417 Wing Needle 25 G pcs 0 0
418 Wing Needle 27 G pcs 0 0
419 Wing Needle 21 G pcs 0 0
420 Wing Needle 23 G pcs 0 0
421 Yellow Tips pcs 0 0
0 OBAT BARU 0 0 0
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet 0 0
423 Lidokain kompositum injeksi Ampul 0 0
424 Catgut plain 2/0 Pcs 0 0
425 Domperidon 5 mg Drop Botol 0 0
426 Dengue Tes dus 0 0
427 Diazepam stesolid supp 0 0
428 Biolysin Tablet 0 0
429 Biolysin sirup Botol 0 0
430 Flufenazine Decanoat Injeksi 25 mg Ampul 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PEMAKAIAN PER TANGGAL


5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
JUM SISA
JUM
25 26 27 28 29 30 31 ED STOK
31 32 33 34 35 36 37 38 39

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MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : JANUARI 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : FEBRUARI 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : MARET 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : APRIL 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : MEI 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : JUNI 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : JULI 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : AGUSTUS 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : SEPTEMBER 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : OKTOBER 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : NOVEMBER 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg. tablet - - - -
106 Flixotide Nebules 0,5mg/2ml ampul - - - -
107 Flumin (Obat Batuk Kombinasi dewasa) tube - - - -
108 Furosemid inj ampul - - - -
109 Furosemid tab 40 mg. tablet - - - -
110 Flurin DMP tablet - - - -
111 Garam Oralit untuk 200ml air sack - - - -
112 Genoint SM tube - - - -
113 Gentamisin sulfat 0,5 % OTM botol - - - -
114 Gentamisin Sulfat 1 mg/g salep kulit tube - - - -
115 Gentamisin sulfat inj ampul - - - -
116 Gentianviolet 1 % botol - - - -
117 Glibenklamid tab 5 mg. tablet - - - -
118 Glikazid ( Glikab ) tablet - - - -
119 Glimepirid 2 mg tablet - - - -
120 Glimepirid 3 mg tablet - - - -
121 Gliseril Guayakolat tab. 100 mg. tablet - - - -
122 Glukosa Lar Infus 10 %. plabot - - - -
123 Glukosa Lar Infus 40 %. plabot - - - -
124 Glukosa Lar Infus 5 %. plabot - - - -
125 GOM botol - - - -
126 Gored 80 mg tablet - - - -
127 Griseufulvin tab 125 mg. tablet - - - -
128 Guaiafenesin tablet - - - -
129 Gemfribozil 300 mg tablet - - - -
130 Haloperidol tab 0,5 mg tablet - - - -
131 Haloperidol tab 1,5 mg tablet - - - -
132 Haloperidol tab 5 mg tablet - - - -
133 Haloperidol injeksi 5 mg (Lodomer) ampul - - - -
134 Haldol Decanoat ampul - - - -
135 Herbesser CD 100 tablet - - - -
136 Hidroklortiazida (Hct) tab 25 mg. tablet - - - -
137 Hidrokortison Krim 25 % tube - - - -
138 Herbakof botol - - - -
139 Ibuprofen Tab. 200 mg. tablet - - - -
140 Ibuprofen Tab. 400 mg tablet - - - -
141 Ibupropen Suspensi botol - - - -
142 Ichtiol pot - - - -
143 Iliadin Tetes hidung botol - - - -
144 Irbesartan 150 mg tablet - - - -
145 Isoniazid 100 mg. tablet - - - -
146 Isosorbit Dinitrat tab subling 5 mg. tablet - - - -
147 Imundo Capl tablet - - - -
148 Kalsium Glukonas ampul - - - -
149 Kalsium Laktat (Kalk) tab 500 mg. tablet - - - -
150 Kaptoril 12,5 mg tablet - - - -
151 Kaptoril 25 mg tablet - - - -
152 Ketokonazol 200 mg. tablet - - - -
153 Ketokonazol Krim 2 % tube - - - -
154 Ketorolac inj 10 mg ampul - - - -
155 Ketorolac inj 30 mg ampul - - - -
156 Klindamisin 150 mg Kapsul - - - -
157 Klindamisin 300 mg Kapsul - - - -
158 Kloram fenikol kap 500mg. (Chloramex) Kapsul - - - -
159 Kloramfenikol 0,5 % TTM (Decacetin TM) botol - - - -
160 Kloramfenikol Salep Mata 1 % tube - - - -
161 Kloramfenikol Tetes Telinga 3 % ( Erlamicebotol - - - -
162 Klorfeniramine Mal. Tab. 4 mg. (CTM) tablet - - - -
163 Klorpromazin Inj. 5 mg/ml - 2 ml ampul - - - -
164 Klorpromazin tab 100 mg tablet - - - -
165 Klorpromazin tab 25 mg tablet - - - -
166 Kodein Hcl tab 10 mg. tablet - - - -
167 Kombinasi Obat Flu Anak ( Colortusin Syrubotol - - - -
168 Kombinasi Obat Flu Dewasa ( Colortusin Ta tablet - - - -
169 Kotrimoksazol Dewasa tab. 480 mg. tablet - - - -
170 Kotrimoksazol Suspensi botol - - - -
171 KSR tablet - - - -
172 Kloramfenicol SK/Bufacetine Salep tube - - - -
173 Lansoprazole Kapsul - - - -
174 Lar mengandung Karboh + Elekt ( Kaen) plabot - - - -
175 Larutan mengandung Elektrolit ( Asering ) plabot - - - -
176 Levemir Flexpen pen - - - -
177 Levertran salep pot - - - -
178 Levopar 100 mg tablet - - - -
179 Lidokain 2% Injeksi ampul - - - -
180 Lisinopril 10 mg tablet - - - -
181 Lisinopril 5 mg tablet - - - -
182 Lisol botol - - - -
183 Loperamid tablet 2 mg tablet - - - -
184 Loratadin tablet 10 mg tablet - - - -
185 Latus Analog Insulin Injeksi Solotar Pen - - - -
186 Lactulosa Syrup botol - - - -
187 Lytacur Syrup botol - - - -
188 Magnesium Sulfat Inj.20%-25 ml. ampul - - - -
189 Magnesium Sulfat Inj.40%-25 ml. ampul - - - -
190 Mebendazol syr botol - - - -
191 Mebendazol tab 100 mg. tablet - - - -
192 Meloksikam tablet 15 mg tablet - - - -
193 Meloksikam tablet 7,5 mg tablet - - - -
194 Mersibion inj ampul - - - -
195 Metformin 500 mg tablet - - - -
196 Metformin 850 mg tablet - - - -
197 Metil Prednisolon 16 mg tablet - - - -
198 Metil Prednisolon Tab 4 mg tablet - - - -
199 Metil Prednisolon Tab 8 mg tablet - - - -
200 Metoklopamid inj 5 mg/ml ampul - - - -
201 Metoklopamid tab 10 mg tablet - - - -
202 Metronidazol infus botol - - - -
203 Metronidazol tab 250 mg. tablet - - - -
204 Metronidazol tab 500 mg. tablet - - - -
205 Metronidazol syr botol - - - -
206 Metyl Ergometrin Mal. inj 0,200 mg. ampul - - - -
207 Metyl Ergometrin Mal. Tab 0,125 mg. tablet - - - -
208 Mikonazol krim 2 % tube - - - -
209 N Acetyl Sistein Kapsul - - - -
210 Natrium Bikarbonat tab 500 mg. tablet - - - -
211 Natrium Diklofenak 25 mg tablet - - - -
212 Natrium Diklofenak 50 mg tablet - - - -
213 Natrium Klorida lar infus 0,9 % (NaCl) plabot - - - -
214 Natrium Tiosulfat Inj 25 %-10 ml. ampul - - - -
215 Natrium Tiroksin tab (Euthyrox) tablet - - - -
216 Nerilon krim tube - - - -
217 Neurodial tablet - - - -
218 Nifedipin tab tablet - - - -
219 Nistatin 100.000 iu/g tab Vagina tablet - - - -
220 Nistatin 500.000 iu/g tab salut tablet - - - -
221 Nitral-Gliseril trinitrat tablet - - - -
222 Novabion tablet - - - -
223 Novorapid Flexpen pen - - - -
224 Obat Batuk Hitam (OBH) botol - - - -
225 Oksitetrasiklin HCl Salep 3 % tube - - - -
226 OksitetrasiklinHCl Salep 1 % tube - - - -
227 Oksitosin inj. 10 IU/ ml-1ml. ampul - - - -
228 Omeprazole 20 mg tablet - - - -
229 Ondansentron Dihidrate inj ampul - - - -
230 Ondansetron tablet 4 mg tablet - - - -
231 Ondansetron tablet 8 mg tablet - - - -
232 Papaverin Tab tablet - - - -
233 Paracetamol drop botol - - - -
234 Parasetamol Syrup 120 mg/ml. botol - - - -
235 Parasetamol tablet 100 mg tablet - - - -
236 Parasetamol tablet 500 mg tablet - - - -
237 Paracetamol Infuse botol - - - -
238 Permetrim krim (Scabimite) tube - - - -
239 Piracetam 400 mg tab tablet - - - -
240 Piracetam 800 mg tab tablet - - - -
241 Piracetam inj ampul - - - -
242 Pirantel Pamoat tablet 125 mg. tablet - - - -
243 Piridoksin Hcl tablet 10 mg. tablet - - - -
244 Piroksikam 10 mg tablet - - - -
245 Piroksikam 20 mg tablet - - - -
246 Povidon Iodida Lar. 10 % 300 ml. botol - - - -
247 Povidon Iodida Lar. 10 % 60 ml. botol - - - -
248 Povidon Iodida Lar. 10% 30 ml botol - - - -
249 Prednison Tablet 5 mg. tablet - - - -
250 Primakuina tablet 15 mg tablet - - - -
251 Prokain Penisilin Vial ampul - - - -
252 Propanolol HCl tablet 10 mg. tablet - - - -
253 Propanolol HCl tablet 40 mg. tablet - - - -
254 Propil Tio Urasil Tablet 100 mg. tablet - - - -
255 Ranitidin Inj 25 mg/ ml ampul - - - -
256 Ranitidin tab 150 mg tablet - - - -
257 Rifampisin Kaplet 300 mg tablet - - - -
258 Rifampisin Kaplet 600 mg tablet - - - -
259 Rifampisin Kapsul 450 mg tablet - - - -
260 Ringer Laktat Larutan Infus Steril plabot - - - -
261 Risperidon 1 mg tablet - - - -
262 Risperidon 2 mg tablet - - - -
263 Salbutamol nebules ampul - - - -
264 Salbutamol Tablet 2 mg. tablet - - - -
265 Salbutamol Tablet 4 mg. tablet - - - -
266 Salep 2-4 Kombinasi pot - - - -
267 Salisil Bedak 2 % sak - - - -
268 Sefadroksil Kaplet 500 mg tablet - - - -
269 Sefadroksil syrup botol - - - -
270 Sefotaksim injeksi 1 g ampul - - - -
271 Seftriakson injeksi 1 g ampul - - - -
272 Seretide diskus 250 mcg pcs - - - -
273 Seretide diskus 50 mcg pcs - - - -
274 Sianokobalamin Inj 500 mcg/ml. ampul - - - -
275 Sianokobalamin tablet tablet - - - -
276 Simetidin 200 mg tablet - - - -
277 Simvastatin 10 mg tablet - - - -
278 Simvastatin 20 mg tablet - - - -
279 Siprofloksasin 500 mg tablet - - - -
280 Sorvitral (Multivitamin dan Mineral) tablet - - - -
281 Spiriva (Tiotropium) 18 mcg + Handihaller kotak - - - -
282 Spiriva (Tiotropium) 18 mcg Reffil Kapsul - - - -
283 Spironolakton tab 25 mg tablet - - - -
284 Stesolid 5 mg diazepam tablet - - - -
285 Sulfasetamid Nat. Tetes Mata 15 % botol - - - -
286 Suprafenid ( Ketoprofen supp 100mg) supp - - - -
287 Synarcus Huocinolone tube - - - -
288 Sucralfat Syrup 500 mg botol - - - -
289 Tiamfenikol 500 mg tablet - - - -
290 Tiamina Mononitrat tab 50 mg. tablet - - - -
291 Tiamina HCl Inj. 100 mg/ml-1ml ampul - - - -
292 Tramadol inj 50 mg/ml ampul - - - -
293 Tramadol Tablet 50 mg tablet - - - -
294 Triheksifenidil HCl tab 2 mg tablet - - - -
295 Urinter (asam pipemidat 400 mg) tablet - - - -
296 Valsartan 80 mg tablet - - - -
297 Ventolin Inhaler tablet - - - -
298 Vitamin B komplek Tablet tablet - - - -
299 Xylocaine Jelly 2% Syringe - - - -
300 Zink tablet - - - -
301 Zink sir 20 mg/5 ml botol - - - -
0 VAKSIN 0 - - - -
302 ABU vial - - - -
303 ATS 1500 IU ampul - - - -
304 VAR ampul - - - -
0 OBAT PROGRAM GIZI 0 - - - -
305 Mineral Mix sack - - - -
306 Retinol (Vitamin A) kap. 100.000 IU Kapsul - - - -
307 Retinol (Vitamin A) kap. 200.000 IU Kapsul - - - -
308 Tablet Tambah Darah Kombinasi tablet - - - -
0 OBAT PROGRAM P2PL 0 - - - -
309 OAT KAT ANAK paket - - - -
310 OAT KAT I paket - - - -
311 OAT KAT II paket - - - -
312 OAT KAT SISIPAN paket - - - -
0 REAGEN 0 - - - -
313 Anti -A Monoclonal Blood Grouping Reagenbotol - - - -
314 Anti -A,B Monoclonal Blood Reagent botol - - - -
315 Anti -B Monoclonal Blood Reagent botol - - - -
316 Anti -D Duoclone Monoclonal botol - - - -
317 Febrile Antigen H Typhi Pcs - - - -
318 Febrile Antigen H-A paratyphi Pcs - - - -
319 Febrile Antigen H-B paratyphi Pcs - - - -
320 Febrile Antigen H-C paratyphi pcs - - - -
321 Febrile Antigen O-A paratyphi pcs - - - -
322 Febrile Antigen O-D paratyphi pcs - - - -
323 H2O2 botol - - - -
324 Larutan Asam Asetat botol - - - -
325 Larutan Asam Sulfosalisilat botol - - - -
326 Larutan EDTA botol - - - -
327 Larutan Giemsa botol - - - -
328 Larutan HCL 0,5 N botol - - - -
329 Larutan Ress Ecker botol - - - -
330 Larutan Turk botol - - - -
331 Larutan Ziehl Nelsen botol - - - -
332 Tabung EDTA pack - - - -
333 Tabung Non EDTA pack - - - -
0 OBAT GIGI 0 - - - -
334 Cavit pcs - - - -
335 Devitalisasi Pasta pcs - - - -
336 Etil Klorida Semprot pcs - - - -
337 Eugenol Cairan botol - - - -
338 Eviplac Disclosing pcs - - - -
339 Glass Ionomer Cement (gc IX) botol - - - -
340 Hydral pcs - - - -
341 Kalsium Hidroksida Pasta pcs - - - -
342 Monoklor Mentol Cairan/CHKM/paramonclopcs - - - -
343 Mummfying Pasta / Iodoform pcs - - - -
344 Semen Seng Fosfat Cair pcs - - - -
345 Trikloroformalin/formocresol pcs - - - -
346 Zinc Sement pcs - - - -
347 Tooth Mousse GC Tube Stawberry / Flouri botol - - - -
0 ALAT-ALAT KESEHATAN 0 - - - -
348 Alat Suntik 1 ml. pcs - - - -
349 Alat Suntik 10 ml pcs - - - -
350 Alat Suntik 20 ml pcs - - - -
351 Alat Suntik 3 ml. pcs - - - -
352 Alat Suntik 5 ml. pcs - - - -
353 Alat Suntik Spuit 0,05 cc pcs - - - -
354 Alat Suntik Spuit 0,5 cc pcs - - - -
355 Alkohol swab kotak - - - -
356 Antiseptik gel botol - - - -
357 Alkapharm (pencuci instrumen medis) Botol - - - -
358 Benechek asam urat kotak - - - -
359 Benechek cholesterol kotak - - - -
360 Benechek glukosa kotak - - - -
361 Blood lanset box - - - -
362 Blood tranfusion set pcs - - - -
363 Box object glass pcs - - - -
364 Cat gut plain 2/0 pcs - - - -
365 Cat Gut/ Benang Bedah no. 3/0/chromic pcs - - - -
366 Cat Gut/ Benang Bedah no. 3/0/plain pcs - - - -
367 Cuticell classic 10 x 10 cm box - - - -
368 Easy Touch HB kotak - - - -
369 Feeding tube no.10 pcs - - - -
370 Fixomul pcs - - - -
371 Folley Cathether No. 16 pcs - - - -
372 Folley Cathether No. 18 pcs - - - -
373 Folley Cathether No. 20 pcs - - - -
374 Handscon Nonsteril Uk S kotak - - - -
375 Handscon Nonsteril Uk M kotak - - - -
376 Hanscond non steril All size kotak - - - -
377 Hanscond steril Size 7,5 (DAK 2017) pcs - - - -
378 Hydrogel Wound dressing kotak - - - -
379 Infusion Set anak pcs - - - -
380 Infusion Set dewasa pcs - - - -
381 IV Cateter No.18 pcs - - - -
382 IV Cateter No.20 pcs - - - -
383 IV Cateter No.22 pcs - - - -
384 IV Cateter No.24 pcs - - - -
385 IV catheter no 26 pcs - - - -
386 Kapas Pembalut/Adsorben 250 mg. pcs - - - -
387 Kasa Elastis 4 inchi pcs - - - -
388 Kasa Meteran 36 m x 80 cm pcs - - - -
389 Kasa Pembalut 2m x 80cm. pcs - - - -
390 Kasa Pembalut Hidrofil 4m x 15cm. pcs - - - -
391 Kasa Steril (16 x 16 ) pcs - - - -
392 Masker ear loop box - - - -
393 Masker plus 3 play plus earloop box - - - -
394 Masker ties on pcs - - - -
395 Mikropipet pcs - - - -
396 Nasal Oxygen Uk L pcs - - - -
397 Nasal Oxygen Uk M pcs - - - -
398 Nasal Oxygen Uk S pcs - - - -
399 Nasal Oxygen Uk XS pcs - - - -
400 Needle 25 G Pcs - - - -
401 Needle Vacutainer flashback kotak - - - -
402 Plester 5 Yard x 2 Inc. pcs - - - -
403 Pot sputum pcs - - - -
404 Queck Cek Hb Kotak - - - -
405 Safety Box 5 Liter pcs - - - -
406 Silk (benang bedah sutra) no 3/0 pcs - - - -
407 Slide (hibah propinsi) kotak - - - -
408 Stomach tube no. 18 pcs - - - -
409 Stomach tube no. 20 pcs - - - -
410 Surgical Blade no.11 kotak - - - -
411 Softaman antiseptic gel btl - - - -
412 Terumo nanopass needle (32,5G x 4 mm)pcs - - - -
413 Test pack pcs - - - -
414 Underpad pcs - - - -
415 Urine bag pcs - - - -
416 White Tips pack - - - -
417 Wing Needle 25 G pcs - - - -
418 Wing Needle 27 G pcs - - - -
419 Wing Needle 21 G pcs - - - -
420 Wing Needle 23 G pcs - - - -
421 Yellow Tips pcs - - - -
0 OBAT BARU 0 - - - -
422 Bisoprolol 2.5 mg / Concor 2.5 Tablet - - - -
423 Lidokain kompositum injeksi Ampul - - - -
424 Catgut plain 2/0 Pcs - - - -
425 Domperidon 5 mg Drop Botol - - - -
426 Dengue Tes dus - - - -
427 Diazepam stesolid supp - - - -
428 Biolysin Tablet - - - -
429 Biolysin sirup Botol - - - -
430 Flufenazine Decanoat Injeksi 25 mg Ampul - - - -

Mengetahui, Rejosari,
Ka. UPT PUSKESMAS REJOSARI Pembuat Laporan

Muhammad Subagja, SKM.MM. xxxxxxxxxxxxxx


NIP. 19670430 198710 1 001 NIP. 19860606 201001 1 012
AHUN 2019

STOCK AKHIRPERMINTAAN

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mbuat Laporan

xxxxxxxxxxxx
P. 19860606 201001 1 012
MENU LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO) TAHUN 2019
PUSKESMAS REJOSARI
BULAN : DESEMBER 2019 Apotik

NO NAMA OBAT SATUAN STOK AWAL PENERIMAANPERSEDIAAN PEMAKAIAN

1 Acdat (asam fusidat)/ Fucilek tube - - - -


2 Albendazol tablet - - - -
3 Allupurinol Tab. 100 mg. tablet - - - -
4 Allupurinol Tab. 300 mg. tablet - - - -
5 Alpentin (Gabapentin) 100 mg Kapsul - - - -
6 Alpentin (Gabapentin) 300 mg tablet - - - -
7 Ambroxol syr botol - - - -
8 Ambroxol tab 30 mg tablet - - - -
9 Aminofillin inj. 24mg/ml-10 ml ampul - - - -
10 Aminofillin tab. 200 mg. tablet - - - -
11 Amitriptillin HCl tab salut 25 mg tablet - - - -
12 Amlodipine tab 10 mg tablet - - - -
13 Amlodipine tab 5 mg tablet - - - -
14 Amoksisillin Kaplet 500 mg. tablet - - - -
15 Amoksisillin Kapsul 250 mg. tablet - - - -
16 Amoksisillin Syrup Kering 125/5ml. botol - - - -
17 Amoksisillin Syrup Kering 250/5ml. botol - - - -
18 Anabion (multivitamin anak syr) botol - - - -
19 Antalgin inj 250 mg/ml-2ml. ampul - - - -
20 Antalgin tab. 500 mg. tablet - - - -
21 Antasida Doen tab. Kombinasi tablet - - - -
22 Antasida Syrup botol - - - -
23 Anti Malaria Kombinasi ( ACT ) tablet - - - -
24 Antibakteri Doen Salep Kombinasi pot - - - -
25 Antifungi Doen Kombinasi pot - - - -
26 Antihemoroid doen Komb. Supp. supp - - - -
27 Apidra solostar (analog insulin rapid actingpen - - - -
28 Aqu pro inj. Steril, bebas pirogen vial - - - -
29 Artemether inj 80 mg/ml (Artem) ampul - - - -
30 Artesunat inj ampul - - - -
31 Asam Asetil salisilat (miniaspi) tablet - - - -
32 Asam Askorbat tab 250 mg. tablet - - - -
33 Asam Askorbat tab 50 mg. tablet - - - -
34 Asam folat (Profolat) tablet - - - -
35 Asam Mefenamat 500 mg tablet - - - -
36 Asam Traneksamat inj 100mg/ml ampul - - - -
37 Asam traneksamat inj 50mg/ml ampul - - - -
38 Asam retinoat/Neotinex tube - - - -
39 Asiklovir tab 200 mg tablet - - - -
40 Asiklovir krim tube - - - -
41 Asiklovir Tablet 400 mg tablet - - - -
42 Atropin Sulfat Inj 0,25 mg/ml-1ml ampul - - - -
43 Attalpugite ( new antides) tablet - - - -
44 Azithromycin 250 mg tablet - - - -
45 Alprazolam tablet - - - -
46 Berotec pcs - - - -
47 Benzatin B. Penisillin inj. 1,2 juta IU ampul - - - -
48 Benzatin B. Penisillin inj. 3 juta IU ampul - - - -
49 Betahistin Mesilat tab 6 mg tablet - - - -
50 Betametason krim 0,1 % tube - - - -
51 Betason N tube - - - -
52 Bisakodil 10 mg suppositria supp - - - -
53 Bisakodil 5 mg suppositria supp - - - -
54 Bisoprolol 5 mg tablet - - - -
55 Bromheksin tab 8 mg tablet - - - -
56 Betadin salep tube - - - -
57 Candesartan 8 mg tablet - - - -
58 Carbamazepine 200 mg tablet - - - -
59 Cefixim tablet - - - -
60 Cefixim syr botol - - - -
61 Cendo Lyteers botol - - - -
62 Cendo Mydriatil botol - - - -
63 Cetirizine syr botol - - - -
64 Cetirizine tab 10 mg tablet - - - -
65 Cloramfecort cr tablet - - - -
66 Combivent vial - - - -
67 Clozapin tablet - - - -
68 Colchitine / Kolkisin tablet - - - -
69 Clobazam tablet - - - -
70 D artep tablet - - - -
71 Deksametason inj. 5mg/ml-1ml. ampul - - - -
72 Deksametason tab 0,5 mg. tablet - - - -
73 Dexosimethason tube - - - -
74 Diazepam inj 5 mg/ml-2ml. ampul - - - -
75 Diazepam tab 2mg. tablet - - - -
76 Diazepam tab 5mg. tablet - - - -
77 Dietilkarbamazin Sitrat tab 100 mg tablet - - - -
78 Difenhidramin HCL inj 10 mg/ml ampul - - - -
79 Digoksin tab. 0,25 mg tablet - - - -
80 Dihidroartemisin+ Piperaquin ( DHP ) tablet - - - -
81 Dimenhidrinat 50 mg tablet - - - -
82 Doksisiklin kap 100 mg tablet - - - -
83 Domperidon suspensi botol - - - -
84 Domperidon tab 10 mg tablet - - - -
85 Dopamed tablet - - - -
86 Efineprin HCL/bitartat inj 0,1%-1ml. ampul - - - -
87 Ekstrak Belladon tab 10 mg. tablet - - - -
88 Erithromisin 250 mg tablet - - - -
89 Erithromisin 500 mg tablet - - - -
90 Erithromisin syr 200 mg/5 ml botol - - - -
91 Erphavitalgin (Multivitamin Neurotripik) tablet - - - -
92 Etakridin (Rivanol) Lar 0,1 % botol - - - -
93 Etambutol 250 mg. tablet - - - -
94 Etambutol 500 mg tablet - - - -
95 Etanol 70 % 100 ml botol - - - -
96 Etanol 70 % 1000 ml botol - - - -
97 Etanol 70 % 300 ml botol - - - -
98 Elizac 20 tablet - - - -
99 Famotidine tablet - - - -
100 Fenitoin 100 mg tablet - - - -
101 Fenobarbital inj 50 mg/ml-2ml. ampul - - - -
102 Fenofibrate 100 mg tablet - - - -
103 Fenol Gliserol Tetes Telinga 10 % botol - - - -
104 Fitomenadion (Vit. K) inj 2 mg/ml. ampul - - - -
105 Fitomenadion (Vit. K) tab. 10 mg.