data puskesmas 2018

1 nama puskesmas CURUGKEMBAR

kecamatan CURUGKEMBAR
alamat JIN.RAYA CIKADU KM,5 CRUGKEMBAR
2 nama kapala puskesmas KARMI,SKM.MM
NIP 197010171997031008.
Nomer telepon
3 nama ppo JEJEN SOBARKAH
nip 196504022007011007.
Nomer telepon 858560681707.
4 jumlah kunjungan
2016
2017
2018
dana yang dalokasikan bpjs
 RENCANA KEBUTUHAN OBAT
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA CIKADU KM,5 CRUGKEMBAR
NO NAMA OBAT SATUAN SISA STOK PEMAKAIAN KEBUTUHAN 1
30 SEP RATA RATA TAHUN
OBAT
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 22.22222222 266.66666667
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 6 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 16 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 7 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 36 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
metil dopa tab 250 mg
110 Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

197010171997031008.
0
EBUTUHAN OBAT
TAHUN 2018

CIKADU KM,5 CRUGKEMBAR

RENCANA PENGADAAN JUMLAH KETERSED HARGA JUMLAH HARGA TOTAL
UMUM BPJS OBAT IAAN SATUAN UMUM BPJS HARGA

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0 #DIV/0! 8320 0 0 0
0 #DIV/0! 49862 0 0 0
0 #DIV/0! 3700 0 0 0
0 #DIV/0! 14203 0 0 0
0 #DIV/0! 949 0 0 0
0 0 0

PETUGAS PENGELOLA OBAT

196504022007011007.
858560681707.
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA CIKADU KM,5 CRUGKEMBAR
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS
OBAT 0 0 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0 0 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 1820 0 1000 0 2820 0 500 2320 0 1850 0
3 Aloclair plus gel BOTOL 15 0 0 0 15 0 15 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0 0 0 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0 0 0 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0
7 Amlodipin 5 mg Tab 1353 0 900 15000 2253 15000 535 1718 15000 1979.5 0
8 Amoksisilin kaplet 500 mg kaplet 45049 0 5000 0 50049 0 5370 44679 0 19869 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 459 0 0 0 459 0 121 338 0 447.7 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0 0 0 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0 0 0 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 50 0 50 0 0 50 0 0 0
15 Antasida DOEN tablet kombinasi Tab 13866 0 5000 0 18866 0 2911 15955 0 10770.7 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0 0 0 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 24 0 24 0 0 24 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0 0 0 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0 0 0 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0 0 0 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0 0 0 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0 0 0 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0 0 0 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 1000 0 1000 0 0 1000 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0 0 0 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 2000 0 2000 0 100 1900 0 370 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 25 0 25 0 0 25 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0 0 0 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0 0 0 0 0 0 0
33 Attalpugite tab 600 mg Tab 304 0 700 0 1004 0 446 558 0 1650.2 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0 0 0 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0 0 0 0 0 0 0
36 Betametasone Krim 0.1% tube 87 0 50 1500 137 1500 58 79 1500 214.6 0
37 Bisakodil Supp 10 mg supp 0 0 0 0 0 0 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0 0 0 0 0 0 0
39 Captopril tablet 25 mg Tab 1197 0 1000 0 2197 0 593 1604 0 2194.1 0
40 Ciprofloksasin 500 mg tablet Tab 639 0 1000 0 1639 0 1000 639 0 3700 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0 0 0 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 17137 0 3000 0 20137 0 2807 17330 0 10385.9 0
43 Diasepam 5 mg tablet Tab 0 0 0 0 0 0 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0 0 0 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0 0 0 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 30 0 0 0 30 0 30 0 0 111 0
48 Digoksin tablet 0,25 mg Tab 0 0 200 0 200 0 100 100 0 370 0
49 Doksisiklin 100 mg ampul 0 0 0 0 0 0 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 50 0 50 0 0 50 0 0 0
51 Domperidon tablet 10 mg Tab 220 0 300 0 520 0 200 320 0 740 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0 0 0 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0 0 0 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0 0 0 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0 0 0 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0 0 0 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 300 0 100 0 400 0 200 200 0 740 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 60 0 60 0 10 50 0 37 0
64 Furosemid tablet 40 mg Tab 80 0 200 0 280 0 100 180 0 370 0
65 Garam oralit 200 ml air sachet 5572 0 0 0 5572 0 200 5372 0 740 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0 0 0 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0 0 0 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 500 0 100 0 600 0 100 500 0 370 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0 0 0 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 300 0 300 0 600 0 100 500 0 370 0
72 Haloperidol 0,5 mg tablet Tab 600 0 0 0 600 0 600 0 0 0
73 Haloperidol 1,5 mg tablet Tab 3360 0 0 0 3360 0 3360 0 0 0
74 Haloperidol 5 mg Tab 2000 0 0 0 2000 0 2000 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 100 0 100 0 200 0 100 100 0 370 0
76 Hidrokortison krim 2,5 % tube 281 0 96 2000 377 2000 97 280 2000 358.9 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0 0 0 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 100 0 100 0 0 100 0 0 0
82 Kalsium alginate gel tube 0 0 0 0 0 0 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0 0 0 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0 0 0 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 200 0 0 0 200 0 200 0 0 740 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 24 0 24 0 0 24 0 0 0
87 Ketokonazol krim 2 % tube 0 0 25 0 25 0 0 25 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0 0 0 0 0 0 0
 91 Kloramfenikol kapsul 500 mg KAPSUL 1580 0 0 0 1580 0 1500 80 0 5550 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 115 0 24 0 139 0 33 106 0 122.1 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 166 0 48 500 214 500 50 164 500 185 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0 0 0 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 4000 0 4000 0 1677 2323 0 6204.9 0
96 Klorpromazin HCL tablet 100 mg Tab 460 0 0 0 460 0 0 460 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0 0 0 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0
99 Kotrimoksazol forte tablet Tab 1090 0 0 0 1090 0 566 524 0 2094.2 0
100 Kotrimoksazol suspensi kombinasi BOTOL 43 0 50 0 93 0 60 33 0 222 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0 0 0 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 300 0 300 0 100 200 0 370 0
104 Lidokain inj. 2% ampul 0 0 100 0 100 0 20 80 0 74 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0 0 0 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0 0 0 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0
109 Metformin tablet 500 mg Tab 200 0 300 0 500 0 100 400 0 370 0
110 metil dopa tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 17 0 50 0 67 0 0 67 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 100 0 0 0 100 0 100 0 0 370 0
113 Metilprednisolon tablet Tab 0 0 0 0 0 0 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 100 0 100 0 200 0 100 100 0 370 0
115 Metronidazol sirup 125mg/5ml BOTOL 40 0 0 0 40 0 20 20 0 74 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0
118 Miconazol SK tube 0 0 24 0 24 0 0 24 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0 0 0 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0 0 0 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 500 0 100 0 600 0 262 338 0 969.4 0
123 Nifedifin tablet 10 mg Tab 500 0 200 0 700 0 100 600 0 370 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0 0 0 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 400 0 0 0 400 0 100 300 0 370 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0 0 0 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0 0 0 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 127 0 100 0 227 0 20 207 0 74 0
129 Omeprazol 20mg Tab 0 0 90 0 90 0 90 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0 0 0 0 0 0 0
131 parasetamol drop BOTOL 77 0 0 0 77 0 20 57 0 74 0
132 Parasetamol kaplet 500 mg Tab 16456 0 10000 0 26456 0 5447 21009 0 20153.9 0
133 Parasetamol sirup BOTOL 0 0 100 0 100 0 63 37 0 233.1 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0 0 0 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 500 0 0 0 500 0 500 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 6100 0 0 0 6100 0 6100 0 0 0
138 Prednison tablet 5 mg Tab 0 0 1000 0 1000 0 1000 0 0 0
139 Probiokid kapsul 0 0 0 0 0 0 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 10 0 0 0 10 0 10 0 0 0
144 Ranitidin tablet 150 mg Tab 9578 0 2000 0 11578 0 11578 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0 0 0 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0 0 0 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0 0 0 0 0 0 0
151 Salbutamol tablet 4 mg Tab 200 0 0 0 200 0 200 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0 0 0 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0 0 0 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 307 0 0 0 307 0 307 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0 0 0 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 100 0 100 0 100 0 0 0
160 Simvastatin 20 mg Tab 420 0 500 0 920 0 920 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0 0 0 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0 0 0 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0 0 0 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 2174 0 5000 0 7174 0 7174 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 8870 0 0 0 8870 0 8870 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0 0 0 0 0 0 0
168 Vitamin B komplek tablet Tab 1242 0 0 0 1242 0 1242 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 49 0 36 600 85 600 85 600 0 0
170 Zink tablet disp 20 mg Tab 240 0 500 2000 740 2000 740 2000 0 0
0BAT PROGRAM HIV 0 0 0 0 0 0 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0 0 0 0 0 0 0
2 HIVIRAL 0 0 0 0 0 0 0 0 0 0
3 NEVIRAL 0 0 0 0 0 0 0 0 0 0
4 ATRIPLA 0 0 0 0 0 0 0 0 0 0
5 TENOFAVIR 0 0 0 0 0 0 0 0 0 0
6 DUVIRAL 0 0 0 0 0 0 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0 0 0 0 0 0 0
PROGRAM KUSTA 0 0 0 0 0 0 0 0 0 0
1 MB DEWASA Tab 0 0 0 0 0 0 0 0 0 0
2 PB DEWASA Tab 0 0 0 0 0 0 0 0 0 0
3 MB ANAK Tab 0 0 0 0 0 0 0 0 0 0
PROGRAM TBC 0 0 0 0 0 0 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0 0 0 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0 0 0 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0 0 0 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0 0 0 0 0 0 0
 1 VAKSIN BCG 0 0 0 0 0 0 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0 0 0 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0 0 0 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0 0 0 0 0 0 0
5 vaksin HB-O 0 0 0 0 0 0 0 0 0 0
6 Vaksin Td 0 0 0 0 0 0 0 0 0 0
7 Vaksin IPV 0 0 0 0 0 0 0 0 0 0
SERUM 0 0 0 0 0 0 0 0 0 0
1 ABU 0 0 0 0 0 0 0 0 0 0
2 ADS 0 0 0 0 0 0 0 0 0 0
3 ATS 0 0 0 0 0 0 0 0 0 0
4 RABIES 0 0 0 0 0 0 0 0 0 0
CAIRAN 0 0 0 0 0 0 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0 0 0 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 20 0 20 0 20 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 50 0 0 0 50 0 50 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 938 0 100 600 1038 600 1038 600 0 0
BHP 0 0 0 0 0 0 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0 0 0 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0 0 0 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 125 0 0 0 125 0 125 0 0 0
4 Alkohol Swab box 0 0 0 0 0 0 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0 0 0 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0 0 0 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0 0 0 0 0 0 0
8 bloodset Pcs 191 0 0 0 191 0 191 0 0 0
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 12 0 12 0 12 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 12 0 12 0 12 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0 0 0 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0 0 0 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 1 0 0 0 1 0 1 0 0 0
14 Folley Catheter 2 way no 18 Pcs 14 0 0 0 14 0 14 0 0 0
 Handscoon Non Steril 0 0 0 0 0 0 0 0 0 0
15 Ukuran L Pcs 100 0 0 0 100 0 100 0 0 0
16 Ukuran M Pcs 300 0 0 0 300 0 300 0 0 0
17 Ukuran S Pcs 100 0 0 0 100 0 100 0 0 0
Handscoon steril 0 0 0 0 0 0 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0 0 0 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 50 0 50 0 50 0 0 0
20 Ukuran 7.5 Pcs 0 0 50 0 50 0 50 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0 0 0 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0 0 0 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0 0 0 0 0 0 0
24 Infusion set dewasa Pcs 94 0 100 0 194 0 194 0 0 0
25 IV Catheter G - 18 Pcs 12 0 0 0 12 0 12 0 0 0
26 IV Catheter G - 20 Pcs 0 0 100 0 100 0 100 0 0 0
27 IV Catheter G - 22 Pcs 0 0 100 0 100 0 100 0 0 0
28 Kapas 250 gr Pcs 0 0 4 0 4 0 4 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0 0 0 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0 0 0 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0 0 0 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 8 0 8 0 8 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0 0 0 0 0 0 0
34 Masker Pcs 0 0 100 0 100 0 100 0 0 0
35 Plester Pcs 50 0 8 0 58 0 58 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 4 0 0 0 4 0 4 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 11 0 0 0 11 0 11 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 6 0 12 0 18 0 18 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 3 0 12 0 15 0 15 0 0 0
40 Urine bag Pcs 11 0 0 0 11 0 11 0 0 0
BHP GIGI 0 0 0 0 0 0 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0 0 0 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0 0 0 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0 0 0 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0 0 0 0 0 0 0
 5 Formokresol Cairan BOTOL 0 0 0 0 0 0 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0 0 0 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0 0 0 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0 0 0 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0 0 0 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0 0 0 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0 0 0 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0 0 0 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0 0 0 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0 0 0 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0 0 0 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0 0 0 0 0 0 0
DESINFECTAN 0 0 0 0 0 0 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 6 0 1 0 7 0 7 0 0 0
2 Antiseptik Hand Scrub Btl 16 0 0 0 16 0 16 0 0 0
3 Gel untuk cateter Btl 7 0 0 0 7 0 7 0 0 0
4 Lisol 1 liter Btl 0 0 0 0 0 0 0 0 0 0
5 Povidon Iodida 500 ml Btl 36 0 0 0 36 0 36 0 0 0
6 Povidon Iodida 30 ml Btl 0 0 8 0 8 0 8 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0 0 0 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

1200 452 1652

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN Januari
TAHUN 2018

PERMINTAAN PEMBERIAN
UMUM BPJS BPJS APBD JUMLAH
0 0 0
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-50 0 0
-50 0 0
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0 0 0
0 0 0
-194 0 0
-12 0 0
-100 0 0
-100 0 0
-4 0 0
0 0 0
0 0 0
0 0 0
-8 0 0
0 0 0
-100 0 0
-58 0 0
-4 0 0
-11 0 0
-18 0 0
-15 0 0
-11 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
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-7 0 0
-16 0 0
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0 0 0
-36 0 0
-8 0 0
0 0 0

PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 1820 0 200 200
3 Aloclair plus gel BOTOL 15 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 1353 15000 0 0
8 Amoksisilin kaplet 500 mg kaplet 45049 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 459 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0 0
15 Antasida DOEN tablet kombinasi Tab 13866 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 304 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 87 1500 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 1197 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 639 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 17137 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 30 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 220 0 0 0
 52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 300 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 80 0 0 0
65 Garam oralit 200 ml air sachet 5572 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 500 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 300 0 0 0
72 Haloperidol 0,5 mg tablet Tab 600 0 0 0
73 Haloperidol 1,5 mg tablet Tab 3360 0 0 0
74 Haloperidol 5 mg Tab 2000 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 100 0 0 0
76 Hidrokortison krim 2,5 % tube 281 2000 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 200 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 1580 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 115 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 166 500 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 460 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 1090 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 43 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 200 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
 Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 17 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 100 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 100 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 40 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 500 0 0 0
123 Nifedifin tablet 10 mg Tab 500 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 400 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 127 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 77 0 0 0
132 Parasetamol kaplet 500 mg Tab 16456 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 500 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 6100 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 10 0 0 0
144 Ranitidin tablet 150 mg Tab 9578 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 200 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 307 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 420 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 2174 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 8870 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 1242 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 49 600 0 0
170 Zink tablet disp 20 mg Tab 240 2000 0 0
0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 50 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 938 600 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 125 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 191 0 0 0
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 1 0 0 0
14 Folley Catheter 2 way no 18 Pcs 14 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 100 0 0 0
16 Ukuran M Pcs 300 0 0 0
17 Ukuran S Pcs 100 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 94 0 0 0
25 IV Catheter G - 18 Pcs 12 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 50 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 4 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 11 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 6 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 3 0 0 0
40 Urine bag Pcs 11 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 6 0 0 0
2 Antiseptik Hand Scrub Btl 16 0 0 0
3 Gel untuk cateter Btl 7 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 36 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2020 200 200 100 1820 100 740 370 -1080 270
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36 0 36 0 0 0 -36 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 Februari
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 1820 100 0 0
3 Aloclair plus gel BOTOL 15 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 1353 15000 0 0
8 Amoksisilin kaplet 500 mg kaplet 45049 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 459 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0 0
15 Antasida DOEN tablet kombinasi Tab 13866 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 304 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 87 1500 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 1197 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 639 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 17137 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 30 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 220 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 300 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 80 0 0 0
65 Garam oralit 200 ml air sachet 5572 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 500 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 300 0 0 0
72 Haloperidol 0,5 mg tablet Tab 600 0 0 0
73 Haloperidol 1,5 mg tablet Tab 3360 0 0 0
74 Haloperidol 5 mg Tab 2000 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 100 0 0 0
76 Hidrokortison krim 2,5 % tube 281 2000 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 200 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 1580 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 115 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 166 500 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 460 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 1090 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 43 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 200 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 17 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 100 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 100 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 40 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 500 0 0 0
123 Nifedifin tablet 10 mg Tab 500 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 400 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 127 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 77 0 0 0
132 Parasetamol kaplet 500 mg Tab 16456 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 500 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 6100 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 10 0 0 0
144 Ranitidin tablet 150 mg Tab 9578 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 200 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 307 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 420 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 2174 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 8870 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 1242 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 49 600 0 0
170 Zink tablet disp 20 mg Tab 240 2000 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 50 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 938 600 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 125 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 191 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 1 0 0 0
14 Folley Catheter 2 way no 18 Pcs 14 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 100 0 0 0
16 Ukuran M Pcs 300 0 0 0
17 Ukuran S Pcs 100 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 94 0 0 0
25 IV Catheter G - 18 Pcs 12 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 50 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 4 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 11 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 6 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 3 0 0 0
40 Urine bag Pcs 11 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 6 0 0 0
2 Antiseptik Hand Scrub Btl 16 0 0 0
3 Gel untuk cateter Btl 7 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 36 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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0 0 0 0 0 0 0 0
1820 100 1820 100 0 0 -1820 -100
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0 0 0 0 0 0 0 0
191 0 191 0 0 0 -191 0
 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 1 0 0 0 -1 0
14 0 14 0 0 0 -14 0
0 0 0 0 0 0 0 0
100 0 100 0 0 0 -100 0
300 0 300 0 0 0 -300 0
100 0 100 0 0 0 -100 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
94 0 94 0 0 0 -94 0
12 0 12 0 0 0 -12 0
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50 0 50 0 0 0 -50 0
4 0 4 0 0 0 -4 0
11 0 11 0 0 0 -11 0
6 0 6 0 0 0 -6 0
3 0 3 0 0 0 -3 0
11 0 11 0 0 0 -11 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6 0 6 0 0 0 -6 0
16 0 16 0 0 0 -16 0
7 0 7 0 0 0 -7 0
0 0 0 0 0 0 0 0
36 0 36 0 0 0 -36 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 Maret
2018

PEMBERIAN
BPJS APBD JUMLAH
0
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0

PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 1820 100 0 0
3 Aloclair plus gel BOTOL 15 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 1353 15000 0 0
8 Amoksisilin kaplet 500 mg kaplet 45049 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 459 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0 0
15 Antasida DOEN tablet kombinasi Tab 13866 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 304 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 87 1500 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 1197 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 639 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 17137 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 30 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 220 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 300 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 80 0 0 0
65 Garam oralit 200 ml air sachet 5572 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 500 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 300 0 0 0
72 Haloperidol 0,5 mg tablet Tab 600 0 0 0
73 Haloperidol 1,5 mg tablet Tab 3360 0 0 0
74 Haloperidol 5 mg Tab 2000 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 100 0 0 0
76 Hidrokortison krim 2,5 % tube 281 2000 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 200 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 1580 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 115 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 166 500 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 460 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 1090 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 43 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 200 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 17 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 100 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 100 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 40 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 500 0 0 0
123 Nifedifin tablet 10 mg Tab 500 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 400 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 127 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 77 0 0 0
132 Parasetamol kaplet 500 mg Tab 16456 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 500 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 6100 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 10 0 0 0
144 Ranitidin tablet 150 mg Tab 9578 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 200 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 307 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 420 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 2174 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 8870 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 1242 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 49 600 0 0
170 Zink tablet disp 20 mg Tab 240 2000 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 50 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 938 600 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 125 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 191 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 1 0 0 0
14 Folley Catheter 2 way no 18 Pcs 14 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 100 0 0 0
16 Ukuran M Pcs 300 0 0 0
17 Ukuran S Pcs 100 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 94 0 0 0
25 IV Catheter G - 18 Pcs 12 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 50 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 4 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 11 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 6 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 3 0 0 0
40 Urine bag Pcs 11 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 6 0 0 0
2 Antiseptik Hand Scrub Btl 16 0 0 0
3 Gel untuk cateter Btl 7 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 36 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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307 0 307 0 0 0 -307 0
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420 0 420 0 0 0 -420 0
0 0 0 0 0 0 0 0
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2174 0 2174 0 0 0 -2174 0
8870 0 8870 0 0 0 -8870 0
0 0 0 0 0 0 0 0
1242 0 1242 0 0 0 -1242 0
49 600 49 600 0 0 -49 -600
240 2000 240 2000 0 0 -240 -2000
 0 0 0 0 0 0 0 0
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50 0 50 0 0 0 -50 0
938 600 938 600 0 0 -938 -600
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
125 0 125 0 0 0 -125 0
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
191 0 191 0 0 0 -191 0
 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 1 0 0 0 -1 0
14 0 14 0 0 0 -14 0
0 0 0 0 0 0 0 0
100 0 100 0 0 0 -100 0
300 0 300 0 0 0 -300 0
100 0 100 0 0 0 -100 0
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0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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94 0 94 0 0 0 -94 0
12 0 12 0 0 0 -12 0
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6 0 6 0 0 0 -6 0
3 0 3 0 0 0 -3 0
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6 0 6 0 0 0 -6 0
16 0 16 0 0 0 -16 0
7 0 7 0 0 0 -7 0
0 0 0 0 0 0 0 0
36 0 36 0 0 0 -36 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 April
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 1820 100 0 0
3 Aloclair plus gel BOTOL 15 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 1353 15000 0 0
8 Amoksisilin kaplet 500 mg kaplet 45049 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 459 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0 0
15 Antasida DOEN tablet kombinasi Tab 13866 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 304 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 87 1500 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 1197 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 639 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 17137 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 30 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 220 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 300 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 80 0 0 0
65 Garam oralit 200 ml air sachet 5572 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 500 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 300 0 0 0
72 Haloperidol 0,5 mg tablet Tab 600 0 0 0
73 Haloperidol 1,5 mg tablet Tab 3360 0 0 0
74 Haloperidol 5 mg Tab 2000 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 100 0 0 0
76 Hidrokortison krim 2,5 % tube 281 2000 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 200 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 1580 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 115 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 166 500 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 460 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 1090 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 43 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 200 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 17 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 100 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 100 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 40 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 500 0 0 0
123 Nifedifin tablet 10 mg Tab 500 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 400 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 127 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 77 0 0 0
132 Parasetamol kaplet 500 mg Tab 16456 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 500 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 6100 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 10 0 0 0
144 Ranitidin tablet 150 mg Tab 9578 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 200 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 307 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 420 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 2174 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 8870 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 1242 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 49 600 0 0
170 Zink tablet disp 20 mg Tab 240 2000 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 50 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 938 600 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 125 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 191 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 1 0 0 0
14 Folley Catheter 2 way no 18 Pcs 14 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 100 0 0 0
16 Ukuran M Pcs 300 0 0 0
17 Ukuran S Pcs 100 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 94 0 0 0
25 IV Catheter G - 18 Pcs 12 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 50 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 4 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 11 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 6 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 3 0 0 0
40 Urine bag Pcs 11 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 6 0 0 0
2 Antiseptik Hand Scrub Btl 16 0 0 0
3 Gel untuk cateter Btl 7 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 36 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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0 0 0 0 0 0 0 0
1820 100 1820 100 0 0 -1820 -100
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17 0 17 0 0 0 -17 0
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400 0 400 0 0 0 -400 0
 0 0 0 0 0 0 0 0
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77 0 77 0 0 0 -77 0
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0 0 0 0 0 0 0 0
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420 0 420 0 0 0 -420 0
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2174 0 2174 0 0 0 -2174 0
8870 0 8870 0 0 0 -8870 0
0 0 0 0 0 0 0 0
1242 0 1242 0 0 0 -1242 0
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 0 0 0 0 0 0 0 0
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50 0 50 0 0 0 -50 0
938 600 938 600 0 0 -938 -600
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
125 0 125 0 0 0 -125 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
191 0 191 0 0 0 -191 0
 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 1 0 0 0 -1 0
14 0 14 0 0 0 -14 0
0 0 0 0 0 0 0 0
100 0 100 0 0 0 -100 0
300 0 300 0 0 0 -300 0
100 0 100 0 0 0 -100 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
94 0 94 0 0 0 -94 0
12 0 12 0 0 0 -12 0
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50 0 50 0 0 0 -50 0
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0 0 0 0 0 0 0 0
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6 0 6 0 0 0 -6 0
16 0 16 0 0 0 -16 0
7 0 7 0 0 0 -7 0
0 0 0 0 0 0 0 0
36 0 36 0 0 0 -36 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 Mei
2018

PEMBERIAN
BPJS APBD JUMLAH
0
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0

PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 1820 100 0 0
3 Aloclair plus gel BOTOL 15 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 1353 15000 0 0
8 Amoksisilin kaplet 500 mg kaplet 45049 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 459 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0 0
15 Antasida DOEN tablet kombinasi Tab 13866 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 304 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 87 1500 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 1197 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 639 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 17137 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 30 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 220 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 300 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 80 0 0 0
65 Garam oralit 200 ml air sachet 5572 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 500 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 300 0 0 0
72 Haloperidol 0,5 mg tablet Tab 600 0 0 0
73 Haloperidol 1,5 mg tablet Tab 3360 0 0 0
74 Haloperidol 5 mg Tab 2000 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 100 0 0 0
76 Hidrokortison krim 2,5 % tube 281 2000 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 200 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 1580 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 115 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 166 500 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 460 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 1090 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 43 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 200 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 17 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 100 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 100 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 40 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 500 0 0 0
123 Nifedifin tablet 10 mg Tab 500 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 400 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 127 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 77 0 0 0
132 Parasetamol kaplet 500 mg Tab 16456 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 500 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 6100 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 10 0 0 0
144 Ranitidin tablet 150 mg Tab 9578 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 200 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 307 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 420 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 2174 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 8870 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 1242 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 49 600 0 0
170 Zink tablet disp 20 mg Tab 240 2000 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 50 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 938 600 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 125 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 191 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 1 0 0 0
14 Folley Catheter 2 way no 18 Pcs 14 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 100 0 0 0
16 Ukuran M Pcs 300 0 0 0
17 Ukuran S Pcs 100 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 94 0 0 0
25 IV Catheter G - 18 Pcs 12 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 50 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 4 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 11 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 6 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 3 0 0 0
40 Urine bag Pcs 11 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 6 0 0 0
2 Antiseptik Hand Scrub Btl 16 0 0 0
3 Gel untuk cateter Btl 7 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 36 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1820 100 1820 100 0 0 -1820 -100
15 0 15 0 0 0 -15 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1353 15000 1353 15000 0 0 -1353 -15000
45049 0 45049 0 0 0 -45049 0
0 0 0 0 0 0 0 0
459 0 459 0 0 0 -459 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
13866 0 13866 0 0 0 -13866 0
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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304 0 304 0 0 0 -304 0
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87 1500 87 1500 0 0 -87 -1500
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400 0 400 0 0 0 -400 0
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77 0 77 0 0 0 -77 0
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420 0 420 0 0 0 -420 0
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0 0 0 0 0 0 0 0
2174 0 2174 0 0 0 -2174 0
8870 0 8870 0 0 0 -8870 0
0 0 0 0 0 0 0 0
1242 0 1242 0 0 0 -1242 0
49 600 49 600 0 0 -49 -600
240 2000 240 2000 0 0 -240 -2000
 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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125 0 125 0 0 0 -125 0
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191 0 191 0 0 0 -191 0
 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
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100 0 100 0 0 0 -100 0
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6 0 6 0 0 0 -6 0
16 0 16 0 0 0 -16 0
7 0 7 0 0 0 -7 0
0 0 0 0 0 0 0 0
36 0 36 0 0 0 -36 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 Juni
2018

PEMBERIAN
BPJS APBD JUMLAH
0
0
0
0
0
0
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 1820 100 0 0
3 Aloclair plus gel BOTOL 15 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 1353 15000 0 0
8 Amoksisilin kaplet 500 mg kaplet 45049 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 459 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0 0
15 Antasida DOEN tablet kombinasi Tab 13866 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 304 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 87 1500 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 1197 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 639 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 17137 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 30 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 220 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 300 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 80 0 0 0
65 Garam oralit 200 ml air sachet 5572 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 500 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 300 0 0 0
72 Haloperidol 0,5 mg tablet Tab 600 0 0 0
73 Haloperidol 1,5 mg tablet Tab 3360 0 0 0
74 Haloperidol 5 mg Tab 2000 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 100 0 0 0
76 Hidrokortison krim 2,5 % tube 281 2000 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 200 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 1580 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 115 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 166 500 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 460 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 1090 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 43 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 200 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 17 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 100 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 100 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 40 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 500 0 0 0
123 Nifedifin tablet 10 mg Tab 500 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 400 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 127 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 77 0 0 0
132 Parasetamol kaplet 500 mg Tab 16456 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 500 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 6100 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 10 0 0 0
144 Ranitidin tablet 150 mg Tab 9578 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 200 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 307 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 420 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 2174 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 8870 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 1242 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 49 600 0 0
170 Zink tablet disp 20 mg Tab 240 2000 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 50 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 938 600 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 125 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 191 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 1 0 0 0
14 Folley Catheter 2 way no 18 Pcs 14 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 100 0 0 0
16 Ukuran M Pcs 300 0 0 0
17 Ukuran S Pcs 100 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 94 0 0 0
25 IV Catheter G - 18 Pcs 12 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 50 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 4 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 11 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 6 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 3 0 0 0
40 Urine bag Pcs 11 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 6 0 0 0
2 Antiseptik Hand Scrub Btl 16 0 0 0
3 Gel untuk cateter Btl 7 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 36 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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 Juli
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0 0
3 Aloclair plus gel BOTOL 0 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 0 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 6 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 16 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 7 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 36 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 PETUGAS P 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 JEJEN SOB 0
30 Asiklovir Tablet 400 mg Tab 0 0 196504022 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0 0
74 Haloperidol 5 mg Tab 0 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 0 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 0 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 0 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 0 0 0 0
16 Ukuran M Pcs 0 0 0 0
17 Ukuran S Pcs 0 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 0 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 0 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
40 Urine bag Pcs 0 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0 0
3 Gel untuk cateter Btl 0 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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 Agustus
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0 0
3 Aloclair plus gel BOTOL 0 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 0 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 6 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 16 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 7 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 36 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0 0
74 Haloperidol 5 mg Tab 0 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 0 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 0 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 0 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 0 0 0 0
16 Ukuran M Pcs 0 0 0 0
17 Ukuran S Pcs 0 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 0 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 0 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
40 Urine bag Pcs 0 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0 0
3 Gel untuk cateter Btl 0 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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 September
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0 0
3 Aloclair plus gel BOTOL 0 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 0 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 6 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 16 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 7 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 36 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0 0
74 Haloperidol 5 mg Tab 0 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 0 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 0 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 0 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 0 0 0 0
16 Ukuran M Pcs 0 0 0 0
17 Ukuran S Pcs 0 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 0 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 0 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
40 Urine bag Pcs 0 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0 0
3 Gel untuk cateter Btl 0 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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 oktober
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0 0
3 Aloclair plus gel BOTOL 0 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 0 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 6 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 16 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 7 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 36 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0 0
74 Haloperidol 5 mg Tab 0 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 0 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 0 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 0 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 0 0 0 0
16 Ukuran M Pcs 0 0 0 0
17 Ukuran S Pcs 0 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 0 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 0 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
40 Urine bag Pcs 0 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0 0
3 Gel untuk cateter Btl 0 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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 November
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 LAPORAN PEMAKAIAN DAN LEMB
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0 0
3 Aloclair plus gel BOTOL 0 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0
7 Amlodipin 5 mg Tab 0 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 6 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 16 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 7 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 36 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0 0
74 Haloperidol 5 mg Tab 0 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0
 82 Kalsium alginate gel tube 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0
118 Miconazol SK tube 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0
131 parasetamol drop BOTOL 0 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0
139 Probiokid kapsul 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0
160 Simvastatin 20 mg Tab 0 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0 0
 0BAT PROGRAM HIV 0 0 0 0
1 EFAVIRENS tablet 0 0 0 0
2 HIVIRAL 0 0 0 0
3 NEVIRAL 0 0 0 0
4 ATRIPLA 0 0 0 0
5 TENOFAVIR 0 0 0 0
6 DUVIRAL 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0
PROGRAM KUSTA 0 0 0 0
1 MB DEWASA Tab 0 0 0 0
2 PB DEWASA Tab 0 0 0 0
3 MB ANAK Tab 0 0 0 0
PROGRAM TBC 0 0 0 0
1 OAT FDC Anak Tab 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0
PROGRAM IMUNISASI 0 0 0 0
1 VAKSIN BCG 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0
5 vaksin HB-O 0 0 0 0
6 Vaksin Td 0 0 0 0
7 Vaksin IPV 0 0 0 0
SERUM 0 0 0 0
1 ABU 0 0 0 0
2 ADS 0 0 0 0
3 ATS 0 0 0 0
4 RABIES 0 0 0 0
CAIRAN 0 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 0
BHP 0 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0 0
4 Alkohol Swab box 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0
8 bloodset Pcs 0 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0 0
Handscoon Non Steril 0 0 0 0
15 Ukuran L Pcs 0 0 0 0
16 Ukuran M Pcs 0 0 0 0
17 Ukuran S Pcs 0 0 0 0
Handscoon steril 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0
19 Ukuran 7.0 Pcs 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0
24 Infusion set dewasa Pcs 0 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0
34 Masker Pcs 0 0 0 0
35 Plester Pcs 0 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0
40 Urine bag Pcs 0 0 0 0
BHP GIGI 0 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0
5 Formokresol Cairan BOTOL 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0 0
3 Gel untuk cateter Btl 0 0 0 0
4 Lisol 1 liter Btl 0 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

jumlah kunjungan resep UMUM BPJS JUMLAH

0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR

KARMI,SKM.MM
197010171997031008.
AIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN
TAHUN
JIN.RAYA CIKADU KM,5 CRUGKEMBAR
PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN
UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS UMUM BPJS

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 Desember
2018

PEMBERIAN
BPJS APBD JUMLAH
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PETUGAS PENGELOLA OBAT

JEJEN SOBARKAH
196504022007011007.
 PERSEDIAAN OBAT DAN PERBEKALAN FARMASI
PUSKESMAS CURUGKEMBAR PERIODE 31 desember
KECAMATAN CURUGKEMBAR TAHUN 2018
ALAMAT JIN.RAYA CIKADU KM,5 CRUGKEMBAR
NO NAMA OBAT SATUAN PERSEDIAAN HARGA
BPJS APBD JUMLAH SATUAN
OBAT
1 Albendazol tablet 400 mg Tab 0 0 0 390
2 Allupurinol 100 mg Tablet Tab 0 0 0 86
3 Aloclair plus gel BOTOL 0 0 0 80,000
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 2998
5 Aminophylin tablet 200mg Tab 0 0 0 91
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 112
7 Amlodipin 5 mg Tab 0 0 0 105
8 Amoksisilin kaplet 500 mg kaplet 0 0 0 272
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 211
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 6 6 2,445
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 16 16 4,045
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 7 7 5,100
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 133
14 Antasida Suspensi 60 ml BOTOL 0 36 36 2,100
15 Antasida DOEN tablet kombinasi Tab 0 0 0 75
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 2,516
17 Anti fungi DOEN komb sk tube 0 0 0 1,719
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 7,200
19 Antimigren DOEN kombinasi Tab 0 0 0 135
20 Antiparkinson DOEN Tab 0 0 0 1,500
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 38,999
22 Artesunate tablet (ACT) Tab 0 0 0 1,375
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 148
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 95
25 asam folat tablet 1 mg Tab 0 0 0 84
26 Asam mefenamat 500 mg kaplet 0 0 0 112
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 139
28 Asiklovir Krem 5% tube 0 0 0 3150
29 Asiklovir tablet 200 mg Tab 0 0 0 237
30 Asiklovir Tablet 400 mg Tab 0 0 0 345
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 1265
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 74
33 Attalpugite tab 600 mg Tab 0 0 0 190
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 9,800
35 Betahistin maleat Tab 0 0 0 924
36 Betametasone Krim 0.1% tube 0 0 0 1,520
37 Bisakodil Supp 10 mg supp 0 0 0 6,045
38 Captopril 12,5 mg Tab 0 0 0 62
39 Captopril tablet 25 mg Tab 0 0 0 80
40 Ciprofloksasin 500 mg tablet Tab 0 0 0 255
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 1,580
42 Deksametasone tablet 0.5mg Tab 0 0 0 68
43 Diasepam 5 mg tablet Tab 0 0 0 65
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 11,525
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 132
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 1,054
48 Digoksin tablet 0,25 mg Tab 0 0 0 95
49 Doksisiklin 100 mg ampul 0 0 0 269
50 Domperidon Syrup BOTOL 0 0 0 3,333
51 Domperidon tablet 10 mg Tab 0 0 0 118
 52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 8,100
53 Erytromycin 250 mg KAPSUL 0 0 0 497
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 7700
55 Etambutol HCL 250 mg Tab 0 0 0 314
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 133
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 1800
58 Fenobarbital tablet 30 mg Tab 0 0 0 65
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 1375
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 290
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 510
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0 634
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 3550
64 Furosemid tablet 40 mg Tab 0 0 0 85
65 Garam oralit 200 ml air sachet 0 0 0 285
66 Gentamicin inj 40 mg//ml ampul 0 0 0 3399
67 Gentamisin tetes mata BOTOL 0 0 0 4000
68 Glibenklamid tablet 5 mg Tab 0 0 0 56
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 341
70 Gliserin guayakolat syrup BOTOL 0 0 0 8107
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0 219
72 Haloperidol 0,5 mg tablet Tab 0 0 0 59
73 Haloperidol 1,5 mg tablet Tab 0 0 0 69
74 Haloperidol 5 mg Tab 0 0 0 96
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 36
76 Hidrokortison krim 2,5 % tube 0 0 0 2,798
77 Ibuprofen tablet 200 mg Tab 0 0 0 110
78 Ibuprofen tablet 400 mg Tab 0 0 0 149
79 Isoniazid tablet 100 mg Tab 0 0 0 65
80 Isoniazid tablet 300 mg Tab 0 0 0 158
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 88
82 Kalsium alginate gel tube 0 0 0 104,000
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 7,800
84 Kalsium lakate (kalk) tablet Tab 0 0 0 56
85 Karbamazepin tablet 200 mg Tab 0 0 0 245
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 2,042
87 Ketokonazol krim 2 % tube 0 0 0 2,850
88 Ketokonazol Tablet 200 mg Tab 0 0 0 300
89 Klindamicin 300 mg KAPSUL 0 0 0 603
90 Klopidogrel tab 75 mg Tab 0 0 0 3,400
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0 250
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 3,091
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 1600
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 1600
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 51
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 144
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 1100
98 Kodein HCl tablet 10 mg Tab 0 0 0 500
99 Kotrimoksazol forte tablet Tab 0 0 0 149
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 2145
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 670
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 6200
103 Lansoprazol 30 mg Tab 0 0 0 473
104 Lidokain inj. 2% ampul 0 0 0 839
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 1363
106 Loratadin tab 10 mg Tab 0 0 0 134
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 2630
108 Mebendazol tablet 100 mg Tab 0 0 0 2630
109 Metformin tablet 500 mg Tab 0 0 0 113
110 metil dopa tab 250 mg Tab 0 0 0 368
111 Metilergometrin Maleat injeksi 0,200 mg - 1ml ampul 0 0 0 2750
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 154
113 Metilprednisolon tablet Tab 0 0 0 194
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 108
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 3800
116 Metronidazol tablet 250 mg Tab 0 0 0 110
117 Metronidazol tablet 500 mg Tab 0 0 0 160
118 Miconazol SK tube 0 0 0 3000
119 Multivitamin sirup BOTOL 0 0 0 8720
120 Multivitamin Tablet Dewasa Tab 0 0 0 810
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 20
122 Natrium Diklofenac 25 mg Tab 0 0 0 200
123 Nifedifin tablet 10 mg Tab 0 0 0 100
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 480
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0 640
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 1430
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 1675
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0 2200
129 Omeprazol 20mg Tab 0 0 0 211
130 Ondansentron tab 8 mg Tab 0 0 0 299
131 parasetamol drop BOTOL 0 0 0 5200
132 Parasetamol kaplet 500 mg Tab 0 0 0 89
133 Parasetamol sirup BOTOL 0 0 0 1438
134 Permetrin/scabimite krim 5 % tube 0 0 0 12155
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 296
136 Pirazinamid tablet 500 mg Tab 0 0 0 206
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0 17
138 Prednison tablet 5 mg Tab 0 0 0 60
139 Probiokid kapsul 0 0 0 12100
140 Propiltiourasil tablet 100 mg Tab 0 0 0 319
141 Propranolol HCl tablet 10 mg Tab 0 0 0 65
142 Pyrazinamid tablet 500 mg Tab 0 0 0 228
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0 1140
144 Ranitidin tablet 150 mg Tab 0 0 0 120
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 260
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 459
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 648
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 660
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 923
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 6600
151 Salbutamol tablet 4 mg Tab 0 0 0 83
152 Salep 2 - 4 kombinasi tube 0 0 0 2000
153 Salisil Bedak 2% - 50 gram tube 0 0 0 1250
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 509
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0 5895
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 590
157 Sertirizin tablet 10 mg Tab 0 0 0 143
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 2850
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 57
160 Simvastatin 20 mg Tab 0 0 0 169
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 350
162 Teofilin tab 150 mg Tab 0 0 0 270
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 148
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 300
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0 36
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 41
167 Vermox tablet (obat cacing) Tab 0 0 0 8800
168 Vitamin B komplek tablet Tab 0 0 0 107
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0 7400
170 Zink tablet disp 20 mg Tab 0 0 0 473
0BAT PROGRAM HIV 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0 214900
2 OAT FDC Kategori 1 Tab 0 0 0 359900
3 OAT/FDC KATEGORI II Tab 0 0 0 1247984
PROGRAM IMUNISASI 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0
1 ABU 0 0 0 462000
2 ADS 0 0 0
3 ATS 0 0 0 126500
4 RABIES 0 0 0
CAIRAN 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 2030
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 4700
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 5200
BHP 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 990
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 650
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0 750
4 Alkohol Swab box 0 0 0 10,000
5 autodisable no 0,05 ml Pcs 0 0 0 1354
6 autodisable no. 0,5 ml Pcs 0 0 0 1175
7 Bioplasenton tulle Pcs 0 0 0 104000
8 bloodset Pcs 0 0 0 13420
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 5,583
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 5,583
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 5,198
12 ECG/USG jelly 82gr Pcs 0 0 0 34,528
13 Folley Catheter 2 way no 16 Pcs 0 0 0 8,500
14 Folley Catheter 2 way no 18 Pcs 0 0 0 8,500
Handscoon Non Steril 0 0
15 Ukuran L Pcs 0 0 0 1,144
16 Ukuran M Pcs 0 0 0 1,144
17 Ukuran S Pcs 0 0 0 1,144
Handscoon steril 0 0
18 Ukuran 6.5 Pcs 0 0 0 1,418
19 Ukuran 7.0 Pcs 0 0 0 1,418
20 Ukuran 7.5 Pcs 0 0 0 1,418
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 850
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 850
23 Infusion set anak Pcs 0 0 0 13,190
24 Infusion set dewasa Pcs 0 0 0 12,320
25 IV Catheter G - 18 Pcs 0 0 0 15,520
26 IV Catheter G - 20 Pcs 0 0 0 15,520
27 IV Catheter G - 22 Pcs 0 0 0 15,520
28 Kapas 250 gr Pcs 0 0 0 28,530
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 107,193
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 5,800
31 Kasa Kompres 40/40 steril Pcs 0 0 0 1,600
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 7,700
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 130,000
34 Masker Pcs 0 0 0 20,900
35 Plester Pcs 0 0 0 12,076
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 7,370
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 27,660
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 14,000
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 13,616
40 Urine bag Pcs 0 0 0 3,000
BHP GIGI 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 38,200
2 Etil Klorida Semprot BOTOL 0 0 0 103,000
3 Eugenol cairan - 10 ml BOTOL 0 0 0 16,667
4 Fluor tablet 0,5 mg TAB 0 0 0 45
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 450
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 390,000
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 235,000
9 Lidokain gel BOTOL 0 0 0 54,000
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 173,000
11 Mummifying Pasta Botol 0 0 0 17,393
12 Polikresulen cairan POT 0 0 0 92,000
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 5,279
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 33,000
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 130,000
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 50,400
DESINFECTAN 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 25,300
2 Antiseptik Hand Scrub Btl 0 0 0 104,250
3 Gel untuk cateter Btl 0 0 0 8,320
4 Lisol 1 liter Btl 0 0 0 49,862
5 Povidon Iodida 500 ml Btl 0 0 0 3,700
6 Povidon Iodida 60 ml Btl 0 0 0 14,203
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 949
 FARMASI
31 desember
2018
UGKEMBAR
JUMLAH
HARGA

0
0
0
0
0
0
0
0
0
14670
64720
35700
0
75600
0
0
0
0
0
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0
 RENCANA KEBUTUHAN OBAT
PUSKESMAS CURUGKEMBAR
KECAMATAN CURUGKEMBAR
ALAMAT JIN.RAYA CIKADU KM,5 CRUGKEMBAR
NO NAMA OBAT SATUAN SISA STOK PEMAKAIAN KEBUTUHAN 1

30 OKT RATA RATA TAHUN

OBAT
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 22.22222222 266.66666667
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 6 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 16 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 7 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 36 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
 51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
 metil dopa tab 250 mg
110 Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0
0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0

MENGETAHUI KEPALA PUSKESMAS

CURUGKEMBAR
197010171997031008.
0
EBUTUHAN OBAT
TAHUN 2019

CIKADU KM,5 CRUGKEMBAR

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UMUM BPJS UMUM
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