FORMAT LPLPO 2019 - Copy KOSONG

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 0 0
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 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 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
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
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
79 Isoniazid tablet 100 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
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
147 Rifampisin kapsul 300 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
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
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
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
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
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
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
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! 5100 0 0 0
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0 0 0
PETUGAS PENGELOLA OBAT
196504022007011007.
858560681707.
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSKESMAS SAGARANTEN
KECAMATAN SAGARANTEN
ALAMAT
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
2 Allupurinol 100 mg Tablet Tab 0 0 1000 1000 0 1000 0 0 0
3 Aloclair plus gel BOTOL 0 0 0 0 0 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 200 200 0 200 0 0 0
7 Amlodipin 5 mg Tab 0 0 900 900 0 900 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 10000 10000 0 10000 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 1000 1000 0 1000 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0 0 0 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 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
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 50 50 0 50 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 10000 10000 0 10000 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 25 25 0 25 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 24 24 0 24 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 20 20 0 20 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 300 300 0 300 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 1000 1000 0 1000 0 0 0
25 asam folat tablet 1 mg Tab 0 0 1000 1000 0 1000 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 4500 4500 0 4500 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 300 300 0 300 0 0 0
28 Asiklovir Krem 5% tube 0 0 25 25 0 25 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0 0 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 100 100 0 100 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 17 17 0 17 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0 0 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 1000 1000 0 1000 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0 0 0 0 0
36 Betametasone Krim 0.1% tube 0 0 100 100 0 100 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 24 24 0 24 0 0 0
38 Captopril 12,5 mg Tab 0 0 1000 1000 0 1000 0 0 0
39 Captopril tablet 25 mg Tab 0 0 1000 1000 0 1000 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 300 300 0 300 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 50 50 0 50 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 3000 3000 0 3000 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 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 0 0 0 0 0 0 0 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0 0 0 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0 0 0 0 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0 0 0 0 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0 0 0 0 0 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0 0 0 0 0 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0 0 0 0 0 0 0 0
74 Haloperidol 5 mg Tab 0 0 0 0 0 0 0 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 0 0 0 0 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0 0 0 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0 0 0 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0
111 ampul 0 0 0 0 0 0 0 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0 0 0 0 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0 0 0 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 0 0 0 0 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0 0 0 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0 0 0 0 0 0 0
131 parasetamol drop BOTOL 0 0 0 0 0 0 0 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0 0 0 0 0 0 0 0
133 Parasetamol sirup BOTOL 0 0 0 0 0 0 0 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0 0 0 0 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0 0 0 0 0 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
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0 0 0 0 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0
160 Simvastatin 20 mg Tab 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0 0 0 0 0 0 0 0
170 Zink tablet disp 20 mg Tab 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 0 0 0 0 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 0 0 0 0 0 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
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 0 0 0 0 0 0 0 0 0 0
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0 0 0 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0 0 0 0 0 0 0 0
Handscoon Non Steril box 0 0 0 0 0 0 0 0 0 0
15 Ukuran L Pcs 0 0 0 0 0 0 0 0 0 0
16 Ukuran M Pcs 0 0 0 0 0 0 0 0 0 0
17 Ukuran S Pcs 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0
20 Ukuran 7.5 Pcs 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0 0 0 0 0 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0 0 0 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0 0 0 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0 0 0 0 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 0 0 0 0 0 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 0 0 0 0 0 0 0 0
35 Plester Pcs 0 0 0 0 0 0 0 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 0 0 0 0 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 0 0 0 0 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0 0 0 0 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0 0 0 0 0 0 0
40 Urine bag Pcs 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0 0 0 0 0 0 0 0
3 Gel untuk cateter Btl 0 0 0 0 0 0 0 0 0 0
4 Lisol 1 liter Btl 0 0 0 0 0 0 0 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0 0 0 0 0 0 0 0
6 Povidon Iodida 30 ml Btl 0 0 0 0 0 0 0 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0 0 0 0 0 0 0
gliserin 100 ml 0 0 0 0 0 0 0 0 0 0
antalgin (Metampiron) inj 0 0 0 0 0 0 0 0 0 0
amlodipin 10 mg 0 0 0 0 0 0 0 0 0 0
asetil sistein 0 0 0 0 0 0 0 0 0 0
bisoprolol 0 0 0 0 0 0 0 0 0 0
cefetaxime inj 0 0 0 0 0 0 0 0 0 0
combivent nebu 0 0 0 0 0 0 0 0 0 0
glimepirid 0 0 0 0 0 0 0 0 0 0
klorampenicol 250 mg 0 0 0 0 0 0 0 0 0 0
metoklorpropamid inj 0 0 0 0 0 0 0 0 0 0
manitol infus 0 0 0 0 0 0 0 0 0 0
wida best 0 0 0 0 0 0 0 0 0 0
salbutamol 4 mg 0 0 0 0 0 0 0 0 0 0
kasa 4x10 cm pcs 0 0 0 0 0 0 0 0 0 0
kasa 4x5 cm pcs 0 0 0 0 0 0 0 0 0 0
surgical glove steril gynecologi 0 0 0 0 0 0 0 0 0 0
ukuran 6.5 PAIR 0 0 0 0 0 0 0 0 0 0
ukuran 7.0 PAIR 0 0 0 0 0 0 0 0 0 0
ukuran 7.5 PAIR 0 0 0 0 0 0 0 0 0 0
ukuran 8.0 PAIR 0 0 0 0 0 0 0 0 0 0
nasal oksigen canula dewasa Pcs 0 0 0 0 0 0 0 0 0 0
nasal oksigen canula anak pcs 0 0 0 0 0 0 0 0 0 0
nasal oksigen canula neonates Pcs 0 0 0 0 0 0 0 0 0 0
non rebreather oxygen mask dewasa pcs 0 0 0 0 0 0 0 0 0 0
non rebreather oxygen mask anak Pcs 0 0 0 0 0 0 0 0 0 0
folley catheter 2 way no 12 Pcs 0 0 0 0 0 0 0 0 0 0
alat suntik sekali pakai 10 ml Pcs 0 0 0 0 0 0 0 0 0 0
IV chatheter - 24 pcs 0 0 0 0 0 0 0 0 0 0
masker nebulizer aerosol dan tubing- dewasa
pcs 0 0 0 0 0 0 0 0 0 0
masker nebulizer aerosol dan tubing- anak Pcs 0 0 0 0 0 0 0 0 0 0
alat suntik sekali pakai 1 ml tuberculin (TB) Pcs 0 0 0 0 0 0 0 0 0 0
masker ear loop box 0 0 0 0 0 0 0 0 0 0
bisturi 11 box 0 0 0 0 0 0 0 0 0 0
bisturi 12 box 0 0 0 0 0 0 0 0 0 0
bisturi 15 box 0 0 0 0 0 0 0 0 0 0
mucus extrator 25 ml pcs 0 0 0 0 0 0 0 0 0 0
neck kollar pcs 0 0 0 0 0 0 0 0 0 0
umbilical cord clamp box 0 0 0 0 0 0 0 0 0 0
Idpatient child/ anak biru pcs 0 0 0 0 0 0 0 0 0 0
Idpatient child/ anak pink pcs 0 0 0 0 0 0 0 0 0 0
kasa steril 16 x 16 cm box 0 0 0 0 0 0 0 0 0 0
kasa 40x80 cm roll 0 0 0 0 0 0 0 0 0 0
kasa 3x5 cm pack 0 0 0 0 0 0 0 0 0 0
kasa 3 x 10 cm pack 0 0 0 0 0 0 0 0 0 0
kasa 3 x 15 cm pack 0 0 0 0 0 0 0 0 0 0
kasa 20 x 80 cm roll 0 0 0 0 0 0 0 0 0 0
povidon 30 ml btl 0 0 0 0 0 0 0 0 0 0
stik cek kolesterol box 0 0 0 0 0 0 0 0 0 0
stik cek gula box 0 0 0 0 0 0 0 0 0 0
stik cek asam urat box 0 0 0 0 0 0 0 0 0 0
stik hb box 0 0 0 0 0 0 0 0 0 0
underpad pcs 0 0 0 0 0 0 0 0 0 0
chateter nelaton 08 Pcs 0 0 0 0 0 0 0 0 0 0
chateter nelaton 10 pcs 0 0 0 0 0 0 0 0 0 0
jumlah kunjungan resep UMUM BPJS JUMLAH

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

0

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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Februari
2018
PEMBERIAN
BPJS APBD JUMLAH
0
0
0
0
0
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JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
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 0 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 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
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
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
79 Isoniazid tablet 100 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
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
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
147 Rifampisin kapsul 300 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
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
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
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
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
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
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
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
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
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Maret
2018
PEMBERIAN
BPJS APBD JUMLAH
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
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
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
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
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0
0
0
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0
0
0
0
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0
0
0
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0
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0
0
0
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0
0
0
JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
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April
2018
PEMBERIAN
BPJS APBD JUMLAH
0
0
0
0
0
0
0
0
0
0
0
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0
JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
0 0 0 0 0 0 0 0
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Mei
2018
PEMBERIAN
BPJS APBD JUMLAH
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
JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0
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2018
PEMBERIAN
BPJS APBD JUMLAH
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JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
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Juli
2018
PEMBERIAN
BPJS APBD JUMLAH
0
0
0
0
0
0
0
0
0
0
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JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 PETUGAS P 0
29 Asiklovir tablet 200 mg Tab 0 0 JEJEN SOB 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
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Agustus
2018
PEMBERIAN
BPJS APBD JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
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
September
2018
PEMBERIAN
BPJS APBD JUMLAH
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
JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
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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oktober
2018
PEMBERIAN
BPJS APBD JUMLAH
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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0
JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
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
November
2018
PEMBERIAN
BPJS APBD JUMLAH
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
JEJEN SOBARKAH
196504022007011007.
ALAMAT JIN.RAYA
UMUM BPJS UMUM BPJS
OBAT 0 0 0 0
111 ampul 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
PROGRAM TBC 0 0 0 0
6 Vaksin Td 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
BHP 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
28 Kapas 250 gr Pcs 0 0 0 0
BHP GIGI 0 0 0 0
DESINFECTAN 0 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0 0

0

CURUGKEMBAR
KARMI,SKM.MM
197010171997031008.
PELAPORAN BULAN
TAHUN
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
Desember
2018
PEMBERIAN
BPJS APBD JUMLAH
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
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
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
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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
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
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0
0
0
0
0
0
0
0
0
0
0
0
JEJEN SOBARKAH
196504022007011007.
PERSEDIAAN OBAT DAN PERBEKALAN FARMASI
PUSKESMAS CURUGKEMBAR PERIODE 31 desember
KECAMATAN CURUGKEMBAR TAHUN 2018
NO NAMA OBAT SATUAN PERSEDIAAN HARGA
BPJS APBD JUMLAH SATUAN
OBAT
3 Aloclair plus gel BOTOL 0 0 0 80,000
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0 2,445
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 4,045
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 5,100
14 Antasida Suspensi 60 ml BOTOL 0 0 0 2,100
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
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
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 9,800
36 Betametasone Krim 0.1% tube 0 0 0 1,520
37 Bisakodil Supp 10 mg supp 0 0 0 6,045
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 1,580
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 11,525
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 1,054
50 Domperidon Syrup BOTOL 0 0 0 3,333
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 8,100
76 Hidrokortison krim 2,5 % tube 0 0 0 2,798
82 Kalsium alginate gel tube 0 0 0 104,000
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 7,800
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 2,042
87 Ketokonazol krim 2 % tube 0 0 0 2,850
90 Klopidogrel tab 75 mg Tab 0 0 0 3,400
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 3,091
111 Metilergometrin Maleat injeksi 0,200 mg - 1ml ampul 0 0 0 2750
0BAT PROGRAM HIV 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
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
PROGRAM IMUNISASI 0 0
1 VAKSIN BCG 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
BHP 0 0
4 Alkohol Swab box 0 0 0 10,000
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
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
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
FARMASI
31 desember
2018
UGKEMBAR
JUMLAH
HARGA
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
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
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
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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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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0
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0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RENCANA KEBUTUHAN OBAT
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 0 0
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 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 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
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
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
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
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
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
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
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
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
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
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
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
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
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
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr 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
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
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
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
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0

CURUGKEMBAR
197010171997031008.
0
EBUTUHAN OBAT
TAHUN 2019
CIKADU KM,5 CRUGKEMBAR

RENCANA PENGADAAN JUMLAH KETERSED HARGA JUMLAH HARGA TOTAL
UMUM BPJS UMUM
OBAT IAAN SATUAN BPJS HARGA
0 #DIV/0! 390 0 0 0
0 #DIV/0! 86 0 0 0
0 #DIV/0! 80000 0 0 0
0 #DIV/0! 2998 0 0 0
0 #DIV/0! 91 0 0 0
0 #DIV/0! 112 0 0 0
0 #DIV/0! 105 0 0 0
0 #DIV/0! 272 0 0 0
0 #DIV/0! 211 0 0 0
0 #DIV/0! 2445 0 0 0
0 #DIV/0! 4045 0 0 0
0 #DIV/0! 5100 0 0 0
0 #DIV/0! 133 0 0 0
0 #DIV/0! 2100 0 0 0
0 #DIV/0! 75 0 0 0
0 #DIV/0! 2516 0 0 0
0 #DIV/0! 1719 0 0 0
0 #DIV/0! 7200 0 0 0
0 #DIV/0! 135 0 0 0
0 #DIV/0! 1500 0 0 0
0 #DIV/0! 38999 0 0 0
0 #DIV/0! 1375 0 0 0
0 #DIV/0! 148 0 0 0
0 #DIV/0! 95 0 0 0
0 #DIV/0! 84 0 0 0
0 #DIV/0! 112 0 0 0
0 #DIV/0! 139 0 0 0
0 #DIV/0! 3150 0 0 0
0 #DIV/0! 237 0 0 0
0 #DIV/0! 345 0 0 0
0 #DIV/0! 1265 0 0 0
0 #DIV/0! 74 0 0 0
0 #DIV/0! 190 0 0 0
0 #DIV/0! 9800 0 0 0
0 #DIV/0! 924 0 0 0
0 #DIV/0! 1520 0 0 0
0 #DIV/0! 6045 0 0 0
0 #DIV/0! 62 0 0 0
0 #DIV/0! 80 0 0 0
0 #DIV/0! 255 0 0 0
0 #DIV/0! 1580 0 0 0
0 #DIV/0! 68 0 0 0
0 #DIV/0! 65 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 11525 0 0 0
0 #DIV/0! 132 0 0 0
0 #DIV/0! 1054 0 0 0
0 #DIV/0! 95 0 0 0
0 #DIV/0! 269 0 0 0
0 #DIV/0! 3333 0 0 0
0 #DIV/0! 118 0 0 0
0 #DIV/0! 8100 0 0 0
0 #DIV/0! 497 0 0 0
0 #DIV/0! 7700 0 0 0
0 #DIV/0! 314 0 0 0
0 #DIV/0! 133 0 0 0
0 #DIV/0! 1800 0 0 0
0 #DIV/0! 65 0 0 0
0 #DIV/0! 1375 0 0 0
0 #DIV/0! 290 0 0 0
0 #DIV/0! 510 0 0 0
0 #DIV/0! 634 0 0 0
0 #DIV/0! 3550 0 0 0
0 #DIV/0! 85 0 0 0
0 #DIV/0! 285 0 0 0
0 #DIV/0! 3399 0 0 0
0 #DIV/0! 4000 0 0 0
0 #DIV/0! 56 0 0 0
0 #DIV/0! 341 0 0 0
0 #DIV/0! 8107 0 0 0
0 #DIV/0! 219 0 0 0
0 #DIV/0! 59 0 0 0
0 #DIV/0! 69 0 0 0
0 #DIV/0! 96 0 0 0
0 #DIV/0! 36 0 0 0
0 #DIV/0! 2798 0 0 0
0 #DIV/0! 110 0 0 0
0 #DIV/0! 149 0 0 0
0 #DIV/0! 65 0 0 0
0 #DIV/0! 158 0 0 0
0 #DIV/0! 88 0 0 0
0 #DIV/0! 104000 0 0 0
0 #DIV/0! 7800 0 0 0
0 #DIV/0! 56 0 0 0
0 #DIV/0! 245 0 0 0
0 #DIV/0! 2042 0 0 0
0 #DIV/0! 2850 0 0 0
0 #DIV/0! 300 0 0 0
0 #DIV/0! 603 0 0 0
0 #DIV/0! 3400 0 0 0
0 #DIV/0! 250 0 0 0
0 #DIV/0! 3091 0 0 0
0 #DIV/0! 1600 0 0 0
0 #DIV/0! 1600 0 0 0
0 #DIV/0! 51 0 0 0
0 #DIV/0! 144 0 0 0
0 #DIV/0! 1100 0 0 0
0 #DIV/0! 500 0 0 0
0 #DIV/0! 149 0 0 0
0 #DIV/0! 2145 0 0 0
0 #DIV/0! 670 0 0 0
0 #DIV/0! 6200 0 0 0
0 #DIV/0! 473 0 0 0
0 #DIV/0! 839 0 0 0
0 #DIV/0! 1363 0 0 0
0 #DIV/0! 134 0 0 0
0 #DIV/0! 2630 0 0 0
0 #DIV/0! 2630 0 0 0
0 #DIV/0! 113 0 0 0
0 #DIV/0! 368 0 0 0
0 #DIV/0! 2750 0 0 0
0 #DIV/0! 154 0 0 0
0 #DIV/0! 194 0 0 0
0 #DIV/0! 108 0 0 0
0 #DIV/0! 3800 0 0 0
0 #DIV/0! 110 0 0 0
0 #DIV/0! 160 0 0 0
0 #DIV/0! 3000 0 0 0
0 #DIV/0! 8720 0 0 0
0 #DIV/0! 810 0 0 0
0 #DIV/0! 20 0 0 0
0 #DIV/0! 200 0 0 0
0 #DIV/0! 100 0 0 0
0 #DIV/0! 480 0 0 0
0 #DIV/0! 640 0 0 0
0 #DIV/0! 1430 0 0 0
0 #DIV/0! 1675 0 0 0
0 #DIV/0! 2200 0 0 0
0 #DIV/0! 211 0 0 0
0 #DIV/0! 299 0 0 0
0 #DIV/0! 5200 0 0 0
0 #DIV/0! 89 0 0 0
0 #DIV/0! 1438 0 0 0
0 #DIV/0! 12155 0 0 0
0 #DIV/0! 296 0 0 0
0 #DIV/0! 206 0 0 0
0 #DIV/0! 17 0 0 0
0 #DIV/0! 60 0 0 0
0 #DIV/0! 12100 0 0 0
0 #DIV/0! 319 0 0 0
0 #DIV/0! 65 0 0 0
0 #DIV/0! 228 0 0 0
0 #DIV/0! 1140 0 0 0
0 #DIV/0! 120 0 0 0
0 #DIV/0! 260 0 0 0
0 #DIV/0! 459 0 0 0
0 #DIV/0! 648 0 0 0
0 #DIV/0! 660 0 0 0
0 #DIV/0! 923 0 0 0
0 #DIV/0! 6600 0 0 0
0 #DIV/0! 83 0 0 0
0 #DIV/0! 2000 0 0 0
0 #DIV/0! 1250 0 0 0
0 #DIV/0! 509 0 0 0
0 #DIV/0! 5895 0 0 0
0 #DIV/0! 590 0 0 0
0 #DIV/0! 143 0 0 0
0 #DIV/0! 2850 0 0 0
0 #DIV/0! 57 0 0 0
0 #DIV/0! 169 0 0 0
0 #DIV/0! 350 0 0 0
0 #DIV/0! 270 0 0 0
0 #DIV/0! 148 0 0 0
0 #DIV/0! 300 0 0 0
0 #DIV/0! 36 0 0 0
0 #DIV/0! 41 0 0 0
0 #DIV/0! 8800 0 0 0
0 #DIV/0! 107 0 0 0
0 #DIV/0! 7400 0 0 0
0 #DIV/0! 473 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 214900 0 0 0
0 #DIV/0! 359900 0 0 0
0 #DIV/0! 1247984 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 462000 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 126500 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 2030 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 4700 0 0 0
0 #DIV/0! 5200 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 990 0 0 0
0 #DIV/0! 650 0 0 0
0 #DIV/0! 750 0 0 0
0 #DIV/0! 10000 0 0 0
0 #DIV/0! 1354 0 0 0
0 #DIV/0! 1175 0 0 0
0 #DIV/0! 104000 0 0 0
0 #DIV/0! 13420 0 0 0
0 #DIV/0! 5583 0 0 0
0 #DIV/0! 5583 0 0 0
0 #DIV/0! 5198 0 0 0
0 #DIV/0! 34528 0 0 0
0 #DIV/0! 8500 0 0 0
0 #DIV/0! 8500 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 1144 0 0 0
0 #DIV/0! 1144 0 0 0
0 #DIV/0! 1144 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 1418 0 0 0
0 #DIV/0! 1418 0 0 0
0 #DIV/0! 1418 0 0 0
0 #DIV/0! 850 0 0 0
0 #DIV/0! 850 0 0 0
0 #DIV/0! 13190 0 0 0
0 #DIV/0! 12320 0 0 0
0 #DIV/0! 15520 0 0 0
0 #DIV/0! 15520 0 0 0
0 #DIV/0! 15520 0 0 0
0 #DIV/0! 28530 0 0 0
0 #DIV/0! 107193 0 0 0
0 #DIV/0! 5800 0 0 0
0 #DIV/0! 1600 0 0 0
0 #DIV/0! 7700 0 0 0
0 #DIV/0! 130000 0 0 0
0 #DIV/0! 20900 0 0 0
0 #DIV/0! 12076 0 0 0
0 #DIV/0! 7370 0 0 0
0 #DIV/0! 27660 0 0 0
0 #DIV/0! 14000 0 0 0
0 #DIV/0! 13616 0 0 0
0 #DIV/0! 3000 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 38200 0 0 0
0 #DIV/0! 103000 0 0 0
0 #DIV/0! 16667 0 0 0
0 #DIV/0! 45 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 450 0 0 0
0 #DIV/0! 390000 0 0 0
0 #DIV/0! 235000 0 0 0
0 #DIV/0! 54000 0 0 0
0 #DIV/0! 173000 0 0 0
0 #DIV/0! 17393 0 0 0
0 #DIV/0! 92000 0 0 0
0 #DIV/0! 5279 0 0 0
0 #DIV/0! 33000 0 0 0
0 #DIV/0! 130000 0 0 0
0 #DIV/0! 50400 0 0 0
0 #DIV/0! 0 0 0 0
0 #DIV/0! 25300 0 0 0
0 #DIV/0! 104250 0 0 0
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

196504022007011007.
858560681707.

FORMAT LPLPO 2019 - Copy KOSONG

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data puskesmas 2018

1 nama puskesmas CURUGKEMBAR

MENGETAHUI KEPALA PUSKESMAS

CIKADU KM,5 CRUGKEMBAR

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

jumlah kunjungan resep UMUM BPJS JUMLAH

MENGETAHUI KEPALA PUSKESMAS

PETUGAS PENGELOLA OBAT

30 OKT RATA RATA TAHUN

MENGETAHUI KEPALA PUSKESMAS

CIKADU KM,5 CRUGKEMBAR

PETUGAS PENGELOLA OBAT

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