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UPTD PUSKESMAS PARANGIA

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT


( LPLPO )
PUSTU / PKD : PUSTU BARRO
BULAN / TAHUN : JANUARI / 2020

STOK JUMLAH
SISA
NO NAMA OBAT SATUAN BULAN MASUK KELUAR

ET
STOK

K
LALU PERMINTAAN PENERIMAAN

1 2 3 4 5 6 7 8 9 10

PELAYANAN KESEHATAN DASAR


1 ACETYLCYSTEIN KAPSUL 200MG KAPS 150 150

2 ALBENDAZOL TABLET 400 MG TAB 0 0

3 ALBENDAZOL SIRUP PCS 0 0

4 ALBOTHYL KONSENTRAT PCS 0 0

5 ALOPURINOL TABLET 100 MG TAB 150 150

6 ALOPURINOL TABLET 300 MG TAB 150 150

7 AMINOFILIN INJEKSI 24 MG/ML AMP 0 0

8 AMINOFILIN TABLET 200 MG TAB 190 190

9 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0

10 AMBROKSOL TAB 30 MG TAB 60 60 100

11 AMBROKSOL SIRUP PCS 1 1 0

12 AMLODIPIN 5 MG TAB 0 0

13 AMLODIPIN 10 MG TAB 0 0 100

14 AMOKSISILIN KAPSUL 250 MG KAPL 0 0

15 AMOKSISILIN KAPLET 500 MG KAPL 190 30 160 100

16 AMOKSISILIN VIAL 1 G VIAL 0 0

17 AMOKSISILIN SIROP KERING 125 PCS 3 3

18 AMPICILIN SERBUK INJ 1 G VIAL 0 0

19 AMPICILIN KAPLET 250 MG KAPL 0 0

20 AMPICILIN KAPLET 500 MG KAPL 0 0

21 ANTASIDA DOEN I TABLET KUNYAH TAB 110 40 70 100

22 ANTASIDA DOEN II SUSPENSI PCS 1 1

23 ANTI BAKTERI DOEN SALEP KOMBINASI POT 15 15

24 ANTIFUNGI DOEN KOMBINASI POT 0 0

25 ANTIHEMOROID DOEN KOMBINASI SUPP 0 0

26 ANTIMIGREIN DOEN KOMBINASI (ERGOTAMIN) TAB 100 100

27 ARTESUNATE INJEKSI VIAL 60 MG AMP 0 0

28 ARTESUNATE DEWASA TAB 0 0

29 ASAM ASETIL SALISILAT 100 MG TAB 80 80

30 ASAM ASKORBAT 25 MG (VIT C) TAB 0 0

31 ASAM ASKORBAT 50 MG (VIT C) TAB 150 3 147 100

32 ASAM MEFENAMAT TABLET SALUT 500 MG TAB 0 0 200

33 ASIKLOVIR KRIM 5 % TUBE 0 0

34 ASIKLOVIR TABLET 200 MG TAB 0 0

35 ASIKLOVIR TABLET 400 MG TAB 190 190

36 ATROPIN TETES MATA 0.5 % PCS 0 0

37 BETAMETASON KRIM 0,1 % TUBE 10 10

38 BETAHISTIN MESILAT TAB 6 MG / HISTIGO TAB 200 200

39 BISAKODIL SUPPOSITORIA 10 MG (DULCOLAX) SUPP 0 0

40 BISAKODIL SUPPOSITORIA 5MG PED (DULCOLAX) SUPP 0 0

41 BISOPROLOL FUMARATE TAB 0 0

42 CARBAMAZEPIN TAB 200 MG TAB 0 0

43 CETIRIZINE TAB 10 MG TAB 70 70 100

44 CETIRIZINE SIRUP PCS 0 0

45 CLOBAZAM TAB 10 MG TAB 0 0

46 CLOZAPIN 25MG TAB 0 0

47 CURCUMA TAB TAB 0 0

48 DEKSAMETASON INJ 5 MG/ML AMP 0 0

49 DEKSAMETASON TABLET 0,5 MG TAB 80 80 100

50 DIAZEPAM INJ 5 MG/ML AMP 0 0

51 DIAZEPAM TABLET 2 MG TAB 0 0


52 DIAZEPAM TABLET 5 MG TAB 0 0

53 DIAZEPAM REKTAL TUBE 0 0

54 DIFENHIDRAMIN INJ 10 MG/ML AMP 0 0

55 DIGOKSIN TABLET 0,25 MG TAB 0 0

56 DILTIAZEM TAB 30 MG TAB 0 0

57 DIMENHIDRINAT TAB 50 MG TAB 190 190

58 DOMPERIDON TABLET 10 MG TAB 170 170

59 DOMPORIDON SIRUP PCS 5 5

60 DOMPERIDONE DROPS PCS 0 0

61 DOKSISIKLIN KAPSUL 100 MG KAPS 0 0

62 EKSTRAK BELLADONA TABLET 10 MG TAB 0 0

63 EPINEFRIN HCL / BITARTRAT (ADRENALIN) INJ AMP 0 0

64 ERITROMISIN KAPSUL 250 MG KAPS 0 0

65 ERITROMISIN TABLET 500 MG TAB 0 0

66 ERITROMISIN SIROP 200 MG/ 5 ML PCS 2 2

67 ETHYLIS CHLORIDUM SEMPROT PCS 0 0

68 FENOBARBITAL AMPUL 2 ML AMP 0 0

69 FENOBARBITAL TABLET 30 MG TAB 0 0

70 FITOMENADION TABLET 10 MG (VIT K) TAB 110 110 100

71 FITOMENADION INJ 1 MG/ML (VIT K) AMP 0 0

72 FITOMENADION INJ 10 MG/ML (VIT K) AMP 0 0

73 FUROSEMIDA TABLET 40 MG TAB 100 100 100

74 GARAM ORALIT 200ML AIR PCS 100 100 100

75 GEMFIBROZIL KAPSUL 300 MG KAPS 100 100

76 GENTAMISIN INJ 80 MG/ML AMP 0 0

77 GENTAMISIN SALEP KULIT POT 0 0

78 GENTAMISIN SULFAT TETES MATA 0,3 % POT 3 3

79 GENTIAN VIOLET 1 % PCS 0 0

80 GLIBENKLAMIDA TABLET 5 MG TAB 100 20 80

81 GLIMEPIRIDE 2 MG TAB 0 0

82 GLISERIL GUALAKOLAT TABLET 100 MG TAB 0 0 eks 300

83 GLUKOSA LARUTAN INFUS 10 % PCS 0 0

84 GLUKOSA LARUTAN INFUS 40 % PCS 0 0

85 GLUKOSA LARUTAN INFUS 5 % PCS 0 0

86 GRISEOFULVIN TABLET 125 MG TAB 100 100

87 GRANTUSIF TAB 90 90 100

88 HALOPERIDOL TABLET 1.5 MG TAB 0 0

89 HALOPERIDOL DEKANOAT INJ 50MG/ML AMP 0 0

90 HALOPERIDOL INJ 5MG/ML (LODOMER) AMP 0 0

91 HIDROKLOROTIAZIDA TABLET 25 MG (HCT) TAB 0 0

92 HIDROKORTISON KRIM 2,5 % TUBE 4 4

93 HYOSIN BUTIL BROMIDA TAB 10 MG (SCOPMA) TAB 0 0

94 IBUPROFEN TABLET 200 MG TAB 0 0

95 IBUPROFEN TABLET 400 MG TAB 0 30 -30 200

96 IBUPROFEN SIRUP 15 MG/ML PCS 0 1 -1

97 ISONIAZID TABLET 300 MG TAB 0 0

98 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0

99 KALIUM DIKLOFENAK TAB 50 MG TAB 0 0

100 KALSIUM GLUCONAS INJ AMP 0 0

101 KALSIUM LAKTAT TABLET 500 MG TAB 170 170

102 KAPTOPRIL 12.5 MG TAB 0 0

103 KAPTOPRIL 25 MG TAB 0 0

104 KAPTOPRIL 50 MG TAB 100 40 60 100

105 KETOKENAZOL TAB 200 MG TAB 250 250

106 KETOKENAZOL KRIM TUBE 0 0

107 KLONIDIN TABLET 0.15 MG TAB 0 0

108 KLORAMFENIKOL SALEP MATA 1% TUBE 0 0

109 KLORAMFENIKOL SALEP KULIT (BUFACETIN) TUBE 0 0

110 KLORAMFENIKOL TETES TELINGA 3 % PCS 0 0

111 KLORAMFENIKOL TETES MATA 0.5 % PCS 0 0

112 KLORAMFENIKOL SUSP 125 MG/ 5 ML PCS 0 0


113 KLORAMFENIKOL KAPSUL 250 MG KAPS 0 0

114 KLORAMFENIKOL KAPSUL 500 MG KAPS 0 0

115 KLORFENIRAMINA MALEAT TAB 4 MG (CTM) TAB 80 83 -3 100

116 KLORPROMAZIN TAB SALUT 25 MG (CPZ) TAB 0 0

117 KLORPROMAZIN TAB SALUT 100 MG (CPZ) TAB 0 0

118 KOTRIMOKSAZOL SUSPENSI PCS 3 1 2

119 KOTRIMOKSAZOL DEWASA TAB 480MG TAB 180 30 150 100

120 KUINIDIN 100 MG TABLET TAB 0 0

121 KUINIDIN 200 MG TABLET TAB 0 0

122 KUININ (KINA) TABLET 200 MG TAB 0 0

123 KUININ INJEKSI 25 % TAB 0 0

124 KUININ SULFAT TAB 222 MG (7 H2O) TAB 0 0

125 LANSOPRAZOL 30 MG KAPS 40 40 100

126 LANSOPRAZOL SIRUP PCS 0 0

127 LIDOKAIN INJ 2 % AMP 0 0

128 LIDOKAIN INJ 2 % + EPINEFRIN AMP 7 7

129 LIDOKAIN SPRAY AMP 1 1

130 LISOL DENGAN KRESOL SABUN 50 % PCS 0 0

131 LORATADIN TAB TAB 30 30

132 LOPERAMIDE TAB 180 30 150 100

133 MgSO4 20% PCS 0 0

134 MgSO4 40% PCS 0 0

135 MEBENDAZOL SIROP 100 MG/ 5 ML PCS 0 0

136 MEBENDAZOL TABLET 100 MG TAB 0 0

137 METAMPIRON TABLET 500 MG (ANTALGIN) TAB 0 0

138 METILERGOMETRIN MALEAT TABLET 0.125 MG TAB 0 0

139 METILERGOMETRIN MALEAT INJ 0.2 MG AMP 0 0

140 METILPREDNISOLON TAB 4 MG TAB 30 50 -20 100

141 METILPREDNISOLON TAB16 MG TAB 0 0

142 METFORMIN TAB 500 MG TAB 0 0

143 METFORMIN TAB 850 MG TAB 0 0

144 METOKLOPRAMIDE TAB 10 MG TAB 200 200

145 MULTIVITAMIN SYR / CAMIVITA PCS 0 0

146 MULTIVITAMIN VINETRON TAB TAB 20 10 10 100

147 METRONIDAZOL TABLET 250 MG TAB 130 130

148 METRONIDAZOL TABLET 500 MG TAB 0 0

149 MIKONAZOLE KRIM TUBE 0 0

150 MIKONAZOLE BEDAK TUBE 0 0

151 MINERAL MIX PCS 0 0

152 NATRIUM DKLOFENAK TABLET 25 MG TAB 0 0

153 NATRIUM DKLOFENAK TABLET 50 MG TAB 50 20 30 100

154 NATRIUM KLORIDA LARUTAN INFUS 0.9 % PCS 0 0

155 NIPEDIFINE TAB 10 MG TAB 140 140

156 NISTATIN 500.000 IU TAB 0 0

157 NISTATIN VAGINAL TABLET TAB 0 0

158 OBAT ANTITUBERKULOSIS SISIPAN DEWASA PKT 0 0

159 OBAT ANTITUBERKULOSIS KAT 1 DEWASA PKT 0 0

160 OBAT ANTITUBERKULOSIS KAT 2 DEWASA PKT 0 0

161 OBAT ANTITUBERKULOSIS KAT ANAK PKT 0 0

162 OBAT BATUK HITAM CAIRAN PCS 0 0

163 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 13 13

164 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 10 10

165 OKSITOSIN INJ 10 IU/ML AMP 0 0

166 OMEPERAZOLE KAPSUL KAPS 0 0 200

167 OMEPRAZOLE INJ VIAL 0 0

168 PAPAVERIN TABLET 40 MG TAB 60 60 100

169 PARASETAMOL DROPS PCS 4 4

170 PARASETAMOL SIROP 120 MG/ 5 ML PCS 0 1 -1

171 PARASETAMOL TABLET 500 MG TAB 200 200 0

172 PENOL GLISEROL TETES TELINGA PCS 0 0

173 PEHACAIN INJ AMP 0 0


174 PIRANTEL TABLET SCORE 125 MG TAB 0 0

175 PIRANTEL SIRUP PCS 0 0

176 PIRASETAM 400 TAB 0 0

177 PIRASETAM 1200 TAB 0 0

178 PIRIDOKSIN TAB 10 MG (VIT B6) TAB 0 0

179 PIROKSIKAM TABLET 10 MG TAB 0 0

180 PIROKSIKAM TABLET 20 MG TAB 50 10 40 100

181 PITOGIN AMPUL 1 ML AMP 0 0

182 PREDNISON TABLET 5 MG TAB 820 42 778

183 PRIMAKUIN TABLET 15 MG TAB 0 0

184 PROPANOLOL TABLET 10 MG TAB 0 0

185 PROPILITIOURASIL TABLET 100 MG TAB 0 0

186 REGENSIA TB PKT 0 0

187 RANITIDIN TABLET 150 MG TAB 200 200

188 RANITIDIN INJ 25 MG / 2 ML AMP 0 0

189 RINGER LAKTAT INFUS PCS 0 0 2

190 RISPERIDON TABLET 2 MG TAB 0 0

191 SALBUTAMOL TABLET 2 MG TAB 100 100

192 SALBUTAMOL TABLET 4 MG TAB 80 30 50 100

193 SALBUTAMOL SIRUP 2 MG / 5 ML PCS 0 0

194 SALEP 2-4 KOMBINASI POT 5 1 4

195 SALISIL BEDAK 2 % PCS 0 0

196 SCABIMITE CREAM TUBE 3 3

197 SEFADROKSIL SIROP KERING 125 MG / 5 ML PCS 0 0 5

198 SEFADROKSIL KAPSUL 500 MG KAPS 100 100 100

199 SEFOTAKSIM 1000 MG INJ VIAL 0 0

200 SEFTRIAKSON SERBUK INJ 1000 MG VIAL 0 0

201 SIANOKOBALAMIN VIT B12 INJ 500 AMP 4 4

202 SIANOKOBALAMIN TABLET 50 MCG TAB 140 140

203 SIMVASTATIN TABLET 10 MG TAB 120 120

204 SIPROFLOKSASIN KAPLET 500 MG KAPL 190 190

205 SULFADIMIDINE TABLET 500 MG TAB 0 0

206 SULFASETAMIDA NATRIUM TETES MATA 15 % PCS 0 0

207 TABLET TAMBAH DARAH KOMBINASI TAB 0 0

208 TETRASIKLIN KAPSUL 250 MG KAPS 0 0

209 TETRASIKLIN KAPSUL 500 MG KAPS 90 90

210 TIAMIN (VIT B1) INJ 100 MG/ML AMP 0 0

211 TIAMIN (VIT B1) TABLET 50 MG TAB 200 40 160

212 TIURAZOL 5 MG TAB TAB 0 0

213 TRAMADOL KAPS KAPS 0 0

214 TRAMADOL INJ AMP 0 0

215 TRIHEKSIFENIDIL 25 MG TAB TAB 0 0

216 VIT A MERAH PCS 0 0

217 VIT A BIRU PCS 0 0

218 VITAMIN B KOMPLEKS TABLET TAB 290 290

219 VAKSIN RABIES VIAL 0 0

220 ZINC TAB TAB 140 140

221 ZINC SIRUP PCS 0 1 -1

PERBEKALAN KESEHATAN

1 ALAT SUNTIK SEKALI PAKAI 0,05 ML PCS 0 0

2 ALAT SUNTIK SEKALI PAKAI 0,5 ML PCS 0 0

3 ALAT SUNTIK SEKALI PAKAI 1 ML PCS 9 9

4 ALAT SUNTIK SEKALI PAKAI 10 ML PCS 0 0

5 ALAT SUNTIK SEKALI PAKAI 2.5 ML / 3ML PCS 3 3

6 ALAT SUNTIK SEKALI PAKAI 5 ML PCS 9 9

7 ALKOHOL SWAB PCS 0 0

8 AQUA PRO INJEKSI STERIL 25 ML PCS 0 0

9 BISTURI NO. 21 PCS 3 3

10 BISTURI NO. 20 PCS 0 0

11 BISTURI NO. 19 PCS 0 0


12 BLOOD LANCET BOX 0 0

13 CATHEJELL 12,5G PCS 0 0

14 CATGUT NO 2/0 PCS 0 0

15 CATGUT NO 3/0 PCS 0 0

16 CATGUT NO 4/0 PCS 0 0

17 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % 300 ml PCS 0 0

18 ETANOL 70 % 100 ml PCS 0 0

19 ETANOL 70 % 1000 ml PCS 0 0

20 FOLEY CATETER 16 PCS 0 0

21 FOLEY CATETER 18 PCS 0 0

22 FOLEY CATETER 20 PCS 0 0

23 HANDSCON STERIL 6.5 PCS 0 0

24 HANDSCON STERIL 7 PCS 0 0

25 HANDSCON STERIL 7.5 PCS 0 0 5

26 HANDSCON STERIL 8 PCS 0 0

27 HANDSCON NON STERIL S PCS 0 0

28 HANDSCON NON STERIL M PCS 0 0

29 HANDSCON NON STERIL L PCS 0 0

30 HANDRUB PCS 0 0

31 HEXAGON SIPILIS PCS 0 0

32 INFUSION SET ANAK PCS 0 0

33 INFUSION SET DEWASA PCS 0 0

34 IV CATHETER NO 18 G PCS 0 0

35 IV CATHETER NO 20 G PCS 0 0

36 IV CATHETER NO 22 G PCS 0 0

37 IV CATHETER NO 24 G PCS 0 0

38 JARUM HECTING PCS 0 0

39 KAPAS PEMBALUT / ABSORBEN 250 GRAM PCS 0 0

40 KASA KOMPRES 40/40 STERIL PCS 0 0 10

41 KASA PEMBALUT 2 M X 80 CM PCS 0 0

42 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS PCS 10 10

43 KASA PEMBALUT HIDROFIL 4 M X 15 CM ELASTIS PCS 0 0

44 KASA PEMBALUT HIDROFIL 16 M X 16 CM ELASTIS PCS 5 5

45 KASA PEMBALUT HIDROFIL 40 X 80 CM PCS 0 0

46 KASA PEMBALUT HIDROFIL 36 X 80 CM PCS 0 0

47 MASKER KARET PCS 0 0

48 NASAL OXYGEN CANULA DEWASA PCS 0 0

49 NASAL OXYGEN CANULA ANAK PCS 0 0

50 NASAL OXYGEN CANULA BAYI PCS 0 0

50 PLESTER 10CM X 5M PCS 1 1

51 POVIDON IODIDA 10 % 1000 ML PCS 0 0

52 POVIDON IODIDA 10 % 300 ML PCS 0 0 1

53 POVIDON IODIDA 10 % 60 ML PCS 0 0

54 POVIDON IODIDA 10 % 30 ML PCS 0 0

55 POVIDON SALEP TUBE 0 0

56 POT SPUTUM POT 0 0

57 RDT MALARIA (MONO TEST) BOX 0 0

58 RDT DBD NS1 BOX 0 0

59 RDT DBD igg/iggm BOX 0 0

60 STRIP ASAM URAT PCS 0 0

61 STRIP CHOLESTEROL PCS 0 0

62 STRIP GLUKOSA PCS 0 0

63 STRIP HIV PCS 0 0

64 SILK 2/0 PCS 0 0

65 SILK 3/0 PCS 0 0

66 SILK 4/0 PCS 0 0

67 STOMACH TUBE / MAAG SLANG NO. 3,5 PCS 0 0

68 STOMACH TUBE / MAAG SLANG NO. 5 PCS 0 0

69 STOMACH TUBE / MAAG SLANG NO. 12 PCS 0 0

70 STOMACH TUBE / MAAG SLANG NO. 16 PCS 0 0

71 URIN BAG PCS 0 0


72 WING NEEDLE NO.21 PCS 0 0

73 WING NEEDLE NO.23 PCS 0 0

74 WING NEEDLE NO.25 PCS 0 0

75 WING NEEDLE NO.27 PCS 0 0

OBAT GIGI 0 0

1 COMPOSIT POSTERIOR A3 SOLARE PCS 0 0

2 COMPOSIT ANTERIOR A3 SOLARE PCS 0 0

3 COMPOSIT POSTERIOR A2 SOLARE PCS 0 0

4 COMPOSIT ANTERIOR A2 SOLARE PCS 0 0

5 EUGENOL PCS 0 0

6 FUJI IX MINI (LIBRA PERSADA) PCS 0 0

7 XYLESTESIN PCS 0 0

TAMBAHAN PCS

1 PCS

2 PCS

3 PCS

4 PCS

5 PCS

6 PCS

7 PCS

8 PCS

9 PCS

10 PCS

11 PCS

12 PCS

13 PCS

14 PCS

15 PCS

BARRO, / / 2020
PENANGGUNG JAWAB PELAYANA OBAT
PIMPINAN PUSTU / PKD ........................... PUSKESMAS PARANGIA

(ANUGRAH AJENG TRI UTAMI, AMD.KEB) (.........................................................................)

NIP. 19880227 201704 2 005 NIP. ..................................................................