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PEMERINTAH KABUPATEN BURU

DINAS KESEHATAN
PUSKESMAS WAELO
Jln. M. H. THAMRIN NO. 01 WAELO
Kecamatan Waelata, Kabupaten Buru. Kode Pos. 97574

LAPORAN PEMAKAIAN DAN PENERIMAAN OBAT PKD


Dec-20

No Nama Obat Satuan STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK KET

1 Aciclovir tab Tablet 4716 0 4716 78 4638


2 Aciclovir cream Tube 0 0 0 0 0
3 Adrenalin Inj. ( Epineprin ) Ampul 0 0 0 0 0
4 Ambroxol tab 30 mg Tablet 4516 0 4516 464 4052
5 Ambroxol Sirup 15 mg/ml Botol 0 0 0 0 0
6 Aminopillin tab 200 mg Tablet 0 0 0 0 0
7 Aminopillin Inj. Ampul 0 0 0 0 0
8 Amoxicilin cap 250 mg Kaplet 0 0 0 0 0
9 Amoxicillin (Kimoxil) cap 500 mg Kaplet 97925 0 97925 1906 96019
10 Amoxicilin Sirup Kering 125 mg Botol 88 0 88 19 69
11 Ampicillin cap 250 mg Kaplet 0 0 0 0 0
12 Ampicillin cap 500 mg Kaplet 0 0 0 0 0
13 Ampicillin Inj. 1 gr Vial 100 0 100 0 100
14 Ampicillin syr kering 125 mg Botol 0 0 0 0 0
15 Amtriptilin tab 25 mg Tablet 0 0 0 0 0
16 Amlodipin 5 mg Tab 34750 0 34750 7220 27530
17 Amlodipin 10 mg Tab 4640 0 4640 150 4490
18 Anatasida Suspensi Botol 257 0 257 109 148
19 Antasida DOEN tab Tablet 1750 0 1750 510 1240
20 Antalgin 500 mg Tablet 0 0 0 0 0
21 Antihemoroid Doen Combinasi Supp 96 0 96 32 64
22 Anti Malaria DOEN Kombinasi Tablet 45 0 45 0 45
23 Asam Ascorbat 50 mg (Vit. C) Tablet 2933 0 2933 853 2080
24 Asam Ascorbat 250 mg (Vit.C) Tablet 0 0 0 0 0
25 Asam Mefenamat tab 500 mg Tablet 1290 0 1290 310 980
26 Asam Folat Tablet 2470 0 2470 1260 1210
27 Allopurinol 300 tab Tablet 1340 0 1340 0 1340
28 Arthem injeksi Ampul 0 0 0 0 0
29 Aqua Proinjeksi Steril Vial 519 0 519 209 310
30 Asifit kapsul 0 0 0 0 0
31 Bionemi tab Tablet 0 0 0 0 0
32 Bethazone Cream Kulit Pcs 0 0 0 0 0
33 Betametason cream 0,1 % Tube 214 0 214 26 188
34 Captopril 25 mg tab Tablet 0 0 0 0 0
35 Captopril 12,5 Tablet 9240 0 9240 1291 7949
36 Cefadroksil cap 500 mg Kaplet 32039 0 32039 3137 28902
37 Cefadroxil sirup kering 125 mg/ 5 ml Botol 0 0 0 0 0
38 Cetrizine 10 mg tab Tablet 3669 0 3669 2929 740
39 Ceftriaxone SOD 1 g Vial 1143 0 1143 1143 0 ED 01/01/2021, 1143 VIAL
40 Cimetidin/ulsikur injeksi Ampul 0 0 0 0 0
41 Cimetidin tab Tablet 0 0 0 0 0
42 Ciprofloxacin 500 mg Tablet 990 0 990 10 980
43 Cloramfenicol cap 250 mg Kaplet 0 0 0 0 0
44 Cloramfenicol susp 240 mg Botol 0 0 0 0 0
45 Chloramfenicol Susp 125 mg Botol 0 0 0 0 0
46 Cloramfenicol tetes mata 0,5% Botol 0 0 0 0 0
47 Cloramfenicol tetes telinga 3 % Botol 0 0 0 0 0
48 Cloramfenicol salep mata 1 % Tube 434 0 434 208 226
49 Chloramphecort H-Cream Ampul 0 0 0 0 0
50 Clorfeniramin Maleat tab (CTM) Tablet 63237 0 63237 2530 60707
51 Cloroquin tab Tablet 0 0 0 0 0
52 Clorpromazine tab 25 mg Tablet 0 0 0 0 0
53 Clorpromazine 100 mg Tab Tablet 6925 0 6925 6925 0 ED 05/2020, 6925 TAB
54 Cotrimoxazole pediatrik 120 mg Tablet 0 0 0 0 0
55 Cotrimoxazole suspensi Botol 0 0 0 0 0
56 Cotrimoxazole tab 480 mg Tablet 2000 0 2000 0 2000
57 Codein 10 mg tab Tablet 2131 0 2131 60 2071
58 Dexamethason inj 5 mg/ml Ampul 86 0 86 40 46
59 Dexamethason tab 0,5 mg Tablet 3778 0 3778 152 3626
60 Dextrometorphan tab Tablet 0 0 0 0 0
61 Diazepam Inj 5 mg/ml/Stesolid Ampul 0 0 0 0 0
62 Diazepam tab 5 mg Tablet 20 0 20 4 16
63 Digoksin tab 0,25 mg Tablet 0 0 0 0 0
64 Dipenhidramin Inj 10 mg/ml Ampul 184 0 184 133 51
65 Dimenhidrimnat tab Tablet 0 0 0 0 0
66 Domperidon Tablet Tablet 0 0 0 0 0
67 Doxycycline tab 100 mg Tablet 0 0 0 0 0
68 Efedrin tab Tablet 0 0 0 0 0
69 Ergotamin Caffein Tablet Tablet 4050 0 4050 630 3420
70 Eritromicin Cap 250 mg Tablet 300 0 300 0 300
71 Eritromicin Cap 500 mg Tablet 0 0 0 0 0
72 Eritromicin Sirup Kaplet 0 0 0 0 0
73 Ekstrak Beladone Tab Tablet 0 0 0 0 0
74 Etil clorida semprot Botol 0 0 0 0 0
75 Fitomenadion (Vit. K) injeksi Ampul 0 0 0 0 0
76 Fitomenadion (Vit. K) Tablet Tablet 2011 0 2011 811 1200
77 Fituno Capsul kapsul 0 0 0 0 0
78 Furosemid tab 40 mg Tablet 17005 0 17005 15500 1505 ED 06/2020, 15440 TAB
79 Furosemid Inj Ampul 0 0 0 0 0
80 Fe/Tablet tambah darah Tablet 6389 0 6389 189 6200
81 Fondazen tab Tablet 0 0 0 0 0
82 Garam Oralit Tablet 3019 0 3019 19 3000
83 Gentamisin salep kulit 0.1% Tube 0 0 0 0 0
84 Gentian Violet Tube 0 0 0 0 0
85 Glibenklamide tab Tablet 0 0 0 0 0
86 Glimepiride 4 mg tab Tablet 31714 0 31714 9242 22472
87 Gliseril guayakolat tab 100 mg Tablet 0 0 0 0 0
88 Glukosa infus 5% Botol 0 0 0 0 0
89 Griseufulvin tab 125 mg Tablet 12926 0 12926 10268 2658 ED 06/2020, 8324 TAB
90 Gentamisin sulfat Tube 0 0 0 0 0
91 Hidrokortison cream 1 % Tube 117 0 117 117 0 ED 08/2020, 117 TUBE
92 Hidrokortison cream 2,5% Tube 324 0 324 35 289
93 Hydroclortiazide tab 25 mg Tube 2175 0 2175 0 2175
94 Ibuprofen 200 mg Tablet 0 0 0 0 0
95 Ibuprofen sirup Botol 265 0 265 265 0 ED 11/2020, 265 BOTOL
96 Ichtiol salep Botol 0 0 0 0 0
97 Isosorbit Dinitrat tab 5 mg Pcs 0 0 0 0 0
98 Kalsium Laktat 50 mg/Novacal Tablet 0 0 0 0 0
99 Kalsium Laktat 500 mg/Novacal Tablet 17842 0 17842 17842 0 ED 09/2020, 17842 TAB
100 Ketokonazole cream 2% Tube 358 0 358 58 300
101 Ketokonazole Tablet Tablet 1000 0 1000 0 1000
102 Kuinine (Kina) 200 mg tab Tablet 0 0 0 0 0
103 Kuinine Inj Ampul 0 0 0 0 0
104 Lidocain HCL 2% inj Ampul 457 0 457 101 356
105 Levofloxasin 500 mg tab Tablet 0 0 0 0 0
106 Loratadine 10 mg tab Tablet 900 0 900 140 760
107 Meloxicam Tab 7,5 mg Tablet 1000 0 1000 0 1000
108 Miomergin injeksi Ampul 0 0 0 0 0
109 Metergin inj Ampul 0 0 0 0 0
110 Metoclopramid 10 mg/Xilastin Tablet 21524 0 21524 2355 19169
111 Metformin HCL 850 mg tab Tablet 820 0 820 50 770
112 Metformin tab 500 mg Tablet 16190 0 16190 5045 11145
113 Metronidazole Infus Botol 0 0 0 0 0
114 Metilprednisolon 4 mg tab Tablet 3512 0 3512 1342 2170
115 Metilergotamine tab Tablet 0 0 0 0 0
116 Metil Ergometrin Tablet 20170 0 20170 4117 16053 ED 08/2020, 4117 TAB
117 Miconazole cream Tube 441 0 441 113 328
118 Nacl infus 0,9% Botol 746 0 746 370 376
119 Natrium diklofenak 50 mg Tablet 500 0 500 60 440
120 Neurodial Tab Tablet 212 0 212 212 0 ED 08/2020, 212 TAB
121 Neurovit E Tab Tablet 0 0 0 0 0
122 Nifedipin tab 10 mg Tablet 0 0 0 0 0
123 Nistatin vaginal tab Tablet 14472 0 14472 18 14454
124 Obat anti tuberculosis (OAT) KAT I Paket 1 6 7 1 6
125 Obat anti tuberculosis (OAT) KAT II Paket 0 0 0 0 0
126 Obat anti tuberculosis (OAT) Anak Paket 18 0 18 17 1 ED 12/2020, 16 BOX
127 Obat Batuk Hitam Cair (OBH) Botol 0 0 0 0 0
128 Oxytetraxicllin Biotik/HCl inj 50 mg/ml-10 ml Vial 0 0 0 0 0
129 Oxytetraxicllin salep kulit 3% Tube 0 0 0 0 0
130 Oxytetraxicllin salep mata 1% Tube 543 0 543 24 519
131 Octenic Gel Tube 166 0 166 166 0 ED 01/2020, 138 TUBE
132 Omeprazole cap 20 mg Kaplet 0 0 0 0 0
133 Omeprazole inj Ampul 46 0 46 20 26
134 Ondancentron injeksi Ampul 24 0 24 1 23
135 Pantaprazole Injeksi Vial 12 0 12 3 9
135 Paracetamol Infus 1 gr Botol 28 0 28 28 0 ED 12/2020, 28 BOTOL
136 Parmaton Formula Tab 0 0 0 0 0
137 Papaverin tab 40 mg Tablet 0 0 0 0 0
138 Papaverin injeksi 40 mg/ml Ampul 0 0 0 0 0
139 Paracetamol sirup Botol 50 0 50 15 35
140 Paracetamol tab 500 mg Tablet 4598 0 4598 822 3776
141 Penilbutason tab 200 mg Tablet 0 0 0 0 0
142 Penobarbital tab 30 mg Tablet 919 0 919 70 849
143 Pirantel 125 mg Tab Tablet 9453 0 9453 1455 7998
144 Pirantel sirup kering 125 mg/ml Botol 0 0 0 0 0
145 Piridoksin (Vit. B6) tab 10 mg Tablet 11765 0 11765 540 11225
146 Piroxicam tab 20 mg Tablet 0 0 0 0 0
147 Piracetam tab Tablet 1185 0 1185 10 1175
148 Pitogin inj (Oksitoksin) Ampul 0 0 0 0 0
149 Povidon lodida 10% (Botol 30 ml) Botol 0 0 0 0 0
150 Povidon lodida 10% (Botol 300 ml) Botol 0 0 0 0 0
151 Prednison tab 5 mg Tablet 6134 0 6134 1950 4184
152 Primaquin Tablet Tablet 700 0 700 0 700
153 Procain penasilin inj Vial 0 0 0 0 0
154 Ranitidin Inj. Ampul 50 0 50 12 38
155 Ranitidin tab 150 mg Tablet 16409 0 16409 3289 13120
156 Reserpin 0,25 mg Tablet 0 0 0 0 0
157 Ringer laktat larutan infus steril Botol 958 0 958 188 770
158 Salbutamol tab 4 mg Tablet 6108 0 6108 2435 3673
159 Simvastatin Tablet 20 mg Tablet 2260 0 2260 600 1660
160 Simvastatin Tablet 10 mg Tablet 0 0 0 0 0
161 Salap 24 Tube 135 0 135 28 107
162 Salisil talk bedak 2% Kotak 0 0 0 0 0
163 Sianokobalamin tab (Vit. B12) Tablet 14629 0 14629 3519 11110
164 Sianokobalamin inj (Vit. B12) Ampul 76 0 76 54 22
165 Sulfadoxin tab Tablet 0 0 0 0 0
166 Traneksamide inj Ampul 84 0 84 0 84
167 Thiamfenicol 500 mg kap Caps 0 0 0 0 0
168 Tetrasiklin capsul 250 mg Caps 300 0 300 0 300
169 Tetrasiklin capsul 500 mg Tablet 500 0 500 0 500
170 Thiamin HCL (Vit. B1) Inj 100 mg/ml Ampul 0 0 0 0 0
171 Thiamin HCL (Vit. B1) tab 50 mg Tablet 429 0 429 0 429
172 Vitamin B. Kompleks injeksi Ampul 0 0 0 0 0
173 Vitamin B. Kompleks tab Tablet 250 0 250 0 250
174 Vitamin A 100.000 UI ( biru ) Kaplet 6956 0 6956 3443 3513 ED 08/2020, 3443 TAB
175 Vitamin A 200.000 UI ( Merah ) Kaplet 7034 0 7034 4648 2386 ED 08/2020, 4492 TAB
176 Vicilin Vial 0 0 0 0 0
177 Zinc Tablet 267 0 267 0 267
BHP
1 Abocath No.18 Pcs 46 0 46 5 41
2 Abocath No.20 Pcs 11 0 11 5 6
3 Abocath No.22 Pcs 0 0 0 0 0
4 Abocath No.24 Pcs 8 0 8 1 7
5 Abocath No.26 Pcs 35 0 35 0 35
6 Aximed lembar 0 0 0 0 0
7 Bisturi Pcs 0 0 0 0 0
8 Catgut 3/0 Cromic Pcs 12 0 12 12 0 ED 03/2020, 12 PCS
9 Disposible 1 cc Pcs 1057 0 1057 31 1026
10 Disposible 2,5 cc Pcs 0 0 0 0 0
11 Disposible 3 cc Pcs 34 0 34 34 0
12 Disposible 5 cc Pcs 1336 0 1336 73 1263
13 Disposible 10 cc Pcs 1187 0 1187 2 1185
14 Disposible 20 cc Pcs 649 0 649 1 648
15 Disposible 50 cc Pcs 417 0 417 0 417
16 Etanol (Alkohol) 70% (100 ML ) Botol 313 0 313 44 269
17 Etanol (Alkohol) 70% (300 ML ) Botol 77 0 77 1 76
18 Etanol (Alkohol) 70% (1000 ML ) Botol 6 0 6 0 6
19 Foley cateter No.10 Pcs 28 0 28 8 20
20 Foley cateter No.14 Pcs 26 0 26 1 25
21 Foley cateter No.16 Pcs 10 0 10 0 10
22 Foley cateter No.12 Pcs 10 0 10 0 10
23 IV Cateter with wings/port no 18 Pcs 19 0 19 0 19
24 IV Cateter with wings/port no 20 Pcs 59 0 59 0 59
25 IV Cateter with wings/port no 22 Pcs 60 0 60 0 60
26 Handscoon Steril No. 8 Pcs 45 0 45 15 30
27 Handscoon Steril No. 7,0 Pcs 0 0 0 0 0
28 Handscoon Steril No. 7,5 Pcs 40 50 90 4 86
29 Handscoon Non Steril size M Pcs 0 0 0 0 0
30 Hypavix 5 cm x 5 cm/plester Roll 2 0 2 2 0
31 Infus set anak Pcs 97 0 97 0 97
32 Infus set dewasa Pcs 450 0 450 249 201 ED 01/2020, 239 PCS
33 Kasa Alcohol swab Pcs 1489 0 1489 917 572
34 Kasa Pembalut hydro 250 gr Pcs 14 0 14 8 6
35 Kapas Pembalut hydro 25 gr Pcs 0 0 0 0 0
36 Kapas Pembalut hydro 100 gr Pcs 0 0 0 0 0
37 kapas pembalut hydro 500 gr Pcs 0 0 0 0 0
38 Kapas Berlemak 1000 gr pack 1 1 2 0 2
39 kapas Berlemak 250 gr pack 4 0 4 0 4
40 kapas Berlemak 500 gr pack 0 0 0 0 0
41 kapas Berlemak 100 gr Pcs 0 0 0 0 0
42 Kasa Kompres 16 x 16 steril Pcs 0 0 0 0 0
43 Kasa kompres 40 x 40 steril Pcs 2 0 2 0 2
44 Kasa pembalut hidrofil 40 x 80 Roll 1 0 1 1 0
45 Kasa pembalut hidrofil 2 x 80 Roll 0 0 0 0 0
46 Kasa pembalut hidrofil 4 x 3 Roll 0 0 0 0 0
47 Kasa Pembalut hidrofil 4 x 10 Roll 0 0 0 2 -2
48 Kasa Pembalut hidrofil 4 x 15 Roll 10 0 10 0 10
49 Kasa Pembalut hidrofil 4 x 7 Roll 0 0 0 0 0
50 Lisol (Densol) Botol 0 0 0 0 0
51 Masker tali 3 ply Pcs 0 0 0 0 0
52 Masker ties on box 50 300 350 200 150
53 Masker Ear loop box 0 0 0 0 0
54 Naal Hecting Otot + Kulit Pcs 0 0 0 0 0
55 Perioksin Spray box 35 0 35 9 26
56 Rivanol Botol 0 0 0 0 0
57 Suction cateter no 10 box 24 0 24 6 18
58 Suction cateter no 12 box 25 0 25 5 20
59 Suction cateter no 14 box 25 0 25 5 20
60 Suction cateter no 16 box 25 0 25 10 15
61 Silk benang sutera No. 3/0 Pcs 0 0 0 0 0
62 Silk benang sutera No. 2/0 Pcs 0 0 0 0 0
63 Tissue Basah/Facial Tissue Pcs 0 0 0 0 0
64 urin bach Pcs 44 0 44 3 41
65 urgentul lembar 131 0 131 7 124
66 Wing needle 21 Pcs 0 0 0 0 0
67 Wing needle 23 Pcs 0 0 0 0 0
68 Wing needle 25 Pcs 0 0 0 0 0
69 Wing needle 27 Pcs 0 0 0 0 0
70 Handscoon Non Steril size L Pcs 0 0 0 0 0

71 Albendazole tab Tablet 994 0 994 0 994


72 Glimepirid 2 mg Botol 1000 0 1000 30 970
73 Broxfion syr Tablet 50 0 50 0 1000
74 Dietil Carbamazepam Tablet 5000 0 5000 0 5000
75 Piracetam inj Ampul 5 0 5 0 5
76 Termofen syr Botol 48 0 48 3 45
77 Vomiper syr Botol 0 0 0 0 0
78 Widoxyl syr Botol 98 0 98 2 96
79 Zinfion syr Botol 0 0 0 0 0
80 Osteofortis Tablet 179 0 179 121 58
81 Metronidazole 500 mg Tablet 1000 0 1000 0 1000
82 Lanzoprazole 20 mg Kapsul 400 0 400 55 345
83 Bratheos / Natrium Diklofenak tab Tablet 500 0 500 0 500
84 Prizin Sirup Botol 500 0 500 1 499

85 Disposible syringe 0,5 cc Pcs 200 0 200 0 200

86 Disposible syringe 0,05 cc Pcs 200 0 200 0 200


87 Eugenol Pcs 12 0 12 0 12
88 Foley cateter no 18 Pcs 10 0 10 0 10
Penanggung Jawab Obat PKD Kepala Puskesmas Waelo

Apt. Nur Sani, S. Farm BUDIHARTO


NIP. 19900927 201903 2 005 NIP. 19650930 198512 1 001
JLN. M
LA

STOK
PENER
PERSE
No Nama Obat Satuan AWAL IMAA
DIAAN
N
1 2 3 4

1 Aciclovir tab Tablet


2 Aciclovir cream Tube
3 Adrenalin Inj. ( Epineprin ) Ampul
4 Ambroxol tab 30 mg Tablet 21 20
5 Ambroxol Sirup 15 mg/ml Botol
6 Aminofilin tab tablet
7 Aminopillin Inj. Ampul
8 Amoxicilin cap 250 mg Kaplet
9 Amoxicillin (Kimoxil) cap 500 mg Kaplet 20 20 20
10 Amoxicilin Sirup Kering 125 mg Botol
11 Ampicillin cap 250 mg Kaplet
12 Ampicillin cap 500 mg Kaplet
13 Ampicillin Inj. 1 gr Vial
14 Ampicillin syr kering 125 mg Botol
15 Amtriptilin tab 25 mg Tablet
16 Amlodipin 5 mg Tab 40 10
17 Amlodipin 10 mg Tab 20
18 Anatasida Suspensi Botol 1 1 1
19 Antasida DOEN tab Tablet 40 10
20 Antalgin 500 mg Tablet
21 Antihemoroid Doen Combinasi Supp
22 Anti Malaria DOEN Kombinasi Tablet
23 Asam Ascorbat 50 mg (Vit. C) Tablet
24 Asam Ascorbat 250 mg (Vit.C) Tablet
25 Asam Mefenamat tab 500 mg Tablet 30 30
26 Asam Folat Tab
27 Allopurinol tab Tablet
28 Arthem injeksi Ampul
29 Aqua Proinjeksi Steril Vial
30 Asifit kapsul
31 Bionemi tab Tablet
32 Bethazone Cream Kulit Pcs
33 Betametason cream 0,1 % Tube 1
34 Captopril 25 mg tab Tablet
35 Captopril 12,5 Tablet 40 10
36 Cefadroksil cap 500 mg Kaplet 10 10
37 Cefadroxil sirup kering 125 mg/ 5 ml Botol
38 Cetrizine 10 mg tab Tablet
39 Ceftriaxone SOD 1 g Vial
40 Cimetidin/ulsikur injeksi Ampul
41 Cimetidin tab Tablet
42 Ciprofloxacin 500 mg Tablet
43 Cloramfenicol cap 250 mg Kaplet
44 Cloramfenicol susp 240 mg Botol
45 Chloramfenicol Susp 125 mg Botol
46 Cloramfenicol tetes mata 0,5% Botol
47 Cloramfenicol tetes telinga 3 % Botol
48 Cloramfenicol salep mata 1 % Tube
49 Chloramphecort H-Cream Ampul
50 Clorfeniramin Maleat tab (CTM) Tablet 1 3
51 Cloroquin tab Tablet
52 Clorpromazine tab 25 mg Tablet
53 Clorpromazine 100 mg Tab Tablet
54 Cotrimoxazole pediatrik 120 mg Tablet
55 Cotrimoxazole suspensi Botol
56 Cotrimoxazole tab 480 mg Tablet
57 Codein 10 mg tab Tablet
58 Dexamethason inj 5 mg/ml Ampul
59 Dexamethason tab 0,5 mg Tablet
60 Dextrometorphan tab Tablet
61 Diazepam Inj 5 mg/ml/Stesolid Ampul
62 Diazepam tab 5 mg Tablet 1 1
63 Digoksin tab 0,25 mg Tablet
64 Dipenhidramin Inj 10 mg/ml Ampul
65 Dimenhidrimnat tab Tablet
66 Domperidon Tablet Tablet
67 Doxycycline tab 100 mg Tablet
68 Efedrin tab Tablet
69 Ergotamin Caffein Tablet Tablet
70 Eritromicin Cap 250 mg Tablet
71 Eritromicin Cap 500 mg Tablet
72 Eritromicin Sirup Kaplet
73 Ekstrak Beladone Tab Tablet
74 Etil clorida semprot Botol
75 Fitomenadion (Vit. K) injeksi Ampul
76 Fitomenadion (Vit. K) Tablet Tablet 6
77 Fituno Capsul kapsul
78 Furosemid tab 40 mg Tablet
79 Furosemid Inj Ampul
80 Fe/Tablet tambah darah Tablet 10 10 10 16
81 Fondazen tab Tablet
82 Garam Oralit Tablet 5 5
83 Gentamisin salep kulit 0.1% Tube
84 Gentian Violet Tube
85 Glibenklamide tab Tablet
86 Glimepiride 3 mg tab Tablet
87 Gliseril guayakolat tab 100 mg Tablet
88 Glukosa infus 5% Botol
89 Griseufulvin tab 125 mg Tablet 10 10 66
90 Gentamisin sulfat Tube
91 Hidrokortison cream 1 % Pcs
92 Hidrokortison cream 2,5% Tube
93 Hydroclortiazide tab 25 mg Tablet
94 Ibuprofen 200 mg Botol
95 Ibuprofen sirup Botol
96 Ichtiol salep Pcs
97 Isosorbit Dinitrat tab 5 mg Tablet
98 Kalsium Laktat 50 mg/Novacal Tablet
99 Kalsium Laktat 500 mg/Novacal Tube
100 Ketokonazole cream 2% Tablet
101 Ketokonazole Tablet Tablet
102 Kuinine (Kina) 200 mg tab Ampul
103 Kuinine Inj Ampul
104 Lidocain HCL 2% inj Tablet
105 Levofloxasin 500 mg tab Tablet
106 Loratadine 10 mg tab Tablet
107 Meloxicam Tab 7,5 mg Ampul
108 Miomergin injeksi Ampul
109 Metergin inj Tablet
110 Metoclopramid 10 mg/Xilastin Tablet
111 Metformin HCL 850 mg tab Tablet
112 Metformin tab 500 mg tablet
113 Metronidazole Infus Tablet
114 Metilprednisolon 4 mg tab Tablet
115 Metilergotamine tab Tablet 20
116 Metil Ergometrin Tube
117 Miconazole cream Botol
118 Nacl infus 0,9% Tablet
119 Natrium diklofenak 50 mg Tablet
120 Neurodial Tab Tablet
121 Neurovit E Tab Tablet
122 Nifedipin tab 10 mg Tablet
123 Nistatin vaginal tab Paket
124 Obat anti tuberculosis (OAT) KAT I Paket
125 Obat anti tuberculosis (OAT) KAT II Paket
126 Obat anti tuberculosis (OAT) Anak Botol
127 Obat Batuk Hitam Cair (OBH) Vial
128 Oxytetraxicllin Biotik/HCl inj 50 mg/ Tube
129 Oxytetraxicllin salep kulit 3%+ Tube
130 Oxytetraxicllin salep mata 1% Tube
131 Octenic Gel Kaplet
132 Omeprazole cap 20 mg Kps
133 Omeprazole inj Ampul
134 Ondancentron injeksi Vial
135 Pantaprazole Injeksi Botol
136 Paracetamol Infus 1 gr Tab
137 Parmaton Formula Tablet
138 Papaverin tab 40 mg Ampul
139 Papaverin injeksi 40 mg/ml Botol
140 Paracetamol sirup botol 1 2
141 Paracetamol tab 500 mg Tablet 40 10
142 Penilbutason tab 200 mg Tablet
143 Penobarbital tab 30 mg Tablet
144 Pirantel 125 mg Tab Botol
145 Pirantel sirup kering 125 mg/ml Tablet
146 Piridoksin (Vit. B6) tab 10 mg Tablet
147 Piroxicam tab 20 mg Tablet
148 Piracetam tab Ampul
149 Pitogin inj (Oksitoksin) Botol
150 Povidon lodida 10% (Botol 30 ml) Botol
151 Povidon lodida 10% (Botol 300 ml) Tablet
152 Prednison tab 5 mg Tablet
153 Primaquin Tablet Vial
154 Procain penasilin inj Ampul
155 Ranitidin Inj. Tablet
156 Ranitidin tab 150 mg Tablet 10 30
157 Reserpin 0,25 mg Botol
158 Ringer laktat larutan infus steril Tablet
159 Salbutamol tab 4 mg Tablet 6 10
160 Simvastatin Tablet 20 mg Tablet 10 20
161 Simvastatin Tablet 10 mg tablet
162 Salap 24 Kotak
163 Salisil talk bedak 2% Tablet
164 Sianokobalamin tab (Vit. B12) Ampul
165 Sianokobalamin inj (Vit. B12) Tablet 10
166 Sulfadoxin tab Ampul
167 Traneksamide inj Caps
168 Thiamfenicol 500 mg kap Caps
169 Tetrasiklin capsul 250 mg Tablet
170 Tetrasiklin capsul 500 mg Ampul
171 Thiamin HCL (Vit. B1) Inj 100 mg/ml ampul
172 Thiamin HCL (Vit. B1) tab 50 mg tablet 10 10
173 Vitamin B. Kompleks injeksi Tablet
174 Vitamin B. Kompleks tab Kaplet 100
175 Vitamin A 100.000 UI ( biru ) Kaplet
176 Vitamin A 200.000 UI ( Merah ) Vial
177 Vicilin Tablet
178 Zinc
BHP Pcs
1 Abocath No.18 Pcs
2 Abocath No.20 Pcs
3 Abocath No.22 Pcs
4 Abocath No.24 Pcs
5 Abocath No.26 lembar
6 Aximed Pcs
7 Bisturi Pcs
8 Catgut 3/0 Cromic Pcs
9 Disposible 1 cc Pcs
10 Disposible 2,5 cc Pcs
11 Disposible 3 cc Pcs
12 Disposible 5 cc Pcs
13 Disposible 10 cc Pcs
14 Disposible 20 cc Pcs
15 Disposible 50 cc Botol
16 Etanol (Alkohol) 70% (100 ML ) Botol
17 Etanol (Alkohol) 70% (300 ML ) Botol
18 Etanol (Alkohol) 70% (1000 ML ) Pcs
19 Foley cateter No.10 Pcs
20 Foley cateter No.14 Pcs
21 Foley cateter No.16 Pcs
22 Foley cateter No.12 Pcs
23 IV Cateter with wings/port no 18 Pcs
24 IV Cateter with wings/port no 20 Pcs
25 IV Cateter with wings/port no 22 Pcs
26 Handscoon Steril No. 8 Pcs
27 Handscoon Steril No. 7,0 Pcs
28 Handscoon Steril No. 7,5 Pcs
29 Handscoon Non Steril size M Roll
30 Hypavix 5 cm x 5 cm/plester Pcs
31 Infus set anak Pcs
32 Infus set dewasa Pcs
33 Kasa Alcohol swab Pcs
34 Kasa Pembalut hydro 250 gr Pcs
35 Kapas Pembalut hydro 25 gr Pcs
36 Kapas Pembalut hydro 100 gr Pcs
37 kapas pembalut hydro 500 gr pack
38 Kapas Berlemak 1000 gr pack
39 kapas Berlemak 250 gr pack
40 kapas Berlemak 500 gr Pcs
41 kapas Berlemak 100 gr Pcs
42 Kasa Kompres 16 x 16 steril Pcs
43 Kasa kompres 40 x 40 steril Roll
44 Kasa pembalut hidrofil 40 x 80 Roll
45 Kasa pembalut hidrofil 2 x 80 Roll
46 Kasa pembalut hidrofil 4 x 3 Roll
47 Kasa Pembalut hidrofil 4 x 10 Roll
48 Kasa Pembalut hidrofil 4 x 15 Roll
49 Kasa Pembalut hidrofil 4 x 7 Botol
50 Lisol (Densol) Pcs
51 Masker tali 3 ply box
52 Masker ties on box
53 Masker Ear loop Pcs
54 Naal Hecting Otot + Kulit box
55 Perioksin Spray Botol
56 Rivanol box
57 Suction cateter no 10 box
58 Suction cateter no 12 box
59 Suction cateter no 14 box
60 Suction cateter no 16 Pcs
61 Silk benang sutera No. 3/0 Pcs
62 Silk benang sutera No. 2/0 Pcs
63 Tissue Basah/Facial Tissue Pcs
64 urin bach lembar
65 urgentul Pcs
66 Wing needle 21 Pcs
67 Wing needle 23 Pcs
68 Wing needle 25 Pcs
69 Wing needle 27 pcs
70 Handscoon Non Steril size L pcs
71 Albendazole tab Tablet 2 1
Broxfion syr Botol
72 glimepirid 2 mg Tablet
73 Dietil Carbamazepam Tablet
74 Piracetam inj Ampul
75 Termofen syr Botol
76 Vomiper syr Botol
77 Widoxyl syr Botol
78 Zinfion syr Botol
79 Osteoportis Tablet 10 12 6
81 Metronidazole 500 mg Tablet
82 Lanzoprazole 20 mg Tablet 5 5 5
83 Bratheos / Natrium Diklofenak tab Tablet
84 Prizin Sirup Botol

79 Disposible syringe 0,5 cc Pcs


80 Disposible syringe 0,05 cc Pcs
81 Eugenol Pcs
82 Foley cateter no 18 Pcs
PEMERINTAH KABUPATEN BURU
DINAS KESEHATAN
PUSKESMAS WAELO
JLN. M.H THAMRIN NO 01, WAELO. KECAMATAN WAELATA KABUPATEN BURU, CP. 97574
LAPORAN PEMAKAIAN DAN PENERIMAAN OBAT PKD
Dec-20
PEMAKAIAN

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

13 20 20 40

30 26 10 20 20 30 20
1 2 1 3 1 2

30 10 10
10
1 1 1 1 3 5 2 2 4 2 1
20 20 20 10 10 10 30

20

40 10 10 50

1
10 30 30 10 80 20
10 20 20 10

10

1 1 1

10 10 2 50 10 10 20 10

10 10

6 10
10 10 5

10 20 30

30

10

5 3

10 10 10

30 30

30 30 10 30 10 40 40 10 10

3 1
1 1 2 4 2 4

1 1 1
20 10 20 10 10

20 50

10

10

20 10 10 30 10

10

2
10 10

10
1 1
3

1 1

1 1

6 5 30 7 15 10 10 10

20 10 10

1
JML KET
21 22 23 24 25 26 27 28 29 30 31
20 10 30
0
0
20 10 30 10 204
0
0
0
0
10 20 246
1 11
0
0
0
0
0
10 10 120
30
1 2 1 1 2 1 3 37
20 50 10 20 20 290
0
0
0
10 30
0
20 10 10 210
0
0
0
0
0
0
0
2 2 6
0
20 10 260
200 10 10 20 320
0
10
0
0
0
10 10
0
0
0
0
0
3
0
10 136
0
0
0
0
0
0
0
0
20
0
0
4
0
0
0
5
0
0
10 10 20
0
0
0
0
0
0
10 32
0
5 5 5 10 50
0
10 60 20 10 206
0
15
0
0
0
30
0
0
92
0
0
1 1
10
0
0
0
0
0
0
2 2 1 13
0
0
0
0
0
0
0
0
0
10 40
0
30 60 150
0
20 30 50
230
0
1 1 6
0
0
0
0
0
0
0
0
0
0
0
0
2 2
1 15
0
0
0
0
0
0
0
0
6
120
0
70
0
0
10 10 10 10 20 70
0
10
0
0
0
0
0
0
0
20 140
0
0
30 46
40
0
2
0
0
10
0
0
0
0
0
0
10 50
0
20 10 20 160
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
30 30
0
0
0
1 3
0
2
0
121
0
55
0
1
0
0
0
0
0
0
PENER
STOK PERSE
NO Nama Obat Satuan SISA
IMAA
DIAAN POSBI
N APOTE PUSLI NDU LABO
UGD
K NG LANSI RAT
A
1 Aciclovir tab Tablet 30
2 Aciclovir cream Tube 0
3 Adrenalin Inj. ( Epineprin ) Ampul 0
4 Ambroxol tab 30 mg Tablet 204
5 Ambroxol Sirup 15 mg/ml Botol 0
6 Aminopillin tab 200 mg Tablet 0
7 Aminopillin Inj. Ampul 0
8 Amoxicilin cap 250 mg Kaplet 0
9 Amoxicillin (Kimoxil) cap 500 mg Kaplet 246
10 Amoxicilin Sirup Kering 125 mg Botol 11
11 Ampicillin cap 250 mg Kaplet 0
12 Ampicillin cap 500 mg Kaplet 0
13 Ampicillin Inj. 1 gr Vial 0
14 Ampicillin syr kering 125 mg Botol 0
15 Amtriptilin tab 25 mg Tablet 0
16 Amlodipin 5 mg Tab 120
17 Amlodipin 10 mg Tab 30
18 Anatasida Suspensi Botol 37
19 Antasida DOEN tab Tablet 290
20 Antalgin 500 mg Tablet 0
21 Antihemoroid Doen Combinasi Supp 0
22 Anti Malaria DOEN Kombinasi Tablet 0
23 Asam Ascorbat 50 mg (Vit. C) Tablet 30
24 Asam Ascorbat 250 mg (Vit.C) Tablet 0
25 Asam Mefenamat tab 500 mg Tablet 210
26 Asam Folat Tab 0
27 Allopurinol tab Tablet 0
28 Arthem injeksi Ampul 0
29 Aqua Proinjeksi Steril Vial 0
30 Asifit kapsul 0
31 Bionemi tab Tablet 0
32 Bethazone Cream Kulit Pcs 0
33 Betametason cream 0,1 % Tube 6
34 Captopril 25 mg tab Tablet 0
35 Captopril 12,5 Tablet 260
36 Cefadroksil cap 500 mg Kaplet 320
37 Cefadroxil sirup kering 125 mg/ 5 Botol 0
38 Cetrizine 10 mg tab Tablet 10
39 Ceftriaxone SOD 1 g Vial 0
40 Cimetidin/ulsikur injeksi Ampul 0
41 Cimetidin tab Tablet 0
42 Ciprofloxacin 500 mg Tablet 10
43 Cloramfenicol cap 250 mg Kaplet 0
44 Cloramfenicol susp 240 mg Botol 0
45 Chloramfenicol Susp 125 mg Botol 0
46 Cloramfenicol tetes mata 0,5% Botol 0
47 Cloramfenicol tetes telinga 3 % Botol 0
48 Cloramfenicol salep mata 1 % Tube 3 2
49 Chloramphecort H-Cream Ampul 0
50 Clorfeniramin Maleat tab (CTM) Tablet 136
51 Cloroquin tab Tablet 0
52 Clorpromazine tab 25 mg Tablet 0
53 Clorpromazine 100 mg Tab Tablet 0
54 Cotrimoxazole pediatrik 120 mg Tablet 0
55 Cotrimoxazole suspensi Botol 0
56 Cotrimoxazole tab 480 mg Tablet 0
57 Codein 10 mg tab Tablet 0
58 Dexamethason inj 5 mg/ml Ampul 0
59 Dexamethason tab 0,5 mg Tablet 20
60 Dextrometorphan tab Tablet 0
61 Diazepam Inj 5 mg/ml/Stesolid Ampul 0
62 Diazepam tab 2 mg Tablet 4
63 Digoksin tab 0,25 mg Tablet 0
64 Dipenhidramin Inj 10 mg/ml Ampul 0 5
65 Dimenhidrimnat tab Tablet 0
66 Domperidon Tablet Tablet 5
67 Doxycycline tab 100 mg Tablet 0
68 Efedrin tab Tablet 0
69 Ergotamin Caffein Tablet Tablet 20
70 Eritromicin Cap 250 mg Tablet 0
71 Eritromicin Cap 500 mg Tablet 0
72 Eritromicin Sirup Kaplet 0
73 Ekstrak Beladone Tab Tablet 0
74 Etil clorida semprot Botol 0
75 Fitomenadion (Vit. K) injeksi Ampul 0
76 Fitomenadion (Vit. K) Tablet Tablet 32
77 Fituno Capsul kapsul 0
78 Furosemid tab 40 mg Tablet 50
79 Furosemid Inj Ampul 0
80 Fe/Tablet tambah darah Tablet 206
81 Fondazen tab Tablet 0
82 Garam Oralit Tablet 15
83 Gentamisin salep kulit 0.1% Tube 0
84 Gentian Violet Tube 0
85 Glibenklamide tab Tablet 0
86 Glimepiride 3 mg tab Tablet 30
87 Gliseril guayakolat tab 100 mg Tablet 0
88 Glukosa infus 5% Botol 0
89 Griseufulvin tab 125 mg Tablet 92
90 Gentamisin sulfat Tube 0
Hidrokortison cream 1 % Tube 0
91 Hidrokortison cream 2,5% Pcs 1
92 Hydroclortiazide tab 25 mg Tube 10
93 Ibuprofen 200 mg Tablet 0
94 Ibuprofen sirup Botol 0
95 Ichtiol salep Botol 0
96 Isosorbit Dinitrat tab 5 mg Pcs 0
97 Kalsium Laktat 50 mg/Novacal Tablet 0
98 Kalsium Laktat 500 mg/Novacal Tablet 0
99 Ketokonazole cream 2% Tube 13
100 Ketokonazole Tablet Tablet 0
101 Kuinine (Kina) 200 mg tab Tablet 0
102 Kuinine Inj Ampul 0
103 Lidocain HCL 2% inj Ampul 0 8
104 Levofloxasin 500 mg tab Tablet 0
105 Loratadine 10 mg tab Tablet 0
106 Meloxicam Tab 7,5 mg Tablet 0
107 Miomergin injeksi Ampul 0
108 Metergin inj Ampul 0
109 Metoclopramid 10 mg/Xilastin Tablet 40
110 Metformin HCL 850 mg tab Tablet 0
111 Metformin tab 500 mg Tablet 150
112 Metronidazole Infus Botol 0
113 Metilprednisolon 4 mg tab Tablet 50
114 Metilergotamine tab Tablet 230
115 Metil Ergometrin Tablet 0
116 Miconazole cream Tube 6
117 Nacl infus 0,9% Botol 0 8
118 Natrium diklofenak 50 mg Tablet 0
119 Neurodial Tab Tablet 0
120 Neurovit E Tab Tablet 0
121 Nifedipin tab 10 mg Tablet 0
122 Nistatin vaginal tab Tablet 0
123 Obat anti tuberculosis (OAT) KAT Paket 0
124 Obat anti tuberculosis (OAT) KAT Paket 0
125 Obat anti tuberculosis (OAT) Ana Paket 0
126 Obat Batuk Hitam Cair (OBH) Botol 0
127 Oxytetraxicllin Biotik/HCl inj 5 Vial 0
128 Oxytetraxicllin salep kulit 3% Tube 0
129 Oxytetraxicllin salep mata 1% Tube 2
130 Octenic Gel Tube 15
131 Omeprazole cap 20 mg Kaplet 0
132 Omeprazole inj Ampul 0 2
133 Ondancentron injeksi Ampul 0 1
134 Pantaprazole Injeksi Vial 0
135 Paracetamol Infus 1 gr Botol 0
136 Parmaton Formula Tab 0
137 Papaverin tab 40 mg Tablet 0
138 Papaverin injeksi 40 mg/ml Ampul 0
139 Paracetamol sirup Botol 6
140 Paracetamol tab 500 mg Tablet 120
141 Penilbutason tab 200 mg Tablet 0
142 Penobarbital tab 30 mg Tablet 70
143 Pirantel 125 mg Tab Tablet 0
144 Pirantel sirup kering 125 mg/ml Botol 0
145 Piridoksin (Vit. B6) tab 10 mg Tablet 70
146 Piroxicam tab 20 mg Tablet 0
147 Piracetam tab Tablet 10
148 Pitogin inj (Oksitoksin) Ampul 0
149 Povidon lodida 10% (Botol 30 ml) Botol 0
150 Povidon lodida 10% (Botol 300 ml Botol 0
151 Prednison tab 5 mg Tablet 0
152 Primaquin Tablet Tablet 0
153 Procain penasilin inj Vial 0
154 Ranitidin Inj. Ampul 0 5
155 Ranitidin tab 150 mg Tablet 140
156 Reserpin 0,25 mg Tablet 0
157 Ringer laktat larutan infus steril Botol 0
158 Salbutamol tab 4 mg Tablet 46
159 Simvastatin Tablet 20 mg Tablet 40
160 Simvastatin Tablet 10 mg Tablet 0
161 Salap 24 Tube 2
162 Salisil talk bedak 2% Kotak 0
163 Sianokobalamin tab (Vit. B12) Tablet 0
164 Sianokobalamin inj (Vit. B12) Ampul 10
165 Sulfadoxin tab Tablet 0
166 Traneksamide inj Ampul 0
167 Thiamfenicol 500 mg kap Caps 0
168 Tetrasiklin capsul 250 mg Caps 0
169 Tetrasiklin capsul 500 mg Tablet 0
170 Thiamin HCL (Vit. B1) Inj 100 m Ampul 0
171 Thiamin HCL (Vit. B1) tab 50 mg Tablet 50
172 Vitamin B. Kompleks injeksi Ampul 0
173 Vitamin B. Kompleks tab Tablet 160
174 Vitamin A 100.000 UI ( biru ) Kaplet 0
175 Vitamin A 200.000 UI ( Merah ) Kaplet 0
176 Vicilin Vial 0
177 Zinc Tablet 0
BHP 0
1 Abocath No.18 Pcs 0
2 Abocath No.20 Pcs 0
3 Abocath No.22 Pcs 0 1
4 Abocath No.24 Pcs 0
5 Abocath No.26 Pcs 0
6 Aximed lembar 0
7 Bisturi Pcs 0
8 Catgut 3/0 Cromic Pcs 0
9 Disposible 1 cc Pcs 0 5
10 Disposible 2,5 cc Pcs 0
11 Disposible 3 cc Pcs 0 50
12 Disposible 5 cc Pcs 0 20
13 Disposible 10 cc Pcs 0 2
14 Disposible 20 cc Pcs 0 1
15 Disposible 50 cc Pcs 0
16 Etanol (Alkohol) 70% (100 ML ) Botol 0
17 Etanol (Alkohol) 70% (300 ML ) Botol 0
18 Etanol (Alkohol) 70% (1000 ML ) Botol 0
19 Foley cateter No.10 Pcs 0
20 Foley cateter No.14 Pcs 0
21 Foley cateter No.16 Pcs 0
22 Foley cateter No.12 Pcs 0
23 IV Cateter with wings/port no 18 Pcs 0
24 IV Cateter with wings/port no 20 Pcs 0
25 IV Cateter with wings/port no 22 Pcs 0
26 Handscoon Steril No. 8 Pcs 0 2
27 Handscoon Steril No. 7,0 Pcs 0
28 Handscoon Steril No. 7,5 Pcs 0
29 Handscoon Non Steril size M Pcs 0
30 Hypavix 5 cm x 5 cm/plester Roll 0
31 Infus set anak Pcs 0
32 Infus set dewasa Pcs 0 1
33 Kasa Alcohol swab Pcs 0
34 Kasa Pembalut hydro 250 gr Pcs 0
35 Kapas Pembalut hydro 25 gr Pcs 0
36 Kapas Pembalut hydro 100 gr Pcs 0
37 kapas pembalut hydro 500 gr Pcs 0
38 Kapas Berlemak 1000 gr pack 0
39 kapas Berlemak 250 gr pack 0
40 kapas Berlemak 500 gr pack 0
41 kapas Berlemak 100 gr Pcs 0
42 Kasa Kompres 16 x 16 steril Pcs 0
43 Kasa kompres 40 x 40 steril Pcs 0
44 Kasa pembalut hidrofil 40 x 80 Roll 0
45 Kasa pembalut hidrofil 2 x 80 Roll 0
46 Kasa pembalut hidrofil 4 x 3 Roll 0
47 Kasa Pembalut hidrofil 4 x 10 Roll 0
48 Kasa Pembalut hidrofil 4 x 15 Roll 0 2
49 Kasa Pembalut hidrofil 4 x 7 Roll 0
50 Lisol (Densol) Botol 0
51 Masker tali 3 ply Pcs 0
52 Masker ties on box 0
53 Masker Ear loop box 0
54 Naal Hecting Otot + Kulit Pcs 0
55 Perioksin Spray box 2
56 Rivanol Botol 0
57 Suction cateter no 10 box 0
58 Suction cateter no 12 box 0
59 Suction cateter no 14 box 0
60 Suction cateter no 16 box 0
61 Silk benang sutera No. 3/0 Pcs 0
62 Silk benang sutera No. 2/0 Pcs 0
63 Tissue Basah/Facial Tissue Pcs 0
64 urin bach Pcs 0
65 urgentul lembar 0 1
66 Wing needle 21 Pcs 0
67 Wing needle 23 Pcs 0
68 Wing needle 25 Pcs 0
69 Wing needle 27 Pcs 0
70 Handscoon Non Steril size L pcs 0
0
71 Albendazole tab Tablet 6
72 Glimepirid 2 mg Tablet 30
Broxfion syr Botol 0
73 Dietil Carbamazepam Tablet 0
74 Piracetam inj Ampul 0
75 Termofen syr Botol 3
76 Vomiper syr Botol 0
77 Widoxyl syr Botol 2
78 Zinfion syr Botol 0
Osteoportis Tablet 121
Metronidazole 500 mg Tablet 0
Lanzoprazole 20 mg Tablet 55
Bratheos / Natrium Diklofenak tab Tablet 0
Prizin Sirup Botol 1
0
79 Disposible syringe 0,5 cc Pcs 0
80 Disposible syringe 0,05 cc Pcs 0
81 Eugenol Pcs 0
82 Foley cateter no 18 Pcs 0
PEMAKAIAN

HUMR WAEF WAEH WAETI WAEL BASAL PARBU DEBO WAMS IMUNI
KIA GIZI WIDIT SP2 DAVA ED
AI LAM ATA NA EMAN ALE LU WAE AID SASI

18 30

20 100 20 20 50 10 20 20

260 30 1090 40 20 40 100 50 30


6 1 1

10 30 40 300 70
60 60
64 2 4 2
10 210

20 10 20 110

50 10 40
50 10 100

2 1 3 10 2 2
20
20 20 10
30 230 50 50 50 10
18
6 3 1

30 30 70 64 45 20 30

1 4 4 5
10 40 32 20 20 10

20 10 570 10

10

10

850 50 180 20 200 20 30 10 20 60


10 630 24 6 20

30 90 20 48

30 1660 20 40 50 50

30 4

3 1 1

13 2 1 3

30

20 40 20
10 20 20
20

20 20 10

40
2 1 2 5
5
10 10 40

8 10
16 5 1
4 2 6 1

11 2 1 2
112 30 60 120 100 30 100 40 20 10 80

100 30

30 70 30 20 20

3 2 5 1 1
20 10 150 20 100 60 40 10

5 2
10 40 20
30 10 30 110 10 60 30 110 50 120

1 8 1 15 1

40 40 20 30 60 60 80 20 60 50
2 2 30 3 5 2
20 118 30 80 20 50

20

106 50

4 1
4 1
3 2
1

12 10 1 3

9 3 5 10 3 3
47 2 2 2

10 1 1 2 2 2 1
1

13

2 2
6 1 2
10 5 10 20 30 4

2 1 3
JUML SISA
AH STOK

78
0
0
464
0
0
0
0
1906
19
0
0
0
0
0
570
150
109
510
0
0
0
190
0
310
160
0
0
2
0
0
0
26
20
310
740
0
10
0
0
0
10
0
0
0
0
18
15
0
425
0
0
0
0
0
0
0
14
152
0
0
4
0
9
0
5
0
0
630
0
0
0
0
0
0
42
0
60
0
1646
0
705
0
0
0
218
0
0
1942
0
0
35
10
0
0
0
0
0
0
18
0
0
0
27
0
30
0
0
0
120
50
170
0
100
230
40
16
13
60
0
0
0
18
0
0
0
0
0
0
24
28
0
2
1
3
0
0
0
0
22
822
0
70
4
0
200
0
10
0
0
0
170
0
0
17
550
0
7
116
600
0
28
0
460
54
0
0
0
0
0
0
368
0
180
0
156
0
0
0
5
5
6
1
0
0
0
0
31
0
83
73
2
1
0
19
1
0
0
0
0
0
0
0
0
15
0
4
0
0
0
10
79
0
0
0
0
0
0
0
0
0
0
0
0
0
2
2
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0

6
30
0
0
0
3
0
2
0
121
0
55
0
1
0
0
0
0
0
PEMERINTA
DINAS KE
PUSKESM
Jln. M. H
Kecamatan Waelata,
PERENC
T
No Nama Obat Satuan pemakaian
1 Aciclovir tab Tablet 88
2 Aciclovir cream Tube 0
3 Adrenalin Inj. ( Epineprin ) Ampul 0
4 Ambroxol tab 30 mg Tablet 700
5 Ambroxol Sirup 15 mg/ml Botol 35
6 Aminopillin tab 200 mg Tablet 0
7 Aminopillin Inj. Ampul 0
8 Amoxicilin cap 250 mg Kaplet 0
9 Amoxicillin (Kimoxil) cap 500 mg Kaplet 550
10 Amoxicilin Sirup Kering 125 mg Botol 0
11 Ampicillin cap 250 mg Kaplet 0
12 Ampicillin cap 500 mg Kaplet 0
13 Ampicillin Inj. 1 gr Vial 0
14 Ampicillin syr kering 125 mg Botol 0
15 Amtriptilin tab 25 mg Tablet 0
16 Amlodipin 5 mg Tab 200
17 Amlodipin 10 mg Tab 60
18 Anatasida Suspensi Botol 16
19 Antasida DOEN tab Tablet 0
20 Antalgin 500 mg Tablet 0
21 Antihemoroid Doen Combinasi Supp 0
22 Anti Malaria DOEN Kombinasi Tablet 0
23 Asam Ascorbat 50 mg (Vit. C) Tablet 0
24 Asam Ascorbat 250 mg (Vit.C) Tablet 0
25 Asam Mefenamat tab 500 mg Tablet 388
26 Asam Folat Tab 95
27 Allopurinol 100 mg tab Tablet 89
28 Arthem injeksi Ampul 0
29 Aqua Proinjeksi Steril Vial 4
30 Asifit kapsul 0
31 Bionemi tab Tablet 0
32 Bethazone Cream Kulit Pcs 0
33 Betametason cream 0,1 % Tube 36
34 Captopril 25 mg tab Tablet 0
35 Captopril 12,5 Tablet 500
36 Cefadroksil cap 500 mg Kaplet 50
37 Cefadroxil sirup kering 125 mg/ 5 ml Botol 8
38 Cetrizine 10 mg tab Tablet 256
39 Ceftriaxone SOD 1 g Vial 0
40 Cimetidin/ulsikur injeksi Ampul 0
41 Cimetidin tab Tablet 0
42 Ciprofloxacin 500 mg Tablet 0
43 Cloramfenicol cap 250 mg Kaplet 0
44 Cloramfenicol susp 240 mg Botol 0
45 Chloramfenicol Susp 125 mg Botol 0
46 Cloramfenicol tetes mata 0,5% Botol 0
47 Cloramfenicol tetes telinga 3 % Botol 0
48 Cloramfenicol salep mata 1 % Tube 5
49 Chloramphecort H-Cream Ampul 0
50 Clorfeniramin Maleat tab (CTM) Tablet 400
51 Cloroquin tab Tablet 0
52 Clorpromazine tab 25 mg Tablet 0
53 Clorpromazine 100 mg Tab Tablet 89
54 Cotrimoxazole pediatrik 120 mg Tablet 0
55 Cotrimoxazole suspensi Botol 0
56 Cotrimoxazole tab 480 mg Tablet 80
57 Codein 10 mg tab Tablet 0
58 Dexamethason inj 5 mg/ml Ampul 10
59 Dexamethason tab 0,5 mg Tablet 150
60 Dextrometorphan tab Tablet 0
61 Diazepam Inj 5 mg/ml/Stesolid Ampul 0
62 Diazepam tab 2 mg Tablet 0
63 Digoksin tab 0,25 mg Tablet 0
64 Dipenhidramin Inj 10 mg/ml Ampul 15
65 Dimenhidrimnat tab Tablet 150
66 Domperidon Tablet Tablet 25
67 Doxycycline tab 100 mg Tablet 0
68 Efedrin tab Tablet 0
69 Ergotamin Caffein Tablet Tablet 35
70 Eritromicin Cap 250 mg Tablet 0
71 Eritromicin Cap 500 mg Tablet 0
72 Eritromicin Sirup Kaplet 0
73 Ekstrak Beladone Tab Tablet 0
74 Etil clorida semprot Botol 0
75 Fitomenadion (Vit. K) injeksi Ampul 0
76 Fitomenadion (Vit. K) Tablet Tablet 20
77 Fituno Capsul kapsul 8
78 Furosemid tab 40 mg Tablet 62
79 Furosemid Inj Ampul 0
80 Fe/Tablet tambah darah Tablet 1347
81 Fondazen tab Tablet 0
82 Garam Oralit Tablet 98
83 Gentamisin salep kulit 0.1% Tube 0
84 Gentian Violet Tube 0
85 Glibenklamide tab Tablet 0
86 Glimepiride 3 mg tab Tablet 200
87 Gliseril guayakolat tab 100 mg Tablet 0
88 Glukosa infus 5% Botol 1
89 Griseufulvin tab 125 mg Tablet 319
90 Gentamisin sulfat Tube 0
91 Hidrokortison cream 2,5% Pcs 13
92 Hydroclortiazide tab 25 mg tablet 100
93 Ibuprofen 200 mg Tablet 600
94 Ibuprofen sirup Botol 14
95 Ichtiol salep Botol 0
96 Isosorbit Dinitrat tab 5 mg Pcs 0
97 Kalsium Laktat 50 mg/Novacal Tablet 0
98 Kalsium Laktat 500 mg/Novacal Tablet 600
99 Ketokonazole cream 2% Tube 7
100 Ketokonazole Tablet Tablet 0
101 Kuinine (Kina) 200 mg tab Tablet 0
102 Kuinine Inj Ampul 0
103 Lidocain HCL 2% inj Ampul 28
104 Levofloxasin 500 mg tab Tablet 0
105 Loratadine 10 mg tab Tablet 0
106 Meloxicam Tab 7,5 mg Tablet 0
107 Miomergin injeksi Ampul 0
108 Metergin inj Ampul 0
109 Metoclopramid 10 mg/Xilastin Tablet 90
110 Metformin HCL 850 mg tab Tablet 20
111 Metformin tab 500 mg Tablet 0
112 Metronidazole Infus Botol 0
113 Metilprednisolon 4 mg tab Tablet 286
114 Metilergotamine tab Tablet 0
115 Metil Ergometrin Tablet 0
116 Miconazole cream Tube 10
117 Nacl infus 0,9% Botol 15
118 Natrium diklofenak 25 mg Tablet 0
119 Neurodial Tab Tablet 0
120 Neurovit E Tab Tablet 0
121 Nifedipin tab 10 mg Tablet 10
122 Nistatin vaginal tab Tablet 5
123 Obat anti tuberculosis (OAT) KAT I Paket 1
124 Obat anti tuberculosis (OAT) KAT II Paket 0
125 Obat anti tuberculosis (OAT) Anak Paket 1
126 Obat Batuk Hitam Cair (OBH) Botol 14
127 Oxytetraxicllin Biotik/HCl inj 50 mg/ml-10 ml Vial 0
128 Oxytetraxicllin salep kulit 3% Tube 0
129 Oxytetraxicllin salep mata 1% Tube 6
130 Octenic Gel Tube 0
131 Omeprazole cap 20 mg Kaplet 86
132 Omeprazole inj Ampul 0
133 Ondancentron injeksi Ampul 0
134 Pantaprazole Injeksi Vial 0
135 Paracetamol Infus 1 gr Botol 0
136 Parmaton Formula Tab 0
137 Papaverin tab 40 mg Tablet 0
138 Papaverin injeksi 40 mg/ml Ampul 0
139 Paracetamol sirup Botol 23
140 Paracetamol tab 500 mg Tablet 652
141 Penilbutason tab 200 mg Tablet 0
142 Penobarbital tab 30 mg Tablet 0
143 Pirantel 125 mg Tab Tablet 35
144 Pirantel sirup kering 125 mg/ml Botol 2
145 Piridoksin (Vit. B6) tab 10 mg Tablet 0
146 Piroxicam tab 20 mg Tablet 500
147 Piracetam tab Tablet 10
148 Pitogin inj (Oksitoksin) Ampul 0
149 Povidon lodida 10% (Botol 30 ml) Botol 0
150 Povidon lodida 10% (Botol 300 ml) Botol 0
151 Prednison tab 5 mg Tablet 610
152 Primaquin Tablet Tablet 0
153 Procain penasilin inj Vial 0
154 Ranitidin Inj. Ampul 0
155 Ranitidin tab 150 mg Tablet 0
156 Reserpin 0,25 mg Tablet 0
157 Ringer laktat larutan infus steril Botol 20
158 Salbutamol tab 4 mg Tablet 152
159 Simvastatin Tablet 20 mg Tablet 200
160 Simvastatin Tablet 10 mg Tablet 80
161 Salap 24 Tube 1
162 Salisil talk bedak 2% Kotak 0
163 Sianokobalamin tab (Vit. B12) Tablet 118
164 Sianokobalamin inj (Vit. B12) Ampul 19
165 Sulfadoxin tab Tablet 0
166 Traneksamide inj Ampul 0
167 Thiamfenicol 500 mg kap Caps 0
168 Tetrasiklin capsul 250 mg Caps 0
169 Tetrasiklin capsul 500 mg Tablet 0
170 Thiamin HCL (Vit. B1) Inj 100 mg/ml Ampul 0
171 Thiamin HCL (Vit. B1) tab 50 mg Tablet 500
172 Vitamin B. Kompleks injeksi Ampul 0
173 Vitamin B. Kompleks tab Tablet 771
174 Vitamin A 100.000 UI ( biru ) Kaplet 50
175 Vitamin A 200.000 UI ( Merah ) Kaplet 50
176 Vicilin Vial 0
177 Zinc Tablet 94
BHP
1 Abocath No.18 Pcs 3
2 Abocath No.20 Pcs 3
3 Abocath No.22 Pcs 3
4 Abocath No.24 Pcs 0
5 Abocath No.26 Pcs 5
6 Aximed lembar 0
7 Bisturi Pcs 0
8 Catgut 3/0 Cromic Pcs 2
9 Disposible 1 cc Pcs 5
10 Disposible 2,5 cc Pcs 0
11 Disposible 3 cc Pcs 35
12 Disposible 5 cc Pcs 5
13 Disposible 10 cc Pcs 1
14 Disposible 20 cc Pcs 0
15 Disposible 50 cc Pcs 0
16 Etanol (Alkohol) 70% (100 ML ) Botol 5
17 Etanol (Alkohol) 70% (300 ML ) Botol 2
18 Etanol (Alkohol) 70% (1000 ML ) Botol 0
19 Foley cateter No.10 Pcs 0
20 Foley cateter No.14 Pcs 0
21 Foley cateter No.16 Pcs 1
22 Foley cateter No.18 Pcs 0
23 IV Cateter with wings/port no 18 Pcs 0
24 IV Cateter with wings/port no 20 Pcs 0
25 IV Cateter with wings/port no 22 Pcs 0
26 Handscoon Steril No. 6,5 Pcs 0
27 Handscoon Steril No. 7,0 Pcs 0
28 Handscoon Steril No. 7,5 Pcs 0
29 Handscoon Non Steril size M Pcs 50
30 Hypavix 5 cm x 5 cm/plester Roll 2
31 Infus set anak Pcs 1
32 Infus set dewasa Pcs 9
33 Kasa Alcohol swab Pcs 80
34 Kasa Pembalut hydro 250 gr Pcs 2
35 Kapas Pembalut hydro 25 gr Pcs 0
36 Kapas Pembalut hydro 100 gr Pcs 0
37 kapas pembalut hydro 500 gr Pcs 0
38 Kapas Berlemak 1000 gr pack 0
39 kapas Berlemak 250 gr pack 0
40 kapas Berlemak 500 gr pack 0
41 kapas Berlemak 100 gr Pcs 0
42 Kasa Kompres 16 x 16 steril Pcs 0
43 Kasa kompres 40 x 40 steril Pcs 27
44 Kasa pembalut hidrofil 40 x 80 Roll 0
45 Kasa pembalut hidrofil 2 x 80 Roll 0
46 Kasa pembalut hidrofil 4 x 3 Roll 0
47 Kasa Pembalut hidrofil 4 x 10 Roll 9
48 Kasa Pembalut hidrofil 4 x 15 Roll 0
49 Kasa Pembalut hidrofil 4 x 7 Roll 0
50 Lisol (Densol) Botol 0
51 Masker tali 3 ply Pcs 0
52 Masker ties on box 60
53 Masker Ear loop box 0
54 Naal Hecting Otot + Kulit Pcs 0
55 Perioksin Spray box 0
56 Rivanol Botol 0
57 Suction cateter no 10 box 0
58 Suction cateter no 12 box 0
59 Suction cateter no 14 box 0
60 Suction cateter no 16 box 0
61 Silk benang sutera No. 3/0 Pcs 0
62 Silk benang sutera No. 2/0 Pcs 0
63 Tissue Basah/Facial Tissue Pcs 0
64 urin bach Pcs 0
65 urgentul lembar 0
66 Wing needle 21 Pcs 0
67 Wing needle 23 Pcs 0
68 Wing needle 25 Pcs 0
69 Wing needle 27 Pcs 0
70 Handscoon Non Steril size L Pcs 60
PEMERINTAH KABUPATEN BURU
DINAS KESEHATAN
PUSKESMAS WAELO
Jln. M. H. THAMRIN NO. 01 WAELO
Kecamatan Waelata, Kabupaten Buru. Kode Pos. 97574
PERENCANAAN 0BAT PKD
TAHUN 2021
rerata/ bulan
buffer 20% stok lead time 3 bln
1056 211.2 264
0 0 0
0 0 0
8400 1680 2100
420 84 105
0 0 0
0 0 0
0 0 0
6600 1320 1650
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2400 480 600
720 144 180
192 38.4 48
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4656 931.2 1164
1140 228 285
1068 213.6 267
0 0 0
48 9.6 12
0 0 0
0 0 0
0 0 0
432 86.4 108
0 0 0
6000 1200 1500
600 120 150
96 19.2 24
3072 614.4 768
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 12 15
0 0 0
4800 960 1200
0 0 0
0 0 0
1068 213.6 267
0 0 0
0 0 0
960 192 240
0 0 0
120 24 30
1800 360 450
0 0 0
0 0 0
0 0 0
0 0 0
180 36 45
1800 360 450
300 60 75
0 0 0
0 0 0
420 84 105
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
240 48 60
96 19.2 24
744 148.8 186
0 0 0
16164 3232.8 4041
0 0 0
1176 235.2 294
0 0 0
0 0 0
0 0 0
2400 480 600
0 0 0
12 2.4 3
3828 765.6 957
0 0 0
156 31.2 39
1200 240 300
7200 1440 1800
168 33.6 42
0 0 0
0 0 0
0 0 0
7200 1440 1800
84 16.8 21
0 0 0
0 0 0
0 0 0
336 67.2 84
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1080 216 270
240 48 60
0 0 0
0 0 0
3432 686.4 858
0 0 0
0 0 0
120 24 30
180 36 45
0 0 0
0 0 0
0 0 0
120 24 30
60 12 15
12 2.4 3
0 0 0
12 2.4 3
168 33.6 42
0 0 0
0 0 0
72 14.4 18
0 0 0
1032 206.4 258
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
276 55.2 69
7824 1564.8 1956
0 0 0
0 0 0
420 84 105
24 4.8 6
0 0 0
6000 1200 1500
120 24 30
0 0 0
0 0 0
0 0 0
7320 1464 1830
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
240 48 60
1824 364.8 456
2400 480 600
960 192 240
12 2.4 3
0 0 0
1416 283.2 354
228 45.6 57
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6000 1200 1500
0 0 0
9252 1850.4 2313
600 120 150
600 120 150
0 0 0
1128 225.6 282
0 0 0
36 7.2 9
36 7.2 9
36 7.2 9
0 0 0
60 12 15
0 0 0
0 0 0
24 4.8 6
60 12 15
0 0 0
420 84 105
60 12 15
12 2.4 3
0 0 0
0 0 0
60 12 15
24 4.8 6
0 0 0
0 0 0
0 0 0
12 2.4 3
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
600 120 150
24 4.8 6
12 2.4 3
108 21.6 27
960 192 240
24 4.8 6
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
324 64.8 81
0 0 0
0 0 0
0 0 0
108 21.6 27
0 0 0
0 0 0
0 0 0
0 0 0
720 144 180
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
720 144 180
sisa stok/31des 2019 perencanaan thn 2021
0 1531.2
0
0
12180
609
0
0
0
9570
0
0
0
0
0
0
3480
1044
278.4
0
0
0
0
0
0
6751.2
1653
1548.6
0
69.6
0
0
0
626.4
0
8700
870
139.2
4454.4
0
0
0
0
0
0
0
0
0
87
0
6960
0
0
1548.6
0
0
1392
0
174
2610
0
0
0
0
261
2610
435
0
0
609
0
0
0
0
0
0
348
139.2
1078.8
0
23437.8
0
1705.2
0
0
0
3480
0
17.4
5550.6
0
226.2
1740
10440
243.6
0
0
0
10440
121.8
0
0
0
487.2
0
0
0
0
0
1566
348
0
0
4976.4
0
0
174
261
0
0
0
174
87
17.4
0
17.4
243.6
0
0
104.4
0
1496.4
0
0
0
0
0
0
0
400.2
11344.8
0
0
609
34.8
0
8700
174
0
0
0
10614
0
0
0
0
0
348
2644.8
3480
1392
17.4
0
2053.2
330.6
0
0
0
0
0
0
8700
0
13415.4
870
870
0
1635.6
0
52.2
52.2
52.2
0
87
0
0
34.8
87
0
609
87
17.4
0
0
87
34.8
0
0
0
17.4
0
0
0
0
0
0
0
870
34.8
17.4
156.6
1392
34.8
0
0
0
0
0
0
0
0
469.8
0
0
0
156.6
0
0
0
0
1044
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1044

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