LAPORAN OBAT Baru

LAPORAN PEMAKAIAN OBAT BPJS PADA PERSALINAN
UPTD PUSKESMAS PAGERUYUNG

BULAN : OKTOBER TAHUN : 2016
Pemakaian Obat Pertanggal
NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sisa Awal Penerimaan Jumlah Pemakaian Sisa Akhir Ket
1 Amox 20 20 20 200 200 60 140
2 Asmef 20 20 20 170 170 60 110
3 Metil Ergo 10 10 10 10 0
4 Fe 30 30 30 330 330 90 240
5 Vit A 2 2 2 0 6 6 6 0
6 Infus rl 1 1 1 3 5 5 3 2
7 Rl 1 1 1 7 7 3 4
8 Abocat 1 1 1 0 3 3 3 0
9 Underpad 2 2 2 3 30 33 6 27
10 Oxy 1 1 1 3 10 13 3 10
11 Lidocain 1 1 1 0 3 3 3 0
12 Spuit 2 2 2 0 10 10 6 4
13 Salep mata 1 1 1 0 3 3 3 0
14 vit k inj 2 2 1 5 5 5 0
15 pamol 20 20 20 150 150 60 90
16 slim seker 22 22 2 20
MENGETAHUI
KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN
dr. SULASIH SITI MULYANIH Amd Keb

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
LAPORAN PEMAKAIAN OBAT BPJS PADA PERSALINAN
BULAN : NOVEMBER TAHUN : 2016

1 Amox 20 20 20 20 20 20 200 100 300 80 220
2 Asmef 20 20 20 20 20 20 170 170 80 90
3 Metil Ergo 20 20 10 10 10 10 0
4 Fe 30 30 60 30 30 30 30 330 330 240 90
5 Vit A 30 30 2 2 2 2 2 2 2 6 6 12 12 0
6 Infus rl 2 2 1 2 2 0 2 1 2 1 2 3 10 13 13 0
8 Abocat 2 2 1 2 2 2 1 1 1 1 1 0 3 3 12 0
9 Underpad 2 2 2 2 1 4 2 1 2 2 2 3 30 33 18 15
10 Oxy 2 2 1 1 2 1 1 1 1 1 3 10 13 9 4
11 Lidocain 1 1 1 2 0 3 3 3 0
12 Spuit 1 1 2 2 2 2 1 1 2 0 10 10 10 0
13 Salep mata 2 2 0 0 2 1 1 1 1 0 3 3 6 0
14 vit k inj 0 0 1 2 1 1 1 1 5 10 15 7 8
15 pamol 20 40 20 150 150 80 70
16 slim seker 1 1 2 1 1 1 22 22 7 15
17 Cipro 10 10 200 200 20 180
18 catgut chromik 1 1 2 2 2 1 1 1 12 12 9 3
20 Cefadroxil 20 20 20 100 100 60 40
MENGETAHUI

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
PEMAKAIAN OBAT PERSALINAN
Nama : Ny. Kustini

Alamat : Pagergunung
Tanggal : 2 November 2016
PEMAKAIAN
NO NAMA OBAT OBAT
1 Amox 13
2 Asmef 20
3 Metil Ergo 20
4 Fe
5 Vit A 30
6 Infus rl 2
8 Abocat 2
9 Underpad 2
10 Oxy 2
11 Lidocain 1
12 Spuit 1
13 Salep mata 2
14 vit k inj 0
15 pamol
16 slim seker
17 Cipro
18 catgut chromik 1
19 Kassa 2
20 Cefadroxil 2
Nama : Ny. Budiyanti

Alamat : Bangunsari
PEMAKAIAN
NO NAMA OBAT OBAT
1 Amox 20
2 Asmef 20
3 Metil Ergo 20
4 Fe
5 Vit A 30
6 Infus rl 2
8 Abocat 2
9 Underpad 2
10 Oxy 2
11 Lidocain 1
12 Spuit 1
13 Salep mata 2
14 vit k inj 0
15 pamol
16 slim seker
17 Cipro
18 catgut chromik 1
19 Kassa 2
20 Cefadroxil
Nama : Ny. Amaroh

Alamat : Getas Blawong
PEMAKAIAN
NO NAMA OBAT OBAT
1 Amox
2 Asmef
3 Metil Ergo
4 Fe
5 Vit A
6 Infus rl 1
8 Abocat 1
9 Underpad 1
10 Oxy 1
11 Lidocain 1
12 Spuit 1
13 Salep mata
14 vit k inj
15 pamol
16 slim seker
17 Cipro
18 catgut chromik
19 Kassa
20 Cefadroxil
LAPORAN PEMAKAIAN OBAT PADA PERSALINAN
BULAN : Desember TAHUN : 2016
1 Amox 20 20 20 20 20 20 220 100 320 120 200
2 Asmef 20 20 20 20 20 0 100 100 100 0
3 Metil Ergo 20 10 20 10 10 10 0 0 0
4 Fe 30 30 60 30 30 30 0 300 300 210 90
5 Vit A 2 2 4 2 2 2 10 4 14 0 14
6 Infus rl 2 2 2 2 1 1 0 0 0
8 Abocat 2 2 1 1 1 1 0 10 10 8 2
9 Underpad 2 2 4 2 2 2 0 0 0
10 Oxy 1 1 1 1 1 1 1 5 6 6 0
11 Lidocain 1 1 2 1 1 1 0 0 0
12 Spuit 2 2 4 2 1 1 0 0 0
13 Salep mata 1 1 2 1 1 1 0 0 0
14 vit k inj 1 1 2 1 1 1 0 6 6 0 6
15 pamol 20 20 0 0 0
16 slim seker 1 1 1 15 0 15 3 12
17 Cipro 0 0
18 catgut chromik 1 1 1 1 1 1 0 6 6 6 0
19 hypafik 1 0 1 1 1 0
20 selang infus 1 1 1 1 1 1 2 10 12 8 4
21 Cefadroxil

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
BULAN : Februari TAHUN : 2017
1 Amox 20 20 40 20 100 100 100 0
2 Asmef 20 40 20 0 200 200 100 100
3 Metil Ergo 10 20 10 0 100 100 40 60
4 Fe 20 20 40 30 110 0 110 0 110
5 Vit A 2 2 4 2 0 50 50 10 40
6 Infus rl 1 1 1 3 2 1 0 15 15 9 6
8 Abocat 1 1 1 2 2 1 10 10 8 2
9 Underpad 1 2 1 4 2 1 12 12 12 0
10 Oxy 1 1 2 1 1 5 6 5 1
11 Lidocain 1 1 2 1 0 0 0
12 Spuit 3 3 4 2 0 100 100 12 88
13 Salep mata 1 1 2 0 2 2 0
14 vit k inj 1 1 2 1 0 10 10 0 10
15 pamol 20 0 100 100 20 80
16 slim seker 0 0 0 0 0
17 Cipro 0 0 0 0 0
18 catgut chromik 1 1 2 1 7 0 7 5 2
19 plester 1 1 0 1 1 1 0
20 selang infus 1 1 1 1 2 1 2 5 7 7 0
21 Cefadroxil

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
BULAN : MARET TAHUN : 2017
1 Amox 20 60 20 20 20 20 20 20 20 20 20 40 100 200 300 300 0
2 Asmef 20 60 20 20 20 20 20 20 20 20 20 40 100 200 300 300 0
3 Metil Ergo 10 20 10 10 10 10 10 10 10 10 10 20 60 100 160 140 20
4 Hufabion 20 60 20 10 20 10 20 20 20 20 10 40 110 200 310 270 40
5 Vit A 2 6 2 2 2 2 2 2 2 2 2 4 40 40 30 10
6 Infus rl 2 3 2 2 2 2 2 1 1 1 1 2 6 15 21 21 0
8 Abocat 1 3 1 1 1 1 1 1 1 1 1 1 5 10 5 15 0
9 Underpad 2 4 2 2 3 2 3 3 3 3 3 3 0 40 40 33 7
10 Oxy 1 3 1 1 1 1 1 1 1 1 1 1 4 10 14 13 1
11 Lidocain 1 3 1 1 1 1 1 1 1 5 6 11 11 0
12 Spuit 2 3 2 2 2 2 2 2 2 2 2 4 88 88 27 61
13 Salep mata 1 2 1 1 0 5 5 5 0
14 vit k inj 1 3 1 1 1 1 1 1 1 1 1 2 10 5 15 15 0
15 pamol 80 80 0 80
16 slim seker
17 Cipro
18 catgut chromik 1 3 1 1 1 1 1 1 1 2 10 12 11 1
19 plester 0 1 1 0 1
20 selang infus 1 3 1 1 1 1 1 1 1 1 1 2 5 10 15 15 0
21 Cefadroxil

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
BULAN : APRIL TAHUN : 2017
NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sisa AwalPenerimaan Jumlah Pemakaian Sisa Akhir Permintaan
1 Amox 40 20 20 20 20 20 20 0 200 200 160 40 200
2 Asmef 20 40 20 20 20 20 20 20 20 20 0 200 200 200 0 100
3 Metil Ergo 10 10 20 0 20 20 0 10
4 Hufabion 20 20 20 20 20 10 10 10 10 10 10 10 20 20 40 200 240 210 30 200
5 Vit A 2 4 2 2 2 2 2 2 2 2 2 2 2 4 10 50 60 30 30 1 botol
6 Infus rl 2 4 2 2 2 2 2 2 2 2 2 2 1 4 15 16 31 31 0 10
8 Abocat 1 2 1 1 1 1 1 0 1 1 1 1 1 2 6 10 16 16 0 10
9 Underpad 2 3 2 2 2 2 2 2 2 2 2 2 3 3 7 24 31 31 0
10 Oxy 1 2 1 1 1 1 1 1 1 1 1 1 1 2 6 10 16 16 0 10
11 Lidocain 1 2 1 1 1 1 1 1 1 1 1 1 2 5 10 15 15 0 10
12 Spuit 2 2 2 2 2 2 2 2 2 2 2 2 2 2 61 0 61 28 33
13 Salep mata 1 1 1 1 1 0 5 5 5 0 5
14 vit k inj 1 2 1 1 1 1 1 1 1 1 1 1 1 2 6 10 10 16 0 10
15 pamol 20 20 20 20 40 20 100 120 120 0 200
16 slim seker 0 0 0 0 0
17 Cipro 0 0 0 0 0
18 catgut chromik 1 2 1 1 1 1 1 1 1 1 1 1 2 5 10 15 15 0 1 bok
19 plester 1 0 1 1 0 1
20 selang infus 1 2 1 1 1 1 1 1 1 1 1 1 1 2 1 15 16 16 0
21 Cefadroxil 20 20 20 20 20 40 0 200 200 140 60 200

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
BULAN : MEI TAHUN : 2017
NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sisa Awal Penerimaan Jumlah Pemakaian Sisa Akhir Permintaan
1 Amox 40 20 20 20 20 20 20 40 300 340 160 180 200
2 Asmef 40 20 20 20 20 20 20 20 0 300 300 180 120 100
3 Metil Ergo 0 0 0 0 0 100
4 Hufabion 40 20 20 20 20 20 20 20 30 400 430 180 250 100
5 Vit A 4 2 2 2 2 2 2 2 5 20 25 18 7
6 Infus rl 5 2 3 2 2 2 2 2 0 20 20 20 0 20
8 Abocat 2 1 1 1 1 1 1 1 0 10 10 9 1 10
9 Underpad 4 2 2 2 2 2 2 2 0 0 0 0 0 30
10 Oxy 2 1 1 1 1 1 1 1 0 10 10 9 1 10
11 Lidocain 2 1 1 1 1 1 1 1 0 10 10 9 1 10
12 Spuit 4 3 3 3 4 4 4 3 33 0 33 29 4 20
13 Salep mata 2 0 2 0 2 3
14 vit k inj 2 1 1 1 1 1 1 1 0 10 10 9 1 10
15 pamol 0 200 200 0 200 100
16 slim seker 0 0 0 0 0
17 Cipro 0 0 0 0 0
18 catgut chromik 2 1 1 1 1 1 1 1 10 0 10 9 1 1 box
19 plester 0 0 0 0 0 1
20 selang infus 2 1 1 1 1 1 1 1 0 10 10 9 0 20
21 Cefadroxil 20 60 0 60 20 40 100

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
BULAN : JUNI TAHUN : 2017
NO NAMA OBAT 1 2 3 4 5 6 7 89 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sisa Awal Penerimaan Jumlah Pemakaian Sisa Akhir Permintaan
1Amox 20 60 20 40 40 20 20 40 20 20 60 40 20 40 280 200 380 460 0 100
2Asmef 20 20 20 20 0 20 20 20 20 20 0 20 20 20 120 100 220 220 0 0
3Metil Ergo 0 100 100 100 0 0
4Bundafit 40 20 20 20 0 100 100 100 0 100
5Hufabion 20 20 10 20 20 20 20 20 20 20 20 20 40 40 20 20 250 100 350 350 0
6Vit A 2 6 4 2 2 4 4 2 2 4 2 2 6 4 2 4 0 1 box 1 box 20 10
7Infus rl 2 4 3 2 2 2 2 1 1 2 1 2 3 2 1 2 18 20 38 32 6 20
8Abocat no 20 1 3 1 1 1 2 2 1 1 2 1 1 3 2 1 3 10 20 30 24 6 20
9Underpad 2 8 4 2 2 4 4 2 2 4 2 2 8 4 2 4 30 30 60 56 4 30
10Oxy inj 1 4 2 1 1 3 3 1 1 3 1 1 4 3 1 3 8 30 38 33 5 10
11Lidocain inj 1 4 2 1 1 3 3 1 1 3 1 1 4 3 1 3 15 20 35 33 2 10
12Spuit 3cc 1 3 2 1 1 2 2 2 2 2 2 2 3 2 1 2 4 24 28 28 0 20
13Salep mata 1 2 0 2 1 1
14vit k inj 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7 10 11 16 1 5
15pamol 40 20 20 20 40 60 200 100 300 200 100 100
16slim seker 0 0 0 0
17Cipro 0 0 0 0
18catgut chromik 1 4 2 1 1 2 2 1 1 2 1 1 4 2 1 2 0 1 box 1 box 10 0 1 box
19Hipafix 0 0 0 0 1
20selang infus 1 4 2 1 1 2 2 1 1 2 1 1 4 2 1 2 8 20 28 28 0
21Handscoon 1 box
22Cefadroxil 40 60 0 60 40 20 100

NIP.19740716 200801 2 006 NIP. 19711011 199103 2 003
BULAN : JULI TAHUN : 2017
NO NAMA OBAT 1 2 3
1Amox 40 20 20
2Asmef 40 20 20
3Metil Ergo
4Bundafit
5FE 40 20 20
6Vit A 4 2 2
7Infus rl 3 2 2
8Abocat no 20 3 1 1
9Underpad 4 2 2
10Oxy inj 2 1 1
11Lidocain inj 2 1 1
12Spuit 3cc 3 1 1
13Salep mata
14vit k inj 2 1 1
15pamol
16slim seker
17Cipro
18catgut chromik
19Hipafix
20selang infus 2 1 1
21Handscoon tdk steril 5 4
22Handscoon 4 4
23Cefadroxil
KEPALA PUSKESMAS PAGERUYUNG
dr. SULASIH
NIP.19740716 200801 2 006
HUN : 2017
Pemakaian O
4 5 6 7 8 9 10 11 12 13
20 20 20 40
20 20 20
20 40 20 20
20 10 20 20 20 20
2 4 4 2 2 2 4
1 3 4 2 4 2 2
2 1 2 1 3 1 2
2 4 4 2 3 2 4
1 2 2 1 1 1 3
1 2 2 1 1 1 3
1 2 2 1 1 1 2
1 1 2 1 1 1 1
20 20 40 20
1 2 2 1 3 1 2
3 3 3 5
2 9 3 4
40 40
LAPORAN PEMAKAIAN OBAT P
UPTD PUSKESMAS PAG

14 15 16 17 18 19 20 21 22 23
20 40 20 40 40
20 20 20 20
10
60
20 20 20 20 40
2 4 2 2 4 4 2
2 2 3 3 2 3 4
1 3 1 1 2 2 3
2 4 2 2 4 3 5
1 3 1 1 3 2 3
1 3 1 1 3 2 3
2 2 2 2 2 3 4
0 0 0 0
1 1 1 1 1 2 3
20 20 60 40 20 20 40
1 2 1 1 2 1 3
5 4 6 5 4 6
4 4 3 4 3 5
40 60
IAN OBAT PADA PERSALINAN
ESMAS PAGERUYUNG
24 25 26 27 28 29 30 31 Sisa Awal
20 40 20 20 0
20 20 20 20 0
10 10 0
20 0
20 20 20 100
2 4 6 2 10
4 2 5 2 13
2 3 4 2 16
4 4 6 2 4
2 3 4 1 5
2 3 3 1 2
4 2 4 2 0
0 0
2 1 3 1 0
20 40 100
0
2 2 3 1 1
7 7 3 0
6 5 4 0
20 40 20
PENGELOLA PERSALIN
Sri Utami Amd.Keb

NIP.19661205 198812 2 0
Penerimaan Jumlah Pemakaian Sisa Akhir
440 440 440 0
300 300 300 0
0 100 30 70
200 200 180 20
300 400 370 30
55 65 62 3
44 57 57 0
25 41 41 0
63 67 67 0
38 43 39 4
36 38 38 0
100 100 46 54
0 0 0 0
29 29 29 0
300 400 380 20
0 0 0 0
0 0 0 0
1 1 0 0
1 1 0 0
34 35 35 0
100 100 70 30
64 64 64 0
400 420 240 180
OLA PERSALINAN
i Amd.Keb
1205 198812 2 002
Permintaan
0
0
0
100
100
10
5
10
10
5
5
0
5
20
0
0
5
0
10
100
BULAN : NOVEMBER TAHUN : 2017
1Amox 40 20 20 20 20 20 20 20 20 20 20 20 20 20 0 300 300 300 0 100
2Asmef 40 20 20 20 20 20 20 20 20 0 200 200 200 0 100
3Metil Ergo 0 0 0 0 0 0 0 0 0
4Bundafit 40 20 20 20 40 20 20 60 20 0 300 300 260 40 100
5FE 20 10 10 10 20 10 20 20 20 20 20 20 20 10 130 100 230 230 0 100
6Vit A 4 2 2 2 4 4 2 2 2 4 2 4 2 2 4 4 2 2 4 6 2 20 50 70 62 8 50
7Infus rl 2 2 2 1 3 1 2 1 1 2 2 2 3 3 2 3 4 4 2 5 2 13 25 38 31 7 5
8Abocat 2 1 1 1 1 2 1 1 1 2 1 3 1 1 2 2 3 2 3 1 2 16 20 36 33 3 10
9Underpad 2 2 2 2 2 2 2 1 2 1 2 1 2 2 1 3 5 4 4 6 2 4 50 54 51 3 10
10Oxy inj 2 1 1 1 2 2 1 1 1 3 1 3 1 1 3 2 3 2 3 4 1 5 38 43 39 7 10
11Lidocain inj 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 15 17 16 1 10
12Spuit 3cc 3 1 1 1 2 2 1 1 1 2 2 2 2 2 2 3 4 4 2 4 2 50 0 50 46 4 100
13Salep mata 0 0 0 0 0 0 0 0 0 0
14vit k inj 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 16 16 16 0 10
15pamol 20 20 20 20 20 20 20 20 20 40 20 20 40 20 20 100 200 300 300 0 100
16slim seker 0 0 0 0
17Cipro 0 0 0 0
18catgut chromik 0 0 0 0 0 0
19Hipafix 0 0 0 0 0
20selang infus 2 1 1 1 2 2 1 3 1 2 1 2 1 1 2 1 3 2 2 3 1 15 20 35 35 0 10
21 Handscoon tdk steril 10 16 10 10 8 15 10 10 6 5 14 6 7 7 10 0 300 300 153 147 100
22 Handscoon steril 4 2 2 2 2 2 2 1 1 1 1 1 1 1 1 4 20 24 24 0 20
23Cefadroxil 40 40 40 40 20 20 20 20 200 220 220 0 100
dr. SULASIH Sri Utami Amd.Keb

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : DESEMBER TAHUN : 2017
1Amox 20 20 20 20 20 0 100 100 100 0 100
2Asmef 20 20 20 20 0 100 100 80 20 100
3Metil Ergo 0 0 0 0 10 10 0 0 0
4Bundafit 20 20 20 60 40 100 140 120 20 100
5FE 20 10 20 20 10 20 10 20 0 130 130 130 0 100
6Vit A 2 2 2 2 2 4 4 2 4 4 2 2 2 8 50 58 34 24 50
7Infus rl 2 1 1 1 2 2 2 2 2 2 2 2 2 7 25 32 23 9 5
8Abocat 1 1 1 1 1 2 3 1 2 2 3 2 2 3 30 33 22 11 10
9Underpad 3 0 3 0 3 10
10Oxy inj 1 1 1 1 1 1 1 1 1 1 1 1 1 7 10 17 13 4 10
11Lidocain inj 1 1 1 1 1 1 1 1 1 1 1 1 1 1 12 13 13 0 10
12Spuit 3cc 1 1 1 1 2 2 2 2 2 2 2 2 2 4 100 104 22 82 100
13Salep mata 0 0 0 0 0 0 0 0 0
14vit k inj 1 1 1 1 1 1 1 1 1 1 1 1 1 0 15 15 13 2 10
15pamol 20 20 20 20 20 20 20 20 20 20 20 20 40 100 240 240 0 100
16slim seker 0 0 0 0 0
17Cipro 0 0 0 0 0
18catgut chromik 0 0 0 0 0 0
19Hipafix 0 0 0 0 0 0
20selang infus 1 1 2 1 1 2 2 1 2 1 2 2 2 0 25 25 20 5 10
21 Handscoon tdk steril 3 5 4 8 6 6 10 10 5 5 6 7 7 147 100 247 82 165 100
22 Handscoon steril 4 2 2 2 1 2 2 1 1 1 1 1 1 0 25 25 21 4 20
23Cefadroxil 20 20 20 20 40 40 20 20 40 200 240 240 0 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : JANUARI TAHUN : 2018
1 Amox 20 20 20 20 20 20 20 20 20 20 20 20 0 300 300 240 60 100
2 Asmef 20 20 20 20 20 20 20 200 220 120 100 100
3 Metil Ergo 0 0 0 0 0 0
4 Hufabion 20 30 20 20 10 10 60 10 20 20 20 40 200 240 240 0 100
5 FE 20 20 20 20 20 0 100 100 100 0 100
6 Vit A 2 2 4 2 4 4 4 4 4 4 2 2 2 2 2 2 24 50 74 46 28 50
7 Infus rl 2 1 3 1 1 1 2 1 2 1 2 1 1 1 1 1 9 20 23 23 0 5
8 Abocat 1 1 2 1 2 3 2 2 2 2 3 1 2 1 1 1 11 25 36 27 9 10
9 Underpad 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 3 13 16 16 0 10
10 Oxy inj 1 1 2 1 1 1 2 1 1 1 1 1 1 1 1 1 4 20 24 18 6 10
11 Lidocain inj 1 1 2 1 1 1 2 1 1 1 1 1 1 1 1 1 3 15 18 18 0 10
12 Spuit 3cc 2 1 3 2 2 2 3 2 2 2 2 2 2 2 2 2 82 0 82 31 51 100
13 Salep mata 0 0 0 0 0 0 0 0
14 vit k inj 1 2 1 1 1 2 1 1 1 1 1 2 25 27 13 14 10
15 pamol 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 300 320 320 0 100
16 slim seker 0 0 0 0 0
17 Cipro 0 100 100 0 0
18 catgut chromik 0 0 0 0 0 0
19 Hipafix 1 0 1 1 0 0 0
20 selang infus 1 2 2 1 2 2 1 2 2 1 2 1 2 1 1 1 5 20 25 25 0 10
21 Handscoon tdk steril 5 5 8 6 6 10 10 5 5 5 6 5 7 5 5 5 5 100 105 105 0 100
22 Handscoon steril 2 1 1 1 2 2 1 1 1 1 1 2 1 2 2 2 4 20 24 23 1 20
23 Umbilical klem 1 1 2 1 1 1 2 1 1 1 2 1 1 1 1 1 0 25 25 18 7
24 Cefadroxil 20 20 40 20 40 20 0 160 160 160 0 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : FEBRUARI TAHUN : 2018
1 Amox 20 20 20 20 20 20 20 20 20 20 20 20 20 20 60 250 310 280 30 100
2 Asmef 20 20 20 20 20 20 100 200 300 120 180 100
3 Metil Ergo 0 0 0 0 0 20
4 Hufabion 0 0 0 0 0 100
5 FE 20 20 30 20 20 20 40 10 10 20 60 20 10 20 20 20 20 0 390 390 380 10 100
6 Vit A 2 2 4 2 2 4 4 4 4 4 4 2 2 2 2 2 2 2 28 20 48 48 0 50
7 Infus rl 2 2 3 1 1 1 1 2 1 2 1 2 1 1 1 1 1 1 0 0 0 23 0 5
8 Abocat 1 1 2 1 1 2 3 2 2 2 2 3 1 2 1 1 1 1 9 10 19 27 9 10
9 Underpad 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 10 10 16 0 10
10 Oxy inj 1 1 2 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 6 25 31 18 6 10
11 Lidocain inj 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 20 20 18 2 10
12 Spuit 3cc 2 2 3 1 2 2 2 3 2 2 2 2 2 2 2 2 2 2 51 0 51 37 14 100
13 Salep mata 0 0 0 0 0 0 0 0 5
14 vit k inj 2 1 1 1 1 2 1 1 1 1 1 14 15 29 13 16 10
15 pamol 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 100 260 360 360 0 100
16 slim seker 0 0 0 0 0 5
17 Cipro 0 100 100 0 0 100
18 catgut chromik 0 0 0 0 0 10
19 Hipafix 0 0 0 0 0 1
20 selang infus 1 1 2 2 1 2 2 1 2 2 1 2 1 2 1 1 1 1 15 11 26 26 0 10
21 Handscoon tdk steril 5 5 8 5 6 6 10 10 5 5 5 6 5 7 5 5 5 5 10 100 110 108 2 100
22 Handscoon steril 2 2 1 1 1 2 2 1 1 1 1 1 2 1 2 2 2 2 3 28 31 27 4 20
23 Umbilical klem 1 1 2 1 1 1 1 2 1 1 1 2 1 1 1 1 1 1 7 21 28 21 7 10
24 Cefadroxil 20 20 40 20 40 20 50 100 150 140 10 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : Maret TAHUN : 2018

1 Amox 20 20 20 20 20 20 20 40 20 20 20 20 40 20 30 330 360 360 0 100
2 Asmef 20 20 40 40 20 20 20 20 20 40 20 180 100 280 280 0 100
3 Metil Ergo 0 10 10 0 10 20
4 Hufabion 0 0 0 0 0 100
5 FE 20 20 30 60 20 20 20 10 20 20 40 40 20 20 20 40 20 10 419 429 340 89 100
6 Vit A 2 2 4 2 4 4 4 4 4 2 4 2 2 2 2 6 2 0 120 120 52 68 50
7 Infus rl 2 2 3 2 1 1 1 1 1 2 2 2 2 1 1 3 2 0 20 30 23 7 5
8 Abocat 1 1 2 3 1 1 1 2 2 1 2 2 1 1 1 3 1 9 20 29 26 3 10
9 Underpad 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 2 1 0 20 20 20 0 10
10 Oxy inj 1 1 2 1 1 1 1 1 1 1 2 2 1 1 1 3 1 6 30 36 21 15 10
11 Lidocain inj 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 3 1 2 20 22 21 1 10
12 Spuit 3cc 3 3 5 4 4 2 2 2 2 2 2 4 2 2 2 4 2 14 200 214 46 168 100
13 Salep mata 0 0 0 0 0 0 0 0 5
14 vit k inj 2 1 1 1 1 1 1 1 2 16 15 31 11 20 10
15 pamol 20 20 20 20 20 20 20 20 40 20 100 160 260 220 40 100
16 slim seker 0 0 0 0
17 Cipro 0 0 0 0 100
18 catgut chromik 1 1 1 1 1 1 1 1 1 1 1 0 11 11 11 0 10
19 Hipafix 1 0 1 1 1 0 1
20 selang infus 1 1 2 2 2 2 2 2 1 2 2 2 1 1 1 3 1 5 25 30 30 0 10
21 Handscoon tdk steril 100
22 Handscoon steril 1 2 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 4 15 19 19 18 20
23 Umbilical klem 1 1 2 2 1 1 1 1 1 2 2 2 1 1 1 3 1 7 35 42 24 18 10
24 Cefadroxil 20 20 20 20 20 20 20 40 100 140 140 0 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : AGUSTUS TAHUN : 2018

NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Sisa Awal Penerimaan Jumlah Pemakaian Sisa AkhirPermintaan
1 Amox 20 20 20 20 20 40 40 40 20 20 20 20 200 200 400 300 100 100
2 Asmef 20 20 20 20 20 0 200 200 100 100 100
3 Metil Ergo 10 0 10 0 10 20
4 Hufabion 0 0 0 0 0 100
5 FE 20 20 20 40 20 20 40 40 40 20 20 20 20 120 320 440 340 120 100
6 Vit A 2 2 2 2 2 4 2 2 4 1 2 1 1 0 50 50 27 23 50
7 Infus rl 1 1 1 1 1 1 1 1 1 1 1 1 1 5 10 15 13 2 5
8 Abocat 1 1 1 1 1 1 1 1 1 1 5 20 25 10 5 10
9 Underpad 1 0 0 0 0 0 10
10 Oxy inj 1 1 1 2 1 2 2 2 3 1 2 1 1 0 40 40 20 20 10
11 Lidocain inj 1 1 1 3 1 1 2 2 1 3 3 3 3 10 20 30 25 5 10
12 Spuit 3cc 3 2 2 4 3 2 4 4 2 4 10 100 110 30 10 100
13 Salep mata 0 0
14 vit k inj 1 1 1 1 1 1 2 2 3 1 1 0 30 30 15 15 10
15 pamol 40 40 40 40 20 40 20 240 100 340 240 100 100
16 slim seker 0 0 0 0 0
17 Cipro 1 100 0 100 100 100
18 catgut chromik 1 1 1 1 1 1 3 2 3 1 1 0 24 24 16 8 10
19 Hipafix 1 1 0 1 1 1 0 1
20 selang infus 1 1 1 1 1 1 1 1 1 1 1 1 1 8 10 18 13 5 10
21 Handscoon tdk steril 5 5 5 3 5 5 3 3 5 1 3 1 1 0 100 100 36 64 100
23 Umbilical klem 1 1 1 3 1 1 2 2 1 1 2 1 1 10 20 30 18 12 10
24 Cefadroxil 20 20 20 20 0 200 200 80 120 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : OKTOBER TAHUN : 2018

NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 ###
30 Sisa AwalPenerimaan Jumlah Pemakaian Sisa AkhirPermintaan
1 Amox 0 0 0 0 0 100
2 Asmef 20 20 20 20 20 20 0 200 200 120 80 100
3 Metil Ergo 0 0 0 0 10 20
4 Hufabion 0 0 0 0 0 100
5 FE 20 20 20 40 20 20 40 20 40 20 20 20 20 20 20 100 300 400 360 120 100
6 Vit A 2 2 2 4 2 2 4 2 4 1 2 1 1 1 1 31 0 31 31 0 50
7 Infus rl 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 10 14 14 0 5
8 Abocat 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 10 14 14 0 10
9 Underpad 1 1 1 1 1 1 1 1 1 1 0 10 10 10 0 10
10 Oxy inj 2 3 2 3 2 3 2 3 3 2 2 3 2 3 3 0 45 45 33 7 10
11 Lidocain inj 1 1 1 3 1 1 3 1 1 3 3 3 3 3 3 11 20 31 31 0 10
12 Spuit 3cc 3 2 2 2 3 3 2 3 2 2 1 1 1 1 30 0 28 28 2 100
13 Salep mata 0 0 0
14 vit k inj 1 1 1 1 1 1 1 1 3 1 1 1 1 1 10 10 20 16 4 10
15 pamol 40 40 40 20 40 0 200 200 180 20 100
16 slim seker 0 0 0 0 0
17 Cipro 20 20 40 20 100 0 100 100 0 100
18 catgut chromik 1 1 1 1 1 1 1 1 3 1 1 1 1 1 8 10 18 16 2 10
19 Hipafix 1 0 1 1 1 0 1
20 selang infus 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 5 10 15 15 0 10
21 Handscoon tdk steril 5 5 5 3 5 5 3 5 5 1 3 1 1 1 1 50 0 50 44 6 100
22 Handscoon steril 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 20 20 16 4 20
23 Umbilical klem 1 1 1 3 1 1 3 1 1 1 2 1 1 1 1 0 20 20 20 0 10
24 Betadin besar 0 1 1 1 0
25 Cefadroxil 20 20 20 20 20 40 20 20 20 20 20 20 100 200 300 260 40 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : NOVEMBER TAHUN : 2018

NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sisa AwalPenerimaan JumlahPemakaian Sisa Akhir Permintaan
1Amox 20 40 20 40 20 20 0 300 300 160 140 100
2Asmef 20 20 20 20 20 20 80 100 180 120 60 100
3Metil Ergo 10 0 10 0 10 20
4Hufabion 0 0 0 0 0 100
5FE 40 30 30 40 20 40 20 20 40 40 20 20 20 30 30 30 0 900 900 470 430 100
6Vit A 2 2 2 4 2 4 2 2 4 4 1 1 2 1 1 1 35 0 35 35 0 50
7Infus rl 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 25 25 17 8 5
8Abocat 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 30 30 17 13 10
9Underpad 3 2 2 2 2 2 2 1 2 1 2 3 2 2 3 3 0 40 40 34 6 10
10Oxy inj 2 3 3 3 2 2 3 3 2 3 2 1 2 3 1 1 7 39 46 36 10 10
11Lidocain inj 2 1 1 2 1 1 1 1 2 1 2 2 1 1 1 1 11 10 21 21 0 10
12Spuit 3cc 5 2 2 2 3 2 3 3 2 2 2 2 2 2 2 2 0 100 100 38 62 100
13Salep mata 0 0 0 0 0
14vit k inj 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 20 20 16 4 10
15pamol 20 20 20 40 20 40 40 40 20 40 20 20 20 60 300 360 360 0 100
16slim seker 0 0 0 0 0
17Cipro 20 40 20 20 0 100 100 100 0 100
18catgut chromik 2 1 1 1 1 1 1 1 1 3 1 1 2 15 17 15 2 10
19Hipafix 1 0 1 1 1 0 1
20selang infus 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 25 25 17 8 10
21Handscoon tdk steril 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 0 200 200 80 120 100
22Handscoon steril 3 2 2 2 2 2 2 2 1 1 1 2 1 2 2 2 0 33 33 29 4 20
23Umbilical klem 2 1 1 3 1 3 1 1 3 1 1 1 2 1 1 1 0 30 30 24 6 10
24Cateter 1 1 1 0 3 3 0 0 10
25Alkohol besar 0 1 1 0 0 0
26Cefadroxil 20 20 20 20 20 20 20 20 20 20 0 300 300 200 100 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : JANUARI TAHUN : 2019

NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sisa Awal Penerimaan Jumlah Pemakaian Sisa Akhir Permintaan
1Amox 20 40 20 20 20 20 20 100 100 200 160 40 100
2Asmef 20 20 20 20 20 20 20 0 300 300 140 160 100
3Metil Ergo 10 0 10 0 10 0
4Hufabion 0 0 0 0 0 100
5FE 30 20 20 20 30 40 20 20 30 40 20 30 60 60 100 300 400 380 20 100
6Vit A 2 2 2 2 2 4 2 2 2 4 1 2 4 4 0 50 50 35 15 50
7Infus rl 1 1 1 1 1 1 1 1 1 1 1 1 2 2 8 10 18 16 2 5
8Abocat 2 1 1 1 2 1 1 1 1 1 1 1 2 2 0 30 30 18 12 10
9Underpad 1 2 2 2 1 2 2 1 2 1 2 2 3 3 6 20 26 26 0 10
10Oxy inj 1 2 2 2 1 1 1 3 1 3 2 1 2 2 0 30 30 24 6 10
11Lidocain inj 1 1 1 1 1 1 1 1 2 1 2 1 2 2 3 15 18 18 0 10
12Spuit 3cc 2 3 3 3 3 2 3 3 2 2 2 3 3 3 62 0 62 37 25 100
13Salep mata 0 0 0 0 0 0
14vit k inj 1 1 1 1 1 1 1 1 1 1 1 1 2 2 4 15 19 16 3 10
15pamol 20 40 20 40 20 20 0 200 200 160 40 100
16slim seker 0 0 0 0 0 0
17Cipro 0 0 100 0 100 100
18catgut chromik 1 1 1 1 1 1 1 1 1 3 1 1 2 1 2 15 17 17 0 10
19Hipafix 0 0 0 0 0 1
20selang infus 1 1 1 1 1 2 1 1 1 1 1 1 2 2 18 5 23 17 6 10
21Handscoon tdk steril 5 5 5 5 5 5 5 5 5 5 5 4 5 5 0 100 100 69 31 100
22Handscoon steril 2 2 2 2 1 2 2 2 1 1 1 2 2 2 4 33 37 24 13 20
23Umbilical klem 1 1 1 1 1 2 1 1 2 1 1 1 2 2 6 25 30 18 12 10
24Cateter 0 0 0 0 0 10
25Alkohol KECIL 0 0 0 0 0 0
26Cefadroxil 20 20 20 20 20 20 20 20 0 200 200 160 40 100

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : PEBRUARI TAHUN : 2019

NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Sisa Awal Penerimaan Jumlah Pemakaian Sisa Akhir Permintaan
1Amox 20 20 40 20 40 20 20 20 20 20 20 60 200 260 260 0 100
2Asmef 20 40 20 20 20 40 40 20 20 160 100 260 240 20 100
3 Ergo Inj 10 0 10 10 10 0
4Hufabion 0 0 0 0 0 100
5FE 20 40 30 40 20 20 90 20 20 30 30 20 20 20 20 200 180 380 380 0 100
6Vit A 2 4 2 4 2 2 2 2 1 2 2 2 2 2 2 15 50 65 44 21 50
7Infus rl 1 2 1 1 1 1 1 1 1 1 1 2 2 1 1 2 16 18 18 0 5
8Abocat 1 2 2 1 1 1 1 1 1 1 1 2 2 1 1 12 10 22 19 3 10
9Underpad 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 40 40 30 10 10
10Oxy inj 1 1 1 1 1 2 1 3 2 1 1 2 2 3 3 9 16 25 25 0 10
11Lidocain inj 1 1 1 1 1 1 2 1 2 1 1 1 1 1 1 7 10 10 17 0 10
12Spuit 3cc 3 1 1 2 2 2 2 1 1 1 2 1 2 1 2 25 0 25 21 4 100
13Salep mata 0 0 0 0 0 0
14vit k inj 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 10 5 15 15 0 10
15pamol 40 40 40 20 20 20 80 100 180 180 0 100
16slim seker 0 0 0 0 0 0
17Cipro 100 0 100 0 100 100
18catgut chromik 1 2 1 1 1 1 1 3 1 1 1 2 2 1 1 5 15 20 20 0 10
19Hipafix 1 0 1 1 1 0 1
20selang infus 1 2 1 2 1 1 1 1 1 1 1 2 2 1 1 6 16 22 20 2 10
21Handscoon tdk steril 5 5 5 5 5 5 5 5 5 4 4 5 5 5 5 0 100 100 73 27 100
22Handscoon steril 2 5 1 2 2 2 1 1 1 2 2 5 5 2 2 5 30 30 35 0 20
23Umbilical klem 1 2 1 2 1 1 2 1 1 1 1 2 2 1 1 5 16 21 19 2 10
24Cateter 0 0 0 0 0 5
25Alkohol 1 0 1 1 1 0 1
26Kassa steril 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 0 25 25 25 0
27Kassa Panjang 1 0 1 1 1 0
28Kapas 1 0 1 1 1 0 1
29Cefadroxil 20 20 20 20 20 20 20 40 100 140 140 0 100

-

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002
` BULAN : Agustus TAHUN : 2019

Sisa
NO NAMA OBAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Awal Penerimaan Jumlah Pemakaian Sisa Akhir Permintaan
1 Amox 20 20 20 40 20 20 20 20 20 0 200 200 200 0 100
2 Asmef 40 20 20 20 0 100 100 100 0 100
3 Ergo Inj 0 0 0 0 0 0
4 Dexa 0 100 100 100 0 100
5 FE 40 40 40 40 40 40 40 40 40 40 40 40 40 ` 0 900 900 520 380 100
6 Vit A 0 0 0 0 0 0
7 Infus rl 1 1 1 1 1 1 1 2 2 1 1 1 1 1 0 15 15 15 0 5
8 Abocat 1 1 1 1 1 1 1 2 2 1 1 1 1 1 0 15 15 15 0 10
9 Underpad 0 0 0 0 0 10
10 Oxy inj 2 1 1 1 1 1 2 2 1 1 1 1 1 0 15 15 15 0 10
11 Lidocain inj 1 1 1 1 1 1 1 1 1 1 0 10 10 10 0 10
12 Spuit 3cc 5 5 5 5 5 5 5 5 4 1 2 1 2 50 0 50 50 0 100
13 Salep mata 0 0 0 0 0 0
14 vit k inj 2 1 1 1 1 1 2 2 1 1 1 1 1 0 15 15 15 0 10
15 pamol 20 20 20 20 20 20 20 20 20 20 0 200 200 200 0 100
16 slim seker 0 3 3 3 0 0
17 Cipro 20 20 20 20 20 100 0 100 100 0 100
18 catgut chromik 1 1 1 2 1 1 2 2 2 2 2 2 1 5 15 20 20 0 10
19 Hipafix 1 1 0 1 1 1 0 0
20 selang infus 1 1 1 1 1 1 1 1 2 1 1 1 1 1 0 15 15 15 0 10
21 Handscoon tdk steril 0 0 0 0 0 100
23 Umbilical klem 2 2 2 2 2 2 2 2 2 2 2 2 2 0 35 35 26 9 10
24 Cateter 0 0 0 0 0 5
25 Alkohol swab 10 10 10 10 10 10 10 10 10 10 10 10 10 0 200 200 130 70 1
26 Kassa steril 1 1 1 1 1 1 1 1 2 1 1 1 2 0 15 15 15 0 10
27 Kassa Panjang 0 0 0 0 0
28 mgs04 1 1 0 2 2 2 0 1
29 Cefadroxil 20 20 20 20 0 100 100 80 20 100
\

NIP.19740716 200801 2 006 NIP.19661205 198812 2 002

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LAPORAN PEMAKAIAN OBAT BPJS PADA PERSALINAN

UPTD PUSKESMAS PAGERUYUNG

dr. SULASIH SITI MULYANIH Amd Keb

BULAN : NOVEMBER TAHUN : 2016

dr. SULASIH SITI MULYANIH Amd Keb

Nama : Ny. Kustini

Nama : Ny. Budiyanti

Nama : Ny. Amaroh

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH SITI MULYANIH Amd Keb

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH SITI MULYANIH Amd Keb

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH SITI MULYANIH Amd Keb

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH SITI MULYANIH Amd Keb

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH SITI MULYANIH Amd Keb

BULAN : JUNI TAHUN : 2017

Pemakaian Obat Pertanggal

1Amox 20 60 20 40 40 20 20 40 20 20 60 40 20 40 280 200 380 460 0 100

2Asmef 20 20 20 20 0 20 20 20 20 20 0 20 20 20 120 100 220 220 0 0

3Metil Ergo 0 100 100 100 0 0

4Bundafit 40 20 20 20 0 100 100 100 0 100

5Hufabion 20 20 10 20 20 20 20 20 20 20 20 20 40 40 20 20 250 100 350 350 0

6Vit A 2 6 4 2 2 4 4 2 2 4 2 2 6 4 2 4 0 1 box 1 box 20 10

15pamol 40 20 20 20 40 60 200 100 300 200 100 100

18catgut chromik 1 4 2 1 1 2 2 1 1 2 1 1 4 2 1 2 0 1 box 1 box 10 0 1 box

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH SITI MULYANIH Amd Keb

Pemakaian Obat Pertanggal

Sri Utami Amd.Keb

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH Sri Utami Amd.Keb

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH Sri Utami Amd.Keb

` BULAN : JANUARI TAHUN : 2018

Pemakaian Obat Pertanggal

1 Amox 20 20 20 20 20 20 20 20 20 20 20 20 0 300 300 240 60 100

2 Asmef 20 20 20 20 20 20 20 200 220 120 100 100

4 Hufabion 20 30 20 20 10 10 60 10 20 20 20 40 200 240 240 0 100

5 FE 20 20 20 20 20 0 100 100 100 0 100

12 Spuit 3cc 2 1 3 2 2 2 3 2 2 2 2 2 2 2 2 2 82 0 82 31 51 100

15 pamol 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 300 320 320 0 100

17 Cipro 0 100 100 0 0

21 Handscoon tdk steril 5 5 8 6 6 10 10 5 5 5 6 5 7 5 5 5 5 100 105 105 0 100

24 Cefadroxil 20 20 40 20 40 20 0 160 160 160 0 100

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH Sri Utami Amd.Keb

` BULAN : FEBRUARI TAHUN : 2018

Pemakaian Obat Pertanggal

1 Amox 20 20 20 20 20 20 20 20 20 20 20 20 20 20 60 250 310 280 30 100

2 Asmef 20 20 20 20 20 20 100 200 300 120 180 100

5 FE 20 20 30 20 20 20 40 10 10 20 60 20 10 20 20 20 20 0 390 390 380 10 100

12 Spuit 3cc 2 2 3 1 2 2 2 3 2 2 2 2 2 2 2 2 2 2 51 0 51 37 14 100

15 pamol 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 100 260 360 360 0 100

17 Cipro 0 100 100 0 0 100

21 Handscoon tdk steril 5 5 8 5 6 6 10 10 5 5 5 6 5 7 5 5 5 5 10 100 110 108 2 100

24 Cefadroxil 20 20 40 20 40 20 50 100 150 140 10 100

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN

dr. SULASIH Sri Utami Amd.Keb

` BULAN : Maret TAHUN : 2018

KEPALA PUSKESMAS PAGERUYUNG PENGELOLA PERSALINAN