DINAS KESEHATAN KABUPATEN LAMPUNG SELATAN

NAMA PUSKESMAS : PUSKESMAS RAWAT INAP TANJUNG BINTANG

SATU PEMAKAIAN STOK PER 31 KEBUTUHAN THN
NO NAMA OBAT KET
AN RATA-RATA DES 2019 2020
a b c d e f=(d*18)-e g
A OBAT
1 Albendazol tablet tablet 0 0 0
2 Alkoholl 70% 100ml botol 20 0 360
3 Alopurinol tablet 100mg tablet 1,000 1,500 16,500
4 Aminofilin tab 150mg tablet 100 100 1,700
5 Amitriptilintabletsalut 25mg(HCl) tablet 100 0 1,800
6 Amlodipin tablet 5 mg tablet 1,000 3,210 14,790
7 Amlodipin tablet 10 mg tablet 500 0 9,000
8 Amoksisilin kapsul 250mg tablet 5,000 6,800 83,200
9 Amoksisilin kapsul 500mg tablet 10,000 10,200 169,800
10 Amoksisilin sirup kering125mg/5ml botol 500 300 8,700
Antasida DOEN tablet kunyah, komb :
11 tablet 10,000 2,400 177,600
Al OH 200 mg Mg OH 200 mg
Antasida DOEN II suspensi, komb :
12 botol 200 0 3,600
Antifungi DOEN Kombinasi:Asam
13 tube 24 46 386
Benzoat6%+AsamSalisilat3%
14 Anti Bakteri Doen Salp tube 25 50 400
15 Antihemaroid, kombinasi supp 20 200 160
Antimigren: Ergotamin Tartrat1mg + Kofein
16 tablet 100 0 1,800
50mg

17 Aqua pro injeksi vial 30 0 540

18 Asam Ascorbat 50mg tablet 5,000 4,000 86,000

19 Asam Folat tablet 1 mg tablet 500 9,000
20 Asam Mefenamat 500mg tablet 3,000 3,000 51,000
21 Asiklovir tablet 400 mg tablet 300 400 5,000
22 Atapulgit tablet 600mg tablet 100 0 1,800
23 Betametason krim0,1% tube 100 1,800
24 Cetrizin tablet 10 mg tablet 1,000 2,800 15,200
25 Cetrizin syrup botol 100 0 1,800
26 Deksametason tablet 0.5mg tablet 15,000 2,100 267,900
27 Deksametason Injeksi ampul 200 0 3,600
28 Diazepam injeksi 5 mg/ml ampul 0 0 0
29 Diazepam tablet 2 mg tablet 100 0 1,800
30 Diazepam stesolid tube 10 0 180
31 Dhiphenhidramin Injeksi 10mg/ml vial 10 0 180
Dihidro Artemisin+piperakuin (DHP)+
32 tablet 0 0 0
Primakuin
33 Dimenhidrinat tablet 50 mg tablet 0 0 0
34 Domperidon tab 10mg tablet 200 0 3,600
35 Doksisiklin kapsul 100 mg kapsul 0 0 0

36 Epinefrin (Adrenalin)injeksi0,1% (sbg HCl) ampul 20 0 360

37 Eritromisin kapsul 250 mg kapsul 0 0 0

38 Ettakridin larutan (Rivanol 0,1 %) botol 20 0 360
39 Fenobarbital injeksii.m./i.v.50mg/ml ampul 0 0 0
40 Fenol Gliserol botol 25 0 450

41 Fitomenadion (VitaminK1)injeksi 2 mg/ml ampul 20 168 192

42 Furosemid inj i.v/i.m 10mg/ml ampul 10 0 180

43 Furosemid tab 40 mg tablet 500 0 9,000
44 Gameksan lotion botol 50 0 900
45 Garam Oralit serbuk sachet 500 1,900 7,100
46 Gentamisin injeksi 40mg/ml ampul 0 0 0
47 Gentamisin Sulfat tetesmata0,3% botol 24 0 432
48 Gentamisin Sulfat salep mata tube 24 0 432
49 Gentian Violet larutan 1% botol 24 0 432
 SATU PEMAKAIAN STOK PER 31 KEBUTUHAN THN
NO NAMA OBAT KET
AN RATA-RATA DES 2019 2020
50 Gliserin liquid botol 0 0 0
51 Gliseril Guaiakolat 100mg tablet 20,000 14,600 345,400
52 Glukosa larutan infus 5% steril botol 40 180 540
53 Griseofulvin tablet 125 mg tablet 100 0 1,800
54 Glibenklamid tab 5mg tablet 500 0 9,000
55 Haloperidol tablet 1,5 mg tablet 0 0 0
56 Haloperidol tablet 2 mg tablet 100 0 1,800
57 Haloperidol tablet 5mg tablet 100 290 1,510
58 Haloperidol decanoat injeksi ampul 0 0 0
59 Hidrogen peroksida (H2O2) laruran botol 5 0 90
60 Hidroklorotiazida tablet 25 mg tablet 0 0 0
61 Hidrokortison krim 2,5% tube 100 0 1,800
62 Ibuprofen suspensi 100 mg/5ml botol 50 280 620
63 Ibuprofen tab 400mg tablet 1,000 0 18,000
64 Ichtiyol salep pot 24 0 432
65 Isosorbid Dinitrat tablet sublingual 5 mg tablet 100 0 1,800
66 Kalsium Laktat (Kalk)tablet 500 mg tablet 5,000 2,200 87,800
67 Kaptopril tablet 12,5 mg tablet 5,000 1,400 88,600
68 Kaptopril tablet 25 mg tablet 2,000 7,500 28,500
69 Karbamazepin tablet 200 mg tablet 0 0 0
70 Ketokonazol krim 2% tube 25 0 450
71 Ketokonazol tab tablet 200 500 3,100
72 Kloramfenikol kapsul 250 mg kapsul 1,000 0 18,000
73 Kloramfenikol susp 125 mg/5ml botol 50 0 900
74 Kloramfenikol salep mata 1 % tube 50 24 876
75 Kloramfenikol salep kulit 2% tube 24 0 432
76 Kloramfenikol Tetes Mata botol
77 Kloramfenikol Tetes Telingga botol
78 Klorokuin tablet 150 mg tablet 0 0 0
79 Klorfeniramin Maleat 4mg tablet 10,000 6,000 174,000
80 Klorpromazin injeksi 25 mg/ml ampul 0 0 0
81 Klorpromazin tablet salut 100 mg (HCl) tablet 100 500 1,300
Kotrimoksazol DOEN (dewasa) komb:
82 tablet 2,000 1,800 34,200
Sulfametoksazol400 mg Trimetoprim80 mg
Kotrimoksazol Suspensi komb:
83 Sulfametoksazol 200 mg+Trimetoprim 40 botol 500 200 8,800
mg/5ml
84 Levertran salep pot 15 0 270

85 Lidokain injeksi2% ampul 90 360 1,260

Lidokain 2%+ Epinefrin (adrenalin)
86 ampul 90 0 1,620
1:80.000
87 Lisol 1000ML botol 5 5 85
88 Loperamide tab 2mg tablet 500 0 9,000
89 Magnesium Sulfatinj(IV)20%-25ml ampul 5 25 65
90 Metampiron tab 500mg tablet 1,000 0 18,000
91 Metformin HCl tablet 500 mg tablet 2,000 0 36,000

92 Metilergometrin Maleat inj 0,200 mg- 1ml ampul 100 0 1,800

93 Metilergometrin Maleat tablet tablet 50 0 900

94 Metil prednisolon 4mg tablet 200 0 3,600

95 Metronidazol tablet 500 mg tablet 5,000 0 90,000

96 Mikonazol krim/salep 2 % (Nitrat) tube 24 0 432
97 Nacl 0,9 % botol 60 120 960
98 Natrium Diklofenak tablet 25 mg tablet 2,000 1,600 34,400
99 Nifedipin 10mg tablet 200 0 3,600
100 Nistatin Tablet salut 500.000IU/g tablet 100 400 1,400
101 Nistatin vaginal tablet 100.000 IU/g tablet 100 1,000 800
102 Obat Batuk Hitam (OBH) botol 200 448 3,152
103 Obat Batuk Kombinasi tablet 2,000 2,100 33,900
104 Obat Batuk Pilek Kombinasi botol 200 0 3,600
105 Oksitetrasiklin HCl salep mata 1% tube 24 0 432
106 Oksitosin injeksi 10 IU/ml-1ml ampul 1,000 0 18,000
107 Omeprazol kapsul 20 mg kapsul 1,000 1,350 16,650
 SATU PEMAKAIAN STOK PER 31 KEBUTUHAN THN
NO NAMA OBAT KET
AN RATA-RATA DES 2019 2020
108 Paracetamol syrup botol 400 400 6,800
109 Parasetamol tab 500mg tablet 15,000 3,500 266,500
110 Pirantel sirup 125 mg/5ml botol 0 0 0
111 Pirantel tab score (base) 125mg tablet 0 0 0
112 Piridoxin inj 100mg/ml ampul 0 0 0
113 Piridoxin tab 10mg (HCl) tablet 2,000 8,300 27,700
114 Piroksikam 10mg tablet 1,000 10,200 7,800
115 Povidon Iodida larutan 10% 60 ml botol 20 0 360
116 Povidon Iodida larutan 10% 300ml botol 5 33 57
117 Prednison tablet 5mg tablet 2,000 0 36,000
118 Ranitidin 150mg tablet 1,000 8,900 9,100
119 Retinol (VitaminA) 100.000 IU kapsul lunak kapsul 1,000 0 18,000
120 Retinol (VitaminA) 200.000 IU kapsul lunak kapsul 1,000 0 18,000
121 Ringer laktat 500ml botol 650 320 11,380
122 Risperidon tablet 2 mg tablet 100 95 1,705
123 Salbutamol tablet 2 mg (sebagai Sulfat) tablet 500 1,500 7,500
Salep 2-4,Kombinasi: As Salisilat 2%
124 tube 24 0 432
+Sulfur 4%
125 Salisil bedak 2% sachet 50 0 900
126 Sianokobalamin (vitaminB12 )inj 500 mcg ampul 200 0 3,600
Sianokobalamin (vitaminB12) tablet 50
127 tablet 500 1,000 8,000
mcg
128 Simvastatin tab 10 mg tablet 500 0 9,000
129 siprofloxasin 500mg tablet 5,000 24,800 65,200
130 Tablet Tambah Darah tablet 1,000 11,340 6,660
131 Thiamin (Vit B1 Hcl) tablet 5,000 7,900 82,100
132 Triheksifenidil tablet 2 mg tablet 100 1,054 746
133 Vitamin B Kompleks tablet tablet 3,000 3,900 50,100
134 Zinc tablet 20 mg tablet 500 800 8,200
135 Ventolin ampul 20 0 360
136 Multivitamin anak botol 100 0 1,800
137 Multivitamin dewasa tablet 1,000 0 18,000
JUMLAH

B OBAT GIGI 0
1 Devitalisasi Pasta Non Arsen set 2 36
2 Cold Spray botol 0
3 Eugenol Cairan botol 2 36
4 Glass Ionomer Cement Art set 2 36
5 Kalsium Hidroksi Pasta tube 0
6 Monoklorkamfer Menthol Cairan/CHKM botol 0
7 Mummifying Pasta pot 0
8 Semen Seng Fosfat Serbuk/Cairan botol 0
9 Temporary Stopping Fletcher botol 0
JUMLAH

C PERBEKALAN KESEHATAN
1 Alat Suntik Sekali Pakai 1 ml pcs 500 9,000
2 Alat Suntik Sekali Pakai 3 ml pcs 1,500 27,000
3 Alat Suntik Sekali Pakai 5 ml pcs 1,000 18,000
4 Aqua Gel jely sach 2 36
5 bisturi pcs 100 144 1,656
6 Catgut/ Benang Bedah No 2/0 pcs 100 24 1,776
7 Folley Chateter No 18 pcs 2 36
8 Handscone Steril pcs 500 9,000
9 Handscone Non Steril pcs 1,000 1,200 16,800
10 Infusion Set Anak set 50 250 650
11 Infusion Set Dewasa set 100 200 1,600
12 IV Catheter NO. 20 G pcs 200 200 3,400
13 IV Catheter NO. 22 G pcs 200 800 2,800
14 IV Catheter NO. 24 G pcs 100 180 1,620
15 Kapas absorben 250mg bks 10 28 152

16 Kassa Hidrofil Steril Ukr. 16 X 16cm pcs 50 140 760

 SATU PEMAKAIAN STOK PER 31 KEBUTUHAN THN
NO NAMA OBAT KET
AN RATA-RATA DES 2019 2020

17 Kassa Hidrofil Steril Ukr. 18 X 18cm pcs 5 5 85

18 Kassa Hidrofil Steril Ukr. 36x80cm roll 5 90

KASSA PEMBALUT ELASTIC 7,5 cmx
19 rol 5 90
4,55mm
KASSA PEMBALUT ELASTIC 10 cm x
20 rol 10 180
4,55 mm
21 Kassa Pembalut Hidrofil 4m X 10 cm pcs 20 360

22 Kassa Pembalut Hidrofil 4m X 3 cm pcs 50 900

23 Masker pcs 500 500 8,500

24 Plester 4,5 cm x 7,5 cm pcs 20 70 290
25 Pembalut Gibs 3 inchi rol 0
26 Pembalut Gibs 4 inchi rol 0
27 Pembalut Gibs 6 inchi rol 0
28 Silk (Benang Bedah Sutera) No. 3/0 rol 36 72 576

Tanjung Bintang, 18 Februari 2020

Mengetahui,
Kepala UPT Puskesmas Rawat Inap Tanjung Bintang Pengelola Obat

Darmawan, SKM, M.Kes Ahmad Solich Annas M, S.Farm, Apt

NIP. 19720603 199302 1 001 NIP. 19781002 201001 1 011