LPLPO Salembaran Feb Rev.1

LAPO
MENU
LPLPO
OBAT
FEBRUARI
UPTD Puskesmas Salembaran Jaya
Kecamatan Kosambi
LPLPO
KIMIA
FEBRUARI NO KODE BARANG NAMA BARANG
1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
0 1 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
0 1 1 7 01 02 03 001 0034 Kertas Puyer
0 1 1 7 01 02 03 001 0035 Masker
0 1 1 7 01 02 03 001 0036 Nelaton catheter
0 1 1 7 01 02 03 001 0037 Pembalut gips
0 1 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
0 1 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
0 1 1 7 01 02 03 001 0040 Pot Sputum
0 1 1 7 01 02 03 001 0041 Safety Box
0 1 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
0 1 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
0 1 1 7 01 02 03 001 0044 Simple mask Anak
0 1 1 7 01 02 03 001 0045 Simple mask Dewasa
0 1 1 7 01 02 03 001 0046 Underpad
0 1 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
0 1 1 7 01 02 03 001 0048 Wing needle
0 1 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
0 1 1 7 01 02 03 001 0050 Masker N95
0 1 1 7 01 02 03 001 0051 Masker nebulizer Anak
0 1 1 7 01 02 03 001 0052 Masker nebulizer dewasa
0 1 1 7 01 02 03 001 0053 NGT
0 1 1 7 01 02 03 001 0054 Oxigen nasal canule anak
0 1 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
0 1 1 7 01 02 03 001 0056 Pot Urine
0 1 1 7 01 02 03 001 0057 Pot Fesses
0 1 1 7 01 02 03 001 0058 Disposible Lancet
0 1 1 7 01 02 03 001 0059 Pen Lancet
0 1 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
0 1 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
0 1 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
0 1 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
0 1 1 7 01 02 03 001 0064 Guedel Airway 50mm
0 1 1 7 01 02 03 001 0065 Guedel Airway 80mm
0 1 1 7 01 02 03 001 0085 Masker Earloop
0 1 1 7 01 02 03 001 0086 Masker Headloop
0 1 1 7 01 02 03 001 0087 Coverall
0 1 1 7 01 02 03 001 0088 Surgeon cap
0 1 1 7 01 02 03 001 0089 Nurse Cap
0 1 1 7 01 02 03 001 0090 Apron
0 1 1 7 01 02 03 001 0091 Blood Lancet
0 1 1 7 01 02 03 001 0092 Masker Hijab Program TB
0 1 1 7 01 02 03 001 0093 Masker medis Program HIV
0 1 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
0 1 1 7 01 02 03 002 0001 Microbrush
0 1 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pe
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Safety Box 5 Ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disposible Spuit 0,5 Ml OneJect (Imun Covid)
0 0 0 0 0 0 0 0 0 Spuit 0,3 Ml (Pfizer)
0 0 0 0 0 0 0 0 0 NaCl 0,9% 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Spuit 3 cc (Pfizer)
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Hand Rub 5 Liter (BJB)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Provinsi)
0 0 0 0 0 0 0 0 0 APBD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker N95 1860 (BTT)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen (Kemenkes)
0 0 0 0 0 0 0 0 0 Hazmat/Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 Ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Nasopharyngeal Swab (APBD P2P)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Handscoon (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Alat suntik 0,5 ml APBD Dinkes Prov
0 0 0 0 0 0 0 0 0 Paket Alkohol nswab+handscoon (APBD P2P/Krisis)
0 0 0 0 0 0 0 0 0 Hazmat suit (Banprov)
0 0 0 0 0 0 0 0 0 VTM Yaohabio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 VTM (APBD P2P)
0 0 0 0 0 0 0 0 0 VTM Anhui (BTT)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (Banprov)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imun Covid) AstraZeneca
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 Ml oneject (Imun.Covid) AstraZeneca
0 0 0 0 0 0 0 0 0 Safety Box (Imun.Covid) AstraZeneca
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 Celluloid strip
0 0 0 0 0 0 0 0 0 Kasa Hidrofil 20y x 80 cm
0 0 0 0 0 0 0 0 0 Abada Latex Foley Catheter 2 Way 18
0 0 0 0 0 0 0 0 0 Mutifikasi
0 0 0 0 0 0 0 0 0 Artikulating Peeer
0 0 0 0 0 0 0 0 0 Sodium
0 0 0 0 0 0 0 0 0 Cotton Rol
0 0 0 0 0 0 0 0 0 Meisinger Bur Reparasi Set Low Speed
0 0 0 0 0 0 0 0 0 Meisinger Bur Carbide High Speed Round
0 0 0 0 0 0 0 0 0 Calplus
0 0 0 0 0 0 0 0 0 Paramono Clorofenol
0 0 0 0 0 0 0 0 0 Dili
0 0 0 0 0 0 0 0 0 Masker
0 0 0 0 0 0 0 0 0 Pemplon 18
0 0 0 0 0 0 0 0 0 Pemplon 16
0 0 0 0 0 0 0 0 0 Pemplon 20
0 0 0 0 0 0 0 0 0 Braided Silk Benang Sutra+Needle
0 0 0 0 0 0 0 0 0 Devit S
0 0 0 0 0 0 0 0 0 Celvitron
0 0 0 0 0 0 0 0 0 Etil klorida semprot 100 cc
0 0 0 0 0 0 0 0 0 Pempers
0 0 0 0 0 0 0 0 0 Hand Scoon
0 0 0 0 0 0 0 0 0 Hypafix 5x5
0 0 0 0 0 0 0 0 0 Tambalan Komposit
0 0 0 0 0 0 0 0 0 Descotan
0 0 0 0 0 0 0 0 0 Betadine Kumur
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH KUNJUNGAN
Mengetahui
Kepala Puskesmas
dr. Dwi Yanto

NIP. 197601102008011011
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : FEBRUARI 2022
PERMINTAAN BULAN / TAHUN : MARET 2022
STOK AWAL MUTASI TAMBAH MUTASI KURANG

SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 0 0 0
pcs 40 0 0
pcs 14 0 0 2
pcs 47 0 0
pcs 10 0 0
pcs 15 0 0 100 115
pcs 1250 0 0 260
pcs 55 0 0
pcs 467 0 0 67
pcs 216 0 0 30 46
pcs 60 0 0
pcs 79 0 0 4
pcs 10 0 0
pcs 0 0 0
pcs 0 0 0
pcs 100 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 3 0 0 3
pcs 103 0 0
pcs 0 0 0
pcs 0 0 0
pcs 144 0 0
Bungkus 10 0 0
Roll 0 0 0
Kotak 28 0 0 11
Roll 40 0 0
Roll 140 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 20 0 0 1
pot 1600 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 130 0 0
pcs 20 0 0
pcs 0 0 0
pcs 0 0 0
pcs 220 0 0
pcs 0 0 0
pcs 1 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 60 0 0
pcs 12 0 0
pcs 12 0 0
pcs 36 0 0
pcs 0 0 0
pcs 2 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 0 0
0 0 0 0
botol 3 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 0 0 0
pcs 0 0 0
Vial 375 0 0 50
pcs 0 0 0
pcs 0 0 0
pcs 350 0 0 50
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 100 0 0 75
Tes 0 0 0
Kit 3 0 0 1
Botol 3 0 0 1
Botol 3 0 0 1
Botol 3 0 0 1
Botol 100 0 0 50
pcs 0 0 0
pcs 0 0 0
Set 0 0 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 0 0 0
Set 0 0 0
0 0 0 0
pcs 27 0 0 26 43
pcs 1954 0 0 3100 3824
0 0 0 0 3100 1870
0 324 0 0 324
0 27 0 0 27
0 2 0 0 2
0 182 0 0 182
0 27 0 0 27
0 108 0 0
0 0 0 0
0 2 0 0 1
0 200 0 0
0 29 0 0 20
0 49 0 0 21
0 200 0 0
0 30 0 0
0 20 0 0 20
0 800 0 0 400
0 450 0 0
0 1000 0 0
0 11000 0 0
pcs 3281 0 0 3281
pcs 0 0 0
pcs 210 0 0
pcs 300 0 0 25
pcs 1000 0 0
pcs 25 0 0
pcs 520 0 0 600 200
pcs 800 0 0
pcs 0 0 0 200 200
pcs 0 0 0 200 200
pcs 0 0 0 2 2
pcs 0 0 0 38 38
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
pcs 0 0 2
pcs 0 0 1
pcs 0 0 3
pcs 0 0 28
pcs 0 0 2
pcs 0 0 1
botol 0 0 3
rol 0 0 10
pcs 0 0 4
pcs 0 0 7
pcs 0 0 3
pcs 0 0 0
pcs 0 0 6
pcs 0 0 21600 4700
pcs 0 0 100 50
pcs 0 0 200 100
pcs 0 0 150 50
pcs 0 0 36
pcs 0 0 5 2
pcs 0 0 6
botol 0 0 2
pcs 0 0 196
pcs 0 0 20000
pcs 0 0 234
pcs 0 0 3
botol 0 0 7
0 0 0 4
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
UMUM BPJS JAMPERSAL GRATIS JUMLAH
703 440 1143
OBAT (LPLPO) PUSKESMAS
NO. DOK
PKM
IFK
RUSAK / ED STOK AKHIR BUFFER STOK

DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
12 0 0 1.7 3.4 -8.6
47 0 0 1.7 0 -47
10 0 0 1.7 0 -10
0 0 0 1.7 195.5 195.5
990 0 0 1.7 442 -548
55 0 0 1.7 0 -55
400 0 0 1.7 113.9 -286.1
200 0 0 1.7 78.2 -121.8
60 0 0 1.7 0 -60
75 0 0 1.7 6.8 -68.2
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 5.1 5.1
103 0 0 1.7 0 -103
0 0 0 1.7 0 0
0 0 0 1.7 0 0
144 0 0 1.7 0 -144
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
17 0 0 1.7 18.7 1.7
40 0 0 1.7 0 -40
140 0 0 1.7 0 -140
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
19 0 0 1.7 1.7 -17.3
1600 0 0 1.7 0 -1600
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
130 0 0 1.7 0 -130
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
220 0 0 1.7 0 -220
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
12 0 0 1.7 0 -12
12 0 0 1.7 0 -12
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
325 0 0 1.7 85 -240
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 85 -215
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
25 0 0 1.7 127.5 102.5
0 0 0 1.7 0 0
2 0 0 1.7 1.7 -0.3
2 0 0 1.7 1.7 -0.3
2 0 0 1.7 1.7 -0.3
2 0 0 1.7 1.7 -0.3
50 0 0 1.7 85 35
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 73.1 63.1
1230 0 0 1.7 6500.8 5270.8
1230 0 0 1.7 3179 1949
0 0 0 1.7 550.8 550.8
0 0 0 1.7 45.9 45.9
0 0 0 1.7 3.4 3.4
0 0 0 1.7 309.4 309.4
0 0 0 1.7 45.9 45.9
108 0 0 1.7 0 -108
0 0 0 1.7 0 0
1 0 0 1.7 1.7 0.7
200 0 0 1.7 0 -200
9 0 0 1.7 34 25
28 0 0 1.7 35.7 7.7
200 0 0 1.7 0 -200
30 0 0 1.7 0 -30
0 0 0 1.7 34 34
400 0 0 1.7 680 280
450 0 0 1.7 0 -450
1000 0 0 1.7 0 -1000
11000 0 0 1.7 0 -11000
0 0 0 1.7 5577.7 5577.7
0 0 0 1.7 0 0
210 0 0 1.7 0 -210
275 0 0 1.7 42.5 -232.5
1000 0 0 1.7 0 -1000
25 0 0 1.7 0 -25
920 0 0 1.7 340 -580
800 0 0 1.7 0 -800
0 0 0 1.7 340 340
0 0 0 1.7 340 340
0 0 0 1.7 3.4 3.4
0 0 0 1.7 64.6 64.6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 2 1.7 0 -2
0 0 1 1.7 0 -1
0 0 3 1.7 0 -3
0 0 28 1.7 0 -28
0 0 2 1.7 0 -2
0 0 1 1.7 0 -1
0 0 3 1.7 0 -3
0 0 10 1.7 0 -10
0 0 4 1.7 0 -4
0 0 7 1.7 0 -7
0 0 3 1.7 0 -3
0 0 0 1.7 0 0
0 0 6 1.7 0 -6
0 0 16900 1.7 7990 -8910
0 0 50 1.7 85 35
0 0 100 1.7 170 70
0 0 100 1.7 85 -15
0 0 36 1.7 0 -36
0 0 3 1.7 3.4 0.4
0 0 6 1.7 0 -6
0 0 2 1.7 0 -2
0 0 196 1.7 0 -196
0 0 20000 1.7 0 -20000
0 0 234 1.7 0 -234
0 0 3 1.7 0 -3
0 0 7 1.7 0 -7
0 0 4 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
Tangerang , Februari 2022
Penanggung Jawab Farmasi
dr. Dwi Yanto

NIP. 197601102008011011
TANGGAL DOKUMEN
PEMBERIAAN KETERANGAN
Stock awal Selisih Pengeluaran IFK Selisih

0 0 0
40 0 0
14 0 0
47 0 0
10 0 0
15 0 100 0
1250 0 0
55 0 0
467 0 0
216 0 30 0
60 0 0
79 0 0
10 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 0 0
103 0 0
0 0 0
0 0 0
144 0 0
10 0 0
0 0 0
28 0 0
40 0 0
140 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
1600 0 0
0 0 0
50 0 0 0
0 0 0
0 0 0
0 0 0
130 0 0
20 0 0
0 0 0
0 0 0
220 0 0
0 0 0
0 -1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 0 0
12 0 0
12 0 0
36 0 0
0 0 0
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
375 0 0
0 0 0
50 0 0 0
350 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
3 0 0
3 0 0
3 0 0
3 0 0
100 0 0
50 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
27 0 26 0
1954 0 3100 0
0 0 3100 0
324 0 0
27 0 0
2 0 0
182 0 0
27 0 0
108 0 0
0 0 0
2 0 0
200 0 0
29 0 0
49 0 0
200 0 0
30 0 0
20 0 0
800 0 0
450 0 0
1000 0 0
11000 0 0
3281 0 0
0 0 0
210 0 0
300 0 0
1000 0 0
25 0 0
520 0 600 0
0
200 0
200 0
2 0
38 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
bruari 2022
ab Farmasi
aran Jaya
nto
008011011
MENU
LAPO
LPLPO
SK-CD
Februari UPTD Puskesmas Salembaran Jaya
Kecamatan Kosambi
LPLPO
KIMIA
Februari
NO KODE BARANG NAMA BARANG
1 2 3
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
01 1 7 01 04 01 0 0 ANTIINFEKSI
01 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
01 1 7 01 04 01 002 0 Amoksilin tab 500 mg
01 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
01 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
01 1 7 01 04 01 002 0 Asiklovir tab 200 mg
01 1 7 01 04 01 002 0 Asiklovir tab 400mg
01 1 7 01 04 01 002 0 Azitromisin 500 mg
01 1 7 01 04 01 004 0 Benzatin Benzil penisilin
01 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
01 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
01 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
01 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
01 1 7 01 04 01 002 0 Erytromycin 250 mg
01 1 7 01 04 01 002 0 Erytromycin 500 mg
01 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
01 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
01 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
01 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
01 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
01 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
01 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
01 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
01 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
01 1 7 01 04 01 002 0 Lincomysin 500 mg
01 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
01 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
01 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
01 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
01 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
01 1 7 01 04 01 002 0 Sefadoksil 500 mg
01 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
01 1 7 01 04 01 002 0 Ambroksol tablet
01 1 7 01 04 01 002 0 Asetilsistein 200 mg
01 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
01 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
0 1 1 7 01 04 01 002 0 Haloperidol 1,5 mg
0 1 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
0 1 1 7 01 04 01 001 0 Haloperidol injeksi
0 1 1 7 01 04 01 002 0 Klobazam 10 mg
0 1 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
0 1 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
0 1 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
0 1 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
0 1 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
0 1 1 7 01 04 01 001 0 Etanol 70 %1000 ml
0 1 1 7 01 04 01 001 0 Etanol 70 %100 ml
0 1 1 7 01 04 01 001 0 ETANOL 70% 20 L
0 1 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
0 1 1 7 01 04 01 001 0 povidon iodne 10% 300ml
0 1 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
0 1 1 7 01 04 01 0 0 SERUM
0 1 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
0 1 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
0 1 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
0 1 1 7 01 04 01 001 0 Serum Anti Defteri
0 1 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
0 1 1 7 01 04 01 0 0 ANTIDOTUM
0 1 1 7 01 04 01 001 0 Calsium gluconas inj
0 1 1 7 01 04 01 001 0 Natrium tiosulfat inj
0 1 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
0 1 1 7 01 04 01 0 0 OBAT PROGRAM
0 1 1 7 01 04 01 0 0 ANTI MALARIA
0 1 1 7 01 04 01 001 0 Artemeter injeksi
0 1 1 7 01 04 01 002 0 Arterakine tablet
0 1 1 7 01 04 01 001 0 Artesunate injeksi
0 1 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
0 1 1 7 01 04 01 002 0 KLOROKUIN 150mg
0 1 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
0 1 1 7 01 04 01 002 0 Primaquine 15mg (prov)
0 1 1 7 01 04 01 0 0 GIZI
0 1 1 7 01 04 01 004 0 Mineral Mix
0 1 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
0 1 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
0 1 1 7 01 04 01 004 0 Taburia
0 1 1 7 01 04 01 004 0 Formal 100
0 1 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
01 1 7 01 04 01 002 0 INH 100 mg
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
01 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
01 1 7 01 04 01 002 0 OAT Kombipak Kat.1
01 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
01 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
01 1 7 01 04 01 002 0 PPD 2 TU
01 1 7 01 04 01 0 0 HIV AIDS
01 1 7 01 04 01 002 0 Abacavir 300mg
01 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
01 1 7 01 04 01 002 0 Dolutegravir 50mg
01 1 7 01 04 01 002 0 Efavirenz 200mg
01 1 7 01 04 01 002 0 Efavirenz 600
01 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
01 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
01 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
01 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
01 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
01 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
01 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
01 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
01 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
01 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
01 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
01 1 7 01 04 01 002 0 Zidovudine 100mg tablet
01 1 7 01 04 01 002 0 INH 300 mg (HIV)
01 1 7 01 04 01 002 0 KHB Diagnostar kit.2
01 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
01 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
01 1 7 01 04 01 0 0 VAKSIN
01 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
01 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
01 1 7 01 04 01 001 0 Vaksin DT
01 1 7 01 04 01 001 0 Vaksin HB COM DPT
01 1 7 01 04 01 001 0 Vaksin HB UNIJECT
01 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
01 1 7 01 04 01 001 0 Vaksin TT
01 1 7 01 04 01 001 0 Vaksin TD
01 1 7 01 04 01 001 0 Vaksin DPT HB HIB
01 1 7 01 04 01 001 0 Polio IVP
01 1 7 01 04 01 001 0 Vaksin Rabies
01 1 7 01 04 01 001 0 VAKSIN MENINGITIS
01 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
01 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 2 dosis (SINOVAC)
0 0 0 0 0 0 0 0 0 Vaksin Pfizer
0 0 0 0 0 0 0 0 0 Ampicillin inj
0 0 0 0 0 0 0 0 0 Vaksin Covid AstraZeneca
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH KUNJUNGAN
Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
dr. Dwi Yanto

NIP. 197601102008011011
OBAT

SATUAN
4
0
0
0
0
Kapsul 0 0 0
Tablet 1860 0 0 1785
Botol 138 0 0 120 68
Botol 0 0 0
Tablet 20 0 0 10
Tablet 130 0 0 40
Tablet 360 0 0 210
Vial 0 0 0
kapsul 0 0 0
Botol 0 0 0
Kapsul 380 0 0 170
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 0 0 0
Tablet 360 0 0 20
Tablet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 200 0 0 70
Botol 0 0 0
Botol 2 0 0 50 3
Tablet 98 0 0 200 58
Kapsul 0 0 0
Tablet 15 0 0 100 45
Botol 0 0 0
Botol 15 0 0 4
Tablet 150 0 0 10
Tablet 52 0 0 100 15
Kapsul 120 0 0 1000 460
Botol 28 0 0 9
Botol 0 0 0
Vial 16 0 0
Tablet 30 0 0 1000 95
Vial 0 0 0
Kapsul 0 0 0
Kapsul 130 0 0 130
Kapsul 350 0 0 150
ampul 10 0 0 5
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 300 0 0 110
Tablet 0 0 0
Kapsul 0 0 0
Tablet 2635 0 0 1165
Tablet 70 0 0 50
Supp 2 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0 900 20
Tablet 230 0 0
Tablet 430 0 0 200 90
Tablet 490 0 0 500 190
Botol 190 0 0 171
Botol 353 0 0 247
Tablet 5750 0 0 10400 6315
Tablet 0 0 0
0 0 0 0
Tablet 1020 0 0 3000 1370
Botol 134 0 0 21
kapsul 215 0 0 180
Tablet 120 0 0
Tablet 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 200 0 0
Suppos 6 0 0
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Sachet 77 0 0 500
Tablet 0 0 0
Tablet 0 0 0 500 41
Botol 11 0 0 72 18
0 0 0 0
Tablet 0 0 0 200
Tablet 0 0 0 300 125
Botol 0 0 0
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 2850 0 0 760
ampul 0 0 0
Tablet 5080 0 0 6000 6130
Botol 41 0 0 31
Tablet 2920 0 0 500 1475
Ampul 0 0 0
Tablet 0 0 0
Tablet 170 0 0 2000 300
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 2520 0 0 790
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 110 0 0 600 310
Nebule 0 0 0
0 0 0 0
Botol 142 0 0 60 116
Tablet 2000 0 0
Tablet 0 0 0
Tablet 2700 0 0 2700
Tablet 1193 0 0 3500 193
Tablet 70 0 0 40
Botol 0 0 0
Botol 148 0 0 31
0 0 0 0
Tablet 0 0 0
Tablet 12690 0 0 22500 30520
0 0 0 0
Ampul 0 0 0
Tablet 30 0 0
Ampul 120 0 0
Ampul 0 0 0
Tablet 90 0 0 100 60
0 0 0 0
ampul 22 0 0 4
0 0 0 0
tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 1500 0 0 5100 2660
Ampul 0 0 0
Tablet 4170 0 0 2000 2872
Tablet 70 0 0 200 70
Tablet 80 0 0 80
Tablet 138 0 0 2000 665
0 0 0 0
Tablet 0 0 0
Supp 2 0 0 1
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 10 0 0 10
Tablet 0 0 0
Ampul 0 0 0
ampul 54 0 0
Tablet 325 0 0 175
0 0 0 0
Tablet 120 0 0 10
Ampul 3 0 0 2
Tablet 0 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 250 0 0 100 150
ampul 2 0 0
Tablet 25 0 0 100 25
Ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0 100 100
0 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 115 0 0 100 95
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tube 0 0 0
Tube 13 0 0 72
Pot 16 0 0 25 11
Tube 0 0 0
Tube 3 0 0
Tube 8 0 0 24 4
Tube 10 0 0 40 10
Tube 24 0 0
Botol 31 0 0 5
botol 44 0 0 24
Tube 20 0 0
Pieces 7 0 0 12
Tube 96 0 0 4
Tube 8 0 0 1
Tube 0 0 0
Tube 2 0 0 50 17
Pot 17 0 0 24
Kotak 0 0 0
Tube 0 0 0
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 15 0 0 8
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0 15
Tube 30 0 0 30
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 41 0 0 17
Botol 15 0 0 8
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 0 0 0
Kapsul 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 1050 0 0 1015
tablet 200 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 45 0 0
Tablet 460 0 0 200
Tablet 330 0 0
Tablet 200 0 0 35
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 45 0 0 10
Tablet 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 340 0 0
ampul 30 0 0
0 0 0 0
Tablet 0 0 0
Tablet 25 0 0 25
0 0 0 0
Tablet 40 0 0
0 0 0 0
ampul 0 0 0
0 0 0 0
Tablet 80 0 0
PCS 0 0 0
0 0 0 0
Botol 20 0 0 10
Botol 0 0 0
Botol 0 0 0
Botol 6 0 0 2
Botol 0 0 0
Botol 4 0 0 2
Botol 0 0 0
Botol 6 0 0 3
Botol 20 0 0 20
0 0 0 0
Botol 21 0 0 2
Botol 0 0 0
Botol 0 0 0 48 24
DRIGEN 0 0 0
Botol 0 0 0
botol 5 0 0 3
Botol 0 0 0
0 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Sachet 9600 0 0 2154
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 0 0 0 12960 12960
Botol 0 0 0
0 0 0 0
Blister 15 0 0 5
Blister 0 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 0 0 0
Paket 31 0 0 3
Paket 1 0 0 1
Paket 0 0 0
Paket 0 0 0
Tablet 0 0 0
Paket 0 0 0
Paket 0 0 0
TES 0 0 0
vial 0 0 0
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
tablet 0 0 0
tes 0 0 0
Botol 0 0 0
kotak 0 0 0
0 0 0 0
Vial 6 0 0 50 40
Vial 40 0 0 20 45
Vial 22 0 0
Vial 0 0 0
ampul 168 0 0 130
Vial 49 0 0 60 83
Vial 0 0 0
Vial 35 0 0 30 51
Vial 64 0 0 94 103
Vial 0 0 0 18 18
vial 0 0 0
VIAL 0 0 0
Vial 0 0 0
0 0 0 0
Set 4 0 0
Set 0 0 0 1
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 2 0 0
Botol 0 0 0
Set 2 0 2
Botol 0 0 0
Botol 2 0 0
pieces 0 0 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 0 0 0
Botol 0 0 0
tablet 900 0 0
kapsul 0 0 0
Botol 0 0 0
pcs 101 0 0 26
0 0 0 0
vial 977 0 0 1550 1912
vial 27 0 0 27
Vial 5 0 0 1
Vial 0 0 0 10 10
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

703 440 1143
NO. DOK
PKM
IFK

0 0 0 1.7 0 0
75 0 0 1.7 3034.5 2960
190 0 0 1.7 115.6 -74
0 0 0 1.7 0 0
10 0 0 1.7 17 7
90 0 0 1.7 68 -22
150 0 0 1.7 357 207
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
210 0 0 1.7 289 79
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 34 -306
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
130 0 0 1.7 119 -11
0 0 0 1.7 0 0
49 0 0 1.7 5.1 -44
240 0 0 1.7 98.6 -141
0 0 0 1.7 0 0
70 0 0 1.7 76.5 7
0 0 0 1.7 0 0
11 0 0 1.7 6.8 -4
140 0 0 1.7 17 -123
137 0 0 1.7 25.5 -112
660 0 0 1.7 782 122
19 0 0 1.7 15.3 -4
0 0 0 1.7 0 0
16 0 0 1.7 0 -16
935 0 0 1.7 161.5 -774
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 221 221
200 0 0 1.7 255 55
5 0 0 1.7 8.5 4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
190 0 0 1.7 187 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1470 0 0 1.7 1980.5 511
20 0 0 1.7 85 65
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
880 0 0 1.7 34 -846
230 0 0 1.7 0 -230
540 0 0 1.7 153 -387
800 0 0 1.7 323 -477
19 0 0 1.7 290.7 272
106 0 0 1.7 419.9 314
9835 0 0 1.7 10735.5 901
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2650 0 0 1.7 2329 -321
113 0 0 1.7 35.7 -77
35 0 0 1.7 306 271
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
577 0 0 1.7 0 -577
0 0 0 1.7 0 0
459 0 0 1.7 69.7 -389
65 0 0 1.7 30.6 -34
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
175 0 0 1.7 212.5 38
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2090 0 0 1.7 1292 -798
0 0 0 1.7 0 0
4950 0 0 1.7 10421 5471
10 0 0 1.7 52.7 43
1945 0 0 1.7 2507.5 563
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1870 0 0 1.7 510 -1360
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1730 0 0 1.7 1343 -387
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 527 127
0 0 0 1.7 0 0
0 0 0 1.7 0 0
86 0 0 1.7 197.2 111
2000 0 0 1.7 0 -2000
0 0 0 1.7 0 0
0 0 0 1.7 4590 4590
4500 0 0 1.7 328.1 -4172
30 0 0 1.7 68 38
0 0 0 1.7 0 0
117 0 0 1.7 52.7 -64
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4670 0 0 1.7 51884 47214
0 0 0 1.7 0 0
0 0 0 1.7 0 0
30 0 0 1.7 0 -30
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
130 0 0 1.7 102 -28
0 0 0 1.7 0 0
18 0 0 1.7 6.8 -11
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3940 0 0 1.7 4522 582
0 0 0 1.7 0 0
3298 0 0 1.7 4882.4 1584
200 0 0 1.7 119 -81
0 0 0 1.7 136 136
1473 0 0 1.7 1130.5 -343
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 1.7 1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 17 17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
54 0 0 1.7 0 -54
150 0 0 1.7 297.5 148
0 0 0 1.7 0 0
110 0 0 1.7 17 -93
1 0 0 1.7 3.4 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 255 55
2 0 0 1.7 0 -2
100 0 0 1.7 42.5 -58
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 170 170
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
120 0 0 1.7 161.5 42
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
85 0 0 1.7 0 -85
30 0 0 1.7 18.7 -11
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
28 0 0 1.7 6.8 -21
40 0 0 1.7 17 -23
24 0 0 1.7 0 -24
26 0 0 1.7 8.5 -18
20 0 0 1.7 40.8 21
20 0 0 1.7 0 -20
19 0 0 1.7 0 -19
92 0 0 1.7 6.8 -85
7 0 0 1.7 1.7 -5
0 0 0 1.7 0 0
35 0 0 1.7 28.9 -6
41 0 0 1.7 0 -41
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 1.7 13.6 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8 0 0 1.7 25.5 18
0 0 0 1.7 51 51
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
24 0 0 1.7 28.9 5
7 0 0 1.7 13.6 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
35 0 0 1.7 1725.5 1691
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
45 0 0 1.7 0 -45
660 0 0 1.7 0 -660
330 0 0 1.7 0 -330
165 0 0 1.7 59.5 -106
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
35 0 0 1.7 17 -18
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 42.5 43
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
80 0 0 1.7 0 -80
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 17 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 3.4 -1
0 0 0 1.7 0 0
2 0 0 1.7 3.4 1
0 0 0 1.7 0 0
3 0 0 1.7 5.1 2
40 0 0 1.7 0 -40
0 0 0 1.7 0 0
19 0 0 1.7 3.4 -16
0 0 0 1.7 0 0
24 0 0 1.7 40.8 17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 5.1 3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7446 0 0 1.7 3661.8 -3784
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 22032 22032
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 8.5 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
28 0 0 1.7 5.1 -23
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
16 0 0 1.7 68 52
15 0 0 1.7 76.5 62
22 0 0 1.7 0 -22
0 0 0 1.7 0 0
38 0 0 1.7 221 183
26 0 0 1.7 141.1 115
0 0 0 1.7 0 0
14 0 0 1.7 86.7 73
55 0 0 1.7 175.1 120
0 0 0 1.7 30.6 31
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
2 0 2 1.7 0 -4
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
900 0 0 1.7 0 -900
0 0 0 1.7 0 0
0 0 0 1.7 0 0
75 0 0 1.7 44.2 -31
0 0 0 1.7 0 0
615 0 0 1.7 3250.4 2635
0 0 0 1.7 45.9 46
4 0 0 1.7 1.7 -2
0 0 0 1.7 17 17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
dr. Dwi Yanto

NIP. 197601102008011011
TANGGAL DOKUMEN
Stock
akhir jan Selisih Selisih
1000 0 0 0
1860 0 0
138 0 120 0
0 0 0
20 0 0
130 0 0
360 0 0
0 0 0
0 0 0
0 0 0
380 0 0
0 0 0
0 0 0
0 0 0
0 0 0
360 0 0
0 0 0
0 0 0
0 0 0
200 0 0
0 0 0
2 0 50 0
98 0 200 0
0 0 0
15 0 100 0
0 0 0
15 0 0
150 0 0
52 0 100 0
120 0 1000 0
28 0 0
0 0 0
16 0 0
30 0 1000 0
0 0 0
0 0 0
130 0 0
350 0 0
10 0 0
0 0 0
0 0 0
0 0 0
300 0 0
0 0 0
0 0 0
2635 0 0
70 0 0
2 0 0
0 0 0
0 0 0
0 0 900 0
230 0 0
430 0 200 0
490 0 500 0
190 0 0
353 0 0
5750 0 10400 0
0 0 0
0 0 0
1020 0 3000 0
134 0 0
215 0 0
120 0 0
0 0 0
300 0 0 0
0 0 0
1000 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 0 0
6 0 0
0 0 0
0 0 0
500 0 0 0
77 0 500 0
0 0 0
0 0 400 -100
11 0 72 0
0 0 0
0 0 200 0
0 0 300 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2850 0 0
0 0 0
5080 0 6000 0
41 0 0
2920 0 500 0
0 0 0
0 0 0
170 0 2000 0
0 0 0
0 0 0
1000 0 0 0
0 0 0
2520 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
110 0 600 0
0 0 0
0 0 0
142 0 60 0
2000 0 0
0 0 0
2700 0 0
1193 0 3500 0
70 0 0
0 0 0
148 0 0
0 0 0
0 0 0
12690 0 22500 0
0 0 0
0 0 0
30 0 0
120 0 0
0 0 0
90 0 100 0
0 0 0
22 0 0
0 0 0
0 0 0
10 0 0 0
3 0 0 0
1500 0 5100 0
0 0 0
4170 0 2000 0
70 0 200 0
80 0 0
138 0 2000 0
0 0 0
0 0 0
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
tidak permintaa 10 0 0
0 0 0
0 0 0
54 0 0
325 0 0
0 0 0
120 0 0
3 0 0
0 0 0
0 0 0
0 0 0
250 0 100 0
2 0 0
25 0 100 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
115 0 100 0
0 0 0
0 0 0
1000 0 0 0
0 0 0
0 0 0
13 0 72 0
16 0 25 0
0 0 0
3 0 0
8 0 24 0
10 0 40 0
24 0 0
31 0 0
44 0 0
20 0 0
7 0 12 0
96 0 0
8 0 0
0 0 0
2 0 50 0
17 0 24 0
0 0 0
0 0 0
0 0 0
0 0 0
24 0 0 0
15 0 0
0 0 0
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23 0 0
30 0 0
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41 0 0
15 0 0
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1000 0 0 0
1050 0 0
200 0 0
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45 0 0
460 0 200 0
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30 0 0 0
340 0 0
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2 0 0 0
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80 0 0
0 0 0
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20 0 0
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0 0 0
6 0 0
0 0 0
4 0 0
0 0 0
6 0 0
20 0 20 0
0 0 0
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0 0 0
0 0 48 0
0 0 0
0 0 0
5 0 0
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9600 0 0
0 0 0
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0 0 0
0 0 12960 0
0 0 0
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15 0 0
0 0 0
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31 0 0
1 0 0
0 0 0
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0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6 0 50 0
40 0 20 0
22 0 0
0 0 0
168 0 0
49 0 60 0
0 0 0
35 0 30 0
64 0 94 0
0 0 18 0
0 0 0
0 0 0
0 0 0
0 0 0
4 0 0
0 0 1 0
0 0 0
0 0 0
0 0 0
2 0 0
0 0 0
2 0 0
0 0 0
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
900 0 0
0 0 0
0 0 0
101 0 0
0 0 0
977 0 1550 0
27 0 0
5 0 0
10 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
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0
0
0
0
0
0
0
0
0
0
bruari 2022
ab Farmasi
aran Jaya
nto
008011011
MENU
LAPO
LPLPO
SK-CD
Februari UPTD Puskesmas Salembaran Jaya
Kecamatan Kosambi
LPLPO
OBAT
Februari
NO KODE BARANG NAMA BARANG
1 2 3
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Cairan Desinfektan 1000 ML (BJB)
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH KUNJUNGAN
Mengetahui
Kepala Puskesmas
dr. Dwi Yanto

NIP. 197601102008011011
BAHAN KIMIA

SATUAN
4
0
0
0
botol 0 0 0
botol 6 0 0 10 2
0 0 0 0
0 17 0 0
0 14 0 0 5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

703 440 1143
NO. DOK
PKM
IFK

0 0 0 1.7 0 0
14 0 0 1.7 3.4 -11
0 0 0 1.7 0 0
17 0 0 1.7 0 -17
9 0 0 1.7 8.5 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
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0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
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0 0 0 1.7 0 0
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0 0 0 1.7 0 0
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0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

dr. Dwi Yanto

NIP. 197601102008011011
TANGGAL DOKUMEN
Selisih Selisih
0 0 0
6 0 10 0
0 0 0
17 0 0
14 0 0
2022
ab Farmasi
aran Jaya
nto
008011011
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN
MENU UPTD Puskesmas Salembaran Jaya BULAN :

PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :
KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 0
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 0
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison
Kotrimoksazolkrim/salep
(dewasa) kombinasi Tube 1
21 tablet/Kotrimoksazol suspensi Tablet/Botol 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 0
25 Natrium Diklofenak Tablet 1
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 0
32 Retinol 100.000/200.000 IU Kapsul 0
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 0
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1
Keterangan Tangeran, 26 Februari 2022

1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
Februari
dr. Dwi Yanto

NIP. 197601102008011011
DAN VAKSIN FORM PEM
FEBRUARI 2022 UPTD Puskesmas Salembaran Jaya

apt.Evi Damayanti,S.Si PERIODE :
KABUPATEN :
PROVINSI :
KETERANGAN
NO JENIS PERSED
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru
Keterangan
1. Jika tersedia, tuliskan angka 1

2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling l
5 tiap bulannya
Februari 2022
etahui
uskesmas
alembaran Jaya
i Yanto
02008011011
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN
esmas Salembaran Jaya BULAN : FEBRUARI 2022

2022 PJ FARMASI : apt.Evi Damayanti,S.Si
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :
JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN

( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1
Tangerang , 26 Februari 2022

Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya
dr. Dwi Yanto

NIP. 197601102008011011
LAPORAN
MENU BULAN : FEBRUARI 2022
STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 70 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 3 0
3 Diazepam tablet 2 mg Tablet 0 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 2 0
8 Clobazam 10 mg Tablet 25 0
Jumlah Resep = 6 Resep
Mengetahui
Kepala Puskesmas
dr. Dwi Yanto

NIP. 197601102008011011
LAPORAN NARKOTIK DAN PSIKOTROPIK
TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN

LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES
0 0 0 0 70 0 0 0 40
0 0 0 0 0 0 0 0 0
0 0 0 0 3 0 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 1
0 100 0 0 125 0 0 0 25
Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instala
UPTD Puskesmas Salembaran Jaya Kabupaten Tanger
apt. Evi Damayanti,S.Si Yustin Aryani, S.Farm

Nip. 1974060419980
PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA
0 0 30 0 0
0 0 0
0 0 0 0 0
0 0 1 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 0
0 0 100 0 0
Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang
Yustin Aryani, S.Farm,.Apt

Nip. 197406041998032003

LPLPO Salembaran Feb Rev.1

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LPLPO Salembaran Feb Rev.1

Diunggah oleh

Hak Cipta:

Format Tersedia

LAPO

dr. Dwi Yanto

STOK AWAL MUTASI TAMBAH MUTASI KURANG

RUSAK / ED STOK AKHIR BUFFER STOK

dr. Dwi Yanto

Stock awal Selisih Pengeluaran IFK Selisih

dr. Dwi Yanto

STOK AWAL MUTASI TAMBAH MUTASI KURANG

UMUM BPJS JAMPERSAL GRATIS JUMLAH

RUSAK / ED STOK AKHIR BUFFER STOK

dr. Dwi Yanto

dr. Dwi Yanto

STOK AWAL MUTASI TAMBAH MUTASI KURANG

UMUM BPJS JAMPERSAL GRATIS JUMLAH

RUSAK / ED STOK AKHIR BUFFER STOK

Tangerang , Februari 2022

dr. Dwi Yanto

MENU UPTD Puskesmas Salembaran Jaya BULAN :

Keterangan Tangeran, 26 Februari 2022

dr. Dwi Yanto

FEBRUARI 2022 UPTD Puskesmas Salembaran Jaya

1. Jika tersedia, tuliskan angka 1

esmas Salembaran Jaya BULAN : FEBRUARI 2022

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN

Tangerang , 26 Februari 2022

dr. Dwi Yanto

Jumlah Resep = 6 Resep

dr. Dwi Yanto

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN

apt. Evi Damayanti,S.Si Yustin Aryani, S.Farm

Yustin Aryani, S.Farm,.Apt

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