DAFTAR KEBUTUHAN OBAT JIWA TAHUN 2022

PUSKESMAS KELEKAR
TAHUN 2022

NO NAMA OBAT, BENTUK DAN KEKUATAN SEDIAAN SATUAN

1 Alprazolam tablet

2 Amitriptillin, Tab, 25 mg tablet

3 Asam Valproat syr 250 mg/5 mg botol

4 Carbamazepine 200 mg tablet

5 Chlorpromazin, Inj, 25 mg/ml ampul

6 Chlorpromazin, Tab, 100 mg tablet

7 Chlorpromazin, Tab, 25 mg tablet

8 Clobazam tablet 10 mg tablet

9 Clozapine tablet 25 mg tablet

10 Depacote ER Tablet 250 mg tablet

11 Depacote ER tablet 500 mg tablet

12 Diazepam, Inj, 5 mg/ml ampul

13 Diazepam, Tab, 2 mg tablet

14 Diazepam, Tab, 5 mg tablet

15 Diphenhyndramine 10 mg injeksi ampul

16 Fenitoin kapsul 100 mg kapsul

17 Fenobarbital injeksi 30 mg ampul

18 Fenobarbital tablet 30 mg tablet

19 Flufenazin dekanoat, Inj, 25 mg/ml ampul

20 Fluoksetin, Tab, 20 mg tablet

21 Haloperidol (Lodomer Drops 2 mg/ml) botol

22 Haloperidol dekanoat, Inj, 50 mg/ml (Haldol decanoas) ampul

23 Haloperidol HCL, Inj, 5 mg/ml (Lodomer Injeksi 5 mg/ml) ampul

24 Haloperidol, Tab, 0,5 mg tablet

25 Haloperidol, Tab, 1,5 mg botol

26 Haloperidol, Tab, 2 mg tablet

27 Haloperidol, Tab, 5 mg tablet

28 Lorazepam tablet 2 mg tablet

29 Risperidon (Noprenia Oral Solutio 5.0 mg/5 ml) tablet

30 Risperidon, Tab, 2 mg tablet

31 Setolid Supp tube

32 Sodium Vapronoate botol

33 Stesolid rectal 5 mg/2,5ml tube

34 Triheksifenidil, Tab, 2 mg tablet

35 Valproie Acid Syrup 250 MG/ 5 ml botol

Kepala Puskesmas Kelekar

Wansori Daya, SKM

NIP. 196911171992031003
 DAFTAR KEBUTUHAN OBAT POLI GIGI
PUSKESMAS KELEKAR
TAHUN 2022

NO NAMA OBAT JUMLAH SATUAN

1 Lidocaine compositum injeksi 2%, ampul 5 box
2 Ethyl Chloride aerosol 100 ml 5 botol
3 Betadine 10 botol
4 Paracetamol, Tab, 500 mg 10 box
5 Asam mefenamat, tab, 500 mg 10 box
6 Ibuprofen, tab, 400 mg 5 box
7 Amoxicilin, tab, 500 mg 10 box
8 Clindamycin, tab, 300 mg 5 box
9 Paracetamol syr 30 botol
10 Amoxicilin syr 30 botol
 DAFTAR PERMINTAAN OBAT RUANG POLI UMUM DAN LANSIA

NO NAMA OBAT JUMLAH PERMINTAAN

1 PARACETAMOL 30 BOX
2 IBUPROPEN 20 BOX
3 ASMEF 25 BOX
4 MELOXICAM 20 BOX
5 NA DICLOFENAC 20 BOX
6 BRONCIFAR 30 BOX
7 AMOX 30 BOX
8 CIPRO 20 box
9 COTRIMOXAZOLE 10 box
10 KETOKONAZOLE TAB 10 BOX
11 KETOKONAZOLE ZALEP 1 BOX
12 METRONEDAZOLE 10 BOX
13 ALLOPURINOL 20 BOX
14 AMLODIPINE 10 MG 30 BOX
15 FUROSEMID 10 BOX
16 OMEPRAZOLE 10 BOX
17 METFORMIN 50 BOX
18 GLIBENCLAMIDE 5 MG 30 BOX
19 GLIMEPERIDE 2 MG 30 BOX
20 CTM 30 BOX
21 DEXA 30 BOX
22 METHILPREDNISOLON 30 BOX
23 CETERIZINE 30 BOX
24 ANTASIDA TAB 50 BOX
25 Loperamide 10 BOX
26 SIMVASTATIN 10 BOX
27 CANDACARTAN 16 MG 10 BOX
28 LEVOPLOXACIN 20 BOX
29 CIFEXIME 20 BOX
30 AMOX SY 100
31 PCT SY 100
32 AMBROXOL SY 100
33 LYTACUR SY 50
34 VIT C 10
35 B 12 10
36 VIT B COMPLEK 10
37 ANTASIDA SY 100
38 AMLODIPINE 10 MG 20 BOX
39 AMLODIPINE 5 MG 20 BOX
40 CAPTOPRIL 25,5 MG 10 BOX
41 CAPTOPRIL 12,5 MG 10 BOX
42 CANDACASTAN 8 MG 15 BOX
43 CANDASARTAN 16 MG 15 BOX
44 NIPEDIPINE 10 MG 5 BOX
45 AMOX SY 100
46 ALLUPURINOL 100 MG 10 BOX
47 ALLUPURINOL 300 MG 10 BOX
48 CETERIZIN SY 100
49 SIMVASTATIN 5 BOX
50 BETAHISTIN 10 BOX
51 AMBROXOL TAB 20 BOX
52 GG 15 BOTOL
53 TERA F SY 100
54 UNI BABY COUGH 100
55 PEHAPRAL 15 BOX
56 PROPANAOLOL 20 BOX
57 PTU 20 BOX
58 THYROSAL 20 BOX
60 PHENITOIN 10 BOTOL
61 DIAZEPAM 5 BOTOL
62 CARBAMAZEPINE 5 BOX
63 ANTI HEMOROID 5 BOX
64 GLIMEPERIDE 1 MG 10 BOX
65 HYDROCORTISON SLP 1 BOX
66 KETOKONAZOLE SLP 1 BOX
67 OXYTETRA SLP MATA 1 BOX
68 GENTAMICIN SLP MATA 1 BOX
69 PHENOL GLISEROL T TELINGA 1 BOX
70 CLORAMPHENICOL T TELINGA 1 BOX
71 GENTAMICIN TETES MATA 1 BOX
72 LORATADINE 20 BOX
73 PREDNISON 20 BOX
74 VIT A BIRU 1 BOX
75 VIT A MERAH 1 BOX
76 NISAGON ZLP 1 BOX
77 CENDO XYTROL 1 BOX
78 CIFEXIME 20 BOX
 DAFTAR KEBUTUHAN REAGENSIA DAN ALAT HABIS PAKAI TAHUN
2022
LABORATORIUM PUSKESMAS KELEKAR
TAHUN 2022

NO NAMA REAGENSIA DAN ALAT HABIS PAKAI SATUAN JUMLAH

1 Alkohol 70% Botol 1

2 Lysol/ superpel Botol 2
3 Aquadedst 500 ml Botol 3
4 antisera golongan darah set 2
5 eosin 2% Botol 1
6 Turk 1
7 Giemsa 1
8 Zhieel Nelson set 2
9 KOH 10% 1
10 Hand wash botol 3
11 Glucose strip bene chek kotak 5
12 cholesterol strip benechek kotak 5
13 Uric acid strip benechek kotak 5
14 Spuit 3 cc kotak 1
15 Tabung vacumtainer no additive (kimia) set 3
16 kapas gulung gulung 1
17 alkohol swab kotak 5
18 Blood lancet kotak 4
19 hand scoon Kotak 3
20 masker Kotak 4

Kepala Puskesmas Kelekar Penanggung jawab laboratorium

Wansori Daya, SKM Tiara Murti Besemah, AMAK

NIP. 196911171992031003 NIP. 198801022011012008
 DAFTAR PERMINTAAN OBAT RUANG POLI UMUM DAN LANSIA

NO NAMA OBAT JUMLAH PERMINTAAN

1 PARACETAMOL 20 box
2 IBUPROPEN 15 BOX
3 ASMET 15 BOX
4 MELOXICAM 15 BOX
5 NA DICLOFENAC 15 BOX
6 BRONCHIFAR 15 BOX
7 AMOX 500 MG 15 BOX
8 AMOX 250 MG 10 BOX
9 CIPROPROXACIM 10 box
10 AMLODIPINE 10 MG 20 BOX
11 AMLODIPINE 5 MG 15 BOX
12 CAPTOPRIL 12,5 MG 15 BOX
13 CAPTOPRIL 25 MG 15 BOX
14 CANDESARTANE 16 MG 10 BOX
15 CANDESARTANE 8 MG 10 BOX
16 NIPEDIPINE 10 MG 10 BOX
17 ALLUPURINOL 100 MG 15 BOX
18 ALLUPURINOL 300 MG 15 BOX
19 FUROSEMIDE 40 MG 5 BOX
20 OMEPRAZOLE CAPS 15 BOX
21 LANSOPRAZOLE CAPS 10 BOX
22 ANTASIDA TAB 15 BOX
23 ANTASDA SYR 100 BOTOL
24 RANITIDINE 10 BOX
25 DONPERIDONE 10 BOX
26 LORATADINE 10 BOX
27 CTM 15 BOX
28 CEFIXIME 200 MG 10 BOX
29 LEVOFLOXACIM 5 BOX
30 CETIRIZINE 5 BOX
31 AMBROXOL TAB 15 BOX
32 AMBROXOL SYR 100 BOTOL
33 GUAIPENESINE 5 BOX
34 TERA F SYR 100 BOX
35 VIT C 5 BOX
36 B 12 10 BOX
37 VIT B COMPLEK 10 BOX
38 VIT B 1 10 BOX
39 FEHAPRAL 5 BOX
40 FE 5 BOX
41 DEXAMETHASONE TAB 10 BOX
42 METHIL PREDNISOLONE 10 BOX
43 KETOCENAZOLE ZALF 1 BOX
44 PHENOL GLICEROL T TELINGA 1 BOX 1 BOX
45 CLORAMPHENICOL T TELINGA 1 BOX 1 BOX
46 NISAGON ZALF1 1 BOX
47 GENTAMICIN ZALF 1 BOX
48 GLIBENCLAMIDE 5 MG 30 BOX
49 GLIMEPIRIDE 1 MG 30 BOX
50 GLIMIPIRIDE 2 MG 30 BOX
51 METFORMIN 500 MG 50 BOX
52
53 STRIP
54 BSS 7 KOTAK
55 UA 5 KOTAK
56 CHOLESTEROL 5 KOTAK
DAFTAR PERMINTAAN OBAT RUANG POLI UMUM DAN LANSIA

NO NAMA OBAT JUMLAH PERMINTAAN

1 PARACETAMOL 30 BOX
2 IBUPROPEN 20 BOX
3 ASMEF 25 BOX
4 MELOXICAM 20 BOX
5 NA DICLOFENAC 20 BOX
6 BRONCIFAR 30 BOX
7 AMOX 30 BOX
8 CIPRO 20 box
9 COTRIMOXAZOLE 10 box
10 KETOKONAZOLE TAB 10 BOX
11 KETOKONAZOLE ZALEP 1 BOX
12 METRONEDAZOLE 10 BOX
13 ALLOPURINOL 20 BOX
14 AMLODIPINE 10 MG 30 BOX
15 FUROSEMID 10 BOX
16 OMEPRAZOLE 10 BOX
17 METFORMIN 50 BOX
18 GLIBENCLAMIDE 5 MG 30 BOX
19 GLIMEPERIDE 2 MG 30 BOX
20 CTM 30 BOX
21 DEXA 30 BOX
22 METHILPREDNISOLON 30 BOX
23 CETERIZINE 30 BOX
24 ANTASIDA TAB 50 BOX
25 Loperamide 10 BOX
26 SIMVASTATIN 10 BOX
27 CANDACARTAN 16 MG 10 BOX
28 LEVOPLOXACIN 20 BOX
29 CIFEXIME 20 BOX
30 AMOX SY 100
31 PCT SY 100
32 AMBROXOL SY 100
33 LYTACUR SY 50
34 VIT C 10
35 B 12 10
36 VIT B COMPLEK 10
37 ANTASIDA SY 100
38 AMLODIPINE 10 MG 20 BOX
39 AMLODIPINE 5 MG 20 BOX
40 CAPTOPRIL 25,5 MG 10 BOX
41 CAPTOPRIL 12,5 MG 10 BOX
42 CANDACASTAN 8 MG 15 BOX
43 CANDASARTAN 16 MG 15 BOX
44 NIPEDIPINE 10 MG 5 BOX
45 AMOX SY 100
46 ALLUPURINOL 100 MG 10 BOX
47 ALLUPURINOL 300 MG 10 BOX
48 CETERIZIN SY 100
49 SIMVASTATIN 5 BOX
50 BETAHISTIN 10 BOX
51 AMBROXOL TAB 20 BOX
52 GG 15 BOTOL
53 TERA F SY 100
54 UNI BABY COUGH 100
55 PEHAPRAL 15 BOX
56 PROPANAOLOL 20 BOX
57 PTU 20 BOX
58 THYROSAL 20 BOX
60 PHENITOIN 10 BOTOL
61 DIAZEPAM 5 BOTOL
62 CARBAMAZEPINE 5 BOX
63 ANTI HEMOROID 5 BOX
64 GLIMEPERIDE 1 MG 10 BOX
65 HYDROCORTISON SLP 1 BOX
66 KETOKONAZOLE SLP 1 BOX
67 OXYTETRA SLP MATA 1 BOX
68 GENTAMICIN SLP MATA 1 BOX
69 PHENOL GLISEROL T TELINGA 1 BOX
70 CLORAMPHENICOL T TELINGA 1 BOX
71 GENTAMICIN TETES MATA 1 BOX
72 LORATADINE 20 BOX
73 PREDNISON 20 BOX
74 VIT A BIRU 1 BOX
75 VIT A MERAH 1 BOX
76 NISAGON ZLP 1 BOX
77 CENDO XYTROL 1 BOX
78 CIFEXIME 20 BOX