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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSTU/POSKESDES
PUSTU/POSKESDES : SUKASARANA
KECAMATAN : KARANGTENGAH
KABUPATEN : CIANJUR
PELAPORAN BULAN : MEI 2022
PERMINTAAN BULAN : JUNI 2022

Jumlah PEMBERIAN
NO NAMA OBAT SATUAN Stok Awal Penerimaan Pemakaian Stok akhir Permintaan
Persediaan
Jumlah

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik Sekali Pakai 1 ml SET 5 15 20 17 3 15
2 Alat Suntik Sekali Pakai 10 ml SET 0 0 0 0 0 0
3 Alat Suntik Sekali Pakai 3 ml SET 0 0 0 0 0 0
4 Alat Suntik Sekali Pakai 5 ml SET 1 15 16 14 2 15
5 Albendazol tab TABLET 0 0 0 0 0 0
6 Alkohol Swab KOTAK 0 0 0 0 0 1
7 Amlodipin Tablet 10 mg TABLET 0 0 0 0 0 0
8 Amlodipin Tablet 5 mg TABLET 0 0 0 0 0 100
9 Amoksisilin 500 mg TABLET 0 0 0 0 0 200
10 Amoksisilin Syrup 125 mg/ 5 ml BOTOL 0 0 0 0 0 10
11 Antasida DOEN I tablet kunyah TABLET 0 0 0 0 0 200
12 Antasida DOEN II suspensi, BOTOL 0 0 0 0 0 5
13 Asam Mefenamat 500 mg TABLET 0 0 0 0 0 100
14 Catgut Chromic SET 0 0 0 0 0 5
15 Cyprofoxacin 500 mg TABLET 0 0 0 0 0 0
16 Cetirizin Tablet 10mg TABLET 0 0 0 0 0 100
17 Deksametason Injeksi 5 mg/ ml AMPUL 0 0 0 0 0 0
18 Deksametason Tablet 0,5 mg TABLET 0 0 0 0 0 100
19 Domperidon Syrup BOTOL 0 0 0 0 0 5
20 Domperidon Tablet 10mg TABLET 0 0 0 0 0 100
21 Etanol 70 % 100 ml BOTOL 0 0 0 0 0 1
22 Etanol 70 % 1000 ml BOTOL 0 0 0 0 0 0
23 Fitomenadion Injeksi 2 mg/ ml AMPUL 0 0 0 0 0 10
24 Folley Catheter No. 20 Buah 0 0 0 0 0 1
25 Garam Oralit 200 ml Air SASET 0 0 0 0 0 50
26 Gliseril Guayakolat 100 mg TABLET 0 0 0 0 0 100
27 Hand Sanitizer Botol 0 0 0 0 0 1
28 Ibuprofen 400 mg TABLET 0 0 0 0 0 100
29 Infusion Set Anak SET 0 0 0 0 0 0
30 Infusion Set Dewasa SET 0 0 0 0 0 2
31 IV Catheter/abocath No. 18 Buah 0 0 0 0 0 0
32 IV Catheter/abocath No. 20 Buah 0 0 0 0 0 2
33 IV Catheter/abocath No.22 Buah 0 0 0 0 0 2
34 IV Catheter/abocath No.24 Buah 0 0 0 0 0 0
35 Kalsium Laktat 500 mg TABLET 0 0 0 0 0 100
36 Kasa Pembalut Hidrofil 4 m x 10 cm ROL 0 0 0 0 0 5
37 Kasa Pembalut Hidrofil 4 m x 5 cm ROL 0 0 0 0 0 5
38 Ketokonazol 200 mg TABLET 0 0 0 0 0 0
39 Klorfeniramin Maleat (CTM) 4 mg TABLET 0 0 0 0 0 100
40 Kotrimoksazole Suspensi BOTOL 0 0 0 0 0 5
41 Kotrimoksazole Tablet Dewasa TABLET 0 0 0 0 0 100
42 Lidokain Injeksi 2% AMPUL 0 0 0 0 0 5
43 Magnesium Sulfat Injeksi 20 % VIAL 0 0 0 0 0 0
44 Magnesium Sulfat Injeksi 40 % VIAL 0 0 0 0 0 2
45 Metil Prednisolon 4 mg TABLET 0 0 0 0 0 100
46 Metilergometrin Maleat Inj. 0,200 AMPUL 0 0 0 0 0 10
47 Metilergometrin Maleat tab 0,125 mg TABLET 0 0 0 0 0 100
48 Multivitamin tablet TABLET 0 0 0 0 0 100
49 Natrium Diklofenak 50 mg TABLET 0 0 0 0 0 100
50 Natrium Klorida Infus 0,9 % Steril BOTOL 0 0 0 0 0 3
51 Oksitosin Injeksi 10 IU/ ml AMPUL 0 0 0 0 0 10
52 Omeprazol Kapsul 20 mg KAPSUL 0 0 0 0 0 100
53 Parasetamol tablet 500 mg TABLET 0 0 0 0 0 200
54 Permetrin Krim 5% (Scabimite) TUBE 0 0 0 0 0 2
55 Plester 6 Yards x 2 Inch PCS 0 0 0 0 0 1
56 Povidon Iodida 10 % 30 ml BOTOL 0 0 0 0 0 5
57 Povidon Iodida 10 % 300 ml BOTOL 0 0 0 0 0 0
58 PP test SASET 0 0 0 0 0 10
59 Prednison 5 mg TABLET 0 0 0 0 0 0
60 Ranitidin tablet 150mg TABLET 0 0 0 0 0 100
61 RL Larutan infus Steril 500ml BOTOL 0 0 0 0 0 5
62 Sarung tangan No. 6.5 PCS 0 0 0 0 0 0
63 Sarung tangan No. 7 PCS 0 0 0 0 0 4
64 Sarung tangan No. 7.5 PCS 0 0 0 0 0 0
65 Sarung Tangan Periksa L BOX 0 0 0 0 0 0
66 Sarung Tangan Periksa M BOX 0 1 1 1 0 1
67 Silk No 3/0( Benang Bedah Sutera) PCS 0 0 0 0 0 0
68 Sodium bicarbonat ( bicnat) TABLET 0 0 0 0 0 0
69 Tablet Tambah Darah Dewasa TABLET 3600 2100 5700 810 4890 0
70 Thiamin HCL (Vit. B1) 50 mg TABLET 0 0 0 0 0 0
71 Vitamin B. Komplek TABLET 0 0 0 0 0 200
72 Zink dispersibel tablet TABLET 0 0 0 0 0 100
73 Asetil Sistein Kapsul 200 mg KAPSUL 0 0 0 0 0 100
74 Bioplasenton Tule 10x10 TUBE 0 0 0 0 0 2
75 Cetirizin Syrup BOTOL 0 0 0 0 0 5
76 Vaksin BCG Vial 2 7 9 7 2 5
77 Vaksin HB Uniject Buah 0 10 10 6 4 10
78 Vaksin DPT-HB/HIB Vial 0 10 10 9 1 10
79 Vaksin Polio (bOPV) Vial 0 15 15 11 4 5
80 Vaksin Polio IPV 5 Dosis Vial 0 2 2 0 2 5
81 Vaksin Campak Vial 0 0 0 0 0 0
82 Vaksin Td Vial 2 2 4 1 3 0
83 Pelarut BCG Vial 2 7 9 7 2 5
84 Pelarut Campak Vial 0 0 0 0 0 0
85 Dropper Polio Vial 0 15 15 11 4 5
86 Vaksin Polio IPV 10 Dosis Vial 0 0 0 0 0 0
87 Vaksin Campak MR Vial 0 7 7 7 0 7
88 Pelarut Campak MR Vial 0 7 7 7 0 7

Petugas farmasi Puskesmas Petugas Pustu/Poskesdes


Yanti Nurhati S.Si, Apt Irma Dewi Y
NIP 197707082011012002