Lplpo Juni 22

PEMERINTAH KABUPATEN PULAU TALIABU
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O )
PUSKESMAS : TABONA BULAN :

KECAMATAN : TABONA
KABUPATEN : PULAU TALIABU TAHUN : 2017
PROPINSI : MALUKU UTARA
PEMBERIAN
STOK
NO NAMA OBAT SATUAN KEMASAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
1 ABOKET No. 16 Buah 50 Buah/Dos

7 ALBENDAZOLE Tablet 5 Strip x 6 Tab/Dos
8 ADONA INJ. 50 Mg / 10 ml Ampul 10 Amp/Dos
9 ADONA TAB (AC-17) Tablet 100 Tab/Dos
10 ALKOHOL 70 % Botol 1000 ml/Botol
11 ALLUPURINOL 100 Mg Tablet 100 Tab/Botol
12 AMINOPHYLLINE 200 Mg Tablet 1000 Tab/Botol
13 AMOXICILLIN SYRUP KERING 125 Mg/5 ml Botol 60 ml/Botol
14 AMOXICILLIN 250 Mg Capsul 120 Tab/Dos
15 AMOXICILLIN 500 Mg Tablet 10 Strip x 10 Tab/ Dos
16 AMBROXOL SYRUP Botol 60 ml/Botol
17 AMBROXOL 30 Mg Tablet 100 Tab/Ktk
18 AMPICILLIN Inj. Vial 10 Vial/Ktk
19 AMYTRIPTILINE 25 Mg Tablet 100 Tab/Ktk
20 ANTALGIN 500 Mg Tablet 1000 Tab/Klg
21 ANTALGIN INJ. Ampul 30 Amp @ 2 ml/ktk
22 ANTASIDA DOEN SUSPENSI Botol 60 ml/Botol
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
23 ANTASIDA DOEN 400 MG Tablet 1000 Tab/Klg

24 ANTI HEMOROID SUPP Suppo 10 Supp/Dos
25 ANTI FUNGIDOEN SALEP Tube 24 Tube/Ktk
26 ASAM MEFENAMAT 500 Mg Tablet 100 Tab/Dos
27 ASICLOVIR 400 Mg Tablet 100 Tab/Ktk
28 ASICLOVIR Cream Tube 25 Tube @ 5 Gr/Ktk
29 AZITHROMYCIN 500 Mg Tablet 20 Tab/Dos
30 BEDAK SALISIL 2% 100 GRAM/POT Botol 50 Gram/Ktk
31 BETAMETHASONE KRIM 0,1% Tube 25 Tube @ 5 Gr/Ktk
32 CALSIUM LAKTAT 500 MG Tablet 1000 Tab/Klg
33 CAPTOPRIL 25 MG Tablet 10 strip @ 10 Tab/Ktk
34 CAPTOPRIL 12,5 MG Tablet 5 strip @ 10 Tab/Ktk
35 CATGUT No.2/0-3/0 DG JARUM BEDAH Pcs 24 x 70 Cm/Ktk
36 CEFADROXIL 500 MG Capsul 100 Tab/ Ktk
37 CEFADROXIL SIRUP KERING 125 MG Botol 60 ml/Botol
38 CEFIXIM 200 Mg Capsul 30 Capsul/Ktk
39 CEFOTAXIM INJ. 1 GRAM Vial 2 Vial/Ktk
40 CHLORAMPHENIKOL 250 Mg Capsul 250 Capsul/Botol
41 CHLORAMPHENIKOL TETES MATA Tube 24 Btl @ 5 ml/Ktk
42 CHLORAMPHENIKOL TETES TELINGA 1% Tube 24 Btl @ 5 ml/Ktk
43 CHLORAMPHENICOL 1% (5Gr) Tube 24 Tube/Ktk
44 CHLORPHENIRAMINI MALEAT 4 Mg (CTM) Tablet 1000 Tab/Klg
45 CHLORPROMAZINE 100 MG Tablet 250 Tab/ Btl
46 CIMETIDIN 200 Mg Tablet 100 Tab/Dos
47 CIPROFLOXICIN 500 Mg Tablet 100 Tab/Dos
48 CHLOROQUIN 250 Mg Tablet 1000 Tab/Klg
49 COTRIMOXAZOLE 480 Mg Tablet 100 Tab/Dos
50 COTRIMOXAZOLE Pediatri Tablet 100 Tab/Dos
51 COTRIMOXAZOLE SUSPENSI Botol 60 ml/Botol
52 CLOMIFEN 50 MG Tablet 10 Tab/Ktk
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl

54 CAIRAN INFUS DEX 10% Botol 500 ml/Btl
55 CAIRAN INFUS NaCl 0,9% Botol 500 ml/Btl
56 CAIRAN INFUS RL Botol 500 ml/Btl
57 DEXAMETHASON 0,5 Mg Tablet 1000 Tab/Klg
58 DEXAMETHASON INJEKSI Ampul 100 Amp @ 1 ml/ktk
59 DEXTROMERPHAN 15 Mg Tablet 1000 Tab/Klg
60 DEXTROMERPHAN SYRUP Botol 60 ml/Botol
61 DIAZEPAM 2 Mg Tablet 1000 Tab/Klg
62 DIAZEPAM INJ. Ampul 30 Amp @ 2 ml/ktk
63 DIPHENHIDRAMINE INJ. Ampul 30 Amp @ 1 ml/ktk
64 DILTIAZEM 30 Mg Tablet 100 Tab/Dos
65 DIGOXIN 0,25 Mg Tablet 100 Tab/Dos
66 DISPOSIBLE SYRINGE SETARA 1 ml Pcs 100 Pcs/Ktk
67 DISPOSIBLE SYRINGE SETARA 2,5 ml Pcs 100 Pcs/Ktk
70 DOXICILIN 100 MG/CAPSUL Capsul 100 Cap/Dos
71 DOMPERIDONE 10 Mg Tablet 100 Tab/Dos
72 DOMPERIDONE SUSPENSI Botol 60 ml/Botol
73 EPINEFRIN INJ. Ampul 30 amp/ktk
74 EFEDRIN HCL 50 Mg Tablet 1000 Tab/Klg
75 ERYTHROMICIN 250 MG Capsul 100 Tab/Btl
76 ERYTHROMICIN 500 MG Capsul 100 Tab/Btl
77 ERYTHROMICIN SYRUP Botol 60 ml/Botol
78 ETAKRIDINA LARUTAN 0,1% (RIVANOL) Botol 300 Ml/Btl
79 ETAMBUTOL 250 MG Tablet 200 Tab/Dos
80 ETAMBUTOL 500 MG Tablet 100 Tab/Btl
81 ETIL CHLORIDA SEMPROT Vial 100 ml/Vial
82 EXTRABELLADONA Tablet 100 tab/Dos
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg

84 FENOBARBITAL 30 MG Tablet 1000 Tab/Klg
85 FENOBARBITAL Inj Ampul 30 amp/ktk
86 FERROSUS SULFAT 30 MG Tablet 1 Sct @ 30/Sct
87 FOLL CATETER No 16 Pcs Pcs/Buah
91 FORMALIN LIQ. Botol 1 Ltr/Btl
92 FUROSEMIDE 40 Mg Tablet 100 tab/Dos
93 GARAM ORALIT U/200 ML AIR Saset 100 Sct/Ktk
94 GENTAMISIN SALEP KULIT 0,1 % Tube 25 Tube/Ktk
95 GENTAMISIN INJ. Ampul 1 Vial @ 2 ml/Ktk
96 GENTIAN VIOLET 1% Tube 10 ml/Btl
97 GLIBENCLAMIDA 5 Mg Tablet 100 tab/Dos
98 GLISERIL GUAIAKOLAT 100 Mg Tablet 1000 Tab/Klg
99 GRISEOFULVIN 125 MG Tablet 100 tab/Dos
100 HIDROCORTISON 2,5% Tube 24 Tube@ 5 gr/Ktk
101 Hydrochlorotiazide (HCT) 25 MG Tablet 1000 Tab/Klg
102 IBUPROFEN 200 MG Tablet 100 tab/Dos
103 IBUPROFEN 400 MG Tablet 100 tab/Dos
104 INFUSION SET ANAK Buah 1 Set/Kantong
105 INFUSION SET DEWASA Buah 1 Set/Kantong
106 IODINE POVIDONE 10% 30 ML Botol 300 ml/Btl
107 ISONIAZIDE 100 MG Tablet 100 tab/Dos
108 ISONIAZIDE 300 MG Tablet 100 tab/Dos
109 ISOSORBIT DINITRAT 5 MG Tablet 100 tab/Dos
110 KAPAS PEMBALUT 250 MG Bungkus 250 Mg/Bks
111 KAPAS PEMBALUT 500 MG Bungkus 500 Mg/Bks
112 KASA HIDROFIL STERIL Kotak 16 Lbr @ 16x16cm/Dos
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
113 KASA HIDROFIL 40 x 80 Rol Rol

114 KALIUM PERMANGANAT (PK) Botol 10 Mg/Btl
115 KARBAMAZEPIN 200 MG Tablet 100 Tab/Dos
116 KETOKONAZOLE 200 MG Tablet 100 Tab/Dos
117 KETOROLAK Inj Ampul 12 Amp/Dos
118 KLIP PLASTIK OBAT 8 x 5 Pcs 100 Pcs@10bks/Ktk
119 LANSOPRAZOLE Capsul 20 Capsul/Dos
120 LEVOFLOXACIN Tablet 100 Tab/Dos
121 LISOL 50 % Botol 100 ml/Btl
122 LOPERAMIDE 2 MG Tablet 100 Tab/Dos
123 LORATADINE A0 MG Tablet 50 Tab/Dos
124 MAGNESIUM SULFAT 30 MG Tablet 10 Saset @30 gr/Ktk
125 MELOXICAM TAB 7,5 Mg Tablet 50 Tab/Dos
126 METFORMIN500 MG Tablet 100 Tab/Dos
127 METHYLERGOMETRIN 0,125 MG Tablet 100 Tab/Dos
128 METHYLERGOMETRIN MALEAT INJ. 0,200 MG Ampul 30 Amp @ 1ml/Ktk
129 METOCLOPAMID Tablet 10 strip @ 10 Tab/Ktk
130 METRONIDAZOLE 250 MG Tablet 100 Tab/Dos

131 METRONIDAZOLE 500 MG Tablet 100 Tab/Dos
132 MICONAZOLE 2% KRIM Tube 10 Gr/Tube
133 NATRIUM DIKLOVENAK 50 MG Tablet 50 Tab/Dos
134 NIFEDIPINE 10 MG Tablet 100 Tab/Dos
135 NISTATIN Tablet 100 Tab/Ktk
136 OBH Botol 60 Btl/Ktk
137 OXITETRACYCLINE SALEP MATA 1% Tube 24 Tube/Ktk
138 OXITETRACYCLINE HCL SALEP KULIT 3% Tube 24 Tube/Ktk
139 OXITETRACYCLINE INJ. Ampul 10 Vial@10 ml/Ktk
140 OMEPRAZOLE 20 MG Tablet 30 Tab/Dos
141 PAPAVERIN 40 MG Tablet 1000 tab/klg
142 PAPAVERIN INJ. Ampul 10 Amp/ktk
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
143 PARASETAMOL SYRUP Botol 60 Btl/Ktk

144 PARASETAMOL 500 Mg Tablet 100 Tab/Dos
145 PH CAIN INJ. Ampul 20 amp/Ktk
146 PYRANTEL PAMOAT 125 Mg Tablet 60 tab/Ktk
147 PIROXICAM 20 Mg Capsul 100 Tab/Dos
148 PLESTER 2,5 CM X 4,5 M Rol 6 Rol/Ktk
149 PREDNISON 5 Mg Tablet 1000 tab/klg
150 PRIMAKUIN 15 Mg Tablet 1000 tab/klg
151 PROPILTIORASIL (PTU) 100 MG Tablet 100 tab/klg
152 PROPANOLOL HCL 40 MG Tablet 100 Tab/Dos
153 RANITIDIN TABLET Tablet 100 Tab/Dos
154 RANITIDIN INJEKSI Ampul 10 amp/ktk
155 RIFAMPISIN 300 MG Tablet 100 Tab/Dos
158 SALBUTAMOL 2 Mg Tablet 100 Tab/Dos
159 SALBUTAMOL 4 Mg Tablet 100 Tab/Dos
160 SALEP 2-4 Tube 24 Pot @ 30 Gr/Ktk
161 SARUNG TANGAN STERIL NO. 7 Pasang 50 Pasang/Dos
162 SARUNG TANGAN STERIL NO. 7,5 Pasang 50 Pasang/Dos
163 SARUNG TANGAN STERIL NO. 8 Pasang 50 Pasang/Dos
164 SERUM ANTI BISA ULAR Vial 10 Vial/Ktk
165 SERUM ANTI DIFTERI INJ. Vial 10 Vial/Ktk
166 SERUM ANTI TETANUS Vial 10 Vial/Ktk
167 SIMVASTATIN 10 MG Tablet 50 Tab/Dos
168 SILK BENANG BEDAH Pcs 12x3x75 cm/Ktk
169 SULFADOXINE 25 Mg Tablet 100 Tab/Dos
170 SURGICAL FACE MASK Pcs 50 Pcs/Dos
171 TETRACYCLINE 250 Mg Capsul 100 Tab/Dos
172 TETRACYCLINE 500 Mg Capsul 100 Tab/Dos
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos

174 URIN BAG Pcs 10 Pcs/Bks
175 VAKSIN RABIES VERO Ampul 1 Kuur/Set
176 VIT. A CAPSUL LUNAK 200.000 UI Capsul 50 Capsul/Btl
177 VIT. A CAPSUL LUNAK 100.000 UI Capsul 50 Capsul/Btl
178 VITAMIN B COMPLEX INJEKSI Vial 10 Vial@20 ml/Ktk
179 VITAMIN B COMPLEX TAB Tablet 1000 tab/klg
180 VITAMIN B₁ INJEKSI Vial 10 Vial@20 ml/Ktk
181 VITAMIN B₁ TAB Tablet 1000 tab/klg
182 VITAMIN B₆ TAB Tablet 1000 tab/klg
183 VITAMIN B₁₂ INJEKSI Ampul 100 Amp@1 ml/Ktk
184 VITAMIN B₁₂ 50 Mcg Tablet 1000 tab/klg
185 VITAMIN C 50 Mg Tablet 1000 tab/klg
186 VIT. K (PYTOMENADION) 10 Mg Tablet 100 Tab/Btl
187 VIT. K (PYTOMENADION) INJ. Ampul 30 Amp@1 ml/Ktk
188 ZINC 20 Mg Tablet 100 Tab/Dos
189 SCABICID CREAM Tube 24 Tube/Ktk
UMUM BPJS
JUMLAH KUNJUNGAN RESEP
BAYAR GRATIS NON PBI PBI
MENGETAHUI YANG MEMINTA / MELAPORKAN

KEPALA PUSKESMAS TABONA PENGELOLA OBAT
ARSAD, AMK MITRA DAME, S. Si
NIP. 19841011 201101 1 002
PUSKESMAS : TABONA BULAN : JANUARI

KECAMATAN : TABONA
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
1 ABOKET No. 16 Buah 50 Buah/Dos 0 0 0 0 0

3 ABOKET No. 20 Buah 50 Buah/Dos 25 0 25 10 15 100
7 ALBENDAZOLE Tablet 5 Strip x 6 Tab/Dos 300 0 300 0 300 300
8 ADONA INJ. 50 Mg / 10 ml Ampul 10 Amp/Dos 0 0 0 0 0
9 ADONA TAB (AC-17) Tablet 100 Tab/Dos 0 0 0 0 0
10 ALKOHOL 70 % Botol 1000 ml/Botol 1 0 1 0 1 5
11 ALLUPURINOL 100 Mg Tablet 100 Tab/Botol 300 0 300 0 300 1000
12 AMINOPHYLLINE 200 Mg Tablet 1000 Tab/Botol 200 0 200 0 200 400
13 AMOXICILLIN SYRUP KERING 125 Mg/5 ml Botol 60 ml/Botol 34 0 34 0 34
14 AMOXICILLIN 250 Mg Capsul 120 Tab/Dos 0 0 0 0 0
15 AMOXICILLIN 500 Mg Tablet 10 Strip x 10 Tab/ Dos 500 0 500 200 300 2000
16 AMBROXOL SYRUP Botol 60 ml/Botol 20 0 20 0 20 60
17 AMBROXOL 30 Mg Tablet 100 Tab/Ktk 0 0 0 0 0 1000
18 AMPICILLIN Inj. Vial 10 Vial/Ktk 0 0 0 0 0
19 AMYTRIPTILINE 25 Mg Tablet 100 Tab/Ktk 0 0 0 0 0
20 ANTALGIN 500 Mg Tablet 1000 Tab/Klg 0 0 0 0 0 1000
21 ANTALGIN INJ. Ampul 30 Amp @ 2 ml/ktk 0 0 0 0 0 60
22 ANTASIDA DOEN SUSPENSI Botol 60 ml/Botol 106 0 106 8 98
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
23 ANTASIDA DOEN 400 MG Tablet 1000 Tab/Klg 2600 0 2600 200 2400
24 ANTI HEMOROID SUPP Suppo 10 Supp/Dos 140 0 140 0 140
25 ANTI FUNGIDOEN SALEP Tube 24 Tube/Ktk 18 0 18 0 18 48
26 ASAM MEFENAMAT 500 Mg Tablet 100 Tab/Dos 2100 0 2100 100 2000
27 ASICLOVIR 400 Mg Tablet 100 Tab/Ktk 200 0 200 0 200 500
28 ASICLOVIR Cream Tube 25 Tube @ 5 Gr/Ktk 19 0 19 0 19 25
29 AZITHROMYCIN 500 Mg Tablet 20 Tab/Dos 0 0 0 0 0
30 BEDAK SALISIL 2% 100 GRAM/POT Botol 50 Gram/Ktk 145 0 145 0 145
31 BETAMETHASONE KRIM 0,1% Tube 25 Tube @ 5 Gr/Ktk 12 0 12 8 4 100
32 CALSIUM LAKTAT 500 MG Tablet 1000 Tab/Klg 3000 0 3000 0 3000
33 CAPTOPRIL 25 MG Tablet 10 strip @ 10 Tab/Ktk 500 0 500 100 400 500
34 CAPTOPRIL 12,5 MG Tablet 5 strip @ 10 Tab/Ktk 100 0 100 0 100 500
35 CATGUT No.2/0-3/0 DG JARUM BEDAH Pcs 24 x 70 Cm/Ktk 0 0 0 0 0 100
36 CEFADROXIL 500 MG Capsul 100 Tab/ Ktk 0 0 0 0 0
37 CEFADROXIL SIRUP KERING 125 MG Botol 60 ml/Botol 0 0 0 0 0
38 CEFIXIM 200 Mg Capsul 30 Capsul/Ktk 0 0 0 0 0
39 CEFOTAXIM INJ. 1 GRAM Vial 2 Vial/Ktk 0 0 0 0 0
40 CHLORAMPHENIKOL 250 Mg Capsul 250 Capsul/Botol 0 0 0 0 0
41 CHLORAMPHENIKOL TETES MATA Tube 24 Btl @ 5 ml/Ktk 17 0 17 0 17 24
42 CHLORAMPHENIKOL TETES TELINGA 1% Tube 24 Btl @ 5 ml/Ktk 0 0 0 0 0 24
43 CHLORAMPHENICOL 1% (5Gr) Tube 24 Tube/Ktk 0 0 0 0 0
44 CHLORPHENIRAMINI MALEAT 4 Mg (CTM) Tablet 1000 Tab/Klg 0 0 0 0 0 5000
45 CHLORPROMAZINE 100 MG Tablet 250 Tab/ Btl 0 0 0 0 0 250
46 CIMETIDIN 200 Mg Tablet 100 Tab/Dos 0 0 0 0 0 1000
47 CIPROFLOXICIN 500 Mg Tablet 100 Tab/Dos 600 0 600 0 600 500
48 CHLOROQUIN 250 Mg Tablet 1000 Tab/Klg 0 0 0 0 0
49 COTRIMOXAZOLE 480 Mg Tablet 100 Tab/Dos 300 0 300 200 100 1000
50 COTRIMOXAZOLE Pediatri Tablet 100 Tab/Dos 0 0 0 0 0
51 COTRIMOXAZOLE SUSPENSI Botol 60 ml/Botol 0 0 0 0 0 120
52 CLOMIFEN 50 MG Tablet 10 Tab/Ktk 0 0 0 0 0 500
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl 107 0 107 0 107

55 CAIRAN INFUS NaCl 0,9% Botol 500 ml/Btl 4 0 4 4 0 100
56 CAIRAN INFUS RL Botol 500 ml/Btl 1 0 1 4 -3 200
57 DEXAMETHASON 0,5 Mg Tablet 1000 Tab/Klg 1500 0 1500 0 1500
58 DEXAMETHASON INJEKSI Ampul 100 Amp @ 1 ml/ktk 0 0 0 0 0 100
59 DEXTROMERPHAN 15 Mg Tablet 1000 Tab/Klg 0 0 0 0 0
60 DEXTROMERPHAN SYRUP Botol 60 ml/Botol 0 0 0 0 0
61 DIAZEPAM 2 Mg Tablet 1000 Tab/Klg 0 0 0 0 0 1000
62 DIAZEPAM INJ. Ampul 30 Amp @ 2 ml/ktk 0 0 0 0 0 60
63 DIPHENHIDRAMINE INJ. Ampul 30 Amp @ 1 ml/ktk 12 0 12 0 12 60
64 DILTIAZEM 30 Mg Tablet 100 Tab/Dos 0 0 0 0 0
65 DIGOXIN 0,25 Mg Tablet 100 Tab/Dos 0 0 0 0 0
66 DISPOSIBLE SYRINGE SETARA 1 ml Pcs 100 Pcs/Ktk 200 0 200 100 100 500
67 DISPOSIBLE SYRINGE SETARA 2,5 ml Pcs 100 Pcs/Ktk 310 0 310 100 210 500
70 DOXICILIN 100 MG/CAPSUL Capsul 100 Cap/Dos 300 0 300 100 200 1000
71 DOMPERIDONE 10 Mg Tablet 100 Tab/Dos 300 0 300 100 200 500
72 DOMPERIDONE SUSPENSI Botol 60 ml/Botol 0 0 0 0 0 60
73 EPINEFRIN INJ. Ampul 30 amp/ktk 0 0 0 0 0
74 EFEDRIN HCL 50 Mg Tablet 1000 Tab/Klg 0 0 0 0 0 2000
75 ERYTHROMICIN 250 MG Capsul 100 Tab/Btl 0 0 0 0 0
77 ERYTHROMICIN SYRUP Botol 60 ml/Botol 0 0 0 0 0
78 ETAKRIDINA LARUTAN 0,1% (RIVANOL) Botol 300 Ml/Btl 0 0 0 0 0 10
79 ETAMBUTOL 250 MG Tablet 200 Tab/Dos 0 0 0 0 0
80 ETAMBUTOL 500 MG Tablet 100 Tab/Btl 0 0 0 0 0
81 ETIL CHLORIDA SEMPROT Vial 100 ml/Vial 0 0 0 0 0 10
82 EXTRABELLADONA Tablet 100 tab/Dos 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0 3000

84 FENOBARBITAL 30 MG Tablet 1000 Tab/Klg 0 0 0 0 0
85 FENOBARBITAL Inj Ampul 30 amp/ktk 0 0 0 0 0
86 FERROSUS SULFAT 30 MG Tablet 1 Sct @ 30/Sct 5370 0 5370 900 4470
87 FOLL CATETER No 16 Pcs Pcs/Buah 19 0 19 0 19
91 FORMALIN LIQ. Botol 1 Ltr/Btl 0 0 0 0 0
92 FUROSEMIDE 40 Mg Tablet 100 tab/Dos 600 0 600 0 600 500
93 GARAM ORALIT U/200 ML AIR Saset 100 Sct/Ktk 2010 0 2010 90 1920
94 GENTAMISIN SALEP KULIT 0,1 % Tube 25 Tube/Ktk 0 0 0 0 0 100
95 GENTAMISIN INJ. Ampul 1 Vial @ 2 ml/Ktk 0 0 0 0 0 100
96 GENTIAN VIOLET 1% Tube 10 ml/Btl 0 0 0 0 0 100
97 GLIBENCLAMIDA 5 Mg Tablet 100 tab/Dos 300 0 300 0 300 500
98 GLISERIL GUAIAKOLAT 100 Mg Tablet 1000 Tab/Klg 3000 0 3000 0 3000 2000
99 GRISEOFULVIN 125 MG Tablet 100 tab/Dos 200 0 200 0 200 1000
100 HIDROCORTISON 2,5% Tube 24 Tube@ 5 gr/Ktk 0 0 0 0 0 100
101 Hydrochlorotiazide (HCT) 25 MG Tablet 1000 Tab/Klg 0 0 0 0 0
102 IBUPROFEN 200 MG Tablet 100 tab/Dos 200 0 200 0 200 1000
104 INFUSION SET ANAK Buah 1 Set/Kantong 67 0 67 0 67
105 INFUSION SET DEWASA Buah 1 Set/Kantong 155 0 155 5 150 50
106 IODINE POVIDONE 10% 30 ML Botol 300 ml/Btl 2 0 2 0 2 10
107 ISONIAZIDE 100 MG Tablet 100 tab/Dos 0 0 0 0 0
109 ISOSORBIT DINITRAT 5 MG Tablet 100 tab/Dos 0 0 0 0 0
110 KAPAS PEMBALUT 250 MG Bungkus 250 Mg/Bks 5 0 5 0 5 10
112 KASA HIDROFIL STERIL Kotak 16 Lbr @ 16x16cm/Dos 18 0 18 8 10 100
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
113 KASA HIDROFIL 40 x 80 Rol Rol 1 0 1 0 1 5

114 KALIUM PERMANGANAT (PK) Botol 10 Mg/Btl 0 0 0 0 0 100
115 KARBAMAZEPIN 200 MG Tablet 100 Tab/Dos 0 0 0 0 0 500
116 KETOKONAZOLE 200 MG Tablet 100 Tab/Dos 150 0 150 50 100 500
117 KETOROLAK Inj Ampul 12 Amp/Dos 0 0 0 0 0 36
118 KLIP PLASTIK OBAT 8 x 5 Pcs 100 Pcs@10bks/Ktk 0 0 0 0 0 1000
119 LANSOPRAZOLE Capsul 20 Capsul/Dos 0 0 0 0 0 300
120 LEVOFLOXACIN Tablet 100 Tab/Dos 0 0 0 0 0
121 LISOL 50 % Botol 100 ml/Btl 0 0 0 0 0 6
122 LOPERAMIDE 2 MG Tablet 100 Tab/Dos 0 0 0 0 0 1000
123 LORATADINE A0 MG Tablet 50 Tab/Dos 0 0 0 0 0 1000
124 MAGNESIUM SULFAT 30 MG Tablet 10 Saset @30 gr/Ktk 0 0 0 0 0
125 MELOXICAM TAB 7,5 Mg Tablet 50 Tab/Dos 0 0 0 0 0 400
126 METFORMIN500 MG Tablet 100 Tab/Dos 600 0 600 0 600 400
127 METHYLERGOMETRIN 0,125 MG Tablet 100 Tab/Dos 0 0 0 0 0 500
128 METHYLERGOMETRIN MALEAT INJ. 0,200 MG Ampul 30 Amp @ 1ml/Ktk 0 0 0 0 0 100
129 METOCLOPAMID Tablet 10 strip @ 10 Tab/Ktk 100 0 100 0 100 500
130 METRONIDAZOLE 250 MG Tablet 100 Tab/Dos 0 0 0 0 0
132 MICONAZOLE 2% KRIM Tube 10 Gr/Tube 18 0 18 0 18 48
133 NATRIUM DIKLOVENAK 50 MG Tablet 50 Tab/Dos 0 0 0 0 0 1000
134 NIFEDIPINE 10 MG Tablet 100 Tab/Dos 700 0 700 0 700
135 NISTATIN Tablet 100 Tab/Ktk 0 0 0 0 0
136 OBH Botol 60 Btl/Ktk 0 0 0 0 0 60
137 OXITETRACYCLINE SALEP MATA 1% Tube 24 Tube/Ktk 0 0 0 0 0 24
138 OXITETRACYCLINE HCL SALEP KULIT 3% Tube 24 Tube/Ktk 0 0 0 0 0 72
139 OXITETRACYCLINE INJ. Ampul 10 Vial@10 ml/Ktk 0 0 0 0 0 100
140 OMEPRAZOLE 20 MG Tablet 30 Tab/Dos 90 0 90 20 70 600
141 PAPAVERIN 40 MG Tablet 1000 tab/klg 600 0 600 0 600 400
142 PAPAVERIN INJ. Ampul 10 Amp/ktk 0 0 0 0 0 100
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 0 0 0 0 100

144 PARASETAMOL 500 Mg Tablet 100 Tab/Dos 1100 0 1100 100 1000
145 PH CAIN INJ. Ampul 20 amp/Ktk 0 0 0 0 0 60
146 PYRANTEL PAMOAT 125 Mg Tablet 60 tab/Ktk 76 0 76 24 52 300
147 PIROXICAM 20 Mg Capsul 100 Tab/Dos 0 0 0 0 0 500
148 PLESTER 2,5 CM X 4,5 M Rol 6 Rol/Ktk 0 0 0 0 0 20
149 PREDNISON 5 Mg Tablet 1000 tab/klg 0 0 0 0 0 5000
150 PRIMAKUIN 15 Mg Tablet 1000 tab/klg 0 0 0 0 0
151 PROPILTIORASIL (PTU) 100 MG Tablet 100 tab/klg 0 0 0 0 0
152 PROPANOLOL HCL 40 MG Tablet 100 Tab/Dos 0 0 0 0 0 3000
153 RANITIDIN TABLET Tablet 100 Tab/Dos 0 0 0 0 0 2000
154 RANITIDIN INJEKSI Ampul 10 amp/ktk 0 0 0 0 0 100
155 RIFAMPISIN 300 MG Tablet 100 Tab/Dos 0 0 0 0 0
158 SALBUTAMOL 2 Mg Tablet 100 Tab/Dos 300 0 300 0 300 200
160 SALEP 2-4 Tube 24 Pot @ 30 Gr/Ktk 7 0 7 1 6 48
161 SARUNG TANGAN STERIL NO. 7 Pasang 50 Pasang/Dos 10 0 10 5 5 100
162 SARUNG TANGAN STERIL NO. 7,5 Pasang 50 Pasang/Dos 7 0 7 3 4 50
164 SERUM ANTI BISA ULAR Vial 10 Vial/Ktk 0 0 0 0 0
165 SERUM ANTI DIFTERI INJ. Vial 10 Vial/Ktk 0 0 0 0 0
166 SERUM ANTI TETANUS Vial 10 Vial/Ktk 0 0 0 0 0
167 SIMVASTATIN 10 MG Tablet 50 Tab/Dos 0 0 0 0 0 1000
168 SILK BENANG BEDAH Pcs 12x3x75 cm/Ktk 0 0 0 0 0 100
169 SULFADOXINE 25 Mg Tablet 100 Tab/Dos 0 0 0 0 0
170 SURGICAL FACE MASK Pcs 50 Pcs/Dos 0 0 0 0 0 200
171 TETRACYCLINE 250 Mg Capsul 100 Tab/Dos 0 0 0 0 0
172 TETRACYCLINE 500 Mg Capsul 100 Tab/Dos 0 0 0 0 0 1000
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0

174 URIN BAG Pcs 10 Pcs/Bks 0 0 0 0 0 20
175 VAKSIN RABIES VERO Ampul 1 Kuur/Set 0 0 0 0 0
176 VIT. A CAPSUL LUNAK 200.000 UI Capsul 50 Capsul/Btl 690 0 690 10 680 500
178 VITAMIN B COMPLEX INJEKSI Vial 10 Vial@20 ml/Ktk 0 0 0 0 0 30
179 VITAMIN B COMPLEX TAB Tablet 1000 tab/klg 400 0 400 100 300 2000
180 VITAMIN B₁ INJEKSI Vial 10 Vial@20 ml/Ktk 0 0 0 0 0 20
181 VITAMIN B₁ TAB Tablet 1000 tab/klg 1000 0 1000 0 1000 2000
182 VITAMIN B₆ TAB Tablet 1000 tab/klg 400 0 400 0 400 2000
183 VITAMIN B₁₂ INJEKSI Ampul 100 Amp@1 ml/Ktk 0 0 0 0 0 200
184 VITAMIN B₁₂ 50 Mcg Tablet 1000 tab/klg 700 0 700 200 500 5000
185 VITAMIN C 50 Mg Tablet 1000 tab/klg 0 0 0 0 0 5000
186 VIT. K (PYTOMENADION) 10 Mg Tablet 100 Tab/Btl 0 0 0 0 0 1000
187 VIT. K (PYTOMENADION) INJ. Ampul 30 Amp@1 ml/Ktk 0 0 0 0 0 60
188 ZINC 20 Mg Tablet 100 Tab/Dos 700 0 700 100 600 1000
189 SCABICID CREAM Tube 24 Tube/Ktk 0 0 0 0 0 48
UMUM BPJS
53 44 4 5

ARSAD, AMK WA APITUM, A. Md. Kep
NIP. 19841011 201101 1 002
PUSKESMAS : TABONA BULAN : FEBRUARI

KECAMATAN : TABONA
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

7 ALBENDAZOLE Tablet 5 Strip x 6 Tab/Dos 300 0 300 0 300
10 ALKOHOL 70 % Botol 1000 ml/Botol 1 0 1 1 0
11 ALLUPURINOL 100 Mg Tablet 100 Tab/Botol 300 0 300 100 200
12 AMINOPHYLLINE 200 Mg Tablet 1000 Tab/Botol 200 0 200 100 100
15 AMOXICILLIN 500 Mg Tablet 10 Strip x 10 Tab/ Dos 300 0 300 100 200
16 AMBROXOL SYRUP Botol 60 ml/Botol 20 0 20 13 7
17 AMBROXOL 30 Mg Tablet 100 Tab/Ktk 0 0 0 0 0
20 ANTALGIN 500 Mg Tablet 1000 Tab/Klg 0 0 0 0 0
21 ANTALGIN INJ. Ampul 30 Amp @ 2 ml/ktk 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
25 ANTI FUNGIDOEN SALEP Tube 24 Tube/Ktk 18 0 18 18 0
27 ASICLOVIR 400 Mg Tablet 100 Tab/Ktk 200 0 200 0 200
28 ASICLOVIR Cream Tube 25 Tube @ 5 Gr/Ktk 19 0 19 0 19
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

56 CAIRAN INFUS RL Botol 500 ml/Btl 0 0 0 0 0 200
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

136 OBH Botol 60 Btl/Ktk 0 0 0 0 0 60
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

UMUM BPJS
87 80 7

ARSAD, AMK WA APITUM, A. Md. Kep
NIP. 19841011 201101 1 002
PUSKESMAS : TABONA BULAN : MARET

KECAMATAN : TABONA
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

100 HIDROCORTISON 2,5% Tube 24 Tube@ 5 gr/Ktk 0 24 0 5 -5 100
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

129 METOCLOPAMID Tablet 10 strip @ 10 Tab/Ktk 0 0 0 100 -100 500
136 OBH Botol 60 Btl/Ktk 0 0 0 0 0 60
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

188 ZINC 20 Mg Tablet 100 Tab/Dos 500 0 500 0 500 1000 ED : FEB -17
UMUM BPJS
74 63 5 0 6

ARSAD, AMK ARSAD, AMK
NIP. 19841011 201101 1 002 NIP. 19841011 201101 1 002
PUSKESMAS : TABONA BULAN : APRIL

KECAMATAN : TABONA
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

8 ADONA INJ. 50 Mg / 10 ml Ampul 10 Amp/Dos 0 0 0 0 0 100
9 ADONA TAB (AC-17) Tablet 100 Tab/Dos 0 0 0 0 0 1000
10 ALKOHOL 70 % Botol 1000 ml/Botol 0 0 0 0 0 10
12 AMINOPHYLLINE 200 Mg Tablet 1000 Tab/Botol 100 0 100 100 0 700
13 AMOXICILLIN SYRUP KERING 125 Mg/5 ml Botol 60 ml/Botol 23 0 23 5 18 120
14 AMOXICILLIN 250 Mg Capsul 120 Tab/Dos 0 0 0 0 0 2000
15 AMOXICILLIN 500 Mg Tablet 10 Strip x 10 Tab/ Dos 0 0 0 0 0 5000
16 AMBROXOL SYRUP Botol 60 ml/Botol 0 0 0 0 0 120
17 AMBROXOL 30 Mg Tablet 100 Tab/Ktk 0 0 0 0 0 5000
18 AMPICILLIN Inj. Vial 10 Vial/Ktk 0 0 0 0 0 30
19 AMYTRIPTILINE 25 Mg Tablet 100 Tab/Ktk 0 0 0 0 0 2000
20 ANTALGIN 500 Mg Tablet 1000 Tab/Klg 0 0 0 0 0 5000
21 ANTALGIN INJ. Ampul 30 Amp @ 2 ml/ktk 0 0 0 0 0 100
22 ANTASIDA DOEN SUSPENSI Botol 60 ml/Botol 75 0 75 5 70 120
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
23 ANTASIDA DOEN 400 MG Tablet 1000 Tab/Klg 2100 0 2100 300 1800 1000
25 ANTI FUNGIDOEN SALEP Tube 24 Tube/Ktk 0 0 0 0 0 100
26 ASAM MEFENAMAT 500 Mg Tablet 100 Tab/Dos 1200 0 1200 400 800 5000
32 CALSIUM LAKTAT 500 MG Tablet 1000 Tab/Klg 2000 0 2000 1000 1000 2000
43 CHLORAMPHENICOL 1% (5Gr) Tube 24 Tube/Ktk 0 0 0 0 0 100
47 CIPROFLOXICIN 500 Mg Tablet 100 Tab/Dos 600 0 600 0 600
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

57 DEXAMETHASON 0,5 Mg Tablet 1000 Tab/Klg 900 0 900 200 700 1000
73 EPINEFRIN INJ. Ampul 30 amp/ktk 0 0 0 0 0 60
75 ERYTHROMICIN 250 MG Capsul 100 Tab/Btl 0 0 0 0 0 1000
76 ERYTHROMICIN 500 MG Capsul 100 Tab/Btl 0 0 0 0 0 1000
77 ERYTHROMICIN SYRUP Botol 60 ml/Botol 0 0 0 0 0 120
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

134 NIFEDIPINE 10 MG Tablet 100 Tab/Dos 700 0 700 30 670 500
135 NISTATIN Tablet 100 Tab/Ktk 0 0 0 0 0 1000
136 OBH Botol 60 Btl/Ktk 0 0 0 0 0 120
141 PAPAVERIN 40 MG Tablet 1000 tab/klg 2400 0 2400 0 2400
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

144 PARASETAMOL 500 Mg Tablet 100 Tab/Dos 200 0 200 200 0 5000
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0 1000

176 VIT. A CAPSUL LUNAK 200.000 UI Capsul 50 Capsul/Btl 1000 0 1000 50 950
184 VITAMIN B₁₂ 50 Mcg Tablet 1000 tab/klg 5200 0 5200 200 5000
UMUM BPJS
76 64 7 0 5

ARSAD, AMK ARSAD, AMK
NIP. 19841011 201101 1 002 NIP. 19841011 201101 1 002
PUSKESMAS : TABONA BULAN : MEI

KECAMATAN : TABONA
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

31 BETAMETHASONE KRIM 0,1% Tube 25 Tube @ 5 Gr/Ktk 28 0 28 8 20
33 CAPTOPRIL 25 MG Tablet 10 strip @ 10 Tab/Ktk 600 0 600 0 600
34 CAPTOPRIL 12,5 MG Tablet 5 strip @ 10 Tab/Ktk 200 0 200 0 200
35 CATGUT No.2/0-3/0 DG JARUM BEDAH Pcs 24 x 70 Cm/Ktk 33 0 33 33 0
41 CHLORAMPHENIKOL TETES MATA Tube 24 Btl @ 5 ml/Ktk 0 0 0 0 0
42 CHLORAMPHENIKOL TETES TELINGA 1% Tube 24 Btl @ 5 ml/Ktk 0 0 0 0 0
44 CHLORPHENIRAMINI MALEAT 4 Mg (CTM) Tablet 1000 Tab/Klg 0 0 0 0 0
45 CHLORPROMAZINE 100 MG Tablet 250 Tab/ Btl 0 0 0 0 0
46 CIMETIDIN 200 Mg Tablet 100 Tab/Dos 0 0 0 0 0
49 COTRIMOXAZOLE 480 Mg Tablet 100 Tab/Dos 0 0 0 0 0
51 COTRIMOXAZOLE SUSPENSI Botol 60 ml/Botol 0 0 0 0 0
52 CLOMIFEN 50 MG Tablet 10 Tab/Ktk 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

55 CAIRAN INFUS NaCl 0,9% Botol 500 ml/Btl 0 0 0 0 0
56 CAIRAN INFUS RL Botol 500 ml/Btl 0 0 0 0 0
58 DEXAMETHASON INJEKSI Ampul 100 Amp @ 1 ml/ktk 0 0 0 0 0
61 DIAZEPAM 2 Mg Tablet 1000 Tab/Klg 0 0 0 0 0
62 DIAZEPAM INJ. Ampul 30 Amp @ 2 ml/ktk 0 0 0 0 0
63 DIPHENHIDRAMINE INJ. Ampul 30 Amp @ 1 ml/ktk 62 0 62 0 62
66 DISPOSIBLE SYRINGE SETARA 1 ml Pcs 100 Pcs/Ktk 300 0 300 0 300
67 DISPOSIBLE SYRINGE SETARA 2,5 ml Pcs 100 Pcs/Ktk 500 0 500 100 400
70 DOXICILIN 100 MG/CAPSUL Capsul 100 Cap/Dos 0 0 0 0 0
71 DOMPERIDONE 10 Mg Tablet 100 Tab/Dos 1100 0 1100 100 1000
72 DOMPERIDONE SUSPENSI Botol 60 ml/Botol 0 0 0 0 0
74 EFEDRIN HCL 50 Mg Tablet 1000 Tab/Klg 0 0 0 0 0
78 ETAKRIDINA LARUTAN 0,1% (RIVANOL) Botol 300 Ml/Btl 0 0 0 0 0
81 ETIL CHLORIDA SEMPROT Vial 100 ml/Vial 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0

92 FUROSEMIDE 40 Mg Tablet 100 tab/Dos 600 0 600 400 200
94 GENTAMISIN SALEP KULIT 0,1 % Tube 25 Tube/Ktk 0 0 0 0 0
95 GENTAMISIN INJ. Ampul 1 Vial @ 2 ml/Ktk 0 0 0 0 0
96 GENTIAN VIOLET 1% Tube 10 ml/Btl 0 0 0 0 0
97 GLIBENCLAMIDA 5 Mg Tablet 100 tab/Dos 800 0 800 100 700
98 GLISERIL GUAIAKOLAT 100 Mg Tablet 1000 Tab/Klg 3800 0 3800 1800 2000
99 GRISEOFULVIN 125 MG Tablet 100 tab/Dos 600 0 600 100 500
100 HIDROCORTISON 2,5% Tube 24 Tube@ 5 gr/Ktk 14 0 14 2 12
102 IBUPROFEN 200 MG Tablet 100 tab/Dos 400 0 400 100 300
105 INFUSION SET DEWASA Buah 1 Set/Kantong 60 0 60 60 0
106 IODINE POVIDONE 10% 30 ML Botol 300 ml/Btl 0 0 0 0 0
110 KAPAS PEMBALUT 250 MG Bungkus 250 Mg/Bks 9 0 9 0 9
112 KASA HIDROFIL STERIL Kotak 16 Lbr @ 16x16cm/Dos 37 0 37 0 37
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
113 KASA HIDROFIL 40 x 80 Rol Rol 0 0 0 0 0

114 KALIUM PERMANGANAT (PK) Botol 10 Mg/Btl 0 0 0 0 0
115 KARBAMAZEPIN 200 MG Tablet 100 Tab/Dos 0 0 0 0 0
116 KETOKONAZOLE 200 MG Tablet 100 Tab/Dos 300 0 300 200 100
117 KETOROLAK Inj Ampul 12 Amp/Dos 32 0 32 9 23
118 KLIP PLASTIK OBAT 8 x 5 Pcs 100 Pcs@10bks/Ktk 0 0 0 0 0
119 LANSOPRAZOLE Capsul 20 Capsul/Dos 0 0 0 0 0
121 LISOL 50 % Botol 100 ml/Btl 0 0 0 0 0
122 LOPERAMIDE 2 MG Tablet 100 Tab/Dos 0 0 0 0 0
123 LORATADINE A0 MG Tablet 50 Tab/Dos 0 0 0 0 0
125 MELOXICAM TAB 7,5 Mg Tablet 50 Tab/Dos 0 0 0 0 0
126 METFORMIN500 MG Tablet 100 Tab/Dos 1100 0 1100 100 1000
127 METHYLERGOMETRIN 0,125 MG Tablet 100 Tab/Dos 0 0 0 0 0
128 METHYLERGOMETRIN MALEAT INJ. 0,200 MG Ampul 30 Amp @ 1ml/Ktk 0 0 0 0 0
129 METOCLOPAMID Tablet 10 strip @ 10 Tab/Ktk 0 0 0 0 0
132 MICONAZOLE 2% KRIM Tube 10 Gr/Tube 124 0 124 61 63
133 NATRIUM DIKLOVENAK 50 MG Tablet 50 Tab/Dos 0 0 0 0 0
136 OBH Botol 60 Btl/Ktk 0 0 0 0 0
137 OXITETRACYCLINE SALEP MATA 1% Tube 24 Tube/Ktk 0 0 0 0 0
138 OXITETRACYCLINE HCL SALEP KULIT 3% Tube 24 Tube/Ktk 0 0 0 0 0
139 OXITETRACYCLINE INJ. Ampul 10 Vial@10 ml/Ktk 0 0 0 0 0
140 OMEPRAZOLE 20 MG Tablet 30 Tab/Dos 30 0 30 0 30
142 PAPAVERIN INJ. Ampul 10 Amp/ktk 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 0 0 0 0

145 PH CAIN INJ. Ampul 20 amp/Ktk 0 0 0 0 0
146 PYRANTEL PAMOAT 125 Mg Tablet 60 tab/Ktk 0 0 0 0 0
147 PIROXICAM 20 Mg Capsul 100 Tab/Dos 0 0 0 0 0
148 PLESTER 2,5 CM X 4,5 M Rol 6 Rol/Ktk 0 0 0 0 0
149 PREDNISON 5 Mg Tablet 1000 tab/klg 0 0 0 0 0
152 PROPANOLOL HCL 40 MG Tablet 100 Tab/Dos 0 0 0 0 0
153 RANITIDIN TABLET Tablet 100 Tab/Dos 1700 0 1700 510 1190
154 RANITIDIN INJEKSI Ampul 10 amp/ktk 0 0 0 0 0
158 SALBUTAMOL 2 Mg Tablet 100 Tab/Dos 1180 0 1180 680 500
160 SALEP 2-4 Tube 24 Pot @ 30 Gr/Ktk 3 0 3 1 2
161 SARUNG TANGAN STERIL NO. 7 Pasang 50 Pasang/Dos 0 0 0 0 0
162 SARUNG TANGAN STERIL NO. 7,5 Pasang 50 Pasang/Dos 0 0 0 0 0
167 SIMVASTATIN 10 MG Tablet 50 Tab/Dos 0 0 0 0 0
168 SILK BENANG BEDAH Pcs 12x3x75 cm/Ktk 0 0 0 0 0
170 SURGICAL FACE MASK Pcs 50 Pcs/Dos 150 0 150 122 28
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

174 URIN BAG Pcs 10 Pcs/Bks 0 0 0 0 0
178 VITAMIN B COMPLEX INJEKSI Vial 10 Vial@20 ml/Ktk 0 0 0 0 0
179 VITAMIN B COMPLEX TAB Tablet 1000 tab/klg 1600 0 1600 1000 600
180 VITAMIN B₁ INJEKSI Vial 10 Vial@20 ml/Ktk 0 0 0 0 0
181 VITAMIN B₁ TAB Tablet 1000 tab/klg 1100 0 1100 1100 0
182 VITAMIN B₆ TAB Tablet 1000 tab/klg 2100 0 2100 200 1900
183 VITAMIN B₁₂ INJEKSI Ampul 100 Amp@1 ml/Ktk 0 0 0 0 0
185 VITAMIN C 50 Mg Tablet 1000 tab/klg 0 0 0 0 0
186 VIT. K (PYTOMENADION) 10 Mg Tablet 100 Tab/Btl 0 0 0 0 0
187 VIT. K (PYTOMENADION) INJ. Ampul 30 Amp@1 ml/Ktk 0 0 0 0 0
188 ZINC 20 Mg Tablet 100 Tab/Dos 0 0 0 0 0
189 SCABICID CREAM Tube 24 Tube/Ktk 0 0 0 0 0
UMUM BPJS
30 10 2 0 18

NIP. 19841011 201101 1 002
PUSKESMAS : TABONA BULAN : JUNI

KECAMATAN : TABONA
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

9 ALTEROL TETES MATA 5 Ml Botol 24 Btl/Ktk 0 120 120 0 120
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

89 FOLL CATETER No 20 Pcs Pcs/Buah 19 0 19 0 19 ED : 2/2017 =19
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

123 LORATADINE 10 MG Tablet 50 Tab/Dos 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

155 RECODRYL Vial 10 Vial/Ktk 0 60 60 10 50
168 CAT GUT CHROMIC 3/0 Pcs 12x3x75 cm/Ktk 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

UMUM BPJS
21 7 2 2 10

NIP. 19841011 201101 1 002
PUSKESMAS : TABONA BULAN : JULI

KECAMATAN : TABONA
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

9 ALTEROL TETES MATA 5 Ml Botol 24 Btl/Ktk 0 120 120 24 96
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

123 LORATADINE 10 MG Tablet 50 Tab/Dos 0 0 0 0 0
PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

PEMBERIAN
STOK
OPT
PERMINTAAN KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

UMUM BPJS
48 31 15 0 2

NIP. 19841011 201101 1 002
PUSKESMAS : NGGELE BULAN : JUNI

KECAMATAN : TALIABU BARAT LAUT
PEMBERIAN
NO NAMA OBAT SATUAN KEMASAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK KET.
BANT. BANT. BANT.
APBD
ASKES PROP PUSAT

6 ABOKET No.22 Buah 50 Buah/Dos 60 0 60 0 60
7 ACETYLCYSTEIN Tablet 60 0 60 0 60
8 ALBENDAZOLE Tablet 358 0 358 0 358
9 ALKOHOL SWAB PCS 800 0 800 0 800
11 ALLUPURINOL 300 Mg Capsul 100 CaP/Dos 2769 0 2769 50 2719
12 AMBROXOL 30MG Tablet 100 Tab/Ktk 3129 0 3129 10 3119
13 AMBROXOL Syr 78 0 78 0 78
14 AMLODIPINE 10 mg Tablet 100 Tab/Dos 1361 0 1361 10 1351
15 AMLODIPINE 5 mg Tablet 2644 0 2644 10 2634
18 AMPICILIN INJ 80 0 80 0 80
19 AMPICILIN SYR 18 0 18 0 18
21 ANTASIDA DOEN 400 MG Tablet 100 Tab/Dos 16246 0 16246 70 16176
23 ANTI HEMOROID SUPP Suppo Supp 30 0 30 0 30
24 ANTIGEN SWAB COVID-19 Buah dus 96 0 96 0 96
25 ANTIMO Tablet Tablet 720tablet/Dos 1226 0 1226 0 1226
26 APD LENGKAP Buah 15 0 15 0 15
27 ARCAPEC 465 0 465 0 465
29 Aspilet 80 mg 200 0 200 20 180
30 BAJU APD Buah 700 0 700 0 700
31 BECEFORT Tablet 3129 0 3129 50 3079
34 Bio Atp Tablet 100Tabb/Dos 0 0 0 0 0
35 BISTURI 10 0 10 0 10
36 BLOOD LANCET Pcs 200 0 200 0 200
37 CAIRAN INFUS DEX 10% Kaft 100 0 100 0 100
38 CAIRAN INFUS DEX 5% 504 0 504 3 501
41 CALCIUM 15660 0 15660 90 15570
43 CARBAMAZEPIN 200MG 1500 0 1500 0 1500
49 Ceftriaxone Inj Vial 2Vial/Dos 637 0 637 0 637
50 CETERIZIN SYR Botol 55 0 55 0 55
51 CETIRIZIN 2423 0 2423 0 2423
58 DEXAMETHASON 0,5 Mg INJ 1202 0 1202 0 1202
59 DHP FRIMAL Tablet 90 0 90 0 90
60 DIAZEPAM Tablet 480 0 480 0 480
61 DIAZEPAM INJ 123 0 123 0 123
62 DIGOXIN Tablet 100Tabb/Dos 80 0 80 0 80
63 DISPO 0.5ML 1400 0 1400 0 1400
64 DISPO 1 ML 100 0 100 0 100
67 Domperidome 10mg Tablet 100Tabb/Dos 4954 0 4954 23 4931
69 ERGOTAMIN Tablet 1000 Tab/Klg 0 0 0 0 0
70 Eritromicin Capsul 100Capsul/Dos 646 0 646 0 646
72 FOLEY CATETER 16 9 0 9 1 8
73 FOLEY CATETER 18 10 0 10 0 10
76 GAVISTAL DROP (METOCLOR) 3 0 3 0 3
79 Glimepirid 2mg Tablet 100 Tab/Dos 283 0 283 0 283
81 GUAIAFENESIN 1173 0 1173 43 1130
82 HALOPERIDOL Tablet 100 tab/Dos 0 0 0 0 0
83 HALOPERIDOLE 1.5 MG 100 0 100 0 100
84 HALOPERIDOLE 2 MG 500 0 500 0 500
85 HANDSANITIZER Buah 284 0 284 0 284
87 IBUPROFEN 200 MG 855 0 855 855 0
93 KALK Tablet 100 Tab/Dos 0 0 0 0 0
97 HIDROCORTISON 2,5% Pcs 97 0 97 0 97
98 ketoconazole krim 2 % Tube 25 tube/ktk 0 0 0 0 0
100 Kolsin (Cholcisine) 262 0 262 0 262
102 LEUKOPLAST 2.5X4.5 ROLL 12 0 12 0 12
103 LEUKOPLAST 5X4.5 ROLL 6 0 6 0 6
104 LEUKOPLAST 7.5X4.5 ROLL 6 0 6 0 6
105 LEUKOPORT 2.5X9.2 ROLL 12 0 12 0 12
106 LIDOCAIN COMP INJ. Vial 100 ml/Btl 0 0 0 0 0
107 LIDOCAIN INJ. Ampul 20 amp/Ktk 1389 0 1389 0 1389
108 LIVRON B-PLEX 1019 0 1019 70 949
109 LODOMER 2MG 100 0 100 0 100
111 MASKER KAIN Lusin 0 0 0 0 0
112 MASKER N-95 Buah 960 0 960 0 960
113 MEDCOTRAM (TRAMADOL) Tablet 200 0 200 0 200
114 MELOXICAM 15 MG 974 0 974 0 974
115 MELOXICAM 7,5 MG Tablet 947 0 947 40 907
116 METAMIZOLE 1750 0 1750 30 1720
118 METHYL PREDNISOLON 16MG Tablet 2000 0 2000 0 2000
119 METHYL PREDNISOLON 4 MG 68 0 68 0 68
120 METHYL PREDNISOLON 8 MG 2947 0 2947 0 2947
123 MgSO4 20% 125 0 125 0 125
124 MgSO4 40% 126 0 126 0 126
125 Mineral Mix` Sach 150 0 150 0 150
126 N-ACETYSISTEIN 70 0 70 0 70
127 NB Ointm Tube 3 0 3 0 3
128 Nifedipin 10 mg 297 0 297 0 297
129 NYSTATIN 100.000 IU (VAG TAB) Tablet 500 0 500 0 500
130 NYSTATIN 500.000 IU Tablet 500 0 500 0 500
131 OAT KAT. 1 PAKET 6 0 6 0 6
132 OMEPRAZOLE INJ Ampul 10 Vial@10 ml/Ktk 103 0 103 0 103
133 ONDANSETRON 4MG 735 0 735 0 735
134 ONDANSETRON 8MG 500 0 500 0 500
135 ONDANSETRON INJ 10 0 10 0 10
136 OSELTAMIVIR 75MG 80 0 80 0 80
138 PARACETAMOL SIRUP Botol 580 0 580 0 580
140 PARASETAMOL INFUS 0 0 0 0 0
141 PEHAVIT D3 210 0 210 30 180
142 PEHAVRAL 460 0 460 0 460
143 PIROXICAM 10 Mg Tablet 1000 tab/klg 0 0 0 0 0
145 PISAU BEDAH NO 10 Pcs 50 0 50 0 50
153 PLASTER 5X2 ROLL 20 0 20 0 20
154 PLASTER 5X5 ROLL 10 0 10 0 10
155 POVIDONE 1000ML 10 0 10 0 10
156 Povidone Iodida 10% 100ml 10 0 10 0 10
157 Povidone Iodida 10% 300ml Botol 11 0 11 0 11
158 Povidone Iodida 10% 30ml 120 0 120 0 120
161 PROTOFEN SUPP 48 0 48 0 48
164 RDT HBSAG PCS 100 0 100 0 100
165 RDT MALARIA PSC 25 0 25 0 25
166 RDT SIFILIS PCS 100 0 100 0 100
167 REAGEN HCL 0,1% 100ML BOTOL 2 0 2 0 2
169 REMDESIVIR dus 4 0 4 0 4
170 SAFETY BOX Buah 15 0 15 0 15
171 Salbulin Inhaler Pcs 14 0 14 0 14
174 SALEP 2-4 Tube Pot @ 30 Gr/Ktk 0 0 0 0 0
175 SANITOL DISENFECTAN Jerugen 1/jerigen 2 0 2 0 2
176 SARUNG TANGAN L Pasang 50 Pasang/Dos 0 0 0 0 0
177 SARUNG TANGAN M 51 Pasang/Dos 0 0 0 0 0
178 SARUNG TANGAN STERIL NO. 6.5 52 Pasang/Dos 8 0 8 0 8
181 SIMVASTATIN 20 MG 1822 0 1822 40 1782
182 SIVIT-ZINK Tablet 30tablet/Botol 640 0 640 0 640
183 STIK ASAM URAT (NESCO) BOTOL 0 0 0 0 0
184 STIK GULA (NESCO) BOTOL 0 0 0 0 0
185 STIK HEMOGLOBIN BOTOL 0 0 0 0 0
186 STIK KOLESTROL (NESCO) BOTOL 0 0 0 0 0
188 TABUNG OKSIGEN TABUNG 0 0 0 0 0
189 TB VIT B6 480 0 480 0 480
190 TRIHEXYPHENIDYL 2MG 1000 0 1000 0 1000
191 URINE BAG 9 0 9 0 9
197 VITAMIN B₁ INJEKSI Vial 750 0 750 0 750
204 ZINC 20 Mg SYR Botol 12 0 12 0 12
205 MD Dewasa 11 0 11 0 11
206 Pb Adult 12 0 12 0 12
206 PRIMAQUIN 200 0 200 0 200
207 ASAM FOLAT 1MG Tablet 980 0 980 20 960
UMUM BPJS
162 19 126 12 5

KEPALA PUSKESMAS NGGELE PENGELOLA OBAT
Mariasa La Mari, A.Md. Kep apt. Rafsyannarullah Saere, S. Farm

NIP. 19840821 200903 2 002 NIP. 19920411 202012 1 014

Lplpo Juni 22

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PEMERINTAH KABUPATEN PULAU TALIABU

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O )

PUSKESMAS : TABONA BULAN :

1 ABOKET No. 16 Buah 50 Buah/Dos

23 ANTASIDA DOEN 400 MG Tablet 1000 Tab/Klg

53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl

83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg

113 KASA HIDROFIL 40 x 80 Rol Rol

130 METRONIDAZOLE 250 MG Tablet 100 Tab/Dos

143 PARASETAMOL SYRUP Botol 60 Btl/Ktk

173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos

MENGETAHUI YANG MEMINTA / MELAPORKAN

PUSKESMAS : TABONA BULAN : JANUARI

1 ABOKET No. 16 Buah 50 Buah/Dos 0 0 0 0 0

53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl 107 0 107 0 107

83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0 3000

113 KASA HIDROFIL 40 x 80 Rol Rol 1 0 1 0 1 5

143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 0 0 0 0 100

173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0

MENGETAHUI YANG MEMINTA / MELAPORKAN

PUSKESMAS : TABONA BULAN : FEBRUARI

1 ABOKET No. 16 Buah 50 Buah/Dos 0 0 0 0 0

53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl 107 0 107 0 107

83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0 3000

113 KASA HIDROFIL 40 x 80 Rol Rol 1 0 1 0 1 5

143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 0 0 0 0 100

173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0

MENGETAHUI YANG MEMINTA / MELAPORKAN

PUSKESMAS : TABONA BULAN : MARET

1 ABOKET No. 16 Buah 50 Buah/Dos 0 0 0 0 0

53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl 107 0 107 0 107

83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0 3000

113 KASA HIDROFIL 40 x 80 Rol Rol 1 0 1 1 0 5

143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 0 0 0 0 100

173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0

189 SCABICID CREAM Tube 24 Tube/Ktk 0 0 0 0 0 48

MENGETAHUI YANG MEMINTA / MELAPORKAN

PUSKESMAS : TABONA BULAN : APRIL

1 ABOKET No. 16 Buah 50 Buah/Dos 0 0 0 0 0 50

53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl 107 0 107 0 107

83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0 3000

113 KASA HIDROFIL 40 x 80 Rol Rol 0 0 0 0 0 5

143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 0 0 0 0 100

173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0 1000

MENGETAHUI YANG MEMINTA / MELAPORKAN

PUSKESMAS : TABONA BULAN : MEI

1 ABOKET No. 16 Buah 50 Buah/Dos 0 0 0 0 0

23 ANTASIDA DOEN 400 MG Tablet 1000 Tab/Klg 1800 0 1800 0 1800

53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl 107 0 107 2 105

83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0

113 KASA HIDROFIL 40 x 80 Rol Rol 0 0 0 0 0

143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 0 0 0 0

173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0

MENGETAHUI YANG MEMINTA / MELAPORKAN

PUSKESMAS : TABONA BULAN : JUNI

1 ABOKET No. 16 Buah 50 Buah/Dos 0 0 0 0 0

53 CAIRAN INFUS DEX 5% Botol 500 ml/Btl 105 0 105 0 105

83 FENILBUTASON 200 MG Tablet 1000 Tab/Klg 0 0 0 0 0

113 KASA HIDROFIL 40 x 80 Rol Rol 0 0 0 0 0

143 PARASETAMOL SYRUP Botol 60 Btl/Ktk 0 100 100 10 90

173 TRIHEKSIFENIL HIDROXIDA 2 MG Tablet 100 Tab/Dos 0 0 0 0 0

MENGETAHUI YANG MEMINTA / MELAPORKAN

PUSKESMAS : TABONA BULAN : JULI