NAMA PUSKESMAS : PUSKESMAS MEDANG KAMPAI

ALAMAT : Jln Mesjid, Kelurahan Teluk Makmur

PERIODE PENCATATAN : JUNI 2020
STATUS PASIEN : BPJS UMUM

JUMLAH ITEM OBAT DALAM RESEP % PENGGUNAAN

NO TGL RESEP (1) LEMBAR TOTAL ITEM JUMLAH ITEM OBAT GENERIK
RESEP OBAT DALAM OBAT GENERIK
RESEP (2) (3) 3/2 X 100%
1 02/06/2020 5 11 11 100.00%
2 03/06/2020 2 6 6 100.00%
3 04/06/2020 1 4 4 100.00%
4 05/06/2020 4 15 15 100.00%
5 06/06/2020 9 21 21 100.00%
6 08/06/2020 7 15 15 100.00%
7 09/06/2020 1 1 1 100.00%
8 10/06/2020 3 11 11 100.00%
9 11/06/2020 13 46 46 100.00%
10 12/06/2020 2 6 6 100.00%
11 13/06/2020 1 1 1 100.00%
12 15/06/2020 3 8 8 100.00%
13 16/06/2020 4 12 12 100.00%
14 17/06/2020 3 10 10 100.00%
15 18/06/2020 2 4 4 100.00%
16 19/06/2020 5 14 14 100.00%
17 20/06/2020 6 14 14 100.00%
18 22/06/2020 6 19 19 100.00%
19 23/06/2020 4 10 10 100.00%
20 24/06/2020 1 2 2 100.00%
21 25/06/2020 1 5 5 100.00%
22 26/06/2020 1 2 2 100.00%
23 27/06/2020 4 14 14 100.00%
24 29/06/2020 2 5 5 100.00%
25 30/06/2020 5 27 27 100.00%
26 UGD 22 74 74 100.00%
27 BIDES MUNDAM 24 79 79 100.00%
28 BIDES TL MAKMUR 0 0 0 #DIV/0!
29 BIDES GUNTUNG 21 50 50 100.00%
30 BIDES PELINTUNG 31 99 99 100.00%
31 BIDES SELINGSING 45 123 123 100.00%
TOTAL 238 708 708 100.00%
NAMA PUSKESMAS : PUSKESMAS MEDANG KAMPAI
ALAMAT : Jln Mesjid, Kelurahan Teluk Makmur
PERIODE PENCATATAN : JUNI 2020
STATUS PASIEN : BPJS Ditanggung Pemerintah

JUMLAH ITEM OBAT DALAM RESEP % PENGGUNAAN

NO TGL RESEP (1) LEMBAR TOTAL ITEM JUMLAH ITEM OBAT GENERIK
RESEP OBAT DALAM OBAT GENERIK
RESEP (2) (3) 3/2 X 100%
1 02/06/2020 14 39 39 100.00%
2 03/06/2020 8 21 21 100.00%
3 04/06/2020 6 21 21 3.00%
4 05/06/2020 13 37 37 8.00%
5 06/06/2020 4 14 14 100.00%
6 08/06/2020 18 33 33 100.00%
7 09/06/2020 9 25 25 100.00%
8 10/06/2020 7 24 24 100.00%
9 11/06/2020 6 19 19 100.00%
10 12/06/2020 5 16 16 100.00%
11 13/06/2020 2 6 6 100.00%
12 15/06/2020 11 29 29 100.00%
13 16/06/2020 7 18 18 100.00%
14 17/06/2020 2 7 7 100.00%
15 18/06/2020 9 23 23 100.00%
16 19/06/2020 7 20 20 100.00%
17 20/06/2020 8 20 20 100.00%
18 22/06/2020 11 29 29 100.00%
19 23/06/2020 25 56 56 100.00%
20 24/06/2020 46 29 29 100.00%
21 25/06/2020 10 31 31 100.00%
22 26/06/2020 6 21 21 100.00%
23 27/06/2020 3 11 11 100.00%
24 29/06/2020 14 42 42 100.00%
25 30/06/2020 17 51 51 100.00%
26 UGD 52 163 163 100.00%
27 BIDES MUNDAM 22 71 71 100.00%
28 BIDES TL MAKMUR 0 0 0 #DIV/0!
29 BIDES GUNTUNG 50 142 142 100.00%
30 BIDES PELINTUNG 71 241 241 100.00%
31 BIDES SELINGSING 24 64 64 100.00%
TOTAL 487 1323 1323 100.00%

NAMA PUSKESMAS : PUSKESMAS MEDANG KAMPAI

ALAMAT : Jln Mesjid, Kelurahan Teluk Makmur
PERIODE PENCATATAN : JUNI 2020
STATUS PASIEN : BPJS Mandiri

JUMLAH ITEM OBAT DALAM RESEP % PENGGUNAAN

NO TGL RESEP (1) LEMBAR TOTAL ITEM JUMLAH ITEM OBAT GENERIK
RESEP OBAT DALAM OBAT GENERIK
RESEP (2) (3) 3/2 X 100%
1 02/06/2020 4 14 14 100.00%
2 03/06/2020 1 3 3 100.00%
3 04/06/2020 12 39 39 100.00%
4 05/06/2020 4 8 8 100.00%
5 06/06/2020 3 7 7 100.00%
6 08/06/2020 4 9 9 100.00%
7 09/06/2020 4 10 10 100.00%
8 10/06/2020 3 10 10 100.00%
9 11/06/2020 3 8 8 100.00%
10 12/06/2020 4 12 12 100.00%
11 13/06/2020 5 15 15 100.00%
12 15/06/2020 1 2 2 100.00%
13 16/06/2020 3 4 4 100.00%
14 17/06/2020 3 10 10 100.00%
15 18/06/2020 3 5 5 100.00%
16 19/06/2020 4 19 19 100.00%
17 20/06/2020 5 24 24 100.00%
18 22/06/2020 3 10 10 100.00%
19 23/06/2020 5 17 17 100.00%
20 24/06/2020 4 12 12 100.00%
21 25/06/2020 1 2 2 100.00%
22 26/06/2020 2 7 7 100.00%
23 27/06/2020 1 4 4 100.00%
24 29/06/2020 1 2 2 100.00%
25 30/06/2020 3 7 7 100.00%
26 UGD
27 BIDES MUNDAM #DIV/0!
28 BIDES TL MAKMUR #DIV/0!
29 BIDES GUNTUNG #DIV/0!
30 BIDES PELINTUNG #DIV/0!
31 BIDES SELINGSING #DIV/0!
TOTAL 86 260 260 100.00%

NAMA PUSKESMAS : PUSKESMAS MEDANG KAMPAI

ALAMAT : Jln Mesjid, Kelurahan Teluk Makmur
PERIODE PENCATATAN : JUNI 2020
STATUS PASIEN : BPJS Pegawai

JUMLAH ITEM OBAT DALAM RESEP % PENGGUNAAN

NO TGL RESEP (1) LEMBAR TOTAL ITEM JUMLAH ITEM OBAT GENERIK
RESEP OBAT DALAM OBAT GENERIK
 JUMLAH
NO TGL RESEP (1) LEMBAR
RESEP OBAT DALAM OBAT GENERIK
RESEP (2) (3) 3/2 X 100%
1 02/06/2020
2 03/06/2020
3 04/06/2020
4 05/06/2020
5 06/06/2020
6 08/06/2020
7 09/06/2020
8 10/06/2020
9 11/06/2020
10 12/06/2020
11 13/06/2020
12 15/06/2020
13 16/06/2020
14 17/06/2020
15 18/06/2020
16 19/06/2020
17 20/06/2020
18 22/06/2020
19 23/06/2020
20 24/06/2020
21 25/06/2020
22 26/06/2020
23 27/06/2020
24 29/06/2020
25 30/06/2020
26 UPKT
27 BIDES MUNDAM
28 BIDES TL MAKMUR
29 BIDES GUNTUNG
30 BIDES PELINTUNG
31 BIDES SELINGSING
TOTAL 0 0 0

Dumai, 30 Juni 2020

Mengetahui Pengelola Laporan
Kepala Puskesmas

dr.Lydia Fasha Brigitta Wiwiek Isyana,A.Md.Farm

NIP.198111012010012015 NIP.19851022005012002
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 LAPORAN PENGGUNAAN OBAT GENERIK BERLOG

Instansi : Puskesmas Medang Kampai

Periode : JUNI 2020
Kab/Kota : Dumai
Nama Penanggung jawab : Brigitta Wiwiek Isyana,A.Md.Farm
No.HP : 081371419419

RESE
A B
No Nama Instansi Jumlah Resep (lembar)
UMUM BPJS PEGAWAI
Total R/ R/ OGB % Total R/ R/OGB
(5:4) x 100
1 2 3 4 5 7 8
=6
Puskesmas Medang
1 811 708 708 100.00% 0 0
Kampai

RESEP
E F
UNHCR LAINNYA (.............)
Total R/ R/OGB % Total R/ R/OGB

(17:16) x
16 17 19 20
100 = 18

- - - - -

Mengetahui,
Kepala Puskesmas Medang Kampai

dr.Lydia Fasha
NIP.19811102 201001 2 015
T GENERIK BERLOGO

RESEP
B C D
PJS PEGAWAI BPJS MANDIRI BPJS DITANGGUNG PEMERINTAH
% Total R/ R/OGB % Total R/ R/OGB %
(8:7) x 100 (11:10) x (14:15) x
10 11 13 14
=9 100 = 12 100 = 15

#DIV/0! 260 260 100.00% 1323 1323 100.00%

F Total
INNYA (.............)
% Total R/ R/OGB %

(20:19) x
100 = 21 (4+7+10+13 (5+8+11+14 (29 :
+16+19)= 22 +17+20)= 23 28):100= 24

- 2291 2291 100.00%

Dumai, 30 Juni 2020

Pengelola Laporan

Brigitta Wiwiek Isyana,A.Md.Farm

NIP.19851022 200501 2 002