LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS KEDOKANBUNDER TAHUN 2022

SUB UNIT : Ruang Farmasi

LAPORAN BULAN : DESEMBER 2022
PERMINTAAN BULAN : JANUARI 2023

PERSEDIA
SATUA
AN
N
(Stok awal
NO NAMA OBAT (Tab/Btl STOK AWAL PENERIMAAN
+
/Amp/p
penerimaa
cs)
n)
1 Acethylsystein tab 200 mg Tablet 0 0
2 Acyclovir krim Tube 14 14
3 Acyclovir tablet 400 mg Tablet 0 0
4 Albendazol Tablet 400 mg Tablet 240 240
5 Alkohol Swab Pcs 0 0
6 Allopurinol Tablet 100 mg Tablet 20 600 620
7 Ambroxol sirup Botol 0 0
8 Aminofilin tab 200 mg Tablet 0 0
9 Amitriptillin tab salut 25 mg Tablet 0 0
10 Amlodipine tab 5mg Tablet 0 0
11 Amoksisillin Kapsul 250 mg Kapsul 0 0
12 Amoksisillin Kapsul 500 mg Kapsul 489 2300 2,789
13 Amoksisillin Sirup Kering 1 Botol 0 0
Antasida DOEN I tablet
14 Ampisilin serbuk inj:
kunyah, kombinasi Vial 0 0
15 Aluminium Hidroksida 200 Tablet 297 1000 1,297
Anti
mg +diare
Magnesium
Antibakteri DOEN salep
16 Tablet 0 0
molagit/attapulgit
Hidroksida :200
kombinasi mg 500
Basitrasin
17 Antifungi DOEN Kombinasi Tube 0 0
IU/g + polimiksin
Antihemoroid 10.000
18 Asam BenzoatDOEN
:IU/g 6% + Pot 15 15
kombinasi : Bismut
Asam Salisilat 3% 3
19 Subgalat 150 mg + Supp 2 5
20 Asam Askorbat
Heksaklorofen 250tablet
mg50 mg Tablet 0 0
Asam mefenamat tab 500
21 Tablet 330 300 630
mg
22 Betametason krim 0,1 % Tube 0 0
23 Betametason krim 0,5 mg/g Tube 0 0
24 Bisakodil tab 5 mg Tablet 0 0
25 Bisakodil tab 10 mg Tablet 0 0
26 Bisturi Pcs 0 0
27 Bisoprolol (Concor 2,5) Tablet 0 0
Bricasma (Terbutaline 0
28 Ampul 0
cairan ih 2,5
Bricasma mg/ml) inj
(Terbutaline
29 Ampul 0 0
0,5 mg/ml)
30 Blood Lancet pcs 0 0
31 Ca. Gluconas inj 10% Vial 0 0
32 Captopril tab 12,5 mg Tablet 370 900 1,270
33 Captopril tab 25 mg Tablet 369 400 769
34 Catgut / benang bedah No. Kotak 0 0
35 Deksametason Injeksi I.v. Ampul 0 0
36 Deksametason tablet 0,5 m Tablet 0 0
Dekstrofen sirup 10 mg/5
37 Botol 26 26
ml (HBr)
38 Diazepam 2 mg tablet 0 0
39 Domperidon syrup 60 ml botol 0 0
40 Domperidon tablet 10 mg Tablet 149 500 649
41 Erythromycin 250 mg tablet 0 0
42 Fenobarbital tablet 30 mg Tablet 0 0
Fitomenadion injeksi 10
43 Ampul 0 0
mg/ml
Fitomenadion tablet salut
44 Tablet 0 0
10 mg
45 Furosemid tablet 40 mg Tablet 16 400 416
Flufenazine Deconoat inj 0
46 Ampul 0
25 mg/ml
47 Garam Oralite 200 ml air Kantong 34 100 134
48 Gemfibrozil 300 mg Kapsul 0 0
49 Gentamicin Inj 40 mg/vial Vial 0 0
50 Gentamicin Sulfate tetes m Botol 0 0
51 Gentamisin salep mata 0,3 Tube 0 0
52 Glibenklamida tablet 5 mg Tablet 442 700 1,142
53 Gliseril Guayakolat tablet Tablet 663 2000 2,663
54 Glukosa larutan infus 10% Botol 0 0
55 Glukosa larutan infus 5% Botol 0 0
56 Griseofulvin tablet 125 mg Tablet 0 0
57 Haloperidol inj 5 mg/ml Ampul 0 0
58 Haloperidol tablet 5 mg Tablet 0 0
59 Haloperidol tablet 1,5 mg Tablet 0 0
60 Hemorogard kapsul 250 mg kapsul 0 0
61 Hidroklortiazida tablet 25 Tablet 0 0
62 Hidroklortison krim 2,5 % Tube 15 24 39
63 Ibuprofen tablet 200 mg Tablet 0 0
64 Ibuprofen tablet 400 mg Tablet 0 0
Isosorbid Dinitrat tab subl
65 Tablet 950 950
5 mg Laktat tablet 500
Kalsium
66 Tablet 640 1900 2,540
mg (Kalk)
67 Kapas Pembalut/Absorben Roll 0 0
68 Ketokonazol tab 200 mg Tablet 96 96
69 Klindamycin 300 mg Tablet 20 20
70 Kloramfenikol kapsul 250 m Kapsul 0 0
71 Kloramfenikol susp 125 mg Botol 0 0
72 Kloramfenikol salep mata 1 Tube 0 0
73 Kloramfenikol tetes mata ( Botol 0 0
74 Kloramfenikol tetes telinga Botol 0 0
75 Klorfeniramin maleat (CTM) Tablet 268 1700 1,968
76 Klorpromazine Hcl 100mg Tablet 0 0
Kotrimoksazol suspensi
77 Botol 26 26
240 mg
Kotrimoksazol tablet 480
78 Tablet 0 500 500
mg
79 Larutan NaCl Botol 0 0
 80 Lidokain comp injeksi Ampul 0 0
81 Magnesium Sulfat inj (IV) Vial 0 0
82 Magnesium Sulfat inj (IV) Vial 0 0
83 Masker Tali Pcs 0 0
84 Metformin tablet Tablet 235 400 635
85 Metoklopramid tab 10 mg Tablet 0 0
86 Metilergometrin Maleat inje Ampul 0 0
87 Metronidazole Suspensi Botol 39 39
88 Metronidazole tab 500 mg Tablet 0 0
89 Miconazole krim 2% tube 0 24 24
90 Multivitamin ibu hamil (He kapsul 0 0
91 Multivitamin anak (biolysin) Botol 0 0
Natrium Bikarbonat tablet 0
92 Tablet 0
500 mg
93 Natrium diclofenac 25 Tablet 0 0
94 Natrium diclofenac 50 Tablet 0 0
95 Nifedipine kaps 10 mg Tablet 0 0
Nistatin tablet salut 0
96 Tablet 0
500.000 Vaginal
Nistatin IU/g tablet 97
97 Tablet 97
salut 100.000 IU/g
98 OAT Katagori 1 dewasa Paket 0 0
99 OAT Katagori 2 dewasa Paket 0 0
100 OAT Katagori Anak Paket 0 0
101 Obat Batuk Hitam (O.B.H) Botol 0 0
102 Oksigen Gas dalam tabung Tabung 0 0
103 Oksitetrasiklin HCL salep kul Tube 0 0
104 Oksitetrasiklin HCL salep m Tube 10 20 30
105 Oksitosin injeksi 10 UI/ml-1 Ampul 0 0
106 Parasetamol drop Botol 0 0
107 Parasetamol sirup 120 mg / Botol 0 200 200
108 Parasetamol tablet 500 mg Tablet 244 5600 5,844
109 Povidon iodin 60 ml Botol 0 0
110 Permetin krim 5% (Scabimit Tube 0 0
Piridoksin tablet 10 mg
111 (Vit B6) Tablet 0 0
112 Prednison tablet 5 mg Tablet 249 1300 1,549
113 Propanol tablet 10 mg (HCL Tablet 115 115
114 Ranitidine tab 150 mg Tablet 287 500 787
115 Retinol kaps lunak 100.000 kaps lunak 0 0
116 Retinol kaps lunak 200.000kapsl lunak 0 0
117 Ringer Laktat larutan infus Botol 0 0
118 Salbutamol tab 2 mg Tablet 183 300 483
119 Salep 2-4, kombinasi : Asam Pot 25 25
120 Salisil bedak 2% Kotak 0 0
121 Setirizine Botol 35 35
122 Sianakobalamin 50 mg (Vit Tablet 0 1935 1,935
123 Simvastatin tab 10 mg Tablet 0 510 510
124 Tablet Tambah Darah Tablet 14,584 14,584
125 Tetrasiklin kapsul 500 mg Tablet 0 0
126 Tiamin tablet 50 mg (Vit B1 Tablet 0 1935 1,935
127 Triheksifenidil tablet 2 mg Tablet 0 0
128 Trifluoperazine Hcl 5mg Tablet 0 0
129 Vitamin B Kompleks tablet Tablet 0 0
130 Zink tablet 20 mg Tablet 79 400 479
131 Ciprofloxacin 500 tablet 160 600 760
132 Albendazol Sirup BOTOL 0 0
133 Gentamicin salep kulit Tube 0 0
134 Amlodipine tab 10 mg Tablet 0 0
135 Bisoprolol tab 10 mg Tablet 0 0
136 Kloramfenikol Salep Kulit 2 Tube 16 16
137 Metilprednisolon 4 mg Tablet 227 400 627
138 Ergotamin tab 1mg tablet 74 74
139 Digoxin 0,25 tablet 0 0
140 Miniaspi ( asetosal 80 mg ) tablet 0 0
141 Cefixime 200 mg Kapsul 0 0
142 Metilergometrin tablet tablet 90 90
143 Stimuno Anak sachet 157 157
144 Herbakof syrup sachet 0 0
145 Povidon iodin 30 ml Botol 0 0
146 Loratadin 10 mg Tablet 213 300 513
147 Ketokonazol krim tube 11 11
148 Rivanol 500 ml Botol 0 0
149 antidiare suspensi Botol 36 36
150 Stimuno Forte kapsul 129 630 759
151 Doxycycline 300 mg Kapsul 85 85
152 Cefadroxyl syrup Botol 20 50 70
NTAAN OBAT (LPLPO)
AHUN 2022

STOK
AKHIR
(Persedia
PEMAKAIAN PERMINTAAN KET
an -
Pemakaia
n)
0 0
3 11
0 0
45 195
0 0
241 379
0 0
0 0
0 0
0 0
0 0
2382 407
0 0
0 0
1049 248
0 0
0 0
5 10
5 0
0 0
630 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1038 232
769 0
 0 0
0 0
0 0
26 0
0 0
0 0
240 409
0 0
0 0
0 0
0 0
105 311
0 0
82 52
0 0
0 0
0 0
0 0
782 360
2077 586
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
31 8
0 0
0 0
0 950
1934 606
0 0
10 86
0 20
0 0
0 0
0 0
0 0
0 0
1854 114
0 0
0 26
260 240
0 0
 0 0
0 0
0 0
0 0
445 190
0 0
0 0
0 39
0 0
6 18
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 97
0 0
0 0
0 0
0 0
0 0
0 0
20 10
0 0
0 0
78 122
5462 382
0 0
0 0
0 0
1003 546
0 115
677 110
0 0
0 0
0 0
295 188
23 2
0 0
0 35
1416 519
395 115
8086 6,498
0 0
1211 724
0 0
0 0
0 0
315 164
436 324
0 0
0 0
0 0
0 0
16 0
557 70
0 74
0 0
0 0
0 0
10 80
110 47
0 0
0 0
331 182
2 9
0 0
0 36
149 610
0 85
29 41