File Laporan Obat TW 1 2021 - Edit

LAPORAN PEMAKAIAN DAN LEMBARAN
PERMINTAAN OBAT ( LPLPO )
KODE PUSKESMAS :18051501

PUSKESMAS : MAELANG
KECAMATAN : SANG TOMBOLANG
KABUPATEN : BOLAANG MONGONDOW
PROPINSI : SULAWESI UTARA
BULAN : JANUARI
TAHUN : 2021
NO NAMA OBAT SATUAN JAN FEB MARET JUMLAH KET
1 Abbocath18 530 10 10 0 20 520

2 Abbocath 20 248 66 66 0 132 182
3 Abbocath 22 25 5 10 10 25 20
4 Abbocath 24 4 4 0 0 4 0
5 Ajitab Tab 0 0 0 0 0 0
6 Alat Suntik 1,0 ml 600 0 0 50 50 600
7 Alat Suntik 2,5 ml 0 0 0 0 0
8 Alat Suntik 3,0 ml 225 60 100 65 225
9 Alat Suntik 5,0 ml 1200 100 100 100 300
10 Alat Suntik 10 ml 500 0 0 20 20
11 Albendazole 400 mg 100 0 0 0 0
12 Allopurinol 100 mg 0 0 0 0 0
13 Alprazolam 0,5 mg 0 0 0 0 0
14 Alprazolam 1,0 mg 0 0 0 0 0
15 Ambroxol 30 mg 6500 2000 2000 1800 5800
16 Aminophyilin inj 0 0 0 0 0
17 Aminophyilin Tab 200 mg 1000 0 0 0 0
18 Amitriptilin tab 0 0 0 0 0
19 Amlodipin 10 mg 100 0 100 0 100
20 Amlodipin 5,0 mg 0 0 0 0 0
21 Ampicilin inj 0 0 0 0 0
22 Ampicilin Cap 500 mg 0 0 0 0 0
23 Amoksisilin 500 mg 18500 3000 0 0 3000
24 Amoksisilin Syrp Kering 125 mg/5 ml 0 0 0 0 0
25 Ampicilin Syrp Kering 125 mg/5 ml Btl 100 ml 0 0 0 0
26 Antalgin 500 mg Kotak 100 Tab 0 0 0 0
27 Antalgin 500 mg Botol 1000 Tab 0 0 0 0
28 Antasida DOEN Kotak 100 Tab 200 0 0 200
29 Antasida DOEN Botol 1000 Tab 0 0 0 0
30 Antides New Kotak 100 0 0 0 0
31 Antihemoroid DOEN Kotak 10 supp 0 0 0 0
32 Antihemoroid Supp Kotak 6 6 8 0 14
33 Anti malaria DOEN Kotak 100 Tab 0 0 0 0
34 Antasida DOEN Syrp Botol 100 ml 0 0 0 0
35 Acyclovir tab 200 mg Kotak 50 Tab 0 0 0 0
37 Acyclovir Cream 5 g Kotak 24 Tube 0 0 0 0
38 Asam folat 1 mg Botol100 Tab 100 0 0 100
39 Asam ascorbat 50 mg Kotak 100Tab 1000 1000 700 2700
40 Aqua Pro inj Steril Kotak 10 Vial 0 0 0 0
41 Alkohol 70 % Botol 100 ml 0 0 0 0
42 Alkohol 70 % Botol 1 Liter 2 2 1 5
43 Alkohol Swab Kotak @100pcs 0 0 0 0
44 Artesunat inj 60 mg Kotak 1 Vial 0 0 0 0
45 Asam mefenamat 500 mg Kotak 100 Tab 0 0 0 0
46 Aseptan Botol 0 0 0 0
47 Atropin Sulfat Tab 0,5 mg Kotak 100 Tab 0 0 0 0
48 Basitrasin + polimiksin (anti bakteri salep) Kotak 24 Tube 0 0 0 0
49 Betahistin tablet Kotak 30 tab 0 0 0 0
50 Bisoprolol 5 mg Kotak 30 Tab 0 0 0 0
51 Bromhexin 8 mg Tab Kotak 100 Tab 0 0 0 0
52 Brochifar Kotak 100 Tab 0 0 0 0
53 Bromifar Plus Syr Botol 60 ml 0 0 0 0
54 Bedak Salisyl 2 % Kotak 0 0 0 0
55 Betametason krim Ktk 25 tube 78 78 78 234
56 Bexicom C Kotak 100 Tab 0 0 0 0
57 Brocon Tab Kotak 100 Tab 0 0 0 0
58 Bufacetin Salep (kloramfenicol 2%) Tube 15 Gram 0 0 0 0
59 Cat Gut Plain no.3/0 Dos @ 24's 5 5 0 10
61 Cat Gut Cromic no.3/0 Dos @ 24's 0 5 0 5
63 Captopril 12,5 mg Tab Kotak 100 Tab 0 300 0 300
64 Captopril 25 mg Tab Kotak 100 Tab 0 0 0 0
65 Carbamazepin Tab 200 mg Kotak 100 Tab 0 0 0 0
66 Clorpheniramin Malet 4 mg Tab/CTM Botol1000Tab 300 400 0 700
67 Cefixime Kota 50 Tab 0 0 0 0
68 Cimetidin 200 mg tab Kotak 100 Tab 0 0 0 0
69 Cianocobalamin Tab 50 mg Kotak 100 Tab 2000 2700 2700 7400
70 Cetrizin 10 mg tab Kotak 50 Tab 0 0 0 0
71 Cetrizin Hcl syrup Botol 20 20 6 46
72 Cefadroxil 500 mg Cap Kotak 100 caps 0 0 0 0
73 Cefadroxil 500 mg Cap Kotak 100 Caps 500 0 0 500
74 Cianocobalamin inj 500 MCg Kotak 100 amp 0 0 0 0
75 Ciprofloxasin 50 mg Kotak 100 0 0 0 0
76 Clorpromazin 100 mg Tab Kotak 100 Tab 0 0 0 0
77 Cloramphenicol TTS Telinga 3 % Botol 5 ml 0 0 0 0
78 Cloramphenicol TTS Mata 1 % Kotak 24 Tube 0 0 0 0
79 Cloramphenicol Salep Mata 1 % Tube 5 g 0 0 0 0
80 Cloramphenicol Caps 250 mg Kotak 100 Kaps 0 0 0 0
81 Cloroquin Botol 1000 Tab 0 0 0 0
82 Cotrimoxazol 480 mg Tab Kotak 100 Tab 0 0 0 0
83 Cotimoxazol 120 mg Tab Kotak 100 tab 0 0 0 0
84 Cotimoxazol Susp Botol 60 ml 0 0 0 0
85 Colfin Kotak 100 0 0 0 0
86 Co Amoxiclav Ktk @ 30 tab 0 0 0 0
87 Curbion syrup Btl 60 mL 0 0 0 0
88 Dapyrin tab kotak 100 Tab 0 0 0 0
89 Dextrose 5% Botol 500 ml 0 0 0 0
90 Dexametason Inj Kotak 100 amp 0 0 0 0
91 Dexametason Tab 0,5 mg Botol 1000 tab 0 0 0 0
92 Dexametason Tab 0,5 mg Kotak 100 Tab 0 0 0 0
93 Dextrometorpan syrp 10 mg/5 ml botol 60 ml 0 0 0 0
94 Dextrometorpan Tab Kotak 100 Tab 0 0 0 0
95 Devosix Drops Botol 15 ml 0 0 0 0
96 Dextrometorpan Tab Botol 1000 Tab 0 0 0 0
97 Diazepam inj 5 mg/ml Kotak 30 Amp 0 0 0 0
98 Diazepam 2 mg tab Kotak 100 Tab 0 0 0 0
99 Diazepam 2 mg tab Botol 1000 Tab 0 0 0 0
100 Diazepam 5 mg tab botol 250 Tab 0 0 0 0
101 Diazepam (valdimex)tablet kotak 100 tab 0 0 0 0
102 Diethylcarbamazepin 100 mg Kotak 100 Tab 0 0 0 0
103 Diphenhydramin Inj I.M 10 mg/ml Kotak 30 amp 20 20 13 53
104 Digoxin TAB 0,25 mg Kotak 100 tab 0 0 0 0
105 Doxicylin 100 mg Kaps Kotak 100 caps 0 0 0 0
106 Donperidon Tab 10 mg Kotak 100 tab 0 0 0 0
107 Diltiazem HCL Tab 30 mg Kotak 100 Tab 0 0 0 0
108 Epedrin HCL TAB Botol 250 Tab 0 0 0 0
110 Ephinefrin Inj 0,1 % Kotak 100 Amp 0 0 0 0
111 Ehtylclor Semprot Botol 0 0 0 0
112 Erytromicin 500 mg Kaps Kotak 100 caps 0 0 0 0
113 Examination Glove Kotak 100 pcs 0 0 0 0
114 Farsifen Plus Kotak 100 Tab 0 0 0 0
115 Fenol gliserol tetes telinga botol 5 ml 0 0 0 0
116 Fenorbarbital Inj 50 ml Kotak 30 Amp 0 0 0 0
117 Fenorbarbital 30 mg Tab Botol 100 Tab 0 0 0 0
119 Fytomenadion Inj 10 mg/ml Kotak 30 Amp 0 0 0 0
120 Fytomenadion 10 mg Kotak 100 Tab 0 0 0 0
121 Furosemide 40 mg tab kotak 200 Tab 0 0 0 0
122 Fenilbutazon 200 mg Botol 1000 Tab 0 0 0 0
123 Fenitoin 100 mg kaps Botol 100 cabs 0 0 0 0
124 Flunadin Tab Kotak 100 Tab 0 0 0 0
125 Folley Catheter No.24 PCS 0 0 0 0
126 Folley Catheter No.20 PCS 10 psg 0 0 0 0
128 Ferosulfat 300 mg Botol 1000 Tab 0 0 0 0
129 Garam Oralit Kotak 100 saset 0 0 0 0
130 Gastricid Tab Kotak 100 Tab 0 0 0 0
131 Gentamicin Inj 80 mg Kotak 5 amp 0 0 0 0
132 Gentian Violet Lart 1% Botol 10 ml 0 0 0 0
133 Glibenclamide 5 mg Kotak 100 Tab 0 0 0 0
134 Glass lonomer Btl/Set 0 0 0 0
135 Glyseril Guayakolat Botol 1000 Tab 0 0 0 0
136 Glucotrol xl Tab 10 mg Kotak 30 Tab 0 0 0 0
137 Grisiofulvin 500mg Kotak 100 Tab 0 0 0 0
138 HydroclortiazidTab 25 mg Botol 1000 Tab 0 0 0 0
139 Hydrocortison Krim 2,5 % Kotak 24 Tube 50 30 23 103
140 Halloperidol 1,5 mg tab Kotak 100 tab 0 0 0 0
141 Halloperidol 0,5 mg tab Kotak 100 Tab 0 0 0 0
142 Halloperidol inj 50mg/ml kotak 10 ampul 0 0 0 0
143 Haidol DC 50 Mg Inj Kotak 5 Ampul 0 0 0 0
144 Handscun No.8.0 (Sateglove Surgical) Kotak 50 PCS 0 0 0 0
145 Handscun No.7,5 (Sateglove Surgical) Kotak 50 PCS 0 0 0 0
146 Handscun No.7 Kotak 50 PCS 0 0 0 0
147 Infuset DWS Sak 0 0 0 0
148 Infuset anak Sak 25 25 25 75
149 Insulatard Kotak 10 Vial 0 0 0 0
150 Insuman Comb Kotak 5pen@3m/ 0 0 0 0
151 Ichtiyol SK 15 gr Kotak 12 pot 0 0 0 0
152 Ibupropen Syrp 100 Mg Botol 60 ml 0 0 0 0
153 Ibupropen 400 Kotak 100 Tab 0 0 0 0
154 Ibupropen 200 Kotak 100 tab 0 0 0 0
155 Isosorbit Dinitrit TAB Kotak 100 tab 0 0 0 0
156 Indo Obat Cacing Kotak 25 Tab 0 0 0 0
157 Kalcium Lactat 500 mg Tab Kotak 100 Tab 0 0 0 0
158 Kapas 250 mg ROLL 15 13 5 33
159 Kapas 500 mg ROLL 0 0 0 0
160 Kasa steril 16 x 16 cm ROLL 0 0 0 0
161 Kasa pembalut 4 x 5 cm ROLL 0 0 0 0
162 Kasa Kompres 4 x 10 cm ROLL 0 0 0 0
164 Kasa Hydrophyl 4 x 15 cm ROLL 0 0 0 0
166 Kasa Penyerap luka Bakar pcs 0 0 0 0
167 Ketoconazole Tab 200mg Kotak 50 Tab 0 0 0 0
168 Ketoconazole Cream 2 % tube 5 g 0 0 0 0
169 Kuinina 222 mg Tab Botol 1000 Tab 0 0 0 0
170 Lansoprazole Kaps 30 mg Ktak 20 kaps 0 0 0 0
171 Lantus Solostan Kotak 5 pen 0 0 0 0
172 Lidocain Inj 2% (pehacain) Kotak 20 Amp 75 30 20 125
174 Lidocain Inj 2% kotak 10 Amp 0 0 0 0
175 Levofloxacin 500mg Tab Kotak 50 tab 0 0 0 0
176 Lisol Botol 100 ml 0 0 0 0
177 Loratadin 10 mg Kotak 100 tab 0 0 150 150
178 Meloxicam 15 Mg Kotak 50 tab 0 0 0 0
179 Multivitamin utk ibu hamil (Prenase) Kotak 100 tab 0 0 0 0
180 Metyl Ergometri Maleat Tab 0,125 mg Kotak 100 tab 0 0 0 0
181 Metil Prednisolon Kotak 100 tab 0 0 0 0
182 Metyl Ergometri Inj kotak 100 Amp 0 0 0 0
183 Metacetin syrup Btl 60 mL 0 0 0 0
184 Metformin Kotak 100 tab 0 0 0 0
185 Metronidazole tab 250 mg Kotak 100 tab 0 0 0 0
186 Metronidazole tab 500 mg (Omenizol) Kotak 100 tab 0 0 0 0
187 Metronodazol sirup botol 0 0 0 0
188 Metronidazole ovula 500mg/vagisol kotak 5 ovula 0 0 0 0
189 Mulsanol Syr Botol 60 ml 0 0 0 0
190 Mykonazole Cream 2% Tube 5 g 25 57 57 139
191 Masker Kotak 50 pcs 0 0 0 0
192 Neo Envios kotak. 100 kpl 0 0 0 0
193 NaCL 0,9% Botol 500 ml 0 0 0 0
194 Nat. Diclofenak 50 mg Kotak 50 tab 0 0 0 0
195 Nifedipin Tab 10 mg Kotak 100 tab 0 0 0 0
196 Novomix 30 fkx pen Kotak 5 Vial 0 0 0 0
197 Nystatin Vaginal Tab 100.000 IU Kotak 100 Tab 10 0 0 10
198 Obat Cairan Untuk Luka Bakar Botol 40 ml 0 0 0 0
199 Obat Cairan Untuk Sariawan Botol 40 ml 0 0 0 0
200 OBH Syirup Botol100 ml 0 0 0 0
201 Omeneuron Kotak. 100 kpl 0 0 0 0
202 Oxytetracyclin S.K 3% Tube 5 g 0 0 0 0
203 Omegavit Kotak. 100 kpl 0 0 0 0
204 Omegesic Kotak 100 tab 0 0 0 0
205 Omegdiar Kotak. 100 kpl 0 0 0 0
206 Omegdiar Syr Botol 60 ml 0 0 0 0
207 Omecal. D Kotak. 100 tab 0 0 0 0
208 Omeprazol Caps Kotak. 30 Caps 0 0 0 0
209 Omesolvon Syr Botol 0 0 0 0
210 Oxyflow Nasal oxygin Anak Pcs 5 5 0 10
211 Oxyflow Nasal oxygin Bayi Pcs 5 5 0 10
212 Oxyflow Nasal oxygin Dewasa Pcs 17 10 0 27
213 Oxytocin inj (Tiacinon) Kotak 10 Amp 0 0 0 0
214 Pacdin Baby Cough Syr Botol 60 ml 0 0 0 0
215 Papaverin 40 mg Tab Botol 1000 Tab 0 0 0 0
216 Paracetamol Syrp 120ml/5mg Botol 60 ml 10 10 3 23
217 Panvit. C Kotak. 100 tab 0 0 0 0
218 Paracetamol 500 mg Tab Kotak 100 tab 500 0 0 500
219 Paracetamol 500 mg Tab Botol 1000 Tab 0 0 0 0
221 Panviton Kotak 50 kapl 0 0 0 0
222 Pharmafix 100 mg Kotak 50 tab 0 0 0 0
223 Pirazinamid 500 mg Kotak 100 tab 0 0 0 0
224 Pyridoxin Tab 10 mg (vit.B6) botol 1000 tab 0 0 0 0
226 Plester 5 Yard x 2 Inc ROLL 0 0 0 0
227 Phenobarbital 30 Mg Kotak 100 0 0 0 0
228 Povidon Lodida 10% Botol 30 ml 0 0 0 0
229 Povidon Lodida 10% botol 60 ml 5 3 0 8
232 Prednison Tab 5 mg Botol 1000 tab 0 0 0 0
233 Prednison 5 mg Kotak 100 tab 0 0 0 0
234 Piroxicam 20 mg Kotak 100 Tab 0 0 0 0
235 Piroxicam 20 mg Kotak 120 caps 0 0 0 0
236 Propanolol 40 mg Botol 100 tab 0 0 0 0
237 Pyrantel Tab 125 mg Kotak 60 Tab 0 0 0 0
238 Propyltiorasyl 100 mg (PTU) Botol 100 Tab 0 0 0 0
239 Ranitidin 150 mg Tab Kotak 100 Tab 0 0 0 0
240 Ranitidin Inj 25 mg/2 ml Kotak 5 amp 0 0 0 0
241 Ringer Laktat Botol. 500 ml 25 27 21 73
242 Rivanol Botol 300 cc 0 0 0 0
243 Retinol (Vit.A) 100.000 IU Botol. 50 kps 0 0 0 0
245 Stavit kpl Kotak. 100 kpl 0 0 0 0
247 Simvastatin 10 mg Kotak 30 tab 1000 510 220 1730
250 Salbutamol 2 mg Kotak 100 tab 0 0 0 0
251 Salbutamol 4 mg Kotak 100 Tab 0 0 0 0
252 Salep 2-4 pot @30 Gram 30 40 12 82
253 Salicil Bedak Kotak @ 50 gram 0 0 0 0
254 Silk Benang Bedah 3/0 (suture) Dos @ 36's 0 0 0 0
255 Seltifort Kids Sirop Botol. 60 ml 0 0 0 0
256 Selesbion Plus Kotak 100 Tab 0 0 0 0
257 Seviplex Kotak 100 tab 0 0 0 0
258 Stolax Supositoria (Bisacody) Kotak 6 Supp 0 0 0 0
259 Stomach tab Kotak 100 Tab 0 0 0 0
260 Tablet Tambah Darah kotak 30 tab 0 0 0 0
261 Tramadol 50 mg Kaps Kotak 50 caps 0 0 0 0
262 Tetracyclin 250 mg Kaps Botol 1000 caps 0 0 0 0
263 Tetracyclin 500 mg Kaps Kotak 100 caps 500 500 200 1200 Expayer
264 Tilomix Tab Kotak 100 Tab 0 0 0 0
265 Thiamin 50 mg Tab Botol 1000 tab 0 0 0 0
266 Thiamin Inj 100 mg/ml Kotak 30 Amp 0 0 0 0
267 Thiamphenicol Kaps 500 mg Kotak 100 kaps 0 0 0 0
268 Trihexyphenidil Tab 2 mg Kotak 100 tab 0 0 0 0
269 Vidabion Tab Kotak 100 Tab 0 0 0 0
270 Vitalamin Tab Kotak 100 Tab 0 0 0 0
271 Vit B. Comp Botol 1000 tab 0 0 0 0
272 Vit B. Comp Kotak 100 Tab 0 0 0 0
274 Vit Ever Kotak 100 Tab 0 0 0 0
275 Urine Bag Sak 0 0 0 0
276 Vaksin Rabies Vero Vial 0 0 0 0
278 Zinc Tab 20 mg Kotak 100 Tab 0 0 0 0
279 OAT FDC Kategori Anak Paket 0 0 0 0
280 OAT FDC Kategori.I. Dws Paket 0 0 0 0
281 OAT FDC Kategori.II Dws Paket 0 0 0 0
282 OAT FDC Sisipan Dws Paket 0 0 0 0
283 Ticomac Tablet 0 0 0 0
284 Solasic Tablet 0 0 0 0
285 Guaifenetisin Tablet 500 300 0 800
286 Kamolas Tablet 800 1400 0 2200
287 Selkon Tablet 0 0 0 0
288 Plester 15 x 5 cm Rol 4 2 0 6
289 Waterfor Injeksi Botol 10 10 0 20
UMUM BPJS JAM

PKH KADER JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR KIS KESDA
274 114 0 0 0 388
289 Kepala UPTD Puskesmas Maelang

181 Kecamatan Sang Tombolang
108
JUNAIDI MAMONTO, SKM .-

NIP. 19690405 199103 1 010 .-
TABEL REKAPITULASI LAPORAN SEMESTERAN DAN TA
LAPORAN MUTASI BARANG
DARI TANGGAL 01 JANUARI 2020 SAMPAI DENGAN 31 DESE
INSTANSI : MAELANG
SALDO MASUK
NO JENIS/BARANG PERSEDIAAN SATUAN KELUAR SISA
AWAL (VOLUME)
1 2 3 4 5 6 7=(4+5)-6
1 Abbocath18 PCS 0 0 0 0
2 Abbocath 20 PCS 0 0 0 0
5 Ajitab Tab Kotak 100 Tab 0 0 0 0
6 Alat Suntik 1,0 ml Kotak 100 PCS 600 0 50 550
10 Alat Suntik 10 ml Kotak 100 PCS 500 0 20 480
11 Albendazole 400 mg Kotak 100 100 0 100 0
12 Allopurinol 100 mg Kotak 100 Tab 0 0 0 0
13 Alprazolam 0,5 mg Kotak 100 Tab 0 0 0 0
15 Ambroxol 30 mg Kotak 100 Tab 6500 0 5800 700
16 Aminophyilin inj Kotak 30 Amp 0 0 0 0
17 Aminophyilin Tab 200 mg Botol 100 Tab 1000 0 0 1000
18 Amitriptilin tab Kotak 100 Tab 0 0 0 0
19 Amlodipin 10 mg Kotak 30 Tab 100 0 100 0
20 Amlodipin 5,0 mg Kotak 30 Tab 0 0 0 0
21 Ampicilin inj Kotak 10 Vial 0 0 0 0
22 Ampicilin Cap 500 mg Kotak 100 Cap 0 0 0 0
23 Amoksisilin 500 mg Kotak 100 Cap 18500 0 5000 13500
24 Amoksisilin Syrp Kering 125 mg/5 ml Btl 60 ml 0 0 0 0
41 Alkohol 70 % Botol 100 ml 0 0 0 0
48 Basitrasin + polimiksin (anti bakteri salep Kotak 24 Tube 0 0 0 0
158 Kapas 250 mg ROLL 148 0 33 115
159 Kapas 500 mg ROLL 0 0 0 0
192 Neo Envios kotak. 100 kpl 0 0 0 0
193 NaCL 0,9% Botol 500 ml 342 0 50 292
252 Salep 2-4 pot @30 Gram 580 0 84 496
263 Tetracyclin 500 mg Kaps Kotak 100 caps 5400 0 0 5400
273 Vitamin B12 50 Mg Kotak 100 2000 0 0 2000
275 Urine Bag Sak 183 0 0 183
286 Kamolas Tablet 0 0 0 0
288 Plester 15 x 5 cm Rol 46 0 0 46
95,408 - 69,751
I LAPORAN SEMESTERAN DAN TAHUNAN
ORAN MUTASI BARANG
ARI 2020 SAMPAI DENGAN 31 DESEMBER 2020
NILAI NILAI
HARGA BELI NILAI SALDO SALDO
MASUK KELUAR
TERAKHIR (Rp) AWAL AKHIR (Rp)
(Rp) (Rp)
8 9=4*8 10=5*8 11=6*8 12=7*8
4,959 - - - -
4,959 - - - -
4,959 - - - -
4,959 - - - -
658 - - - -
650 390,000 - 32,500 357,500
1,142 - - - -
848 190,800 - 190,800 -
650 780,000 - 195,000 585,000
1,207 603,565 - 24,143 579,422
465 46,500 - 46,500 -
90 - - - -
185 - - - -
990 - - - -
484 3,146,000 - 2,807,200 338,800
4,200 - - - -
86 86,000 - - 86,000
123 - - - -
187 18,700 - 18,700 -
587 - - - -
5,225 - - - -
370 - - - -
265 4,902,500 - 1,325,000 3,577,500
2,560 - - - -
3,400 - - - -
151 - - - -
122 - - - -
78 15,600 - 15,600 -
31 - - - -
159 15,900 - - 15,900
2,200 440,000 - - 440,000
3,642 524,448 - - 524,448
520 - - - -
2,213 - - - -
220 132,000 - - 132,000
454 317,800 - - 317,800
3,438 - - - -
5,280 528,000 - 528,000 -
120 324,000 - 324,000 -
6,050 - - - -
2,625 - - - -
28,058 336,696 - 140,290 196,406
131 - - - -
38,999 - - - -
425 - - - -
39,150 - - - -
81 - - - -
3,490 - - - -
1,016 - - - -
695 - - - -
198 - - - -
711 - - - -
10,760 - - - -
1,573 - - - -
1,596 381,444 - 373,464 7,980
1,219 - - - -
506 - - - -
4,138 - - - -
7,286 174,870 - 72,863 102,008
7,286 138,439 - 72,863 65,576
7,286 174,870 - 36,431 138,439
7,286 174,870 - 36,431 138,439
73 51,100 - - 51,100
97 - - - -
271 - - - -
26 18,480 - 18,480 -
958 - - - -
72 - - - -
63 1,619,100 - 466,200 1,152,900
188 - - - -
3,061 140,806 - 140,806 -
121 - - - -
521 260,500 - 260,500 -
1,140 - - - -
240 - - - -
156 - - - -
1,320 - - - -
1,680 - - - -
2,500 - - - -
261 - - - -
94 - - - -
152 - - - -
77 - - - -
2,298 - - - -
944 - - - -
- - - -
10,900 - - - -
633 - - - -
5,200 208,000 - 52,000 156,000
1,544 - - - -
68 - - - -
68 272,000 - - 272,000
2,970 - - - -
121 - - - -
23,826 - - - -
39 - - - -
4,598 137,940 - - 137,940
440 - - - -
44 - - - -
110 - - - -
114 224,580 - - 224,580
150 - - - -
1,156 - - - -
103 - - - -
- - - - -
174 - - - -
141 70,500 - - 70,500
47 - - - -
21 - - - -
341 - - - -
115,500 - - - -
781 - - - -
424 - - - -
447 - - - -
2,764 11,056 - - 11,056
1,430 - - - -
5,100 - - - -
31 - - - -
1,593 - - - -
690 - - - -
99 - - - -
177 - - - -
146 146,000 - - 146,000
502 - - - -
9,300 - - - -
10,440 2,077,560 - - 2,077,560
10,440 3,319,920 - 522,000 2,797,920
22 - - - -
317 - - - -
544 - - - -
3,696 - - - -
1,200 - - - -
61 - - - -
434,500 - - - -
61 - - - -
3,207 - - - -
2,000 - - - -
40 1,597 - - 1,597
3,277 370,310 - 337,540 32,771
91 - - - -
91 - - - -
1,013 8,104 - - 8,104
101,300 4,052,000 - - 4,052,000
4,598 - - - -
4,598 - - - -
4,598 - - - -
4,176 - - - -
4,568 913,600 - 342,600 571,000
13,800 - - - -
17,000 - - - -
6,017 - - - -
5,414 - - - -
157 - - - -
121 - - - -
98 - - - -
- - - -
76 - - - -
12,500 1,850,000 - 412,500 1,437,500
- - - -
7,569 - - - -
- - - -
1,077 - - - -
9,670 270,760 - - 270,760
- - - -
137,025 - - - -
133,900 - - - -
320 - - - -
37,620 - - - -
610 329,557 - - 329,557
9,460 - - - -
14,400 - - - -
3,500 1,260,000 - 437,500 822,500
4,840 193,600 - 193,600 -
- - - -
581 - - - -
53,505 - - - -
136 88,400 - 20,400 68,000
- - - -
550 - - - -
- - - -
1,320 - - - -
2,750 - - - -
9,570 - - - -
350 - - - -
116 - - - -
400 4,000 - - 4,000
4,121 - - - -
3,590 520,550 - 520,550 -
8,360 - - - -
3,150 1,244,250 - 437,850 806,400
495 - - - -
495 - - - -
6,840 2,339,280 - 342,000 1,997,280
174 - - - -
100 - - - -
106,000 - - - -
688 20,640 - 20,640 -
254,500 - - - -
254,500 - - - -
2,420 - - - -
649 - - - -
1,715 - - - -
500 - - - -
550 - - - -
495 - - - -
5,510 - - - -
390 - - - -
221 - - - -
7,700 - - - -
6,050 30,250 - - 30,250
6,050 60,500 - 30,250 30,250
6,050 1,312,850 - 121,000 1,191,850
1,900 - - - -
8,000 - - - -
- - - -
1,535 38,375 - - 38,375
990 - - - -
85 42,400 - 42,400 -
85 - - - -
1,535 - - - -
1,180 - - - -
3,366 - - - -
225 - - - -
30 - - - -
150 75,000 - 75,000 -
25,988 - - - -
197 3,940 - - 3,940
2,284 - - - -
4,829 231,792 - 231,792 -
15,386 - - - -
40,202 - - - -
110 - - - -
125 - - - -
395 - - - -
105 - - - -
80 - - - -
25 17,500 - - 17,500
330 131,812 - - 131,812
128 - - - -
2,827 - - - -
5,720 2,499,640 - - 2,499,640
4,829 - - - -
286 - - - -
412 - - - -
715 - - - -
110 53,900 - - 53,900
160 593,600 - - 593,600
237 - - - -
433 216,667 - - 216,667
65 - - - -
93 - - - -
2,200 1,276,000 - 184,800 1,091,200
1,350 - - - -
3,988 - - - -
11,000 - - - -
975 - - - -
975 - - - -
6,045 - - - -
300 - - - -
60 385,200 - - 385,200
- - - -
- - - -
325 1,755,000 - - 1,755,000
1,106 - - - -
41.58 - - - -
- - - -
- - - -
- - - -
560 - - - -
620 - - - -
24 - - - -
112 - - - -
51 102,000 - - 102,000
941 - - - -
4,400 805,200 - - 805,200
129,250 - - - -
521 - - - -
604 - - - -
236,500 - - - -
396,000 - - - -
1,320,000 - - - -
176,000 - - - -
239 - - - -
100 - - - -
139 - - - -
348 - - - -
500 - - - -
12,500 575,000 - - 575,000
2,500 175,000 - - 175,000
4,637,531 46,248,818 - 11,450,192 34,798,626
Lolanan, Januari 2021

Kepala UPTD Puskesmas Maelang

NIP 19690405 199103 1 010 .-

PUSKESMAS : MAELANG
BULAN : 01 S/D 18 MARET
TAHUN : 2021
STOK PENERI PEMAK STOK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN AKHIR
KET
1 Abbocath18 PCS 510 0 20 490 Expride

2 Abbocath 20 PCS 116 0 66 50
41 Alkohol 70 % Botol 100 ml 0 0 0 0
158 Kapas 250 mg ROLL 120 0 5 115
159 Kapas 500 mg ROLL 0 0 0 0
192 Neo Envios kotak. 100 kpl 0 0 0
193 NaCL 0,9% Botol 500 ml 342 0 0 342
252 Salep 2-4 pot @30 Gram 510 0 12 498

275 Urine Bag Sak 180 0 0 180
288 Plester 15 x 5 cm Rol 40 0 0 40
UMUM BPJS JAM

PKH KADER JUMLAH
299 190 0 0 4 493
Yang Menerima / Melapor

Kecamatan Sang Tombolang

NIP. 19690405 199103 1 010 .-

PUSKESMAS : MAELANG
BULAN : 01 S/D 18 MARET
TAHUN : 2021

NO NAMA OBAT SATUAN
KET

2 Abbocath 20 PCS 116 0 66 50 Expride
11 Albendazole 400 mg Kotak 100 100 0 0 100 Expride
41 Alkohol 70 % Botol 100 ml 0 0 0 0
158 Kapas 250 mg ROLL 120 0 5 115
159 Kapas 500 mg ROLL 0 0 0 0
193 NaCL 0,9% Botol 500 ml 342 0 0 342
252 Salep 2-4 pot @30 Gram 510 0 12 498

275 Urine Bag Sak 180 0 0 180
288 Plester 15 x 5 cm Rol 40 0 0 40
UMUM BPJS JAM

PKH KADER JUMLAH
299 0 0 0 0 299


NIP. 19690405 199103 1 010 .-

PUSKESMAS : MAELANG
BULAN : MARET
TAHUN : 2021

NO NAMA OBAT SATUAN
KET

2 Abbocath 20 PCS 116 0 66 50 Expride
11 Albendazole 400 mg Kotak 100 100 0 0 100 Expride
158 Kapas 250 mg ROLL 120 0 10 110
193 NaCL 0,9% Botol 500 ml 342 0 50 292
252 Salep 2-4 pot @30 Gram 510 0 30 480
275 Urine Bag Sak 180 0 0 180
288 Plester 15 x 5 cm Rol 40 0 10 30
Expayer
Expayer
Expayer Feb
Di Tarik Ke Dinas
Expayer Feb 2021
Expayer
Expayer
Expayer

PUSKESMAS : MAELANG
BULAN : MARET
TAHUN : 2021
STOK PENERI PEMAK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN
1 Abbocath18 PCS 0 0 0
2 Abbocath 20 PCS 0 0 0
5 Ajitab Tab Kotak 100 Tab 0 0 0
6 Alat Suntik 1,0 ml Kotak 100 PCS 600 0 50
10 Alat Suntik 10 ml Kotak 100 PCS 500 0 20
11 Albendazole 400 mg Kotak 100 100 0 0
12 Allopurinol 100 mg Kotak 100 Tab 0 0 0
13 Alprazolam 0,5 mg Kotak 100 Tab 0 0 0
15 Ambroxol 30 mg Kotak 100 Tab 2500 0 1800
16 Aminophyilin inj Kotak 30 Amp 0 0 0
17 Aminophyilin Tab 200 mg Botol 100 Tab 1000 0 0
18 Amitriptilin tab Kotak 100 Tab 0 0 0
19 Amlodipin 10 mg Kotak 30 Tab 0 0 0
20 Amlodipin 5,0 mg Kotak 30 Tab 0 0 0
21 Ampicilin inj Kotak 10 Vial 0 0 0
22 Ampicilin Cap 500 mg Kotak 100 Cap 0 0 0
23 Amoksisilin 500 mg Kotak 100 Cap 15500 0 0
24 Amoksisilin Syrp Kering 125 mg/5 ml Btl 60 ml 0 0 0
25 Ampicilin Syrp Kering 125 mg/5 ml Btl 100 ml 0 0 0
26 Antalgin 500 mg Kotak 100 Tab 0 0 0
27 Antalgin 500 mg Botol 1000 Tab 0 0 0
28 Antasida DOEN Kotak 100 Tab 0 0 0
29 Antasida DOEN Botol 1000 Tab 0 0 0
30 Antides New Kotak 100 100 0 0
31 Antihemoroid DOEN Kotak 10 supp 200 0 0
32 Antihemoroid Supp Kotak 6 130 0 0
33 Anti malaria DOEN Kotak 100 Tab 0 0 0
34 Antasida DOEN Syrp Botol 100 ml 0 0 0
35 Acyclovir tab 200 mg Kotak 50 Tab 800 0 0
37 Acyclovir Cream 5 g Kotak 24 Tube 0 0 0
38 Asam folat 1 mg Botol100 Tab 0 0 0
39 Asam ascorbat 50 mg Kotak 100Tab 700 0 700
40 Aqua Pro inj Steril Kotak 10 Vial 0 0 0
41 Alkohol 70 % Botol 100 ml 0 0 0
42 Alkohol 70 % Botol 1 Liter 8 0 1
43 Alkohol Swab Kotak @100pcs 0 0 0
44 Artesunat inj 60 mg Kotak 1 Vial 0 0 0
45 Asam mefenamat 500 mg Kotak 100 Tab 0 0 0
46 Aseptan Botol 0 0 0
47 Atropin Sulfat Tab 0,5 mg Kotak 100 Tab 0 0 0
48 Basitrasin + polimiksin (anti bakteri salep) Kotak 24 Tube 0 0 0
49 Betahistin tablet Kotak 30 tab 0 0 0
50 Bisoprolol 5 mg Kotak 30 Tab 0 0 0
51 Bromhexin 8 mg Tab Kotak 100 Tab 0 0 0
52 Brochifar Kotak 100 Tab 0 0 0
53 Bromifar Plus Syr Botol 60 ml 0 0 0
54 Bedak Salisyl 2 % Kotak 0 0 0
55 Betametason krim Ktk 25 tube 83 0 78
56 Bexicom C Kotak 100 Tab 0 0 0
57 Brocon Tab Kotak 100 Tab 0 0 0
58 Bufacetin Salep (kloramfenicol 2%) Tube 15 Gram 0 0 0
59 Cat Gut Plain no.3/0 Dos @ 24's 38 0 0
61 Cat Gut Cromic no.3/0 Dos @ 24's 43 0 0
63 Captopril 12,5 mg Tab Kotak 100 Tab 400 0 0
64 Captopril 25 mg Tab Kotak 100 Tab 0 0 0
65 Carbamazepin Tab 200 mg Kotak 100 Tab 0 0 0
66 Clorpheniramin Malet 4 mg Tab/CTM Botol1000Tab 0 0 0
67 Cefixime Kota 50 Tab 0 0 0
68 Cimetidin 200 mg tab Kotak 100 Tab 0 0 0
69 Cianocobalamin Tab 50 mg Kotak 100 Tab 21000 0 2700
70 Cetrizin 10 mg tab Kotak 50 Tab 0 0 0
71 Cetrizin Hcl syrup Botol 6 0 6
72 Cefadroxil 500 mg Cap Kotak 100 caps 0 0 0
73 Cefadroxil 500 mg Cap Kotak 100 Caps 0 0 0
74 Cianocobalamin inj 500 MCg Kotak 100 amp 0 0 0
75 Ciprofloxasin 50 mg Kotak 100 0 0 0
76 Clorpromazin 100 mg Tab Kotak 100 Tab 0 0 0
77 Cloramphenicol TTS Telinga 3 % Botol 5 ml 0 0 0
78 Cloramphenicol TTS Mata 1 % Kotak 24 Tube 0 0 0
79 Cloramphenicol Salep Mata 1 % Tube 5 g 0 0 0
80 Cloramphenicol Caps 250 mg Kotak 100 Kaps 0 0 0
81 Cloroquin Botol 1000 Tab 0 0 0
82 Cotrimoxazol 480 mg Tab Kotak 100 Tab 0 0 0
83 Cotimoxazol 120 mg Tab Kotak 100 tab 0 0 0
84 Cotimoxazol Susp Botol 60 ml 0 0 0
85 Colfin Kotak 100 0 0 0
86 Co Amoxiclav Ktk @ 30 tab 0 0 0
87 Curbion syrup Btl 60 mL 0 0 0
88 Dapyrin tab kotak 100 Tab 0 0 0
89 Dextrose 5% Botol 500 ml 40 0 0
90 Dexametason Inj Kotak 100 amp 0 0 0
91 Dexametason Tab 0,5 mg Botol 1000 tab 0 0 0
92 Dexametason Tab 0,5 mg Kotak 100 Tab 4000 0 0
93 Dextrometorpan syrp 10 mg/5 ml botol 60 ml 0 0 0
94 Dextrometorpan Tab Kotak 100 Tab 0 0 0
95 Devosix Drops Botol 15 ml 0 0 0
96 Dextrometorpan Tab Botol 1000 Tab 0 0 0
97 Diazepam inj 5 mg/ml Kotak 30 Amp 30 0 0
98 Diazepam 2 mg tab Kotak 100 Tab 0 0 0
99 Diazepam 2 mg tab Botol 1000 Tab 0 0 0
100 Diazepam 5 mg tab botol 250 Tab 0 0 0
101 Diazepam (valdimex)tablet kotak 100 tab 1970 0 0
102 Diethylcarbamazepin 100 mg Kotak 100 Tab 0 0 0
103 Diphenhydramin Inj I.M 10 mg/ml Kotak 30 amp 373 0 13
104 Digoxin TAB 0,25 mg Kotak 100 tab 0 0 0
105 Doxicylin 100 mg Kaps Kotak 100 caps 0 0 0
106 Donperidon Tab 10 mg Kotak 100 tab 0 0 0
107 Diltiazem HCL Tab 30 mg Kotak 100 Tab 500 0 0
108 Epedrin HCL TAB Botol 250 Tab 0 0 0
110 Ephinefrin Inj 0,1 % Kotak 100 Amp 0 0 0
111 Ehtylclor Semprot Botol 0 0 0
112 Erytromicin 500 mg Kaps Kotak 100 caps 0 0 0
113 Examination Glove Kotak 100 pcs 0 0 0
114 Farsifen Plus Kotak 100 Tab 0 0 0
115 Fenol gliserol tetes telinga botol 5 ml 0 0 0
116 Fenorbarbital Inj 50 ml Kotak 30 Amp 0 0 0
117 Fenorbarbital 30 mg Tab Botol 100 Tab 0 0 0
119 Fytomenadion Inj 10 mg/ml Kotak 30 Amp 0 0 0
120 Fytomenadion 10 mg Kotak 100 Tab 0 0 0
121 Furosemide 40 mg tab kotak 200 Tab 0 0 0
122 Fenilbutazon 200 mg Botol 1000 Tab 0 0 0
123 Fenitoin 100 mg kaps Botol 100 cabs 1000 0 0
124 Flunadin Tab Kotak 100 Tab 0 0 0
125 Folley Catheter No.24 PCS 0 0 0
126 Folley Catheter No.20 PCS 10 psg 199 0 0
128 Ferosulfat 300 mg Botol 1000 Tab 0 0 0
129 Garam Oralit Kotak 100 saset 0 0 0
130 Gastricid Tab Kotak 100 Tab 0 0 0
131 Gentamicin Inj 80 mg Kotak 5 amp 0 0 0
132 Gentian Violet Lart 1% Botol 10 ml 0 0 0
133 Glibenclamide 5 mg Kotak 100 Tab 0 0 0
134 Glass lonomer Btl/Set 0 0 0
135 Glyseril Guayakolat Botol 1000 Tab 0 0 0
136 Glucotrol xl Tab 10 mg Kotak 30 Tab 0 0 0
137 Grisiofulvin 500mg Kotak 100 Tab 0 0 0
138 HydroclortiazidTab 25 mg Botol 1000 Tab 0 0 0
139 Hydrocortison Krim 2,5 % Kotak 24 Tube 33 0 23
140 Halloperidol 1,5 mg tab Kotak 100 tab 0 0 0
141 Halloperidol 0,5 mg tab Kotak 100 Tab 0 0 0
142 Halloperidol inj 50mg/ml kotak 10 ampul 8 0 0
143 Haidol DC 50 Mg Inj Kotak 5 Ampul 40 0 0
144 Handscun No.8.0 (Sateglove Surgical) Kotak 50 PCS 0 0 0
145 Handscun No.7,5 (Sateglove Surgical) Kotak 50 PCS 0 0 0
146 Handscun No.7 Kotak 50 PCS 0 0 0
147 Infuset DWS Sak 0 0 0
148 Infuset anak Sak 150 0 25
149 Insulatard Kotak 10 Vial 0 0 0
150 Insuman Comb Kotak 5pen@3m/ 0 0 0
151 Ichtiyol SK 15 gr Kotak 12 pot 0 0 0
152 Ibupropen Syrp 100 Mg Botol 60 ml 0 0 0
153 Ibupropen 400 Kotak 100 Tab 0 0 0
154 Ibupropen 200 Kotak 100 tab 0 0 0
155 Isosorbit Dinitrit TAB Kotak 100 tab 0 0 0
156 Indo Obat Cacing Kotak 25 Tab 0 0 0
157 Kalcium Lactat 500 mg Tab Kotak 100 Tab 0 0 0
158 Kapas 250 mg ROLL 120 0 5
159 Kapas 500 mg ROLL 0 0 0
160 Kasa steril 16 x 16 cm ROLL 0 0 0
161 Kasa pembalut 4 x 5 cm ROLL 0 0 0
162 Kasa Kompres 4 x 10 cm ROLL 0 0 0
164 Kasa Hydrophyl 4 x 15 cm ROLL 0 0 0
166 Kasa Penyerap luka Bakar pcs 0 0 0
167 Ketoconazole Tab 200mg Kotak 50 Tab 0 0 0
168 Ketoconazole Cream 2 % tube 5 g 0 0 0
169 Kuinina 222 mg Tab Botol 1000 Tab 540 0 0
170 Lansoprazole Kaps 30 mg Ktak 20 kaps 0 0 0
171 Lantus Solostan Kotak 5 pen 0 0 0
172 Lidocain Inj 2% (pehacain) Kotak 20 Amp 260 0 20
174 Lidocain Inj 2% kotak 10 Amp 0 0 0
175 Levofloxacin 500mg Tab Kotak 50 tab 0 0 0
176 Lisol Botol 100 ml 0 0 0
177 Loratadin 10 mg Kotak 100 tab 650 0 150
178 Meloxicam 15 Mg Kotak 50 tab 0 0 0
179 Multivitamin utk ibu hamil (Prenase) Kotak 100 tab 0 0 0
180 Metyl Ergometri Maleat Tab 0,125 mg Kotak 100 tab 0 0 0
181 Metil Prednisolon Kotak 100 tab 0 0 0
182 Metyl Ergometri Inj kotak 100 Amp 0 0 0
183 Metacetin syrup Btl 60 mL 0 0 0
184 Metformin Kotak 100 tab 0 0 0
185 Metronidazole tab 250 mg Kotak 100 tab 0 0 0
186 Metronidazole tab 500 mg (Omenizol) Kotak 100 tab 0 0 0
187 Metronodazol sirup botol 0 0 0
188 Metronidazole ovula 500mg/vagisol kotak 5 ovula 145 0 0
189 Mulsanol Syr Botol 60 ml 0 0 0
190 Mykonazole Cream 2% Tube 5 g 313 0 57
191 Masker Kotak 50 pcs 0 0 0
192 Neo Envios kotak. 100 kpl 0 0
193 NaCL 0,9% Botol 500 ml 342 0 0
194 Nat. Diclofenak 50 mg Kotak 50 tab 0 0 0
195 Nifedipin Tab 10 mg Kotak 100 tab 0 0 0
196 Novomix 30 fkx pen Kotak 5 Vial 0 0 0
197 Nystatin Vaginal Tab 100.000 IU Kotak 100 Tab 290 0 0
198 Obat Cairan Untuk Luka Bakar Botol 40 ml 0 0 0
199 Obat Cairan Untuk Sariawan Botol 40 ml 0 0 0
200 OBH Syirup Botol100 ml 0 0 0
201 Omeneuron Kotak. 100 kpl 0 0 0
202 Oxytetracyclin S.K 3% Tube 5 g 0 0 0
203 Omegavit Kotak. 100 kpl 0 0 0
204 Omegesic Kotak 100 tab 0 0 0
205 Omegdiar Kotak. 100 kpl 0 0 0
206 Omegdiar Syr Botol 60 ml 0 0 0
207 Omecal. D Kotak. 100 tab 0 0 0
208 Omeprazol Caps Kotak. 30 Caps 0 0 0
209 Omesolvon Syr Botol 0 0 0
210 Oxyflow Nasal oxygin Anak Pcs 140 0 0
211 Oxyflow Nasal oxygin Bayi Pcs 190 0 0
212 Oxyflow Nasal oxygin Dewasa Pcs 174 0 0
213 Oxytocin inj (Tiacinon) Kotak 10 Amp 0 0 0
214 Pacdin Baby Cough Syr Botol 60 ml 0 0 0
215 Papaverin 40 mg Tab Botol 1000 Tab 0 0 0
216 Paracetamol Syrp 120ml/5mg Botol 60 ml 5 0 3
217 Panvit. C Kotak. 100 tab 0 0 0
218 Paracetamol 500 mg Tab Kotak 100 tab 0 0 0
219 Paracetamol 500 mg Tab Botol 1000 Tab 0 0 0
221 Panviton Kotak 50 kapl 0 0 0
222 Pharmafix 100 mg Kotak 50 tab 0 0 0
223 Pirazinamid 500 mg Kotak 100 tab 0 0 0
224 Pyridoxin Tab 10 mg (vit.B6) botol 1000 tab 0 0 0
226 Plester 5 Yard x 2 Inc ROLL 0 0 0
227 Phenobarbital 30 Mg Kotak 100 200 0 0
228 Povidon Lodida 10% Botol 30 ml 0 0 0
229 Povidon Lodida 10% botol 60 ml 40 0 0
232 Prednison Tab 5 mg Botol 1000 tab 0 0 0
233 Prednison 5 mg Kotak 100 tab 0 0 0
234 Piroxicam 20 mg Kotak 100 Tab 0 0 0
235 Piroxicam 20 mg Kotak 120 caps 0 0 0
236 Propanolol 40 mg Botol 100 tab 0 0 0
237 Pyrantel Tab 125 mg Kotak 60 Tab 700 0 0
238 Propyltiorasyl 100 mg (PTU) Botol 100 Tab 400 0 0
239 Ranitidin 150 mg Tab Kotak 100 Tab 0 0 0
240 Ranitidin Inj 25 mg/2 ml Kotak 5 amp 0 0 0
241 Ringer Laktat Botol. 500 ml 385 0 21
242 Rivanol Botol 300 cc 0 0 0
243 Retinol (Vit.A) 100.000 IU Botol. 50 kps 0 0 0
245 Stavit kpl Kotak. 100 kpl 0 0 0
247 Simvastatin 10 mg Kotak 30 tab 2200 0 220
250 Salbutamol 2 mg Kotak 100 tab 0 0 0
251 Salbutamol 4 mg Kotak 100 Tab 0 0 0
252 Salep 2-4 pot @30 Gram 510 0 12
253 Salicil Bedak Kotak @ 50 gram 0 0 0
254 Silk Benang Bedah 3/0 (suture) Dos @ 36's 0 0 0
255 Seltifort Kids Sirop Botol. 60 ml 0 0 0
256 Selesbion Plus Kotak 100 Tab 0 0 0
257 Seviplex Kotak 100 tab 0 0 0
258 Stolax Supositoria (Bisacody) Kotak 6 Supp 0 0 0
259 Stomach tab Kotak 100 Tab 0 0 0
260 Tablet Tambah Darah kotak 30 tab 6420 0 0
261 Tramadol 50 mg Kaps Kotak 50 caps 0 0 0
262 Tetracyclin 250 mg Kaps Botol 1000 caps 500 0 0
263 Tetracyclin 500 mg Kaps Kotak 100 caps 4400 0 200
264 Tilomix Tab Kotak 100 Tab 0 0 0
265 Thiamin 50 mg Tab Botol 1000 tab 0 0 0
266 Thiamin Inj 100 mg/ml Kotak 30 Amp 0 0 0
267 Thiamphenicol Kaps 500 mg Kotak 100 kaps 0 0 0
268 Trihexyphenidil Tab 2 mg Kotak 100 tab 0 0 0
269 Vidabion Tab Kotak 100 Tab 0 0 0
270 Vitalamin Tab Kotak 100 Tab 0 0 0
271 Vit B. Comp Botol 1000 tab 0 0 0
272 Vit B. Comp Kotak 100 Tab 0 0 0
274 Vit Ever Kotak 100 Tab 0 0 0
275 Urine Bag Sak 180 0 0
276 Vaksin Rabies Vero Vial 0 0 0
278 Zinc Tab 20 mg Kotak 100 Tab 700 0 0
279 OAT FDC Kategori Anak Paket 0 0 0
280 OAT FDC Kategori.I. Dws Paket 0 0 0
281 OAT FDC Kategori.II Dws Paket 0 0 0
282 OAT FDC Sisipan Dws Paket 0 0 0
283 Ticomac Tablet 0 0 0
284 Solasic Tablet 0 0 0
285 Guaifenetisin Tablet 700 0 0
286 Kamolas Tablet 0 0 0
287 Selkon Tablet 0 0 0
288 Plester 15 x 5 cm Rol 40 0 0
289 Waterfor Injeksi Botol 50 0 0
UMUM BPJS JAM

PKH
299 190 0 0

NIP. 19690405 199103 1 010 .-
STOK
AKHIR
KET
0 Expride Expayer 490

0 Expayer 50
0 0
0 0
0 0
550 550
0 0
0 0
900 900
480 480
100 100
0 0
0 0
0 0
700 700
0 0
1000 1000
0 0
0 0
0 0
0 0
0 0
15500 15500
0 0
0 0
0 0
0 0
0 0
0 0
100 100
200 200
130 130
0 0
0 0
800 800
900 900
0 0
0 0
0 0
0 0
0 0
7 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 5
0 0
0 0
0 0
38 38
33 33
43 43
43 43
400 400
0 0
0 0
0 0
0 0
0 0
18300 18300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 40
0 0
0 0
4000 4000
0 0
0 0
0 0
0 0
30 30
0 0
0 0
0 0
1970 1970
0 0
360 0 Expayer
0 0
0 0
0 0
500 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 100
0 0
0 0
199 199
260 260
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10
0 0
0 0
8 8
40 40
0 0
0 0
0 0
0 0
125 125
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
115 115
0 0
0 0
0 0
0 0
10 10
0 0
0 0
0 0
0 0
0 0
540 540
0 0
0 0
240 240
0 0
0 0
0 0
0 0
500 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
145 145
0 0
256 256
0 0
0 0
342 342
0 0
0 0
0 0
290 290
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
140 140
190 190
174 174
0 0
0 0
0 0
2 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 200
0 0
40 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
700 700
400 400
0 0
0 0
364 364
0 0
0 0
0 0
0 0
1980 1980
500 500
0 0
0 0
498 498
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6420 6420
0 0
500 500
4200 4200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 180
0 0
700 700
0 0
0 0
0 0
0 0
0 0
0 0
700 700
0 0
0 0
40 40
50 50
KADER JUMLAH
4 493

PUSKESMAS : MAELANG
BULAN : APRIL
TAHUN : 2021
STOK PENERI
NO NAMA OBAT SATUAN
AWAL MAAN
1 Abbocath18 PCS 510 0
2 Abbocath 20 PCS 116 0
5 Ajitab Tab Kotak 100 Tab 0 0
6 Alat Suntik 1,0 ml Kotak 100 PCS 600 0
10 Alat Suntik 10 ml Kotak 100 PCS 500 0
11 Albendazole 400 mg Kotak 100 100 0
12 Allopurinol 100 mg Kotak 100 Tab 0 0
13 Alprazolam 0,5 mg Kotak 100 Tab 0 0
15 Ambroxol 30 mg Kotak 100 Tab 2500 0
16 Aminophyilin inj Kotak 30 Amp 0 0
17 Aminophyilin Tab 200 mg Botol 100 Tab 1000 0
18 Amitriptilin tab Kotak 100 Tab 0 0
19 Amlodipin 100 mg Kotak 30 Tab 0 600
20 Amlodipin 5,0 mg Kotak 30 Tab 0 0
21 Ampicilin inj Kotak 10 Vial 0 0
22 Ampicilin Cap 500 mg Kotak 100 Cap 0 0
23 Amoksisilin 500 mg Kotak 100 Cap 15500 500
24 Amoksisilin Syrp Kering 125 mg/5 ml Btl 60 ml 0 0
25 Ampicilin Syrp Kering 125 mg/5 ml Btl 100 ml 0 0
26 Antalgin 500 mg Kotak 100 Tab 0 0
27 Antalgin 500 mg Botol 1000 Tab 0 0
28 Antasida DOEN Kotak 100 Tab 0 0
Antasida DOEN Kotak 100 Tab 0 1500
29 Antasida DOEN Botol 1000 Tab 0 0
30 Antides New Kotak 100 100 0
31 Antihemoroid DOEN Kotak 10 supp 200 0
32 Antihemoroid Supp Kotak 6 130 0
33 Anti malaria DOEN Kotak 100 Tab 0 0
34 Antasida DOEN Syrp Botol 100 ml 0 0
35 Acyclovir tab 200 mg Kotak 50 Tab 800 0
37 Acyclovir Cream 5 g Kotak 24 Tube 0 0
38 Asam folat 1 mg Botol100 Tab 0 0
39 Asam ascorbat 50 mg Kotak 100Tab 700 0
40 Aqua Pro inj Steril Kotak 10 Vial 0 0
41 Alkohol 70 % Botol 100 ml 0 0
42 Alkohol 70 % Botol 1 Liter 8 0
43 Alkohol Swab Kotak @100pcs 0 0
44 Artesunat inj 60 mg Kotak 1 Vial 0 0
45 Asam mefenamat 500 mg Kotak 100 Tab 0 0
46 Aseptan Botol 0 0
47 Atropin Sulfat Tab 0,5 mg Kotak 100 Tab 0 0
48 Basitrasin + polimiksin (anti bakteri salep) Kotak 24 Tube 0 0
49 Betahistin tablet Kotak 30 tab 0 0
50 Bisoprolol 5 mg Kotak 30 Tab 0 0
51 Bromhexin 8 mg Tab Kotak 100 Tab 0 0
52 Brochifar Kotak 100 Tab 0 0
53 Bromifar Plus Syr Botol 60 ml 0 0
54 Bedak Salisyl 2 % Kotak 0 0
55 Betametason krim Ktk 25 tube 83 0
56 Bexicom C Kotak 100 Tab 0 0

57 Brocon Tab Kotak 100 Tab 0 0
58 Bufacetin Salep (kloramfenicol 2%) Tube 15 Gram 0 0
59 Cat Gut Plain no.3/0 Dos @ 24's 38 0
61 Cat Gut Cromic no.3/0 Dos @ 24's 43 0
63 Captopril 12,5 mg Tab Kotak 100 Tab 400 0
64 Captopril 25 mg Tab Kotak 100 Tab 0 0
65 Carbamazepin Tab 200 mg Kotak 100 Tab 0 0
66 Clorpheniramin Malet 4 mg Tab/CTM Botol1000Tab 0 0
67 Cefixime Kota 50 Tab 0 0
Cetrine 10 mg 150
68 Cimetidin 200 mg tab Kotak 100 Tab 0 200
69 Cianocobalamin Tab 50 mg Kotak 100 Tab 21000 0
70 Cetrizin 10 mg tab Kotak 50 Tab 0 0
71 Cetrizin Hcl syrup Botol 6 0
72 Cefadroxil 500 mg Cap Kotak 100 caps 0 0
73 Cefadroxil 500 mg Cap Kotak 100 Caps 0 0
74 Cianocobalamin inj 500 MCg Kotak 100 amp 0 0
75 Ciprofloxasin 50 mg Kotak 100 0 0
76 Clorpromazin 100 mg Tab Kotak 100 Tab 0 0
77 Cloramphenicol TTS Telinga 3 % Botol 5 ml 0 0
78 Cloramphenicol TTS Mata 1 % Kotak 24 Tube 0 0
79 Cloramphenicol Salep Mata 1 % Tube 5 g 0 0
80 Cloramphenicol Caps 250 mg Kotak 100 Kaps 0 0
81 Cloroquin Botol 1000 Tab 0 0
82 Cotrimoxazol 480 mg Tab Kotak 100 Tab 0 0
83 Cotimoxazol 120 mg Tab Kotak 100 tab 0 0
84 Cotimoxazol Susp Botol 60 ml 0 0
85 Colfin Kotak 100 0 0
86 Co Amoxiclav Ktk @ 30 tab 0 0
87 Curbion syrup Btl 60 mL 0 0
88 Dapyrin tab kotak 100 Tab 0 0
89 Dextrose 5% Botol 500 ml 40 0
90 Dexametason Inj Kotak 100 amp 0 0
91 Dexametason Tab 0,5 mg Botol 1000 tab 0 0
92 Dexametason Tab 0,5 mg Kotak 100 Tab 4000 0
93 Dextrometorpan syrp 10 mg/5 ml botol 60 ml 0 0
94 Dextrometorpan Tab Kotak 100 Tab 0 0
95 Devosix Drops Botol 15 ml 0 0
96 Dextrometorpan Tab Botol 1000 Tab 0 0
97 Diazepam inj 5 mg/ml Kotak 30 Amp 30 0
98 Diazepam 2 mg tab Kotak 100 Tab 0 0
99 Diazepam 2 mg tab Botol 1000 Tab 0 0
100 Diazepam 5 mg tab botol 250 Tab 0 0
101 Diazepam (valdimex)tablet kotak 100 tab 1970 0
102 Diethylcarbamazepin 100 mg Kotak 100 Tab 0 0
103 Diphenhydramin Inj I.M 10 mg/ml Kotak 30 amp 373 0
104 Digoxin TAB 0,25 mg Kotak 100 tab 0 0
105 Doxicylin 100 mg Kaps Kotak 100 caps 0 0
106 Donperidon Tab 10 mg Kotak 100 tab 0 0
107 Diltiazem HCL Tab 30 mg Kotak 100 Tab 500 0
108 Epedrin HCL TAB Botol 250 Tab 0 0
110 Ephinefrin Inj 0,1 % Kotak 100 Amp 0 0
111 Ehtylclor Semprot Botol 0 0
112 Erytromicin 500 mg Kaps Kotak 100 caps 0 0
113 Examination Glove Kotak 100 pcs 0 0
Ergotamine 50 mg / 100 mg Tablet 800
114 Farsifen Plus Kotak 100 Tab 0 0
115 Fenol gliserol tetes telinga botol 5 ml 0 0
116 Fenorbarbital Inj 50 ml Kotak 30 Amp 0 0
117 Fenorbarbital 30 mg Tab Botol 100 Tab 0 0
119 Fytomenadion Inj 10 mg/ml Kotak 30 Amp 0 0
120 Fytomenadion 10 mg Kotak 100 Tab 0 0
121 Furosemide 40 mg tab kotak 200 Tab 0 0
122 Fenilbutazon 200 mg Botol 1000 Tab 0 0

123 Fenitoin 100 mg kaps Botol 100 cabs 1000 0
124 Flunadin Tab Kotak 100 Tab 0 0
125 Folley Catheter No.24 PCS 0 0
126 Folley Catheter No.20 PCS 10 psg 199 0
128 Ferosulfat 300 mg Botol 1000 Tab 0 0
129 Garam Oralit Kotak 100 saset 0 100
130 Gastricid Tab Kotak 100 Tab 0 0
131 Gentamicin Inj 80 mg Kotak 5 amp 0 0
132 Gentian Violet Lart 1% Botol 10 ml 0 0
133 Glibenclamide 5 mg Kotak 100 Tab 0 0
134 Glass lonomer Btl/Set 0 0
135 Glyseril Guayakolat Botol 1000 Tab 0 0
136 Glucotrol xl Tab 10 mg Kotak 30 Tab 0 0
137 Grisiofulvin 500mg Kotak 100 Tab 0 0
138 HydroclortiazidTab 25 mg Botol 1000 Tab 0 0
139 Hydrocortison Krim 2,5 % Kotak 24 Tube 33 0
140 Halloperidol 1,5 mg tab Kotak 100 tab 0 0
141 Halloperidol 0,5 mg tab Kotak 100 Tab 0 0
142 Halloperidol inj 50mg/ml kotak 10 ampul 8 0
143 Haidol DC 50 Mg Inj Kotak 5 Ampul 40 0
144 Handscun No.8.0 (Sateglove Surgical) Kotak 50 PCS 0 0
145 Handscun No.7,5 (Sateglove Surgical) Kotak 50 PCS 0 0
146 Handscun No.7 Kotak 50 PCS 0 0
147 Infuset DWS Sak 0 0
148 Infuset anak Sak 150 0
149 Insulatard Kotak 10 Vial 0 0
150 Insuman Comb Kotak 5pen@3m/ 0 0
151 Ichtiyol SK 15 gr Kotak 12 pot 0 0
152 Ibupropen Syrp 100 Mg Botol 60 ml 0 0
153 Ibupropen 400 Kotak 100 Tab 0 0
154 Ibupropen 200 Kotak 100 tab 0 0
155 Isosorbit Dinitrit TAB Kotak 100 tab 0 0
156 Indo Obat Cacing Kotak 25 Tab 0 0
157 Kalcium Lactat 500 mg Tab Kotak 100 Tab 0 0
158 Kapas 250 mg ROLL 120 0
160 Kasa steril 16 x 16 cm ROLL 0 0
161 Kasa pembalut 4 x 5 cm ROLL 0 0
162 Kasa Kompres 4 x 10 cm ROLL 0 0
164 Kasa Hydrophyl 4 x 15 cm ROLL 0 0
166 Kasa Penyerap luka Bakar pcs 0 0
167 Ketoconazole Tab 200mg Kotak 50 Tab 0 0
168 Ketoconazole Cream 2 % tube 5 g 0 0
169 Kuinina 222 mg Tab Botol 1000 Tab 540 0
170 Lansoprazole Kaps 30 mg Ktak 20 kaps 0 0
171 Lantus Solostan Kotak 5 pen 0 0
172 Lidocain Inj 2% (pehacain) Kotak 20 Amp 260 0
174 Lidocain Inj 2% kotak 10 Amp 0 0
175 Levofloxacin 500mg Tab Kotak 50 tab 0 0
176 Lisol Botol 100 ml 0 0
177 Loratadin 10 mg Kotak 100 tab 650 0
Loratadine Tablet 250
178 Meloxicam 15 Mg Kotak 50 tab 0 0
179 Multivitamin utk ibu hamil (Prenase) Kotak 100 tab 0 0
180 Metyl Ergometri Maleat Tab 0,125 mg Kotak 100 tab 0 0
181 Metil Prednisolon Kotak 100 tab 0 400
182 Metyl Ergometri Inj kotak 100 Amp 0 0
183 Metacetin syrup Btl 60 mL 0 0
184 Metformin Kotak 100 tab 0 0
185 Metronidazole tab 250 mg Kotak 100 tab 0 0
186 Metronidazole tab 500 mg (Omenizol) Kotak 100 tab 0 0
187 Metronodazol sirup botol 0 0
188 Metronidazole ovula 500mg/vagisol kotak 5 ovula 145 0

189 Mulsanol Syr Botol 60 ml 0 0
190 Mykonazole Cream 2% Tube 5 g 313 0
191 Masker Kotak 50 pcs 0 0
192 Neo Envios kotak. 100 kpl 0
193 NaCL 0,9% Botol 500 ml 342 0
194 Nat. Diclofenak 50 mg Kotak 50 tab 0 0
195 Nifedipin Tab 10 mg Kotak 100 tab 0 0
196 Novomix 30 fkx pen Kotak 5 Vial 0 0
197 Nystatin Vaginal Tab 100.000 IU Kotak 100 Tab 290 0
198 Obat Cairan Untuk Luka Bakar Botol 40 ml 0 0
199 Obat Cairan Untuk Sariawan Botol 40 ml 0 0
200 OBH Syirup Botol100 ml 0 0
201 Omeneuron Kotak. 100 kpl 0 0
202 Oxytetracyclin S.K 3% Tube 5 g 0 0
203 Omegavit Kotak. 100 kpl 0 0
204 Omegesic Kotak 100 tab 0 0
205 Omegdiar Kotak. 100 kpl 0 0
206 Omegdiar Syr Botol 60 ml 0 0
207 Omecal. D Kotak. 100 tab 0 0
208 Omeprazol Caps Kotak. 30 Caps 0 0
209 Omesolvon Syr Botol 0 0
210 Oxyflow Nasal oxygin Anak Pcs 140 0
211 Oxyflow Nasal oxygin Bayi Pcs 190 0
212 Oxyflow Nasal oxygin Dewasa Pcs 174 0
213 Oxytocin inj (Tiacinon) Kotak 10 Amp 0 0
214 Pacdin Baby Cough Syr Botol 60 ml 0 0
215 Papaverin 40 mg Tab Botol 1000 Tab 0 0
216 Paracetamol Syrp 120ml/5mg Botol 60 ml 5 0
217 Panvit. C Kotak. 100 tab 0 0
218 Paracetamol 500 mg Tab Kotak 100 tab 0 0
Paracetamol 500 mg Tab Kotak 100 tab 1000
219 Paracetamol 500 mg Tab Botol 1000 Tab 0 0
221 Panviton Kotak 50 kapl 0 0
222 Pharmafix 100 mg Kotak 50 tab 0 0
223 Pirazinamid 500 mg Kotak 100 tab 0 0
224 Pyridoxin Tab 10 mg (vit.B6) botol 1000 tab 0 0
226 Plester 5 Yard x 2 Inc ROLL 0 0
227 Phenobarbital 30 Mg Kotak 100 200 0
Phenobarbital 30 Mg Kotak 100 1000
228 Povidon Lodida 10% Botol 30 ml 0 0
229 Povidon Lodida 10% botol 60 ml 40 0
232 Prednison Tab 5 mg Botol 1000 tab 0 0
233 Prednison 5 mg Kotak 100 tab 0 0
234 Piroxicam 20 mg Kotak 100 Tab 0 0
235 Piroxicam 20 mg Kotak 120 caps 0 0
236 Propanolol 40 mg Botol 100 tab 0 0
237 Pyrantel Tab 125 mg Kotak 60 Tab 700 0
238 Propyltiorasyl 100 mg (PTU) Botol 100 Tab 400 0
239 Ranitidin 150 mg Tab Kotak 100 Tab 0 0
240 Ranitidin Inj 25 mg/2 ml Kotak 5 amp 0 0
241 Ringer Laktat Botol. 500 ml 385 0
242 Rivanol Botol 300 cc 0 0
243 Retinol (Vit.A) 100.000 IU Botol. 50 kps 0 0
245 Stavit kpl Kotak. 100 kpl 0 0
247 Simvastatin 10 mg Kotak 30 tab 2200 0
250 Salbutamol 2 mg Kotak 100 tab 0 0
251 Salbutamol 4 mg Kotak 100 Tab 0 0
252 Salep 2-4 pot @30 Gram 510 0
253 Salicil Bedak Kotak @ 50 gram 0 0
254 Silk Benang Bedah 3/0 (suture) Dos @ 36's 0 26
255 Seltifort Kids Sirop Botol. 60 ml 0 0
256 Selesbion Plus Kotak 100 Tab 0 0

257 Seviplex Kotak 100 tab 0 0
258 Stolax Supositoria (Bisacody) Kotak 6 Supp 0 0
259 Stomach tab Kotak 100 Tab 0 0
260 Tablet Tambah Darah kotak 30 tab 6420 0
261 Tramadol 50 mg Kaps Kotak 50 caps 0 0
262 Tetracyclin 250 mg Kaps Botol 1000 caps 500 0
263 Tetracyclin 500 mg Kaps Kotak 100 caps 4400 0
264 Tilomix Tab Kotak 100 Tab 0 0
265 Thiamin 50 mg Tab Botol 1000 tab 0 0
266 Thiamin Inj 100 mg/ml Kotak 30 Amp 0 0
267 Thiamphenicol Kaps 500 mg Kotak 100 kaps 0 0
268 Trihexyphenidil Tab 2 mg Kotak 100 tab 0 0
269 Vidabion Tab Kotak 100 Tab 0 0
270 Vitalamin Tab Kotak 100 Tab 0 0
271 Vit B. Comp Botol 1000 tab 0 0
272 Vit B. Comp Kotak 100 Tab 0 300
274 Vit Ever Kotak 100 Tab 0 0
275 Urine Bag Sak 180 0
276 Vaksin Rabies Vero Vial 0 0
278 Zinc Tab 20 mg Kotak 100 Tab 700 0
279 OAT FDC Kategori Anak Paket 0 0
280 OAT FDC Kategori.I. Dws Paket 0 0
281 OAT FDC Kategori.II Dws Paket 0 0
282 OAT FDC Sisipan Dws Paket 0 0
283 Ticomac Tablet 0 0
284 Solasic Tablet 0 0
285 Guaifenetisin Tablet 700 0
286 Kamolas Tablet 0 0
287 Selkon Tablet 0 0
288 Plester 15 x 5 cm Rol 40 0
289 Waterfor Injeksi Botol 50 0
Anbroxol 300 Mg Tablet 1500

Amblodipin 100 mg Tablet 600
Amoksilin Tablet 500
Antasida Doen Tablet 1500
Ergotamine 50 mg / 100 mg Tablet 800
Garam Oralit Saset 100
Cimetidin Tablet Tabelt 200
Parasetamol 500 mg Tablet 1000
Phenobarbital 30 mg Kapsul 1000
Vitamin B Compleks Tablet 300
Silk 3
Cat Gut Chromic 3/0 Pack 1
Cat Gut Chromic 2/0 Pack 1
Cetrine 10 mg Tablet 150
Loratadine Tablet 250
Metyl Prednisolon 4 mg Tablet 400
UMUM BPJS JAM

299 190 0

NIP. 19690405 199103 1 010 .-
N
PEMAK STOK
AIAN AKHIR
KET
20 490 Expride FebExpayer

66 50 Expayer
10 0
0 0
0 0
50 550
0 0
65 0
100 900
20 480
0 100
0 0
0 0
0 0
1800 700
0 0
0 1000
0 0
0 600 Obat Masuk
0 0
0 0
0 0
0 16000 Obat Masuk
0 0
0 0
0 0
0 0
0 0
1500 Obat Masuk
0 0
0 100
0 200
0 130
0 0
0 0
0 800
0 900
0 0
0 0
700 0
0 0
0 0
1 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
78 5
0 0
0 0
0 0
0 38
0 33
0 43
0 43
0 400
0 0
0 0
0 0
0 0
150 Obat Masuk
0 200 Obat Masuk
2700 18300
0 0
6 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
0 0
0 4000
0 0
0 0
0 0
0 0
0 30
0 0
0 0
0 0
0 1970
0 0
13 360
0 0
0 0
0 0
0 500
0 0
0 0
0 0
0 0
0 0
0 0
800 Obat Masuk
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1000
0 0
0 0
0 199
10 260
0 0
0 100 Obat Masuk
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
23 10
0 0
0 0
0 8
0 40
0 0
0 0
0 0
0 0
25 125
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 115
0 0
0 0
0 0
0 0
0 10
0 0
0 0
0 0
0 0
0 0
0 540
0 0
0 0
20 240
0 0
0 0
0 0
0 0
150 500
250 Obat Masuk
0 0
0 0
0 0
0 400 Obat Masuk
0 0
0 0
0 0
0 0
0 0
0 0
0 145
0 0
57 256
0 0
0 0
0 342
0 0
0 0
0 0
0 290
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 140
0 190
0 174
0 0
0 0
0 0
3 2
0 0
0 0
1000 Obat Masuk
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 200
1000 Obat Masuk
0 0
0 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 700
0 400
0 0
0 0
21 364
0 0
0 0
0 0
0 0
220 1980
0 500
0 0
0 0
12 498
0 0
0 26 Obat Masuk
0 0
0 0
0 0
0 0
0 0
0 6420
0 0
0 500
200 4200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 300
0 0
0 180
0 0
0 700
0 0
0 0
0 0
0 0
0 0
0 0
0 700
0 0
0 0
0 40
0 50
500 1000 755 484

100 500 95
500 265
500 1000 60
100 700 300
20 80 2940
0 200 459 91800
500 500 485
100 900 26
100 200 135
0 3 110
0 1 55,000
0 1 55,000 12 4583.3333
0 150 900 24 2291.6667
50 200 659
100 300 136
PKH KADER JUMLAH
0 4 493
Menerima / Melapor
TD Puskesmas Maelang
atan Sang Tombolang
I MAMONTO, SKM .-
90405 199103 1 010 .-

PUSKESMAS : MAELANG
BULAN : APRIL
TAHUN : 2021

NO NAMA OBAT SATUAN
KET
1 Abbocath18 PCS 0 0 0 0
41 Alkohol 70 % Botol 100 ml 0 0 0 0


158 Kapas 250 mg ROLL 115 0 15 100
159 Kapas 500 mg ROLL 0 0 0 0

193 NaCL 0,9% Botol 500 ml 0 0 0 0
252 Salep 2-4 pot @30 Gram 498 0 50 448

275 Urine Bag Sak 180 0 50 130
288 Plester 15 x 5 cm Rol 40 0 10 30
UMUM BPJS JAM

PKH KADER JUMLAH
299 190 0 0 4 493


NIP. 19690405 199103 1 010 .-
Expayer
DAFTAR PEMAKAIAN SAMPAI AGUSTUS 2021
NO NAMA OBAT JLH NO NAMA OBAT JLH
1 Abbocath18 300 61 Captopril 12,5 mg Tab 1200

2 Abbocath 20 154 62 Captopril 25 mg Tab
3 Abbocath 22 63 Carbamazepin Tab 200 mg 500
4 Abbocath 24 166 64 Clorpheniramin Malet 4 mg Tab/CTM 3100
5 Ajitab Tab 65 Cefixime
6 Alat Suntik 1,0 ml 66 Cetrine 10 mg
7 Alat Suntik 2,5 ml 67 Cimetidin 200 mg tab 170
8 Alat Suntik 3,0 ml 68 Cianocobalamin Tab 50 mg 1100
9 Alat Suntik 5,0 ml 331 69 Cetrizin 10 mg tab
10 Alat Suntik 10 ml 480 70 Cetrizin Hcl syrup/ Trisela 16
11 Albendazole 400 mg 1,282 71 Cefadroxil 500 mg Cap
12 Allopurinol 100 mg 72 Cianocobalamin inj 500 MCg 100
13 Alprazolam 0,5 mg 73 Ciprofloxasin 500 mg 1800
14 Alprazolam 1,0 mg 74 Clorpromazin 100 mg Tab
15 Ambroxol 30 mg 75 Cloramphenicol TTS Telinga 3 %
16 Aminophyilin inj 76 Cloramphenicol TTS Mata 1 %
17 Aminophyilin Tab 200 mg 77 Cloramphenicol Salep Mata 1 %
18 Amitriptilin tab 78 Cloramphenicol Caps 250 mg
19 Amlodipin 10 mg 79 Cloroquin
20 Amlodipin 5 mg 80 Cotrimoxazol 480 mg Tab 3900
21 Ampicilin inj 81 Cotimoxazol 120 mg Tab
22 Ampicilin Cap 500 mg 82 Cotimoxazol Susp 168
23 Amoksisilin 500 mg 14,000 83 Colfin
24 Amoksisilin Syrp Kering 125 mg/5 ml 39 84 Co Amoxiclav
25 Ampicilin Syrp Kering 125 mg/5 ml 85 Curbion syrup
26 Antalgin 500 mg 86 Dapyrin tab
27 Antasida DOEN tab 100 87 Dextrose 5% 14
28 Erlamycetin sirup/Chloramphenicol 47 88 Dexametason Inj
29 Antides New 89 Dexametason Tab 0,5 mg
30 Antihemoroid DOEN 90 Dextrometorpan syrp 10 mg/5 ml
31 Antihemoroid Supp 300 91 Dextrometorpan Tab
32 Anti malaria DOEN 92 Devosix Drops
33 Antasida DOEN Syrp 93 Diazepam inj 5 mg/ml
34 Acyclovir tab 200 mg 94 Diazepam 2 mg tab
35 Acyclovir tab 400 mg 3,700 95 Diazepam 5 mg tab
36 Acyclovir Cream 5 g 96 Diazepam (valdimex)tablet
37 Asam folat 1 mg 97 Diethylcarbamazepin 100 mg
38 Asam ascorbat 50 mg 98 Diphenhydramin Inj I.M 10 mg/ml 120
39 Aqua Pro inj Steril 99 Digoxin TAB 0,25 mg
40 Alkohol 70 % 7 100 Doxicylin 100 mg Kaps
41 Alkohol Swab 101 Domperidon Tab 10 mg 1000
42 Artesunat inj 60 mg 102 Diltiazem HCL Tab 30 mg 500
43 Asam mefenamat 500 mg 1,900 103 Epedrin HCL TAB
44 Aseptan 104 Ephinefrin Inj 0,1 %
45 Atropin Sulfat Tab 0,5 mg 105 Ehtylclor Spray 2
46 Basitrasin + polimiksin (anti bakteri salep) 19 106 Erytromicin 500 mg Kaps
47 Betahistin tablet 107 Examination Glove
48 Bisoprolol 5 mg 108 Ergotamine 50 mg / 100 mg 800
49 Bromhexin 8 mg Tab 109 Farsifen Plus
50 Brochifar 110 Fenol gliserol tetes telinga
51 Bromifar Plus Syr 111 Fenorbarbital Inj 50 ml
52 Bedak Salisyl 2 % 112 Fenorbarbital 30 mg Tab
53 Betametason krim 113 Fytomenadion Inj 10 mg/ml
54 Bexicom C 114 Fytomenadion 10 mg
55 Brocon Tab 115 Furosemide 40 mg tab
56 Bufacetin Salep (kloramfenicol 2%) 116 Fenilbutazon 200 mg
57 Cat Gut Plain no.3/0 117 Fenitoin 100 mg kaps
58 Cat Gut Plain no.2/0 118 Flunadin Tab
59 Cat Gut Cromic no.3/0 25 119 Folley Catheter No.24
60 Cat Gut Cromic no.2/0 21 120 Folley Catheter No.20 290
121 Folley Catheter No.18 238 186 NaCL 0,9% 480
122 Ferosulfat 300 mg 187 Nat. Diclofenak 50 mg
123 Garam Oralit 15 188 Nifedipin Tab 10 mg 1400
124 Gastricid Tab 189 Novomix 30 fkx pen
125 Gentamicin Inj 80 mg 190 Nystatin tab 296
126 Gentian Violet Lart 1% 191 Obat Cairan Untuk Luka Bakar
127 Glibenclamide 5 mg 192 Obat Cairan Untuk Sariawan
128 Glass lonomer 193 OBH Syirup
129 Glyseril Guayakolat 194 Omeneuron
130 Glucotrol xl Tab 10 mg 195 Oxytetracyclin S.K 3%
131 Grisiofulvin 500mg 196 Omegavit
132 HydroclortiazidTab 25 mg 200 197 Omegesic
133 Hydrocortison Krim 2,5 % 198 Omegdiar
134 Halloperidol 1,5 mg tab 199 Omegdiar Syr
135 Halloperidol 0,5 mg tab 200 Omecal. D
136 Halloperidol inj 50mg/ml 201 Omeprazol Caps 1200
137 Haidol DC 50 Mg Inj 202 Omesolvon Syr
138 Handscoon No.8.0 (Sateglove Surgical) 73 203 Oxyflow Nasal oxygin Anak 118
139 Handscoon No.7,5 (Sateglove Surgical) 35 204 Oxyflow Nasal oxygin Bayi 181
140 Handscoon No.7 205 Oxyflow Nasal oxygin Dewasa 179
141 Infuset DWS 206 Oxytocin inj (Tiacinon)
142 Infuset anak 207 Pacdin Baby Cough Syr
143 Insulatard 208 Papaverin 40 mg Tab
144 Insuman Comb 209 Panvit. C
145 Ichtiyol SK 15 gr 210 Paracetamol 500 mg Tab
146 Ibupropen Syrp 100 Mg 211 Paracetamol Syrp 120ml/5mg
147 Ibupropen 400 212 Panviton
148 Ibupropen 200 213 Pharmafix 100 mg
149 Isosorbit Dinitrit TAB 214 Pirazinamid 500 mg
150 Indo Obat Cacing 215 Pyridoxin Tab 10 mg (vit.B6)
151 Kalcium Lactat 500 mg Tab 4600 216 Plester 5 Yard x 2 Inc 30
152 Kapas 250 mg 118 217 Phenobarbital 30 Mg
153 Kapas 500 mg 218 Povidon Lodida 60 ml 23
154 Kasa steril 16 x 16 cm 219 Prednison Tab 5 mg
155 Kasa pembalut 4 x 5 cm 220 Piroxicam 20 mg
156 Kasa Kompres 4 x 10 cm 221 Propanolol 40 mg
157 Kasa Kompres 2 x 80 cm 222 Pyrantel Tab 125 mg 684
158 Kasa Hydrophyl 4 x 15 cm 223 Propyltiorasyl 100 mg (PTU) 310
159 Kasa Hydrophyl 40 x 80 cm 12 224 Ranitidin 150 mg Tab/ Gazela 2300
160 Kasa Penyerap luka Bakar 225 Ranitidin Inj 25 mg/2 ml
161 Ketoconazole Tab 200mg 226 Ringer Laktat
162 Ketoconazole Cream 2 % 227 Rivanol 4
163 Lansoprazole Kaps 30 mg 228 Retinol (Vit.A) 100.000 IU 100
164 Lantus Solostan 229 Retinol (Vit.A) 200.000 IU 900
165 Lidocain Inj 2% (pehacain) 230 Stavit kpl
166 Lidocain Inj 2% 231 Simvastatin 10 mg
167 Levofloxacin 500mg Tab 232 Simvastatin 20 mg
168 Lisol 233 Salbutamol 2 mg
169 Loratadin 10 mg 4100 234 Salbutamol 4 mg
170 Metoclorpramid 100 235 Salep 2-4
171 Meloxicam 15 Mg 236 Salicil Bedak
172 Multivitamin utk ibu hamil (Prenase) 237 Silk Benang Bedah 3/0 (suture) 96
173 Metyl Ergometri Maleat Tab 0,125 mg 238 Seltifort Kids Sirop
174 Metil Prednisolon 239 Selesbion Plus
175 Metyl Ergometri Inj 240 Seviplex
176 Metacetin syrup 241 Stolax Supositoria (Bisacody)
177 Metformin 242 Stomach tab
178 Metronidazole tab 250 mg 243 Tablet Tambah Darah
179 Metronidazole tab 500 mg 2800 244 Tramadol 50 mg Kaps
180 Metronodazol sirup 245 Tetracyclin 250 mg Kaps
181 Metronidazole ovula 500mg/vagisol 246 Tetracyclin 500 mg Kaps
182 Mulsanol Syr 247 Tilomix Tab
183 Miconazole Cream 2% 132 248 Thiamin 50 mg Tab
184 Masker 249 Thiamin Inj 100 mg/ml
185 Neo Envios 250 Thiamphenicol Kaps 500 mg
251 Trihexyphenidil Tab 2 mg
252 Vidabion Tab
253 Vitalamin Tab
254 Vit B. Comp
255 Vit Ever
256 Urine Bag 169
257 Vaksin Rabies Vero
258 Zinc Tab 20 mg
259 OAT FDC Kategori Anak
260 OAT FDC Kategori.I. Dws
261 OAT FDC Kategori.II Dws
262 OAT FDC Sisipan Dws
263 Ticomac
264 Solasic
265 Guaifenetisin
266 Kamolas
267 Selkon
268 Plester 15 x 5 cm
269 Water for Injeksi
270 isoniazid 900
271 Quinine 540
272 Salep whitfield 190

PUSKESMAS : MAELANG
BULAN : MEI
TAHUN : 2021
STOK PENERI PEMAK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN
1 Abbocath18 PCS 0 0 0
5 Ajitab Tab Kotak 100 Tab 0 0 0
10 Alat Suntik 10 ml Kotak 100 PCS 480 0 20
11 Albendazole 400 mg Kotak 100 100 0 100
12 Allopurinol 100 mg Kotak 100 Tab 0 0 0
15 Ambroxol 30 mg Kotak 100 Tab 700 0 300
16 Aminophyilin inj Kotak 30 Amp 0 0 0
17 Aminophyilin Tab 200 mg Botol 100 Tab 1000 0 100
18 Amitriptilin tab Kotak 100 Tab 0 0 0
19 Amlodipin 10 mg Kotak 30 Tab 0 0 0
20 Amlodipin 5,0 mg Kotak 30 Tab 0 0 0
21 Ampicilin inj Kotak 10 Vial 0 0 0
22 Ampicilin Cap 500 mg Kotak 100 Cap 0 0 0
23 Amoksisilin 500 mg Kotak 100 Cap 15500 0 1500
24 Amoksisilin Syrp Kering 125 mg/5 ml Btl 60 ml 0 0 0
25 Ampicilin Syrp Kering 125 mg/5 ml Btl 100 ml 0 0 0
26 Antalgin 500 mg Kotak 100 Tab 0 0 0
27 Antalgin 500 mg Botol 1000 Tab 0 0 0
28 Antasida DOEN Kotak 100 Tab 0 0 0
29 Antasida DOEN Botol 1000 Tab 0 0 0
30 Antides New Kotak 100 100 0 0
31 Antihemoroid DOEN Kotak 10 supp 200 0 20
32 Antihemoroid Supp Kotak 6 130 0 20
33 Anti malaria DOEN Kotak 100 Tab 0 0 0
34 Antasida DOEN Syrp Botol 100 ml 0 0 0
37 Acyclovir Cream 5 g Kotak 24 Tube 0 0 0
38 Asam folat 1 mg Botol100 Tab 0 0 0
39 Asam ascorbat 50 mg Kotak 100Tab 0 0 0
40 Aqua Pro inj Steril Kotak 10 Vial 0 0 0
41 Alkohol 70 % Botol 100 ml 0 0 0
42 Alkohol 70 % Botol 1 Liter 7 0 1
43 Alkohol Swab Kotak @100pcs 0 0 0
44 Artesunat inj 60 mg Kotak 1 Vial 0 0 0
45 Asam mefenamat 500 mg Kotak 100 Tab 0 0 0
46 Aseptan Botol 0 0 0
47 Atropin Sulfat Tab 0,5 mg Kotak 100 Tab 0 0 0
48 Basitrasin + polimiksin (anti bakteri salep) Kotak 24 Tube 0 0 0
49 Betahistin tablet Kotak 30 tab 0 0 0
50 Bisoprolol 5 mg Kotak 30 Tab 0 0 0
51 Bromhexin 8 mg Tab Kotak 100 Tab 0 0 0
52 Brochifar Kotak 100 Tab 0 0 0
53 Bromifar Plus Syr Botol 60 ml 0 0 0
54 Bedak Salisyl 2 % Kotak 0 0 0
55 Betametason krim Ktk 25 tube 5 0 5
56 Bexicom C Kotak 100 Tab 0 0 0

57 Brocon Tab Kotak 100 Tab 0 0 0
58 Bufacetin Salep (kloramfenicol 2%) Tube 15 Gram 0 0 0
63 Captopril 12,5 mg Tab Kotak 100 Tab 400 0 400
64 Captopril 25 mg Tab Kotak 100 Tab 0 0 0
65 Carbamazepin Tab 200 mg Kotak 100 Tab 0 0 0
66 Clorpheniramin Malet 4 mg Tab/CTM Botol1000Tab 0 0 0
67 Cefixime Kota 50 Tab 0 0 0
68 Cimetidin 200 mg tab Kotak 100 Tab 0 0 0
69 Cianocobalamin Tab 50 mg Kotak 100 Tab 18300 0 1000
70 Cetrizin 10 mg tab Kotak 50 Tab 0 0 0
71 Cetrizin Hcl syrup Botol 0 0 0
72 Cefadroxil 500 mg Cap Kotak 100 caps 0 0 0
73 Cefadroxil 500 mg Cap Kotak 100 Caps 0 0 0
74 Cianocobalamin inj 500 MCg Kotak 100 amp 0 0 0
75 Ciprofloxasin 50 mg Kotak 100 0 0 0
76 Clorpromazin 100 mg Tab Kotak 100 Tab 0 0 0
77 Cloramphenicol TTS Telinga 3 % Botol 5 ml 0 0 0
78 Cloramphenicol TTS Mata 1 % Kotak 24 Tube 0 0 0
79 Cloramphenicol Salep Mata 1 % Tube 5 g 0 0 0
80 Cloramphenicol Caps 250 mg Kotak 100 Kaps 0 0 0
81 Cloroquin Botol 1000 Tab 0 0 0
82 Cotrimoxazol 480 mg Tab Kotak 100 Tab 0 0 0
83 Cotimoxazol 120 mg Tab Kotak 100 tab 0 0 0
84 Cotimoxazol Susp Botol 60 ml 0 0 0
85 Colfin Kotak 100 0 0 0
86 Co Amoxiclav Ktk @ 30 tab 0 0 0
87 Curbion syrup Btl 60 mL 0 0 0
88 Dapyrin tab kotak 100 Tab 0 0 0
89 Dextrose 5% Botol 500 ml 40 0 10
90 Dexametason Inj Kotak 100 amp 0 0 0
91 Dexametason Tab 0,5 mg Botol 1000 tab 0 0 0
92 Dexametason Tab 0,5 mg Kotak 100 Tab 4000 0 1000
93 Dextrometorpan syrp 10 mg/5 ml botol 60 ml 0 0 0
94 Dextrometorpan Tab Kotak 100 Tab 0 0 0
95 Devosix Drops Botol 15 ml 0 0 0
96 Dextrometorpan Tab Botol 1000 Tab 0 0 0
97 Diazepam inj 5 mg/ml Kotak 30 Amp 30 0 0
98 Diazepam 2 mg tab Kotak 100 Tab 0 0 0
99 Diazepam 2 mg tab Botol 1000 Tab 0 0 0
100 Diazepam 5 mg tab botol 250 Tab 0 0 0
101 Diazepam (valdimex)tablet kotak 100 tab 0 0 0
102 Diethylcarbamazepin 100 mg Kotak 100 Tab 0 0 0
103 Diphenhydramin Inj I.M 10 mg/ml Kotak 30 amp 0 0 0
104 Digoxin TAB 0,25 mg Kotak 100 tab 0 0 0
105 Doxicylin 100 mg Kaps Kotak 100 caps 0 0 0
106 Donperidon Tab 10 mg Kotak 100 tab 0 0 0
107 Diltiazem HCL Tab 30 mg Kotak 100 Tab 500 0 0
110 Ephinefrin Inj 0,1 % Kotak 100 Amp 0 0 0
111 Ehtylclor Semprot Botol 0 0 0
112 Erytromicin 500 mg Kaps Kotak 100 caps 0 0 0
113 Examination Glove Kotak 100 pcs 0 0 0
114 Farsifen Plus Kotak 100 Tab 0 0 0
115 Fenol gliserol tetes telinga botol 5 ml 0 0 0
116 Fenorbarbital Inj 50 ml Kotak 30 Amp 0 0 0
119 Fytomenadion Inj 10 mg/ml Kotak 30 Amp 0 0 0
120 Fytomenadion 10 mg Kotak 100 Tab 0 0 0
121 Furosemide 40 mg tab kotak 200 Tab 0 0 0
122 Fenilbutazon 200 mg Botol 1000 Tab 0 0 0

123 Fenitoin 100 mg kaps Botol 100 cabs 100 0 0
124 Flunadin Tab Kotak 100 Tab 0 0 0
125 Folley Catheter No.24 PCS 0 0 0
128 Ferosulfat 300 mg Botol 1000 Tab 0 0 0
129 Garam Oralit Kotak 100 saset 0 0 0
130 Gastricid Tab Kotak 100 Tab 0 0 0
131 Gentamicin Inj 80 mg Kotak 5 amp 0 0 0
132 Gentian Violet Lart 1% Botol 10 ml 0 0 0
133 Glibenclamide 5 mg Kotak 100 Tab 0 0 0
134 Glass lonomer Btl/Set 0 0 0
135 Glyseril Guayakolat Botol 1000 Tab 0 0 0
136 Glucotrol xl Tab 10 mg Kotak 30 Tab 0 0 0
137 Grisiofulvin 500mg Kotak 100 Tab 0 0 0
138 HydroclortiazidTab 25 mg Botol 1000 Tab 0 0 0
139 Hydrocortison Krim 2,5 % Kotak 24 Tube 10 0 10
140 Halloperidol 1,5 mg tab Kotak 100 tab 0 0 0
141 Halloperidol 0,5 mg tab Kotak 100 Tab 0 0 0
142 Halloperidol inj 50mg/ml kotak 10 ampul 8 0 0
143 Haidol DC 50 Mg Inj Kotak 5 Ampul 40 0 0
144 Handscun No.8.0 (Sateglove Surgical) Kotak 50 PCS 0 0 0
145 Handscun No.7,5 (Sateglove Surgical) Kotak 50 PCS 0 0 0
146 Handscun No.7 Kotak 50 PCS 0 0 0
147 Infuset DWS Sak 0 0 0
148 Infuset anak Sak 125 0 25
149 Insulatard Kotak 10 Vial 0 0 0
150 Insuman Comb Kotak 5pen@3m/ 0 0 0
151 Ichtiyol SK 15 gr Kotak 12 pot 0 0 0
152 Ibupropen Syrp 100 Mg Botol 60 ml 0 0 0
153 Ibupropen 400 Kotak 100 Tab 0 0 0
154 Ibupropen 200 Kotak 100 tab 0 0 0
155 Isosorbit Dinitrit TAB Kotak 100 tab 0 0 0
156 Indo Obat Cacing Kotak 25 Tab 0 0 0
157 Kalcium Lactat 500 mg Tab Kotak 100 Tab 0 0 0
158 Kapas 250 mg ROLL 115 0 15
159 Kapas 500 mg ROLL 0 0 0
160 Kasa steril 16 x 16 cm ROLL 0 0 0
161 Kasa pembalut 4 x 5 cm ROLL 0 0 0
166 Kasa Penyerap luka Bakar pcs 0 0 0
167 Ketoconazole Tab 200mg Kotak 50 Tab 0 0 0
168 Ketoconazole Cream 2 % tube 5 g 0 0 0
169 Kuinina 222 mg Tab Botol 1000 Tab 540 0 0
170 Lansoprazole Kaps 30 mg Ktak 20 kaps 0 0 0
171 Lantus Solostan Kotak 5 pen 0 0 0
174 Lidocain Inj 2% kotak 10 Amp 0 0 0
175 Levofloxacin 500mg Tab Kotak 50 tab 0 0 0
176 Lisol Botol 100 ml 0 0 0
177 Loratadin 10 mg Kotak 100 tab 500 0 500
178 Meloxicam 15 Mg Kotak 50 tab 0 0 0
179 Multivitamin utk ibu hamil (Prenase) Kotak 100 tab 0 0 0
180 Metyl Ergometri Maleat Tab 0,125 mg Kotak 100 tab 0 0 0
181 Metil Prednisolon Kotak 100 tab 0 0 0
182 Metyl Ergometri Inj kotak 100 Amp 0 0 0
183 Metacetin syrup Btl 60 mL 0 0 0
184 Metformin Kotak 100 tab 0 0 0
185 Metronidazole tab 250 mg Kotak 100 tab 0 0 0
186 Metronidazole tab 500 mg (Omenizol) Kotak 100 tab 0 0 0
187 Metronodazol sirup botol 0 0 0
188 Metronidazole ovula 500mg/vagisol kotak 5 ovula 145 0 0
189 Mulsanol Syr Botol 60 ml 0 0 0
190 Mykonazole Cream 2% Tube 5 g 0 0 0
191 Masker Kotak 50 pcs 0 0 0
192 Neo Envios kotak. 100 kpl 0 0
193 NaCL 0,9% Botol 500 ml 0 0 0
194 Nat. Diclofenak 50 mg Kotak 50 tab 0 0 0
195 Nifedipin Tab 10 mg Kotak 100 tab 0 0 0
196 Novomix 30 fkx pen Kotak 5 Vial 0 0 0
197 Nystatin Vaginal Tab 100.000 IU Kotak 100 Tab 290 0 0
198 Obat Cairan Untuk Luka Bakar Botol 40 ml 0 0 0
199 Obat Cairan Untuk Sariawan Botol 40 ml 0 0 0
200 OBH Syirup Botol100 ml 0 0 0
201 Omeneuron Kotak. 100 kpl 0 0 0
202 Oxytetracyclin S.K 3% Tube 5 g 0 0 0
203 Omegavit Kotak. 100 kpl 0 0 0
204 Omegesic Kotak 100 tab 0 0 0
205 Omegdiar Kotak. 100 kpl 0 0 0
206 Omegdiar Syr Botol 60 ml 0 0 0
207 Omecal. D Kotak. 100 tab 0 0 0
208 Omeprazol Caps Kotak. 30 Caps 0 0 0
209 Omesolvon Syr Botol 0 0 0
210 Oxyflow Nasal oxygin Anak Pcs 140 10 0
211 Oxyflow Nasal oxygin Bayi Pcs 190 15 0
212 Oxyflow Nasal oxygin Dewasa Pcs 174 15 0
213 Oxytocin inj (Tiacinon) Kotak 10 Amp 0 0 0
214 Pacdin Baby Cough Syr Botol 60 ml 0 0 0
215 Papaverin 40 mg Tab Botol 1000 Tab 0 0 0
217 Panvit. C Kotak. 100 tab 0 0 0
218 Paracetamol 500 mg Tab Kotak 100 tab 0 0 0
219 Paracetamol 500 mg Tab Botol 1000 Tab 0 0 0
221 Panviton Kotak 50 kapl 0 0 0
222 Pharmafix 100 mg Kotak 50 tab 0 0 0
223 Pirazinamid 500 mg Kotak 100 tab 0 0 0
226 Plester 5 Yard x 2 Inc ROLL 0 0 0
227 Phenobarbital 30 Mg Kotak 100 200 0 0
229 Povidon Lodida 10% botol 60 ml 40 0 0
232 Prednison Tab 5 mg Botol 1000 tab 0 0 0
233 Prednison 5 mg Kotak 100 tab 0 0 0
234 Piroxicam 20 mg Kotak 100 Tab 0 0 0
235 Piroxicam 20 mg Kotak 120 caps 0 0 0
236 Propanolol 40 mg Botol 100 tab 0 0 0
237 Pyrantel Tab 125 mg Kotak 60 Tab 700 0 0
238 Propyltiorasyl 100 mg (PTU) Botol 100 Tab 400 0 0
239 Ranitidin 150 mg Tab Kotak 100 Tab 0 0 0
240 Ranitidin Inj 25 mg/2 ml Kotak 5 amp 0 0 0
241 Ringer Laktat Botol. 500 ml 364 0 50
242 Rivanol Botol 300 cc 0 0 0
245 Stavit kpl Kotak. 100 kpl 0 0 0
250 Salbutamol 2 mg Kotak 100 tab 0 0 0
251 Salbutamol 4 mg Kotak 100 Tab 0 0 0
252 Salep 2-4 pot @30 Gram 498 0 50
253 Salicil Bedak Kotak @ 50 gram 0 0 0
254 Silk Benang Bedah 3/0 (suture) Dos @ 36's 0 0 0
255 Seltifort Kids Sirop Botol. 60 ml 0 0 0
256 Selesbion Plus Kotak 100 Tab 0 0 0

257 Seviplex Kotak 100 tab 0 0 0
258 Stolax Supositoria (Bisacody) Kotak 6 Supp 0 0 0
259 Stomach tab Kotak 100 Tab 0 0 0
260 Tablet Tambah Darah kotak 30 tab 0 0 0
261 Tramadol 50 mg Kaps Kotak 50 caps 0 0 0
262 Tetracyclin 250 mg Kaps Botol 1000 caps 500 0 0
263 Tetracyclin 500 mg Kaps Kotak 100 caps 0 0 0
264 Tilomix Tab Kotak 100 Tab 0 0 0
265 Thiamin 50 mg Tab Botol 1000 tab 0 0 0
266 Thiamin Inj 100 mg/ml Kotak 30 Amp 0 0 0
267 Thiamphenicol Kaps 500 mg Kotak 100 kaps 0 0 0
268 Trihexyphenidil Tab 2 mg Kotak 100 tab 0 0 0
269 Vidabion Tab Kotak 100 Tab 0 0 0
270 Vitalamin Tab Kotak 100 Tab 0 0 0
271 Vit B. Comp Botol 1000 tab 0 0 0
272 Vit B. Comp Kotak 100 Tab 0 0 0
274 Vit Ever Kotak 100 Tab 0 0 0
275 Urine Bag Sak 180 0 50
276 Vaksin Rabies Vero Vial 0 0 0
278 Zinc Tab 20 mg Kotak 100 Tab 700 0 0
279 OAT FDC Kategori Anak Paket 0 0 0
280 OAT FDC Kategori.I. Dws Paket 0 0 0
281 OAT FDC Kategori.II Dws Paket 0 0 0
282 OAT FDC Sisipan Dws Paket 0 0 0
283 Ticomac Tablet 0 0 0
284 Solasic Tablet 0 0 0
285 Guaifenetisin Tablet 700 0 500
286 Kamolas Tablet 0 0 0
287 Selkon Tablet 0 0 0
288 Plester 15 x 5 cm Rol 40 0 10
289 Waterfor Injeksi Botol 50 0 20
UMUM BPJS JAM

PKH
299 190 0 0


NIP. 19690405 199103 1 010 .-
STOK
AKHIR
KET
0 Expride Expayer
0 Expayer
0
0
0
450
0
0
800
460
0
0
0
0
400
0
900
0
0
0
0
0
14000
0
0
0
0
0
0
100
180
110
0
0
300
500
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
18
33
33
0
0
0
0
0
0
17300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
3000
0
0
0
0
30
0
0
0
0 Ditarik
0
0 Expayer
0
0
0
500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
0
194
250
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
40
0
0
0
0
100
0
0
0
0
0
0
0
0
0
100
0
0
0
0
10
0
0
0
0
0
540
0
0
220
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
145
0
0 Expayer
0
0
0
0
0
0
290
0
0
0
0
0
0
0
0
0
0
0
0
150
205
189
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
40
0
0
0
0
0
0
0
700
400
0
0
314
0
0
0
0
1780
0
0
0
448
0
0
0
0
0
0
0
0
0
500
0 Expayer
0
0
0
0
0
0
0
0
0
0
130
0
700
0
0
0
0
0
0
200
0
0
30
30
KADER JUMLAH
4 493

PUSKESMAS : MAELANG
BULAN : Juni
TAHUN : 2021
STOK
NO NAMA OBAT SATUAN PENERIMAAN
AWAL
1 Abbocath18 PCS 0 300
5 Ajitab Tab Kotak 100 Tab 0 0
10 Alat Suntik 10 ml Kotak 100 PCS 480 0
11 Albendazole 400 mg Kotak 100 1282 0
12 Allopurinol 100 mg Kotak 100 Tab 0 0
15 Ambroxol 30 mg Kotak 100 Tab 700 0
16 Aminophyilin inj Kotak 30 Amp 0 0
17 Aminophyilin Tab 200 mg Botol 100 Tab 1000 0
18 Amitriptilin tab Kotak 100 Tab 0 0
19 Amlodipin 10 mg Kotak 30 Tab 0 0
20 Amlodipin 5,0 mg Kotak 30 Tab 0 0
21 Ampicilin inj Kotak 10 Vial 0 0
22 Ampicilin Cap 500 mg Kotak 100 Cap 0 0
23 Amoksisilin 500 mg Kotak 100 Cap 14000 5000
24 Amoksisilin Syrp Kering 125 mg/5 ml Btl 60 ml 0 100
25 Ampicilin Syrp Kering 125 mg/5 ml Btl 100 ml 0 0
26 Antalgin 500 mg Kotak 100 Tab 0 0
27 Antalgin 500 mg Botol 1000 Tab 0 0
28 Antasida DOEN Kotak 100 Tab 0 5000
29 Antasida DOEN Botol 1000 Tab 0 0
30 Antides New Kotak 100 900 0
31 Antihemoroid DOEN Kotak 10 supp 0 0
32 Antihemoroid Supp Kotak 6 300 0
33 Anti malaria DOEN Kotak 100 Tab 0 0
34 Antasida DOEN Syrp Botol 100 ml 0 0
37 Acyclovir Cream 5 g Kotak 24 Tube 0 0
38 Asam folat 1 mg Botol 100 Tab 0 0
39 Asam askorbat 500 mg Kotak 100 Tab 0 1500
40 Aqua Pro inj Steril Kotak 10 Vial 0 0
41 Alkohol 70 % Botol 100 ml 0 0
42 Alkohol 70 % Botol 1 Liter 6 20
43 Alkohol Swab Kotak @100pcs 0 0
44 Artesunat inj 60 mg Kotak 1 Vial 0 0
45 Asam mefenamat 500 mg Kotak 100 Tab 0 5000
46 Aseptan Botol 0 0
47 Atropin Sulfat Tab 0,5 mg Kotak 100 Tab 0 0
48 Basitrasin + polimiksin (anti bakteri salep) Kotak 24 Tube 19 0
49 Betahistin tablet Kotak 30 tab 0 0
50 Bisoprolol 5 mg Kotak 30 Tab 0 0
51 Bromhexin 8 mg Tab Kotak 100 Tab 0 0
52 Brochifar Kotak 100 Tab 0 0
53 Bromifar Plus Syr Botol 60 ml 0 0
54 Bedak Salisyl 2 % Kotak 0 0
55 Betametason krim Ktk 25 tube 5 0
56 Bexicom C Kotak 100 Tab 0 0

57 Brocon Tab Kotak 100 Tab 0 0
58 Bufacetin Salep (kloramfenicol 2%) Tube 15 Gram 0 0
63 Captopril 12,5 mg Tab Kotak 100 Tab 400 1000
64 Captopril 25 mg Tab Kotak 100 Tab 0 0
65 Carbamazepin Tab 200 mg Kotak 100 Tab 0 500
66 Clorpheniramin Malet 4 mg Tab/CTM Kotak 100 Tab 0 5000
67 Cefixime Kota 50 Tab 0 0
68 Cimetidin 200 mg tab Kotak 100 Tab 170 0
69 Cianocobalamin Tab 50 mg Kotak 100 Tab 17300 0
70 Cetrizin 10 mg tab/ Trisela Kotak 50 Tab 0 1500
71 Cetrizin Hcl syrup/ Trisela Botol 0 48
72 Cefadroxil 500 mg Cap Kotak 100 caps 0 0
73 Cefadroxil 500 mg Cap Kotak 100 Caps 0 0
74 Cianocobalamin inj 500 MCg Kotak 100 amp 0 100
75 Ciprofloxasin 500 mg Kotak 100 0 2000
76 Clorpromazin 100 mg Tab Kotak 100 Tab 0 0
77 Cloramphenicol TTS Telinga 3 % Botol 5 ml 0 0
78 Cloramphenicol TTS Mata 1 % Kotak 24 Tube 0 0
79 Cloramphenicol/ Erlamycetin syr Botol 60 ml 0 50
80 Cloramphenicol Caps 250 mg Kotak 100 Kaps 0 0
81 Cloroquin Botol 1000 Tab 0 0
82 Cotrimoxazol 480 mg Tab Kotak 100 Tab 0 5000
83 Cotimoxazol 120 mg Tab Kotak 100 tab 0 0
84 Cotimoxazol Susp Botol 60 ml 0 200
85 Colfin Kotak 100 0 0
86 Co Amoxiclav Ktk @ 30 tab 0 0
87 Curbion syrup Btl 60 mL 0 0
88 Dapyrin tab kotak 100 Tab 0 0
89 Dextrose 5% Botol 500 ml 30 0
90 Dexametason Inj Kotak 100 amp 0 0
91 Dexametason Tab 0,5 mg Botol 1000 tab 0 0
92 Dexametason Tab 0,5 mg Kotak 100 Tab 3000 0
93 Dextrometorpan syrp 10 mg/5 ml botol 60 ml 0 0
94 Dextrometorpan Tab Kotak 100 Tab 0 0
95 Devosix Drops Botol 15 ml 0 0
96 Dextrometorpan Tab Botol 1000 Tab 0 0
97 Diazepam inj 5 mg/ml Kotak 30 Amp 30 0
98 Diazepam 2 mg tab Kotak 100 Tab 0 0
99 Diazepam 2 mg tab Botol 1000 Tab 0 0
100 Diazepam 5 mg tab botol 250 Tab 0 0
101 Diazepam (valdimex)tablet kotak 100 tab 0 0
102 Diethylcarbamazepin 100 mg Kotak 100 Tab 0 0
103 Diphenhydramin Inj I.M 10 mg/ml Kotak 30 amp 0 120
104 Digoxin TAB 0,25 mg Kotak 100 tab 0 0
105 Doxicylin 100 mg Kaps Kotak 100 caps 0 0
106 Domperidon Tab 10 mg Kotak 100 tab 0 2000
107 Diltiazem HCL Tab 30 mg Kotak 100 Tab 500 0
110 Ephinefrin Inj 0,1 % Kotak 100 Amp 0 0
111 Ehtyl chlorida Spray Botol 0 2
112 Erytromicin 500 mg Kaps Kotak 100 caps 0 0
113 Ergotamine 50 mg Botol 100 tab 800 0
114 Examination Glove Kotak 100 pcs 0 0
115 Farsifen Plus Kotak 100 Tab 0 0
116 Fenol gliserol tetes telinga botol 5 ml 0 0
117 Fenorbarbital Inj 50 ml Kotak 30 Amp 0 0
120 Fytomenadion Inj 10 mg/ml Kotak 30 Amp 0 0
121 Fytomenadion 10 mg Kotak 100 Tab 0 0
122 Furosemide 40 mg tab kotak 200 Tab 0 0
123 Fenilbutazon 200 mg Botol 1000 Tab 0 0

124 Fenitoin 100 mg kaps Botol 100 cabs 100 0
125 Flunadin Tab Kotak 100 Tab 0 0
126 Folley Catheter No.24 PCS 0 0
129 Ferosulfat 300 mg Botol 1000 Tab 0 0
130 Garam Oralit Kotak 100 saset 15 0
131 Gastricid Tab Kotak 100 Tab 0 0
132 Gentamicin Inj 80 mg Kotak 5 amp 0 0
133 Gentian Violet Lart 1% Botol 10 ml 0 0
134 Glibenclamide 5 mg Kotak 100 Tab 0 0
135 Glass lonomer Btl/Set 0 0
136 Glyseril Guayakolat Botol 1000 Tab 0 0
137 Glucotrol xl Tab 10 mg Kotak 30 Tab 0 0
138 Grisiofulvin 500mg Kotak 100 Tab 0 0
139 Hydroclortiazid Tab 25 mg Kotak 100 Tab 200 0
140 Hydrocortison Krim 2,5 % Kotak 24 Tube 0 0
141 Halloperidol 1,5 mg tab Kotak 100 tab 0 0
142 Halloperidol 0,5 mg tab Kotak 100 Tab 0 0
143 Halloperidol inj 50mg/ml kotak 10 ampul 8 0
144 Haidol DC 50 Mg Inj Kotak 5 Ampul 40 0
145 Handscoon No.8.0 (Sateglove Surgical) Kotak 50 PCS 0 100
146 Handscoon No.7,5 (Sateglove Surgical) Kotak 50 PCS 0 100
147 Handscoon No.7 Kotak 50 PCS 0 0
148 Infuset DWS Sak 0 0
149 Infuset anak Sak 100 0
150 Insulatard Kotak 10 Vial 0 0
151 Insuman Comb Kotak 5pen@3m/ 0 0
152 Ichtiyol SK 15 gr Kotak 12 pot 0 0
153 Ibupropen Syrp 100 Mg Botol 60 ml 0 0
154 Ibupropen 400 Kotak 100 Tab 0 0
155 Ibupropen 200 Kotak 100 tab 0 0
156 Isosorbit Dinitrit TAB Kotak 100 tab 0 0
157 Indo Obat Cacing Kotak 25 Tab 0 0
158 Kalsium Lactat 500 mg Tab Kotak 100 Tab 0 5000
161 Kasa steril 16 x 16 cm ROLL 0 0
162 Kasa pembalut 4 x 5 cm ROLL 0 0
167 Kasa Penyerap luka Bakar pcs 0 0
168 Ketoconazole Tab 200mg Kotak 50 Tab 0 0
169 Ketoconazole Cream 2 % tube 5 g 0 0
170 Kuinina 222 mg Tab Botol 1000 Tab 540 0
171 Lansoprazole Kaps 30 mg Ktak 20 kaps 0 0
172 Lantus Solostan Kotak 5 pen 0 0
175 Lidocain Inj 2% kotak 10 Amp 0 0
176 Levofloxacin 500mg Tab Kotak 50 tab 0 0
177 Lisol Botol 100 ml 0 0
178 Loratadin 10 mg Kotak 100 tab 4100 0
179 Meloxicam 15 Mg Kotak 50 tab 0 0
180 Multivitamin utk ibu hamil (Prenase) Kotak 100 tab 0 0
181 Metyl Ergometri Maleat Tab 0,125 mg Kotak 100 tab 0 0
182 Metil Prednisolon Kotak 100 tab 0 0
183 Metyl Ergometri Inj kotak 100 Amp 0 0
184 Metacetin syrup Btl 60 mL 0 0
185 Metformin 500 MG Kotak 100 tab 0 1000
188 Metronodazol sirup botol 0 0
189 Metronidazole ovula 500mg/vagisol kotak 5 ovula 145 0
190 Mulsanol Syr Botol 60 ml 0 0
191 Mykonazole Cream 2% Tube 5 g 132 0
192 Masker Kotak 50 pcs 0 0
193 Neo Envios kotak. 100 kpl 0
194 NaCL 0,9% Botol 500 ml 480 0
195 Nat. Diclofenak 50 mg Kotak 50 tab 0 0
196 Nifedipin Tab 10 mg/ Zendalat Kotak 100 tab 0 1500
197 Novomix 30 fkx pen Kotak 5 Vial 0 0
198 Nystatin Tab Kotak 100 Tab 296 0
199 Obat Cairan Untuk Luka Bakar Botol 40 ml 0 0
200 Obat Cairan Untuk Sariawan Botol 40 ml 0 0
201 OBH Syirup Botol100 ml 0 0
202 Omeneuron Kotak. 100 kpl 0 0
203 Oxytetracyclin S.K 3% Tube 5 g 0 0
204 Omegavit Kotak. 100 kpl 0 0
205 Omegesic Kotak 100 tab 0 0
206 Omegdiar Kotak. 100 kpl 0 0
207 Omegdiar Syr Botol 60 ml 0 0
208 Omecal. D Kotak. 100 tab 0 0
209 Omeprazol Caps Kotak. 30 Caps 0 0
210 Omesolvon Syr Botol 0 0
211 Oxyflow Nasal oxygin Anak Pcs 150 0
212 Oxyflow Nasal oxygin Bayi Pcs 205 0
213 Oxyflow Nasal oxygin Dewasa Pcs 189 0
214 Oxytocin inj (Tiacinon) Kotak 10 Amp 0 0
215 Pacdin Baby Cough Syr Botol 60 ml 0 0
216 Papaverin 40 mg Tab Botol 1000 Tab 0 0
218 Panvit. C Kotak. 100 tab 0 0
219 Paracetamol 500 mg Tab/ Timol Kotak 100 tab 0 5000
220 Paracetamol 500 mg Tab Botol 1000 Tab 0 0
222 Panviton Kotak 50 kapl 0 0
223 Pharmafix 100 mg Kotak 50 tab 0 0
224 Pirazinamid 500 mg Kotak 100 tab 0 0
227 Plester 5 Yard x 2 Inc ROLL 30 0
228 Phenobarbital 30 Mg Kotak 100 200 0
230 Povidon Lodida 10% botol 60 ml 40 96
233 Prednison Tab 5 mg Botol 1000 tab 0 0
234 Prednison 5 mg Kotak 100 tab 0 0
235 Piroxicam 20 mg Kotak 100 Tab 0 0
236 Piroxicam 20 mg Kotak 120 caps 0 0
237 Propanolol 40 mg Botol 100 tab 0 0
238 Pyrantel Tab 125 mg Kotak 60 Tab 700 0
239 Propyltiorasyl 100 mg (PTU) Botol 100 Tab 400 0
240 Ranitidin 150 mg Tab/ Gazela Kotak 100 Tab 0 5000
241 Ranitidin Inj 25 mg/2 ml Kotak 5 amp 0 0
242 Ringer Laktat Botol. 500 ml 314 0
243 Rivanol Botol 300 cc 4 20
246 Stavit kpl Kotak. 100 kpl 0 0
249 Salbutamol 2 mg Kotak 100 tab 0 0
250 Salbutamol 4 mg Kotak 100 Tab 0 0
251 Salep 2-4 pot @30 Gram 498 0
252 Salicil Bedak Kotak @ 50 gram 0 1000
253 Silk Benang Bedah 3/0 (suture) Dos @ 36's 96 0
254 Seltifort Kids Sirop Botol. 60 ml 0 0
255 Selesbion Plus Kotak 100 Tab 0 0

256 Seviplex Kotak 100 tab 0 0
257 Stolax Supositoria (Bisacody) Kotak 6 Supp 0 0
258 Stomach tab Kotak 100 Tab 0 0
259 Tablet Tambah Darah kotak 30 tab 0 0
260 Tramadol 50 mg Kaps Kotak 50 caps 0 0
261 Tetracyclin 250 mg Kaps Botol 1000 caps 500 0
262 Tetracyclin 500 mg Kaps Kotak 100 caps 0 0
263 Tilomix Tab Kotak 100 Tab 0 0
264 Thiamin 50 mg Tab Botol 1000 tab 0 0
265 Thiamin Inj 100 mg/ml Kotak 30 Amp 0 0
266 Thiamphenicol Kaps 500 mg Kotak 100 kaps 0 0
267 Trihexyphenidil Tab 2 mg Kotak 100 tab 0 0
268 Vidabion Tab Kotak 100 Tab 0 0
269 Vitalamin Tab Kotak 100 Tab 0 0
270 Vit B. Comp Botol 1000 tab 0 0
271 Vit B. Comp Kotak 100 Tab 0 0
272 Vit Ever Kotak 100 Tab 0 0
273 Urine Bag Sak 169 0
274 Vaksin Rabies Vero Vial 0 0
275 Zinc Tab 20 mg Kotak 100 Tab 700 0
276 OAT FDC Kategori Anak Paket 0 0
277 OAT FDC Kategori.I. Dws Paket 0 0
278 OAT FDC Kategori.II Dws Paket 0 0
279 OAT FDC Sisipan Dws Paket 0 0
280 Ticomac Tablet 0 0
281 Solasic Tablet 0 0
282 Guaifenetisin Tablet 200 0
283 Kamolas Tablet 0 0
284 Selkon Tablet 0 0
285 Plester 15 x 5 cm Rol 40 0
286 Waterfor Injeksi Botol 50 0
UMUM BPJS JAM

299 190 0


NIP. 19690405 199103 1 010 .-
STOK
PEMAKAIAN
AKHIR
KET
0 300 Masuk
46 154 Masuk
0 0
34 166 Masuk
0 0
794 0 ED
0 0
0 0
469 331
0 480
0 1282
0 0
0 0
0 0
700 0
0 0
100 900
0 0
0 0
0 0
0 0
0 0
5000 14000 Masuk
61 39 Masuk
0 0
0 0
0 0
4900 100 Masuk
0 0
0 900
0 0
0 300
0 0
0 0
0 0
0 3700
0 0
0 0
1500 0 Masuk
0 0
0 0
19 7 Masuk
0 0
0 0
3100 1900 Masuk
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
20 0
18 0
8 25
12 21
200 1200 Masuk
0 0
0 500 Masuk
1900 3100 Masuk
0 0
0 170
16200 1100
1500 0 Masuk
32 16 Masuk
0 0
0 0
0 100 Masuk
200 1800 Masuk
0 0
0 0
0 0
3 47 Masuk
0 0
0 0
1100 3900 Masuk
0 0
32 168 Masuk
0 0
0 0
0 0
0 0
16 14
0 0
0 0
3000 0
0 0
0 0
0 0
0 0
0 30
0 0
0 0
0 0
0 0
0 0
0 120 Masuk
0 0
0 0
1000 1000 Masuk
0 500
0 0
0 0
0 0
0 2 Masuk
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 290
0 238
0 0
0 15
0 0
0 0
0 0 ED
0 0
0 0
0 0
0 0
0 0
0 200
0 0
0 0
0 0
0 8
0 40
27 73 Masuk
65 35 Masuk
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
400 4600 Masuk
0 118
0 0
0 0
0 0
0 0
10 0
0 0
0 12
0 0
0 0
0 0
0 540
0 0
0 0
0 220
0 0
0 0
0 0
0 0
0 4100
0 0
0 0
0 0
0 0
0 0
0 0
1000 0 Masuk
0 0
200 2800 Masuk
0 0
0 145
0 0
0 132
0 0
0 0
0 480
0 0
100 1400 Masuk
0 0
0 296
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
32 118
24 181
10 179
0 0
0 0
0 0
0 0
0 0
5000 0 Masuk
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 30
0 200
0 0
17 119 Masuk
0 0
0 0
0 0
0 0
0 0
0 0
0 0
16 684
90 310
2700 2300 Masuk
0 0
50 264
0 24 Masuk
0 0
0 0
0 0
1780 0 ED
500 0 ED
0 0
0 0
50 448
1000 0 Masuk
0 96
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 169
0 0
700 0
0 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
10 30
20 30
PKH KADER JUMLAH
0 4 493
Menerima / Melapor
TD Puskesmas Maelang
tan Sang Tombolang
MAMONTO, SKM .-
90405 199103 1 010 .-

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LAPORAN PEMAKAIAN DAN LEMBARAN

PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS :18051501

NO NAMA OBAT SATUAN JAN FEB MARET JUMLAH KET

1 Abbocath18 530 10 10 0 20 520

UMUM BPJS JAM

289 Kepala UPTD Puskesmas Maelang

JUNAIDI MAMONTO, SKM .-

Lolanan, Januari 2021

JUNAIDI MAMONTO, SKM .-

KODE PUSKESMAS :18051501

STOK PENERI PEMAK STOK

1 Abbocath18 PCS 510 0 20 490 Expride

256 Selesbion Plus Kotak 100 Tab 0 0 0 0

UMUM BPJS JAM

Yang Menerima / Melapor

JUNAIDI MAMONTO, SKM .-

KODE PUSKESMAS :18051501

STOK PENERI PEMAK STOK

1 Abbocath18 PCS 510 0 20 490 Expride

256 Selesbion Plus Kotak 100 Tab 0 0 0 0

UMUM BPJS JAM

Yang Menerima / Melapor

JUNAIDI MAMONTO, SKM .-

KODE PUSKESMAS :18051501

STOK PENERI PEMAK STOK

1 Abbocath18 PCS 510 0 20 490 Expride

KODE PUSKESMAS :18051501

STOK PENERI PEMAK

UMUM BPJS JAM

JUNAIDI MAMONTO, SKM .-

0 Expride Expayer 490

KODE PUSKESMAS :18051501

56 Bexicom C Kotak 100 Tab 0 0

122 Fenilbutazon 200 mg Botol 1000 Tab 0 0

188 Metronidazole ovula 500mg/vagisol kotak 5 ovula 145 0

256 Selesbion Plus Kotak 100 Tab 0 0

Anbroxol 300 Mg Tablet 1500

UMUM BPJS JAM

Yang Menerima / Melapor

20 490 Expride FebExpayer

500 1000 755 484

PKH KADER JUMLAH

KODE PUSKESMAS :18051501

STOK PENERI PEMAK STOK

56 Bexicom C Kotak 100 Tab 0 0 0 0

122 Fenilbutazon 200 mg Botol 1000 Tab 0 0 0 0

188 Metronidazole ovula 500mg/vagisol kotak 5 ovula 145 0 0 145

256 Selesbion Plus Kotak 100 Tab 0 0 0 0

UMUM BPJS JAM

Yang Menerima / Melapor

JUNAIDI MAMONTO, SKM .-

NO NAMA OBAT JLH NO NAMA OBAT JLH

1 Abbocath18 300 61 Captopril 12,5 mg Tab 1200

KODE PUSKESMAS :18051501

STOK PENERI PEMAK

56 Bexicom C Kotak 100 Tab 0 0 0

122 Fenilbutazon 200 mg Botol 1000 Tab 0 0 0

256 Selesbion Plus Kotak 100 Tab 0 0 0

UMUM BPJS JAM

Yang Menerima / Melapor

JUNAIDI MAMONTO, SKM .-

KODE PUSKESMAS :18051501