LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSTU CENDORO

BULAN : JANUARI
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 0 0
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0
18 ANTI INFEKSI KRIM TUB 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 0 0
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0
45 ETANOL 70 % BTL 0 0
46 ETIL KLORIDA SEMPROT BTL 0 0
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0
53 FUROSEMID TABLET 40 MG TAB 0 0
54 GARAM ORALIT KOMBINASI SAK 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : FEBRUARI
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 0 0 0
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0 0
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 0 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0 0
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 0 0 0
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 0 0 0
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 0 0 0
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : MARET
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 0 0 0
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0 0
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 0 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0 0
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 0 0 0
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 0 0 0
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 0 0 0
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : APRIL
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 0 0 0
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0 0
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 0 0 0
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 0 0
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 0 0 0
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0 0
32 BETAMETASON KRIM 0,1 % TUB 0 0 0
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 0 0 0
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 0 0 0
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 0 0 0
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : MEI
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 200 0 200
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 0 600 20 0 0 0 0 10 0 0 10 0 20 0 0 10 0 0 20 0 0 10 0 0 10 0 10 0 10 0 10 10 0 150 450
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 0 500 10 0 0 0 20 0 20 0 0 10 10 0 0 0 20 0 10 0 0 0 20 10 10 20 0 0 10 0 0 0 10 180 320
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 0 500 0 0 10 0 10 0 10 0 10 0 0 0 10 10 0 0 10 0 10 10 10 0 10 20 10 10 0 10 10 0 0 170 330
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 0 200 0 0 0 0 0 10 0 0 0 0 0 10 10 0 0 0 10 0 0 0 0 0 10 0 0 0 0 0 0 0 0 50 150
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 4 4 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 6
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 200 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 0 200
32 BETAMETASON KRIM 0,1 % TUB 9 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 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 0 300 0 0 10 0 0 10 0 0 10 0 10 10 10 0 0 0 0 0 0 0 0 10 0 0 0 10 10 10 10 110 190
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 1 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 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 200 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 0 200
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : JUNI
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 450 0 0 0 10 0 0 10 10 0 0 0 10 0 20 0 20 0 0 0 0 20 0 0 0 0 0 0 20 20 0 10 0 150 300
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 320 0 0 10 0 10 0 0 10 0 20 0 0 0 0 0 10 10 0 0 0 0 20 0 0 0 0 0 0 0 20 0 0 110 210
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 330 0 0 0 10 0 0 10 10 0 0 0 10 0 20 0 20 0 0 0 0 20 0 0 0 0 0 0 20 20 0 10 1 151 179
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 150 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 30 120
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 6 0 6
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 200 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 10 0 0 0 0 10 190
32 BETAMETASON KRIM 0,1 % TUB 9 0 0 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 190 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0 10 10 0 0 0 50 140
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 1 0 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 200 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 0 200
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : JULI
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 300 0 0 0 10 0 10 0 0 0 10 0 10 0 0 0 0 20 20 0 20 0 20 0 20 0 10 0 20 0 0 0 0 170 130 600
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 210 0 0 0 10 0 10 0 0 0 10 0 10 0 0 0 0 0 20 0 20 0 20 0 20 10 10 0 20 0 20 0 0 180 30 500
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 179 0 0 0 10 0 10 0 0 0 10 10 10 0 0 0 0 0 20 0 20 0 20 0 0 10 10 0 0 0 0 0 0 130 49 500
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 120 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 20 100 100
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 6 0 6
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 190 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 20 170 0
32 BETAMETASON KRIM 0,1 % TUB 9 0 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 140 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 20 0 20 0 0 0 0 60 80 300
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 1 0 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 200 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 0 200 0
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : AGUSUTUS
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 130 600 10 0 20 10 10 10 0 20 0 10 10 0 0 0 10 10 0 0 0 20 0 20 20 10 10 10 0 0 20 10 10 250 480
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 30 500 0 10 0 10 0 0 0 20 0 0 10 0 0 0 10 20 0 0 10 0 0 10 0 10 10 0 0 10 0 0 20 150 380
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 49 500 10 0 10 20 0 10 0 10 0 0 10 0 20 0 0 10 0 10 10 10 0 10 10 0 10 0 0 10 0 10 10 190 359
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 100 100 0 0 0 0 0 0 0 10 0 0 10 0 0 10 0 0 0 10 0 10 0 10 10 0 10 0 0 10 0 0 0 90 110
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 6 0 6
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 170 0 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 140
32 BETAMETASON KRIM 0,1 % TUB 9 0 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 80 300 0 0 10 0 0 10 0 0 0 10 10 0 0 0 10 0 0 0 0 0 10 0 0 10 0 10 0 10 0 10 10 110 270
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 1 0 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 200 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 10 10 40 160
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : SEPTEMBER
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 480 0 10 10 20 10 0 10 20 0 10 0 0 20 10 0 0 10 0 0 10 0 0 10 10 10 0 20 10 0 10 10 0 220 260
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 380 10 0 0 0 10 0 0 0 0 10 0 10 0 10 10 0 10 0 0 0 0 20 0 10 0 10 0 20 10 0 0 140 240 300
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 359 10 10 20 0 10 0 0 20 10 0 0 20 20 10 0 10 0 10 10 0 0 10 0 10 0 10 0 0 10 10 0 210 149 500
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 110 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 0 110
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 6 0 6
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 140 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 0 140
32 BETAMETASON KRIM 0,1 % TUB 9 0 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 270 0 10 0 0 0 10 0 10 0 0 0 0 0 0 0 10 0 10 0 0 20 0 0 0 0 20 0 0 10 10 0 110 160 300
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 1 0 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 160 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 0 160
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : OKTOBER
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 260 0 20 0 10 10 10 10 10 0 0 0 20 0 0 10 0 10 10 10 0 20 0 0 20 0 0 10 10 0 0 0 190 70
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 240 500 10 0 10 0 10 10 10 0 0 20 20 0 0 10 0 10 10 0 0 10 0 0 20 0 0 20 20 10 20 10 230 510
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 149 500 20 0 10 0 0 20 0 0 0 20 10 0 0 10 10 0 10 10 0 10 0 0 20 0 0 10 20 20 10 10 220 429
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 110 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 0 110
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 6 0 6
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 140 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 0 140
32 BETAMETASON KRIM 0,1 % TUB 9 0 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 160 300 10 0 10 0 0 10 0 10 0 10 10 0 0 0 0 0 0 0 0 0 0 0 10 10 0 20 10 20 10 0 140 320
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 0 1 0 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 160 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 0 160
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : NOVEMBER
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0 200
4 AMBROKSOL TABLET 30 MG TAB 0 0 0 200
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0 100
9 AMOKSISILIN KAPLET 500 MG KAPL 70 0 10 10 0 10 0 0 0 0 0 10 0 0 0 0 10 0 10 0 0 10 0 0 0 0 0 0 0 0 0 70 0 600
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0 10
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 510 10 10 20 0 0 0 20 0 20 0 20 0 0 20 0 10 0 0 10 0 20 20 10 0 20 0 20 0 0 10 240 270
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 429 20 10 20 0 10 0 10 0 20 10 20 0 20 10 0 0 20 0 20 0 0 0 20 10 0 0 20 0 0 0 240 189
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 110 0 110
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 6 0 6 10
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 140 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 0 140
32 BETAMETASON KRIM 0,1 % TUB 9 0 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 320 0 10 0 10 0 0 20 20 10 0 10 0 10 0 0 10 20 10 0 20 0 0 10 10 0 0 20 0 0 0 190 130
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0 100
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0 200
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0 10
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 1 0 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 160 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 0 160
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0 10
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0 10
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSTU CENDORO

BULAN : DESEMBER
TAHUN : 2022

PEMAKAIAN/TGL PEMA PERM

NO. NAMA OBAT SATUAN STOK PENERIM KAIA SISA INTAA PEMB
AWAL AAN STOK ERIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 N N
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 AMP 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0
9 AMOKSISILIN KAPLET 500 MG KAPL 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
10 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0
11 AMOKSISILIN SIRUP KERING 125 MG / BTL 0 0 0
12 AMPISILIN SIRUP KERING 125 MG / 5 M BTL 0 0 0
13 ANTASIDA DOEN SUSPENSI BTL 0 0 0
14 ANTASIDA DOEN TABLET KOMBINASI TAB 270 20 10 20 0 20 10 0 20 10 0 0 20 10 10 0 0 20 0 20 20 20 20 250 20
15 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0
16 ANTI FUNGI DOEN KOMBINASI POT 0 0 0
17 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0
18 ANTI INFEKSI KRIM TUB 0 0 0
19 ANTI MIGRAIN DOEN TABLET KOMBINA TAB 0 0 0
20 AQUA PRO INJEKSI STERIL BEBAS PIRO AMP 0 0 0
21 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0
22 ASAM ASKORBAT TABLET 50 MG TAB 0 0 0
23 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0
24 ASAM MEFENAMAT TABLET 500 MG TAB 189 20 10 20 0 20 0 0 10 20 0 0 20 10 0 10 0 0 10 0 0 0 20 170 19
25 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0
26 ASIKLOVIR TABLET 200 MG TAB 110 0 0 0 0 0 0 0 0 10 0 10 0 0 10 0 0 10 0 0 0 0 40 70
27 ASIKLOVIR TABLET 400 MG TAB 0 0 0
28 ASIKLOVIR KRIM 5 % TUB 6 0 6
29 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0
30 ATAPULGIT TABLET 600 MG TAB 0 0 0
31 BETAHISTIN MESILAT TABLET 6 MG TAB 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140
32 BETAMETASON KRIM 0,1 % TUB 9 0 9
33 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0
34 BISAKODIL TABLET 5 MG TAB 0 0 0
35 BISOPROLOLTABLET 5 MG TAB 0 0 0
36 DEKSAMETASON INJEKSI 5 MG / ML - 1 AMP 0 0 0
37 DEKSAMETASON TABLET 0,5 MG TAB 130 10 0 10 0 0 10 0 0 10 0 10 0 0 0 20 0 10 0 0 20 0 0 100 30
38 DIFENHIDRAMIN HCL INJEKSI 10 MG / M AMP 0 0 0
39 DIGOKSIN TABLET 0,25 MG TAB 0 0 0
40 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0
41 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0
42 ERITROMISIN KAPSUL 500 MG KAP 0 0 0
43 ERITROMISIN SIRUP KERING 200 MG / BTL 0 0 0
 PEMAKAIAN/TGL PEMA PERM
STOK PENERIM SISA PEMB
NO. NAMA OBAT SATUAN AWAL AAN KAIA STOK INTAA ERIAN
N N
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
44 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0
45 ETANOL 70 % BTL 0 0 0
46 ETIL KLORIDA SEMPROT BTL 1 0 1
47 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0
48 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0
49 FITOMENADION INJEKSI 2 MG/ML - 1 AMP 0 0 0
50 FITOMENADION INJEKSI 10 MG / ML - AMP 0 0 0
51 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0
52 FUROSEMID INJEKSI 10 MG AMP 0 0 0
53 FUROSEMID TABLET 40 MG TAB 160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 160
54 GARAM ORALIT KOMBINASI SAK 0 0 0
55 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0
56 GENTAMISIN INJ 40 MG/ML AMP 0 0 0
57 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0
58 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0