LPLPO 2022 Agustus

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
Dar : UPTD PUSKESMAS LIGAN Laporan Bulan : Juli

Untuk : DINKES Permintaan Bulan : Agustus
Tanggal : 09 Agustus
Tahun : 2022
STOCK SISA
NO NAMA OBAT SATUAN KEMASAN BENTUK SEDIAAN PENERIMAAN JUMLAH PEMAKAIAN PERMINTAAN APBK APBA LAIN-2 KET
AWAL STOCK
1 2 3 4 5 6 7=(5+6) 8 9=(7-8) 10 11 12 13 14
1 Albendazol tab 400 mg Tab / Kaps / Kapl 30 tablet / kotak 0 200 200 200
2 Albendazol tab 400 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
3 Alopurinol tab 100 mg Tab / Kaps / Kapl 100 tablet / kotak 2000 2000 4000 800 3200
4 Ambroxol tablet 30 mg Tab / Kaps / Kapl 100 tablet / kotak 0 2640 2640 300 2340
5 Aminofilin tablet 200 mg Tab / Kaps / Kapl 100 tablet / botol 0 0 0
6 Amlodipin tab 10 mg Tab / Kaps / Kapl 30tab/kotak 100 100 100 0 500
7 Amlodipin tab 5 mg Tab / Kaps / Kapl 30 tablet / kotak 250 0
250 250 500
8 Amlodipin 5 mg Tab / Kaps / Kapl 300 tab/bok 0 0 0
9 Amoxicilin tab 500 mg Tab / Kaps / Kapl 100 tablet / kotak 2000 1000 3000 400 2600 2000
10 Amoxicilin tab 250 mg Tab / Kaps / Kapl 100 tablet / kotak 750 1000 1750 50 1700 500
11 Amoxicilin tab 250 mg Tab / Kaps / Kapl 120 tablet / kotak 0 0
12 Antalgin Tab 500 mg Tab / Kaps / Kapl 100 tab/kotak 0 0
Antasida, kombinasi : aluminium hidroksida 200 mg +
13 Tab / Kaps / Kapl 100 tablet / kotak 1000 0
magnesium hidroksida 200 mg 1000 1000 3000
14 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg Tab / Kaps / Kapl 100 tablet / botol 0 0
15 Asam folat Tab / Kaps / Kapl 900 900 300 600
16 Asam Mefenamat kaplet 500 mg Tab / Kaps / Kapl 100 tablet / kotak 1000 1000 2000 100 1900 500
17 Asam Traneksamat Tab / Kaps / Kapl 50 tab/kotak 0 0 100
18 Asam Asetil Salisilat (Aptor) Tab / Kaps / Kapl 100 tab/kotak 3000 3000 800 2200
19 Asiklovir tab 200 mg Tab / Kaps / Kapl 100 tablet / kotak 700 500 1200 1200 0
20 Asiklovir tab 400 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
21 Atapulgit tablet 600 mg Tab / Kaps / Kapl 50 tablet / kotak 0 0 1000
22 Bedak salisil 2% Tab / Kaps / Kapl kotak @ 50 gr 25 24 49 49 50
23 Bisoprolol Tab / Kaps / Kapl 30 tab/kotak 0 0
24 Bisokodil 5 mg Tab / Kaps / Kapl 30 tab/kotak 60 60 120 120
Besi (II) Sulfat 200 MG + Asam Folat 0,25 mg tablet (tambah
25 Tab / Kaps / Kapl 100 sachet / kotak 0 0
darah kombinasi)
26 betahistin mesylate 6 mg Tab / Kaps / Kapl 30 tab/kotak 1000 1000 1000
27 Cefadroxil 500 mg Tab / Kaps / Kapl 100 tab / kotak 500 500 500
28 Cetirizin tab 10 mg Tab / Kaps / Kapl 100 tablet / kotak 500 500 500 0 1000
29 Chlorfeniramin Maleat (CTM) tablet 4 mg Tab / Kaps / Kapl 100 tab / botol 600 600 600 0 2000
30 Cifixime tab 100 mg Tab / Kaps / Kapl 50 tab/kotak 0 0
31 Cimetidine tablet 200 mg Tab / Kaps / Kapl 100 tablet / botol 0 0
32 Clindamycin 300 mg Tab / Kaps / Kapl 50 tab/kotak 50 200 250 150 100 600
33 Ciprofloxacin 500 mg Tab / Kaps / Kapl 100 tablet / kotak 200 200 400 200 200
Cotrimoxazole DOEN I (dewasa) kombinasi : Sulfametoksazol
34 400 mg Trimetoprim 80 mg Tab / Kaps / Kapl 100 kaplet / kotak 100 0
100 100 500
35 DHP- Tab / Kaps / Kapl 9 tablet / kotak 0 0 0
36 D-ARTEP Tab / Kaps / Kapl 9 tablet / kotak 0 0 0
37 Dexametasone tab 0,5 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0 1000
38 Digoksin tablet 0,25 mg Tab / Kaps / Kapl 100 tablet / kotak 200 200 200
39 Domperidon tab 10 mg Tab / Kaps / Kapl 100 tablet / kotak 2400 2000 4400 900 3500
40 DULCOLAC SUP 10 MG Tab / Kaps / Kapl SUPP 10 10 10
41 DULCOLAC SUP 5 MG Tab / Kaps / Kapl SUPP 0 0 0
42 Diazepam Rectal 10 mg/2.5 ml Tab / Kaps / Kapl SUPP 0 0 0
43 Diazepam Rectal 5 mg/2.5 ml Tab / Kaps / Kapl SUPP 0 0 0
44 Efedrin tab 25 mg Tab / Kaps / Kapl 100/kotak 0 0 0
45 Ergotamin tab 1 mg Tab / Kaps / Kapl 100 tablet / botol 0 0 0
46 Erytromycin kaps 500 mg Tab / Kaps / Kapl 100 kapsul / kotak 0 0 0
47 Ferrous Sulfat (tab tambah darah) Tab / Kaps / Kapl 100 tab/kotak 0 0 0
48 Ferrous Sulfat (tab tambah darah) Tab / Kaps / Kapl 30 tab/kotak 900 500 1400 600 800 500
49 Ferrous Sulfat (tab tambah darah) Tab / Kaps / Kapl 3000/kotak 0 0 0
50 Furosemid tab 40 mg Tab / Kaps / Kapl 100 tablet / kotak 100 100 100
51 Furosemid tablet 40 mg Tab / Kaps / Kapl 120 tablet / kotak 0 0 0
Garam oralit kombinasi : natrium klorida 0,52 g + kalium
klorida 0,30 g + trinatrium sitrat dihidrat 0,58 g+ glukosa
52 Tab / Kaps / Kapl 100 sachet / kotak 400 300
anhidrat 2,7 g serbuk untuk 200 ml air 100 300 100 500
53 Gambapetin 300 mg Tab / Kaps / Kapl 100 tab/kotak 0 0
54 Glibenklamid tab 5 mg Tab / Kaps / Kapl 100 tablet / kotak 200 1000 1200 300 900 500
55 Glimepirid tab 3 mg Tab / Kaps / Kapl 50 tablet / kotak 100 50 150 150 500
56 Griseofulvin (micronized) tab 125 mg Tab / Kaps / Kapl 100 tablet / kotak 300 500 800 800 300
57 Guefinisin (GG) Tab / Kaps / Kapl 100 tab/kotak 0 0 600
58 Hidroklortiazid tab 25 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0
59 Ibuprofen tab 200 mg Tab / Kaps / Kapl 100 tablet / botol 3000 3000 3000
60 Ibuprofen tab 400 mg Tab / Kaps / Kapl 100 tablet / kotak 2400 1000 3400 700 2700
61 Isosorbid dinitrat tab 5 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0
62 Kalsium Laktat (Kalk) tablet 500 mg Tab / Kaps / Kapl 1000 tablet / botol 500 500 1000 300 700
63 Kaptopril tab 25 mg Tab / Kaps / Kapl 30 tablet / kotak 100 200 300 300 200
64 Kaptopril tablet 12,5 mg Tab / Kaps / Kapl 30 tablet/ kotak 200 200 400 400 200
65 Ketocenazole tab 200 mg Tab / Kaps / Kapl 50 tablet / kotak 300 300 100 200 300
66 Kloramfenicol kaps 250 mg Tab / Kaps / Kapl 100 tablet / botol 800 800 800
67 Lansoprazole 30 mg Tab / Kaps / Kapl 20 kapsul / kotak 0 0 0
68 Loperamide tab 2 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0 500
69 Loratadin tab 10 mg Tab / Kaps / Kapl 100 kaplet / kotak 100 1000 1100 1100 0 2000
70 Lacto B Tab / Kaps / Kapl 40 sachet / kotak 0 0 0
71 Meloxicam tab 15 mg Tab / Kaps / Kapl 50 tab/kotak 0 0 0
72 Metformin HCl tablet 500 mg Tab / Kaps / Kapl 100 tablet / kotak 1100 300 1400 900 500 500
73 Metilergometrin tab salut 0,125 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
74 Metilprednisolon tab 4 mg Tab / Kaps / Kapl 100 tablet / kotak 500 2000 2500 2500 0 3000
75 Metoclopramid tab 5 mg Tab / Kaps / Kapl 100 tablet / kotak 500 500 500
76 Metoclopramid tab 5 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
77 Metronidazol tab 500 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 500
78 Mineral mix Tab / Kaps / Kapl 40 sachet / kotak 0 0 0
79 Natrium Bikarbonat tablet 500 mg Tab / Kaps / Kapl 1000 tablet / botol 0 0 0
80 Natrium diklofenak tab 50 mg Tab / Kaps / Kapl 50 tablet / kotak 0 0 2000
81 New Antides Tab / Kaps / Kapl 100 tab/kotak 100 100 100
82 Neo Dioform Tab / Kaps / Kapl 100 tab/kotak 0 0 0
83 Nifedipin tablet 10 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
84 Nistatin tab salut 500.000 UI/g Tab / Kaps / Kapl 100 tablet / kotak 100 100 100
85 Ondancentron tab 4 mg Tab / Kaps / Kapl 12 Tabb/ box 0 0 0
86 Ofloxacin tab 400 mg Tab / Kaps / Kapl 50 tablet / kotak 0 0
87 Omeprazole kaps 20 mg Tab / Kaps / Kapl 30 tablet / kotak 2850 1800 4650 2130 2520 3000
88 Papaverine 40 mg Tab / Kaps / Kapl 1000 tab/botol 0 0 0
89 Paracetamol tab 500 mg Tab / Kaps / Kapl 100 tablet / kotak 7200 2000 9200 6800 2400 3000
90 Paracetamol 125 mg supp Supp Supp 0 0 0 10
91 Paracetamol 125 mg supp Supp Supp 0 0
92 Piracetam Tab 400 mg Tab / Kaps / Kapl 100 tab/kotak 0 0 0
93 Pirantel tab score (base) 125 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
94 Piroxicam tab 10 mg Tab / Kaps / Kapl 100 tab/kotak 0 0
95 Prednison 5 mg Tab / Kaps / Kapl 1000 tablet / botol 200 300 500 500 0 500
96 Primakuin tablet 15 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
97 Propiltiourasil tablet 100 mg Tab / Kaps / Kapl 100 tab/kotak 0 0 0
98 Propranolol 10 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0 0
99 Pularex activated attapulgite 630 mg Tab / Kaps / Kapl 50 tablet / kotak 0 0
100 Ranitidine 150 mg Tab / Kaps / Kapl 100 tablet / kotak 1100 1100 400 700
101 Ranitidine 150 mg Tab / Kaps / Kapl 30 tablet / kotak 0 0 0
102 Salbutamol 2 mg Tab / Kaps / Kapl 100 tablet / kotak 200 500 700 500 200 200
103 Salbutamol 4 mg Tab / Kaps / Kapl 100 tablet / kotak 200 500 700 400 300 200
104 Simvastatin 10 mg Tab / Kaps / Kapl 50 tablet / kotak 100 1000 1100 300 800
105 Simvastatin 20 mg Tab / Kaps / Kapl 50 tablet / kotak 250 250 250 200
106 Spironolacton 25 mg Tab / Kaps / Kapl 100 tab/kotak 0
107 Tetrasiklin HCl kapsul 500 mg Tab / Kaps / Kapl 100 kapsul / kotak 0 0
108 Tramadol 50 mg Tab / Kaps / Kapl 100 tablet/ kotak 0 0 0
109 Tramadol 50 mg Tab / Kaps / Kapl 30 tablet/ kotak 0 0 100
110 vitamin A (Retinol) kaps lunak 100.000 UI Tab / Kaps / Kapl 50 kapsul / botol 0 0
111 Vitamin A (retinol) kaps lunak 200.000 UI Tab / Kaps / Kapl 50 kapsul / botol 0 0
112 Vitamin B kompleks Tab / Kaps / Kapl 100 tablet / kotak 1500 5000 6500 6500
113 Vitamin B1 ( Thiamin) 50 mg Tab / Kaps / Kapl 100 tablet / kotak 1900 1900 200 1700
114 Vitamin B1 ( Thiamin) 50 mg Tab / Kaps / Kapl 1000 tablet / botol 0 0 0
115 vitamin B12 ( Sianocobalamin) tablet 50 mcg Tab / Kaps / Kapl 100 tablet / kotak 2000 2000 100 1900
116 vitamin B6 (Piridoksin) tab 10 mg Tab / Kaps / Kapl 100 tablet / botol 2200 2200 1000 1200
117 vitamin B6 (Piridoksin) tab 10 mg Tab / Kaps / Kapl 1000 tablet / botol 0 0 0
118 Vitamin C (Asam Askorbat) tablet 50 mg Tab / Kaps / Kapl 100 tablet / botol 1000 5000 6000 1500 4500
119 Vitamin C (Asam Askorbat) tablet 50 mg Tab / Kaps / Kapl 1000 tablet / botol 0 0 0
120 Vitamin K1 (Fitomenadion) tablet salut gula 10 mg Tab / Kaps / Kapl 100 tablet / kotak 0 0
121 Zinc tablet dispersible 20 mg Tab / Kaps / Kapl 100 tablet / kotak 300 300 300 0 400
122 Zinc tablet dispersible 20 mg Tab / Kaps / Kapl 50 tablet / kotak 0 0 0
123 0 0 0
124 0
125 Ambroxol syrup 15 mg/ml Sirup / Susp Botol @ 60 ml 0 0 0
126 Amoxicilin syr forte Sirup / Susp Botol 0 0
127 Amoxicilin syr kering 125 mg/5 ml Sirup / Susp Botol @ 60 ml 200 50 250 100 150 50
Antasida DOEN Suspensi, kombinasi - 60 ml :Mg-Hidroksida
128 600 100
200mg/5 ml+Al. Hidroksida. 200 mg/5 ml 100 500 500 400
129 Cefadroxil syr kering 125mg/5ml Sirup / Susp Botol @ 60 ml 0 0 0
130 Cetirizine syr Sirup / Susp Botol @ 60 ml 100 100 100
131 Cefixime Sirup Sirup / Susp Botol @ 60 ml 0 0
132 Curcuma Sirup Sirup / Susp Botol @ 60 ml 11 24 35 24 11 24
133 Cotrimoxazole suspensi komb : sulfametoksazol 200 mg + Sirup / Susp Botol @ 60 ml 90 70
trimetoprim 40 mg 90 20
134 Domperidon suspensi/sirup 5 mg/5 ml Sirup / Susp Botol @ 60 ml 50 50 100 100
135 Erytromycin syr 200 mg/5 mL Sirup / Susp Botol @ 60 ml 0 0 0
136 Ibuprofen syr 100 mg/5 mL Sirup / Susp Botol @ 60 ml 0 100 100 100
137 Kloramfenicol syr 125 mg/5 mL Sirup / Susp Botol @ 60 ml 0 0
138 Metavit (Multivitamin) sirup Sirup / Susp Botol 0 0 0
139 Novadiar Sirup (Kaolin pectin) Sirup / Susp Botol 200 200 200
140 Obat Batuk Hitam ( O.B.H. ) cairan Sirup / Susp Botol @ 100 ml 500 500 20 480
141 Paracetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Sirup / Susp Botol @ 15 ml 0 0 0 50
142 Paracetamol syr 120 mg/5 mL Sirup / Susp Botol @ 60 ml 500 400 900 100 800
143 Sucralfat Sirup Sirup / Susp Botol @ 60 ml 0 0
144 Zinc Sir 10 mg/mL Sirup / Susp Botol @ 100 ml 0 0 0
145
146
147 Acyclovir krim Krim / Salep Tube 25 100 125 125 50
Antibakteri DOEN salep kombinasi: Basitrasin 500 IU
148 Krim / Salep Tube 175 175
+Polimiksin 10.000 IU/g 75 100
149 Antihemoroid supp Krim / Salep SUPS 10 10 10
150 Betametason krim 0,1% (Sebagai Valerat) Krim / Salep Tube 25 200 225 75 150 200
151 Borax gliserin Krim / Salep Botol 0 0 100
152 Burnazine Krim Krim / Salep Tube 0 0
153 Caviton GC Krim / Salep Pot 0 0 0
154 Devitalisasi Pasta (Non Arsen) Krim / Salep Botol 0 0 0
155 Eugenol cairan Krim / Salep Botol @ 10 ml 0 0 0
156 Gentian Violet larutan 1 % Krim / Salep Botol @ 10 ml 48 48 48
157 Glass Ionomer Cement ART Krim / Salep Botol 0 0 0
158 Gentamicin TM 0.3% Krim / Salep Botol 0 0 48
159 Gentamicin SM 0.3% Krim / Salep Botol 0 0 0 100
160 H2O2 Krim / Salep Botol 2 2 2
161 Hidrokortisone krim 2,5% Krim / Salep Tube @ 5 gr 50 100 150 30 120
162 Ihctiyol (salep Bisul) Krim / Salep Pot 0 0 24
163 Kalsium hidroksida Pasta Krim / Salep Tube 0 0 0
164 Ketocenazole krim 2% Krim / Salep Tube @ 10 gr 25 25 25 100
165 Klofenol Kamfer Mentol (CHKM) Krim / Salep KOTAK 0 0 0
166 Kloramfenicol salep mata 1% Krim / Salep Tube @ 5 gr 10 50 60 10 50
167 Kloramfenicol Tetes Mata Krim / Salep botol 0 100 100 100
168 Kloramfenicol tts telinga 3% Krim / Salep Botol @ 5 ml 75 100 175 25 150
169 Kloramfenikol salep kulit 2% Krim / Salep Tube @ 15 gr 74 74 24 50 50
170 Miconazole krim/salep 2 % (Nitrat) Krim / Salep Tube @ 10 gr 48 48 96 24 72 100
171 Oksitetrasiklin Salep Kulit 3% (HCl) - 5 gr Krim / Salep Tube 0 50 50 25 25
172 Oksitetrasiklin Salep Mata 1% Krim / Salep Tube 25 50 75 25 50
173 Povidone Iodida larutan 10 % Krim / Salep Botol @30 ml 0
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap
174 Krim / Salep Botol 0 120 120 24 96
4% - 30 gram
175 Semen Seng Fosfat serbuk dan cairan - 30 gram Krim / Salep Botol 0 0
176 Serbuk PK Krim / Salep Pot 0 0 0
177 Trombophop Gel Krim / Salep Tube 0 5 5 5 0
178
179
180 A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.) INJ / INF Vial 0 0
181 Artesunate Inj INJ / INF Vial 0 0 0
182 Aminofilin inj 24 INJ / INF ampul 0 0 0
183 Asam Traneksamat 5 %250 mg/5 ml INJ / INF ampul 0 0 10
184 Aquabidest Inj INJ / INF Vial 50 50 10 40
185 Buscopan Inj INJ / INF ampul 0
186 Cefotaxime serbuk Inj 500 mg INJ / INF Vial
187 Cefotaxime serbuk Inj 1000 mg INJ / INF Vial 0
188 Ceftriaxone inj INJ / INF Ampul 0 0
189 Calcii Gluconas Inj INJ / INF Ampul 0 0 0
190 Dexametasone inj 5 mg/mL (i.v./i.m.) INJ / INF Ampul @ 1ml 0 0
191 Diazepam Inj INJ / INF Ampul @ 1ml 0 0 0
192 Difenhidramine inj 10 mg/mL (i.v./i.m.) INJ / INF Ampul @ 1 ml 0 0 0
193 Ephineprin Inj INJ / INF Ampul 0 0 0
194 Gentamisin Injeksi 40 mg INJ / INF Ampul 0 0
195 Furosemid INJ (Farsix) INJ / INF Ampul 0 0 0
196 Furamin Inj INJ / INF Ampul 0 0 0
197 Glukosa larutan i 5% + NACL 0,9 steril INJ / INF Botol 0 0 0
198 Glukosa larutan infus 5% steril INJ / INF Botol @ 500 ml 51 51 26 25
199 Haloperisol inj INJ / INF Ampul 0 0 0
200 Ketorolac inj INJ / INF Ampul 0 0
201 Lidocain inj 2 % INJ / INF Ampul 100 100 100
202 Metampiron (Norages inj) INJ / INF Ampul 0 0
203 Metampiron Inj 250 mg (antalgin) INJ / INF Ampul @ 2 ml 0 0 0
204 Metil Ergometrin inj 0,2 mg/ml INJ / INF Ampul 30 30 30
205 MGSO4 INJ / INF Botol@500 ml 5 5 5 5
206 MGSO4 40 % INJ / INF Vial 0 0 0
207 Mersibion Inj INJ / INF Ampul 0 0 0
208 Natrium klorida larutan infus 0,9% steril INJ / INF Botol @ 500 ml 60 80 140 25 115
209 Ondancentron Inj INJ / INF 0 0 0
210 Oxytocin inj 10 IU/mL INJ / INF ampul @ 1 ml 0 0
211 Pehacain inj INJ / INF Ampul 60 60 6 54
212 Piracetam INJ INJ / INF Ampul 0 0 0
213 Ranitidine injeksi 25 mg/ml INJ / INF AMPUL 0 0 0 100
214 Ringer Lactat Infus INJ / INF Botol @500 ml 70 100 170 122 48 200
215 Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.) INJ / INF Ampul 1 1 1
216 Tramadol Inj INJ / INF Ampul 0 0 0 50
217 Vit B1 INJ (Thiamin) INJ / INF Vial 0 0 0
218 Vit. K 1 (Fitomenadion) Inj 10 mg/ml INJ / INF Ampul @ 1 ml 10 10 5 5 10
219 Vitamin B12 (Sianocobalamin) Inj INJ / INF Ampul 30 30 60 31 29
220 Ventolin Inhaler Nebuler Botol 0 0 10
221 Omeprazole kaps 20 mg INJ / INF Ampul 100 120 220 10 210
222 0 0 0
223 Alprazolam tab 1 mg psi/OTT 100 tablet / kotak 0 0 0 100
224 Alprazolam tab 0,5 mg psi/OTT 100 tablet / kotak 0 0 0 100
225 Amitriptylin HCl tablet salut 25 mg psi/OTT 100 tablet / kotak 0 0
226 Carbamazepine tab 200 mg(Bamgetol) psi/OTT 100 tablet / kotak 0 0 0 100
227 Chlorpromazine HCl injeksi i.m. 25 mg/ml psi/OTT Ampul @ 2ml
228 Chlorpromazine tab 100 mg psi/OTT 100 tablet / botol 100 100 100
229 Chlorpromazine tablet 25 mg psi/OTT 100 tablet / kotak 0 0 0
230 Clozapine 25 mg tab psi/OTT 50 tablet/kotak 0 0 500
231 Diazepam tab 2 mg psi/OTT 100 tablet / botol 168 168 168 100
232 Diazepam Rectal 5 mg/2,5 ml Tab / Kaps / Kapl Can 0 0 5
233 Diazepam tablet 5 mg psi/OTT 100 tablet / kotak 0 0 0 5
234 Haloperidol (sebagai dekanoat) injeksi 50 mg/ml psi/OTT Ampul @ 1 ml 0 0 0
235 Haloperidol Tablet 0,5 mg psi/OTT 100 tablet / kotak 0 0 0
236 Haloperidol Tablet 1,5 mg psi/OTT 100 tablet / kotak 0 0 0
237 Haloperidol Tablet 5 mg psi/OTT 100 tablet / kotak 0 0 0
238 Hexymer 2 mg psi/OTT 1000 tablet / botol 0 0 0
239 Phenobarbital 30 mg tab psi/OTT 100 tablet / kotak 0 0 0
240 Risperidone tab sal 1 mg psi/OTT 50 tablet / kotak 500 500 300 200 300
241 Trihexyphenidil 2 mg psi/OTT 100 tablet / kotak 140 140 140 200
242
243
244 2 Way Foley catheter 14 FR BMHP Pcs 10 10 10 0 10
247 Abbocath no 18 BMHP Pcs 100 9 109 59 50 100
248 Abbocath no 20 BMHP Pcs 100 100 50 50 100
249 Abbocath no 22 BMHP Pcs 100 100 100
250 Abbocath no 24 BMHP Pcs 50 50 100 100
251 Alat Suntik Sekali Pakai 1 ml BMHP 100 Set / Kotak 600 600 500 100 200
252 Alat suntik sekali pakai 10 ml BMHP 100 Set / Kotak 200 200 100 100 200
253 Alat Suntik Sekali Pakai 2,5 ml BMHP 100 Set / Kotak 100 100 100 200
254 Alat Suntik Sekali Pakai 3 ml BMHP 100 Set / Kotak 100 100 100 200
255 Alat Suntik Sekali Pakai 5 ml BMHP 100 Set / Kotak 200 200 400 300 100 200
256 Alat suntik seklai pakai 0,05 ml BMHP 100 Set / Kotak 0 0 200
257 Alkacide 1 L BMHP Botol 0 0
258 Alkazyme 25 mg BMHP 25 Sachet/pack 0 0 0
259 Alkohol swab BMHP 200 pcs/kotak 0 0 0 5
260 Antaseptic hand Scrub BMHP Botol @ 500 ml 0 5
261 Antiseptic gel (tampa cuci) BMHP Botol 0 1
262 ANTISERA (A) BMHP BOTOL 0 0 0
263 ANTOSERA (B) BMHP BOTOL 0 0 0
264 Botol Kosong BMHP BOTOL 0 0 0
265 Basic Urin Bag Steril BMHP Pcs 7 7 7
266 Bisturi 21 BMHP Kotak / 100's 2 2 2 0 5
267 Bisturi 23 BMHP Kotak / 100's 0 0 5
268 Bisturi 24 BMHP Kotak / 100's 0 0 5
269 Blood lancet BMHP 100 pcs/box 0 0 0 5
270 Bracket handwash BMHP Botol 0 0 0
271 Cybow (Stik Urine) BMHP Botol 0 0 5
272 Chromic Cutgut Deedle With 2/0 BMHP pcs 0 0 2
273 Chromic Cutgut Deedle With 2/0 BMHP 24 pcs/kotak 0 0 0 2
274 Chromic Cutgut Deedle With 3/0 BMHP pcs 0 0 2
275 Disposafe Safety Box 2.5 ml BMHP pcs 0 0 0
276 Daryantule BMHP 10 lbr/kotak 11 11 5 6
277 Elastic Bandage 10 cm x 4,55 m BMHP Roll 4 4 4
278 Elastic Bandage 15 cm x 4,55 m BMHP Roll 1 1 1
279 Elastic Bandage 7,5 cm x 4,55 m BMHP Roll 2 2 1 1
280 Etakridin (Rivanol) larutan 0,1% BMHP Botol @300 ml 14 14 14
281 Etanol botol 70% BMHP Botol @ 100 ml 2 2 2
282 Etil Klorida spray BMHP Botol @ 100 ml 3 3 3
283 Exammition Glove MPM (Non Steril) L BMHP 50 pasang / kotak 0 10 10 10
284 Exammition Glove MPM (Non Steril) M BMHP 50 pasang / kotak 1 10 11 2 9
285 Exammition Glove MPM (Non Steril) S BMHP 50 pasang / kotak 2 10 12 12
286 Free Powder Latex Surgical Glove (steril) 6,5 BMHP 50 pairs 0 0
287 Free Powder Latex Surgical Glove (steril) 7 BMHP 50 pairs 0 9
288 Free Powder Latex Surgical Glove (steril) 7,5 BMHP 50 pairs 0 0 0
289 Guedel Airway 60 mm BMHP Pcs 0 0 0
292 Infusion Set Anak BMHP Pcs 150 150 150 0 100
293 Infusion Set Dewasa BMHP Pcs 50 100 150 150
294 Kapas Berlemak 500 gram BMHP Bungkus 0 0
295 Kapas Pembalut Hidrofil DRC 250 Gram BMHP Bungkus 0 0
296 Kasa Hidrofil DRC 4 cm x 15 cm BMHP Roll 15 15 15
297 Kasa Hidrofil steril 40 x 80 cm BMHP Roll 0 5 5 1 4
298 kasa kompres DRC 40 cm x 40 cm BMHP Roll 0 0
299 Kasa Pembalut Hidrofil 4 m x 5 cm Elastic BMHP Roll 0 0 0
300 KASA PEMBALUT LUKA (CETUCELL) BMHP PCS 0 0 0
301 Kassa Hidrofil DRC 36 cm x 80 cm BMHP Roll 6 6 5 1
302 Kassa steril 16 x 16 cm BMHP Roll 150 150 46 104
303 Kantong Plastik Besar BMHP 100 lbr/Pak 0 0 0
304 Kertas Perkamen BMHP 500 lbr/Pak 0 0 0
305 Masker Oksigen Anak BMHP Pcs 0 1 1 1
306 Masker Oksigen Dewasa BMHP Pcs 0 0 0 10
307 Masker BMHP 50 Buah / Kotak 12 40 52 17 35 10
308 MY Gel BMHP Pcs 0 0 0
309 Nald Gigi Septoject BMHP Pcs 0 0 0
310 Plastik klip 10 x 7 BMHP 100's/kemasan 0 0 0
311 Plastik klip 13 x8,7 BMHP 100's/kemasan 0 0 0
312 Plastik klip 15 x 10 BMHP 100's/kemasan 0 0 0
313 Plastik klip 8 X 5 BMHP 100's/kemasan 0 0 0
314 Plester leukoplast 5 cm x 4,5 cm BMHP Roll 0 0 0
315 Povidone Iodida larutan 10 % BMHP Botol @ 300 ml 5 5 5
316 Poliwash 5 Liter BMHP Botol @ 500 ml 0 0 0 5
317 Polifix 5 cm x1 m BMHP Roll 0 0
320 Polifix 5 cm x 5 m BMHP Roll 3 3 3
321 Selang Oksigen Anak BMHP Pcs 1 1 1 5
322 Selang Oksigen Bayi BMHP Pcs 0 0 0 5
323 Selang Oksigen Dewasa BMHP Pcs 4 4 4 5
324 Silk Braided Suture UPS Serenity 2/0 BMHP Pcs 0 0 0
325 Silk Braided Suture UPS Serenity 3/0 BMHP Pcs 0 0
326 Silk Braided Suture UPS Serenity 3/0 BMHP 36 pcs/kotak 0 0
327 Slide kaca BMHP Kotak 0 0 0
328 Stik Asam Urat BMHP Botol 0 0 10
329 Stik Glukosa BMHP Botol 0 0 10
330 Stik Hb BMHP Botol 0 0 10
331 Stik Kolesterol BMHP Botol 0 0 10
332 Strip Uji Kehamilan (HCG) BMHP BOX 0 0 0 10
333 Supratul BMHP pcs 10 10 10
334 Sterilitasion Reel BMHP Roll 0 0 0
335 Transfusion Set BMHP Pcs 50 50 50 50
336 Nebulizer Mask Adult Cosmomed BMHP Pcs 0 0 0 50
337 Nebulizer Mask Child Cosmomed BMHP Pcs 0 0 0 50
338 Umlical Cord Clamp BMHP Pcs 0 50 50 50
339 Underpad BMHP Pcs 0 0 0
340 allupurinol 300mg 0 0
341
342 Stik Glukosa BMHP Botol 0 0 0 10
343 Stik Hb BMHP Botol 0 0 0 10
344 Stik Kolesterol BMHP Botol 0 0 0 10
345 Strip Uji Kehamilan (HCG) BMHP BOX 0 0 0 10
347 Sterilitasion Reel BMHP Roll 0 0 0
348 Transfusion Set BMHP Pcs 0 0 0 50
349 Nebulizer Mask Adult Cosmomed BMHP Pcs 0 0 0 50
350 Nebulizer Mask Child Cosmomed BMHP Pcs 0 0 0 50
351 Umlical Cord Clamp BMHP Pcs 0 0 0
352 Underpad BMHP Pcs 0 0 0
353 Paper Tape BMHP Roll 1 24 25 19 6
354 Metoclopramid inj INJ / INF Vial 10 10 20
355
356
Jumlah Peserta JKN :
Jumlah Pasien Umum :
Jumlah Pasien Rawat Inap :
Jumlah Total Pasien :
Mengetahui, PJ. Apotik Puskesmas

KTU UPTD Puskesmas Ligan
Muhammad Ikhsan,Amd.Kep apt. Haris Munandar, S.Farm

NIP:19770105 200904 1 002
LAPORAN PEMAKAIAN DAN LEMBA
Dar : UPTD PUSKESMAS LIGAN

Untuk : DINKES
Tanggal : 09 Agustus
Tahun : 2022
NO NAMA OBAT SATUAN KEMASAN
1 2 3
1 Albendazol tab 400 mg Tab / Kaps / Kapl
3 Alopurinol tab 100 mg Tab / Kaps / Kapl
4 Ambroxol tablet 30 mg Tab / Kaps / Kapl
5 Aminofilin tablet 200 mg Tab / Kaps / Kapl
6 Amlodipin tab 10 mg Tab / Kaps / Kapl
Amlodipin tab 5 mg
7 Tab / Kaps / Kapl
8 Amlodipin 5 mg Tab / Kaps / Kapl

9 Amoxicilin tab 500 mg Tab / Kaps / Kapl
12 Antalgin Tab 500 mg Tab / Kaps / Kapl
13 Tab / Kaps / Kapl
magnesium hidroksida 200 mg
14 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg Tab / Kaps / Kapl
15 Asam folat Tab / Kaps / Kapl
16 Asam Mefenamat kaplet 500 mg Tab / Kaps / Kapl
17 Asam Traneksamat Tab / Kaps / Kapl
18 Asam Asetil Salisilat (Aptor) Tab / Kaps / Kapl
19 Asiklovir tab 200 mg Tab / Kaps / Kapl
21 Atapulgit tablet 600 mg Tab / Kaps / Kapl
22 Bedak salisil 2% Tab / Kaps / Kapl
23 Bisoprolol Tab / Kaps / Kapl
24 Bisokodil 5 mg Tab / Kaps / Kapl
darah kombinasi)
26 betahistin mesylate 6 mg Tab / Kaps / Kapl
27 Cefadroxil 500 mg Tab / Kaps / Kapl
28 Cetirizin tab 10 mg Tab / Kaps / Kapl
29 Chlorfeniramin Maleat (CTM) tablet 4 mg Tab / Kaps / Kapl
30 Cifixime tab 100 mg Tab / Kaps / Kapl
31 Cimetidine tablet 200 mg Tab / Kaps / Kapl
32 Clindamycin 300 mg Tab / Kaps / Kapl
33 Ciprofloxacin 500 mg Tab / Kaps / Kapl
34 400 mg Trimetoprim 80 mg Tab / Kaps / Kapl
35 DHP- Tab / Kaps / Kapl

36 D-ARTEP Tab / Kaps / Kapl
37 Dexametasone tab 0,5 mg Tab / Kaps / Kapl
38 Digoksin tablet 0,25 mg Tab / Kaps / Kapl
39 Domperidon tab 10 mg Tab / Kaps / Kapl
40 DULCOLAC SUP 10 MG Tab / Kaps / Kapl
42 Diazepam Rectal 10 mg/2.5 ml Tab / Kaps / Kapl
44 Efedrin tab 25 mg Tab / Kaps / Kapl
45 Ergotamin tab 1 mg Tab / Kaps / Kapl
46 Erytromycin kaps 500 mg Tab / Kaps / Kapl
47 Ferrous Sulfat (tab tambah darah) Tab / Kaps / Kapl
50 Furosemid tab 40 mg Tab / Kaps / Kapl
51 Furosemid tablet 40 mg Tab / Kaps / Kapl
anhidrat 2,7 g serbuk untuk 200 ml air
53 Gambapetin 300 mg Tab / Kaps / Kapl

54 Glibenklamid tab 5 mg Tab / Kaps / Kapl
55 Glimepirid tab 3 mg Tab / Kaps / Kapl
56 Griseofulvin (micronized) tab 125 mg Tab / Kaps / Kapl
57 Guefinisin (GG) Tab / Kaps / Kapl
58 Hidroklortiazid tab 25 mg Tab / Kaps / Kapl
59 Ibuprofen tab 200 mg Tab / Kaps / Kapl
61 Isosorbid dinitrat tab 5 mg Tab / Kaps / Kapl
62 Kalsium Laktat (Kalk) tablet 500 mg Tab / Kaps / Kapl
63 Kaptopril tab 25 mg Tab / Kaps / Kapl
64 Kaptopril tablet 12,5 mg Tab / Kaps / Kapl
65 Ketocenazole tab 200 mg Tab / Kaps / Kapl
66 Kloramfenicol kaps 250 mg Tab / Kaps / Kapl
67 Lansoprazole 30 mg Tab / Kaps / Kapl
68 Loperamide tab 2 mg Tab / Kaps / Kapl
69 Loratadin tab 10 mg Tab / Kaps / Kapl
70 Lacto B Tab / Kaps / Kapl
71 Meloxicam tab 15 mg Tab / Kaps / Kapl
72 Metformin HCl tablet 500 mg Tab / Kaps / Kapl
73 Metilergometrin tab salut 0,125 mg Tab / Kaps / Kapl
74 Metilprednisolon tab 4 mg Tab / Kaps / Kapl
75 Metoclopramid tab 5 mg Tab / Kaps / Kapl
77 Metronidazol tab 500 mg Tab / Kaps / Kapl
78 Mineral mix Tab / Kaps / Kapl
79 Natrium Bikarbonat tablet 500 mg Tab / Kaps / Kapl
80 Natrium diklofenak tab 50 mg Tab / Kaps / Kapl
81 New Antides Tab / Kaps / Kapl
82 Neo Dioform Tab / Kaps / Kapl
83 Nifedipin tablet 10 mg Tab / Kaps / Kapl
84 Nistatin tab salut 500.000 UI/g Tab / Kaps / Kapl
85 Ondancentron tab 4 mg Tab / Kaps / Kapl
86 Ofloxacin tab 400 mg Tab / Kaps / Kapl
87 Omeprazole kaps 20 mg Tab / Kaps / Kapl
88 Papaverine 40 mg Tab / Kaps / Kapl
89 Paracetamol tab 500 mg Tab / Kaps / Kapl
90 Paracetamol 125 mg supp Supp
92 Piracetam Tab 400 mg Tab / Kaps / Kapl
93 Pirantel tab score (base) 125 mg Tab / Kaps / Kapl
94 Piroxicam tab 10 mg Tab / Kaps / Kapl
95 Prednison 5 mg Tab / Kaps / Kapl
96 Primakuin tablet 15 mg Tab / Kaps / Kapl
97 Propiltiourasil tablet 100 mg Tab / Kaps / Kapl
98 Propranolol 10 mg Tab / Kaps / Kapl
99 Pularex activated attapulgite 630 mg Tab / Kaps / Kapl
100 Ranitidine 150 mg Tab / Kaps / Kapl
102 Salbutamol 2 mg Tab / Kaps / Kapl
104 Simvastatin 10 mg Tab / Kaps / Kapl
106 Spironolacton 25 mg Tab / Kaps / Kapl
107 Tetrasiklin HCl kapsul 500 mg Tab / Kaps / Kapl
108 Tramadol 50 mg Tab / Kaps / Kapl
110 vitamin A (Retinol) kaps lunak 100.000 UI Tab / Kaps / Kapl
111 Vitamin A (retinol) kaps lunak 200.000 UI Tab / Kaps / Kapl
112 Vitamin B kompleks Tab / Kaps / Kapl
113 Vitamin B1 ( Thiamin) 50 mg Tab / Kaps / Kapl
114 Corbevit Tab / Kaps / Kapl
115 vitamin B12 ( Sianocobalamin) tablet 50 mcg Tab / Kaps / Kapl
116 vitamin B6 (Piridoksin) tab 10 mg Tab / Kaps / Kapl
117 Asta Plus Tab / Kaps / Kapl
118 Vitamin C (Asam Askorbat) tablet 50 mg Tab / Kaps / Kapl
119 Astar C Tab / Kaps / Kapl
120 Vitamin K1 (Fitomenadion) tablet salut gula 10 mg Tab / Kaps / Kapl
121 Zinc tablet dispersible 20 mg Tab / Kaps / Kapl
122 Imunovit Tab / Kaps / Kapl
123 Bioron Tab / Kaps / Kapl
124 Febrinex Sirup / Susp
125 Ambroxol syrup 15 mg/ml Sirup / Susp
126 Amoxicilin syr forte Sirup / Susp
127 Amoxicilin syr kering 125 mg/5 ml Sirup / Susp
128
200mg/5 ml+Al. Hidroksida. 200 mg/5 ml
129 Cefadroxil syr kering 125mg/5ml Sirup / Susp
130 Cetirizine syr Sirup / Susp
131 Cefixime Sirup Sirup / Susp
132 Curcuma Sirup Sirup / Susp
Cotrimoxazole suspensi komb : sulfametoksazol 200 mg +
133 Sirup / Susp
trimetoprim 40 mg
134 Domperidon suspensi/sirup 5 mg/5 ml Sirup / Susp
135 Erytromycin syr 200 mg/5 mL Sirup / Susp
136 Ibuprofen syr 100 mg/5 mL Sirup / Susp
137 Kloramfenicol syr 125 mg/5 mL Sirup / Susp
138 Metavit (Multivitamin) sirup Sirup / Susp
139 Novadiar Sirup (Kaolin pectin) Sirup / Susp
140 Obat Batuk Hitam ( O.B.H. ) cairan Sirup / Susp
141 Paracetamol drop 100 mg/ml btl @15ml (60mg/0,6ml) (G) Sirup / Susp
142 Paracetamol syr 120 mg/5 mL Sirup / Susp
143 Sucralfat Sirup Sirup / Susp
144 Zinc Sir 10 mg/mL Sirup / Susp
145 Amoxicilyn Drop Sirup / Susp
146 Metronidazole Sirup / Susp
147 Acyclovir krim Krim / Salep
148 Krim / Salep
+Polimiksin 10.000 IU/g
149 Antihemoroid supp Krim / Salep
150 Betametason krim 0,1% (Sebagai Valerat) Krim / Salep
151 Borax gliserin Krim / Salep
152 Burnazine Krim Krim / Salep
153 Caviton GC Krim / Salep
154 Devitalisasi Pasta (Non Arsen) Krim / Salep
155 Eugenol cairan Krim / Salep
156 Gentian Violet larutan 1 % Krim / Salep
157 Glass Ionomer Cement ART Krim / Salep
158 Gentamicin TM 0.3% Krim / Salep
159 Gentamicin SM 0.3% Krim / Salep
160 H2O2 Krim / Salep
161 Hidrokortisone krim 2,5% Krim / Salep
162 Ihctiyol (salep Bisul) Krim / Salep
163 Kalsium hidroksida Pasta Krim / Salep
164 Ketocenazole krim 2% Krim / Salep
165 Klofenol Kamfer Mentol (CHKM) Krim / Salep
166 Kloramfenicol salep mata 1% Krim / Salep
167 Kloramfenicol Tetes Mata Krim / Salep
168 Kloramfenicol tts telinga 3% Krim / Salep
169 Kloramfenikol salep kulit 2% Krim / Salep
170 Miconazole krim/salep 2 % (Nitrat) Krim / Salep
171 Oksitetrasiklin Salep Kulit 3% (HCl) - 5 gr Krim / Salep
172 Oksitetrasiklin Salep Mata 1% Krim / Salep
173 Povidone Iodida larutan 10 % Krim / Salep
174 Krim / Salep
4% - 30 gram
175 Semen Seng Fosfat serbuk dan cairan - 30 gram Krim / Salep
176 Serbuk PK Krim / Salep
177 Trombophop Gel Krim / Salep
178 Timol 0,5%
179
180 A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.) INJ / INF
181 Artesunate Inj INJ / INF
182 Aminofilin inj 24 INJ / INF
183 Asam Traneksamat 5 %250 mg/5 ml INJ / INF
184 Aquabidest Inj INJ / INF
185 Buscopan Inj INJ / INF
186 Cefotaxime serbuk Inj 500 mg INJ / INF
188 Ceftriaxone inj INJ / INF
189 Calcii Gluconas Inj INJ / INF
190 Dexametasone inj 5 mg/mL (i.v./i.m.) INJ / INF
191 Diazepam Inj INJ / INF
192 Difenhidramine inj 10 mg/mL (i.v./i.m.) INJ / INF
193 Ephineprin Inj INJ / INF
194 Gentamisin Injeksi 40 mg INJ / INF
195 Furosemid INJ (Farsix) INJ / INF
196 Furamin Inj INJ / INF
197 Glukosa larutan i 5% + NACL 0,9 steril INJ / INF
198 Glukosa larutan infus 5% steril INJ / INF
199 Haloperisol inj INJ / INF
200 Ketorolac inj INJ / INF
201 Lidocain inj 2 % INJ / INF
202 Metampiron (Norages inj) INJ / INF
203 Metampiron Inj 250 mg (antalgin) INJ / INF
204 Metil Ergometrin inj 0,2 mg/ml INJ / INF
205 MGSO4 INJ / INF
206 MGSO4 40 % INJ / INF
207 Mersibion Inj INJ / INF
208 Natrium klorida larutan infus 0,9% steril INJ / INF
209 Ondancentron Inj INJ / INF
210 Oxytocin inj 10 IU/mL INJ / INF
211 Pehacain inj INJ / INF
212 Piracetam INJ INJ / INF
213 Ranitidine injeksi 25 mg/ml INJ / INF
214 Ringer Lactat Infus INJ / INF
215 Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.) INJ / INF
216 Tramadol Inj INJ / INF
217 Vit B1 INJ (Thiamin) INJ / INF
218 Vit. K 1 (Fitomenadion) Inj 10 mg/ml INJ / INF
219 Vitamin B12 (Sianocobalamin) Inj INJ / INF
220 Ventolin Inhaler Nebuler
221 Omeprazole INJ / INF
222
223 Alprazolam tab 1 mg psi/OTT
224 Alprazolam tab 0,5 mg psi/OTT
225 Amitriptylin HCl tablet salut 25 mg psi/OTT
226 Carbamazepine tab 200 mg(Bamgetol) psi/OTT
227 Chlorpromazine HCl injeksi i.m. 25 mg/ml psi/OTT
228 Chlorpromazine tab 100 mg psi/OTT
229 Chlorpromazine tablet 25 mg psi/OTT
230 Clozapine 25 mg tab psi/OTT
231 Diazepam tab 2 mg psi/OTT
232 Diazepam Rectal 5 mg/2,5 ml Tab / Kaps / Kapl
233 Diazepam tablet 5 mg psi/OTT
234 Haloperidol (sebagai dekanoat) injeksi 50 mg/ml psi/OTT
235 Haloperidol Tablet 0,5 mg psi/OTT
237 Haloperidol Tablet 5 mg psi/OTT
238 Hexymer 2 mg psi/OTT
239 Phenobarbital 30 mg tab psi/OTT
240 Risperidone tab sal 1 mg psi/OTT
241 Trihexyphenidil 2 mg psi/OTT
242
243
244 2 Way Foley catheter 14 FR BMHP
247 Abbocath no 18 BMHP
251 Alat Suntik Sekali Pakai 1 ml BMHP
252 Alat suntik sekali pakai 10 ml BMHP
253 Alat Suntik Sekali Pakai 2,5 ml BMHP
256 Alat suntik seklai pakai 0,05 ml BMHP
257 Alkacide 1 L BMHP
258 Alkazyme 25 mg BMHP
259 Alkohol swab BMHP
260 Antaseptic hand Scrub BMHP
261 Antiseptic gel (tampa cuci) BMHP
262 ANTISERA (A) BMHP
263 ANTOSERA (B) BMHP
264 Botol Kosong BMHP
265 Basic Urin Bag Steril BMHP
266 Bisturi 20 BMHP
267 Bisturi 22 BMHP
268 Bisturi 24 BMHP
269 Blood lancet BMHP
270 Bracket handwash BMHP
271 Cybow (Stik Urine) BMHP
272 Chromic Cutgut Deedle With 2/0 BMHP
275 Disposafe Safety Box 2.5 ml BMHP
276 Daryantule BMHP
277 Elastic Bandage 10 cm x 4,55 m BMHP
279 Elastic Bandage 7,5 cm x 4,55 m BMHP
280 Etakridin (Rivanol) larutan 0,1% BMHP
281 Etanol botol 70% BMHP
282 Etil Klorida spray BMHP
283 Exammition Glove MPM (Non Steril) L BMHP
284 Exammition Glove MPM (Non Steril) M BMHP
285 Exammition Glove MPM (Non Steril) S BMHP
286 Free Powder Latex Surgical Glove (steril) 6,5 BMHP
287 Free Powder Latex Surgical Glove (steril) 7 BMHP
289 Guedel Airway 60 mm BMHP
292 Infusion Set Anak BMHP
293 Infusion Set Dewasa BMHP
294 Kapas Berlemak 500 gram BMHP
295 Kapas Pembalut Hidrofil DRC 250 Gram BMHP
296 Kasa Hidrofil DRC 4 cm x 15 cm BMHP
297 Kasa Hidrofil steril 40 x 80 cm BMHP
298 kasa kompres DRC 40 cm x 40 cm BMHP
299 Kasa Pembalut Hidrofil 4 m x 5 cm Elastic BMHP
300 KASA PEMBALUT LUKA (CETUCELL) BMHP
301 Kassa Hidrofil DRC 36 cm x 80 cm BMHP
302 Kassa steril 16 x 16 cm BMHP
303 Kantong Plastik Besar BMHP
304 Kertas Perkamen BMHP
305 Masker Oksigen Anak BMHP
306 Masker Oksigen Dewasa BMHP
307 Masker BMHP
308 MY Gel BMHP
309 Nald Gigi Septoject BMHP
310 Plastik klip 10 x 7 BMHP
311 Plastik klip 13 x8,7 BMHP
313 Plastik klip 8 X 5 BMHP
314 Plester leukoplast 5 cm x 4,5 cm BMHP
315 Povidone Iodida larutan 10 % BMHP
316 Poliwash 5 Liter BMHP
317 Polifix 5 cm x1 m BMHP
320 Polifix 5 cm x 5 m BMHP
321 Selang Oksigen Anak BMHP
322 Selang Oksigen Bayi BMHP
323 Selang Oksigen Dewasa BMHP
324 Silk Braided Suture UPS Serenity 2/0 BMHP
327 Slide kaca BMHP
328 Stik Asam Urat BMHP
329 Stik Glukosa BMHP
330 Stik Hb BMHP
331 Stik Kolesterol BMHP
332 Strip Uji Kehamilan (HCG) BMHP
333 Supratul BMHP
334 Sterilitasion Reel BMHP
335 Transfusion Set BMHP
336 Nebulizer Mask Adult Cosmomed BMHP
337 Nebulizer Mask Child Cosmomed BMHP
338 Umlical Cord Clamp BMHP
339 Underpad BMHP
340 allupurinol 300mg
341
343 Stik Hb BMHP
352 Underpad BMHP
353 Paper Tape BMHP
354 Metoclopramid inj INJ / INF
355 Any- Eth 9 ml (Etchant gel vial 9 ml)
356 oco (Poliren Polishing Pasta 45 gr No.1
Mengetahui,
Muhammad Ikhsan,Amd.Kep
NIP:19770105 200904 1 002
N PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
Laporan Bulan : Agustus

Permintaan Bulan : September
STOCK SISA
BENTUK SEDIAAN PENERIMAAN JUMLAH PEMAKAIAN PERMINTAAN
AWAL STOCK
4 5 6 7=(5+6) 8 9=(7-8) 10
30 tablet / kotak 200 200 200
100 tablet / kotak 0 0 0
100 tablet / kotak 3200 3200 800 2400
100 tablet / kotak 2340 4400 6740 300 6440
100 tablet / botol 0 0 0
30tab/kotak 0 150 150 100 50 500
30 tablet / kotak 150 -100

0 150 250 500
300 tab/bok 0 0 0
100 tablet / kotak 2600 2000 4600 400 4200 2000
100 tablet / kotak 1700 500 2200 50 2150 500
100 tab/kotak 0 0 0
100 tablet / kotak 3000 2000

0 3000 1000 3000
600 600 300 300
100 tablet / kotak 1900 500 2400 100 2300 500
50 tab/kotak 0 0 0 100
100 tab/kotak 2200 2200 800 1400
100 tablet / kotak 0 300 300 1200 -900
50 tablet / kotak 0 0 0 1000
kotak @ 50 gr 49 49 49 50
30 tab/kotak 0 0 0
30 tab/kotak 120 31 151 151
100 sachet / kotak 0 0

0
30 tab/kotak 1000 1000 1000
100 tab / kotak 500 500 500
100 tablet / kotak 0 0 500 -500 1000
100 tab / botol 0 0 600 -600 2000
50 tab/kotak 0 0 0
50 tab/kotak 100 1200 1300 150 1150 600
100 tablet / kotak 200 200 200 0
100 kaplet / kotak 500 400

0 500 100 500
100 tablet / kotak 0 10000 10000 10000 1000
100 tablet / kotak 200 200 200
100 tablet / kotak 3500 3500 900 2600
SUPP 10 10 10
SUPP 0 0 0
SUPP 0 0 0
SUPP 0 0 0
100/kotak 0 0 0
100 kapsul / kotak 0 1000 1000 1000
100 tab/kotak 0 200 200 200
30 tab/kotak 800 800 600 200 500
3000/kotak 0 0 0
100 tablet / kotak 100 100 100

300 500 100 500
100 tab/kotak 0 0 0
100 tablet / kotak 900 500 1400 300 1100 500
50 tablet / kotak 150 250 400 400 500
100 tablet / kotak 800 300 1100 1100 300
100 tab/kotak 0 0 0 600
100 tablet / botol 3000 3000 3000
100 tablet / kotak 2700 2700 700 2000
1000 tablet / botol 700 700 300 400
30 tablet / kotak 300 60 360 360 200
30 tablet/ kotak 400 60 460 460 200
50 tablet / kotak 200 150 350 100 250 300
100 tablet / botol 800 800 800
20 kapsul / kotak 0 0 0
100 tablet / kotak 0 500 500 500 500
100 kaplet / kotak 0 400 400 1100 0 2000
40 sachet / kotak 0 0 0
50 tab/kotak 0 0 0
100 tablet / kotak 500 500 1000 900 100 500
100 tablet / kotak 0 3000 3000 3000
100 tablet / kotak 0 3000 3000 2500 500 3000
100 tablet / kotak 500 500 500
100 tablet / kotak 0 0 0 500
50 tablet / kotak 0 2800 2800 2800 2000
100 tab/kotak 100 100 100
100 tab/kotak 0 0 0
100 tablet / kotak 100 100 100
12 Tabb/ box 0 0 0
30 tablet / kotak 2520 3000 5520 2130 3390 3000
1000 tab/botol 0 0 0
100 tablet / kotak 2400 6000 8400 6800 1600 3000
Supp 0 0 0 10
Supp 0 0 0
100 tab/kotak 0 0 0
100 tab/kotak 0 0 0
1000 tablet / botol 0 500 500 500 0 500
100 tab/kotak 0 0 0
100 tablet / kotak 700 700 400 300
100 tablet / kotak 200 200 400 500 -100 200
100 tablet / kotak 300 200 500 400 100 200
50 tablet / kotak 800 800 300 500
50 tablet / kotak 250 250 500 500 200
100 tab/kotak 0
100 tablet/ kotak 0 0 0
30 tablet/ kotak 0 0 0 100
50 kapsul / botol 0 0 0
100 tablet / kotak 6500 6500 6500
100 tablet / kotak 1700 1700 200 1500
tablet 0 5 5 5
100 tablet / kotak 1900 1900 100 1800
100 tablet / botol 1200 1200 1000 200
tablet 0 5 5 5
100 tablet / botol 4500 4500 1500 3000
Tablet 0 60 60 60
100 tablet / kotak 0 400 400 300 100 400
30 tablet / kotak 0 150 150 150
100 tablet 0 500 500 500
botol 0 100
Botol @ 60 ml 0 0 0
Botol 0 500 500 500
Botol @ 60 ml 150 50 200 100 100 50
500 0
100 400 500 400
Botol @ 60 ml 0 75 75 75
Botol @ 60 ml 100 100 100
Botol @ 60 ml 0 0 0
Botol @ 60 ml 11 11 24 -13 24
Botol @ 60 ml 70 50
70 20
Botol @ 60 ml 100 100 100
Botol @ 60 ml 0 0 0
Botol @ 60 ml 100 100 100
Botol @ 60 ml 0 10 10 10
Botol 0 0 0
Botol 200 200 200
Botol @ 100 ml 480 480 20 460
Botol @ 15 ml 0 0 0 50
Botol @ 60 ml 800 800 100 700
Botol @ 60 ml 0 0 0
Botol @ 100 ml 0 0 0
Botol 0 50
Botol 0 10
Tube 125 50 175 175 50
Tube 175 175

175
SUPS 10 10 10
Tube 150 200 350 75 275 200
Botol 0 0 0 100
Tube 0 0 0
Pot 0 0 0
Botol 0 0 0
Botol @ 10 ml 0 2 2 2
Botol @ 10 ml 48 48 48
Botol 0 0 0
Botol 0 0 0 48
Botol 0 0 0 100
Botol 2 2 2
Tube @ 5 gr 120 120 30 90
Pot 0 0 0 24
Tube 0 0 0
Tube @ 10 gr 25 25 25 100
KOTAK 0 1 1 1
Tube @ 5 gr 50 50 10 40
botol 100 100 100
Botol @ 5 ml 150 150 25 125
Tube @ 15 gr 50 50 100 24 76 50
Tube @ 10 gr 72 96 168 24 144 100
Tube 25 25 25 0
Tube 50 50 25 25
Botol @30 ml 0 0
Botol 96 72
96 24
Botol 0 0 0
Pot 0 0 0
Tube 0 0 5 -5
PCS 0 5
0
Vial 0 2 2 2
Vial 0 0 0
ampul 0 0 0
ampul 0 0 0 10
Vial 40 50 10 40
ampul 0
Vial 0
Vial 0
Ampul 0 0 0
Ampul 0 0 0
Ampul @ 1ml 0 0 0
Ampul @ 1ml 0 0 0
Ampul @ 1 ml 0 60 60 60
Ampul 0 0 0
Ampul 0 0 0
Ampul 0 0 0
Ampul 0 0 0
Botol 0 0 0
Botol @ 500 ml 25 25 26 -1
Ampul 0 0 0
Ampul 0 0 0
Ampul 100 200 300 300
Ampul 0 0 0
Ampul @ 2 ml 0 0 0
Ampul 30 30 30
Botol@500 ml 5 5 5 5
Vial 0 5 5 5
Ampul 0 0 0
Botol @ 500 ml 115 115 25 90
0 0 0
ampul @ 1 ml 0 0 0
Ampul 54 54 6 48
Ampul 0 0 0
AMPUL 0 0 0 100
Botol @500 ml 48 200 248 122 126 200
Ampul 1 1 1
Ampul 0 0 0 50
Vial 0 0 0
Ampul @ 1 ml 5 150 155 5 150 10
Ampul 29 200 229 31 198
Botol 0 0 0 10
Ampul 210 300 510 10 500
0 0 0
100 tablet / kotak 0 0 0 100
100 tablet / kotak 0 0 0 100
100 tablet / kotak 0 0 0 100
Ampul @ 2ml 0
100 tablet / botol 100 100 100
50 tablet/kotak 0 250 250 250 500
100 tablet / botol 168 168 168 100
Can 0 0 0 5
100 tablet / kotak 0 0 0 5
Ampul @ 1 ml 0 0 0
50 tablet / kotak 200 150 350 300 50 300
100 tablet / kotak 140 200 340 340 200
0
0
Pcs 0 0 10 -10 10
Pcs 0 0 10 -10 10
Pcs 0 0 10 -10 10
Pcs 50 50 59 -9 100
Pcs 50 50 50 0 100
Pcs 100 100 100
Pcs 100 100 100
100 Set / Kotak 100 200 300 500 -200 200
100 Set / Kotak 100 200 300 100 200 200
100 Set / Kotak 100 200 300 300 200
100 Set / Kotak 100 200 300 300 200
100 Set / Kotak 100 200 300 300 0 200
100 Set / Kotak 0 0 0 200
Botol 0 0 0
25 Sachet/pack 0 0 0
200 pcs/kotak 0 0 0 5
Botol @ 500 ml 5 5 5
Botol 1 1 1
BOTOL 0 0 0
BOTOL 0 0 0
BOTOL 0 0 0
Pcs 7 7 7
Kotak / 100's 0 1 1 2 -1 5
Kotak / 100's 0 1 1 1 5
Kotak / 100's 0 0 0 5
100 pcs/box 0 0 0 5
Botol 0 0 0
Botol 0 0 0 5
pcs 0 20 20 20 2
24 pcs/kotak 0 0 0 2
pcs 0 0 0 2
pcs 0 0 0
10 lbr/kotak 6 6 5 1
Roll 4 4 4
Roll 1 1 1
Roll 1 1 1 0
Botol @300 ml 14 14 14
Botol @ 100 ml 2 2 2
Botol @ 100 ml 3 3 3
50 pasang / kotak 10 10 10
50 pasang / kotak 9 9 2 7
50 pairs 0 0 0
50 pairs 9 9 9
50 pairs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 150 -150 100
Pcs 150 150 150
Bungkus 0 0 0
Bungkus 0 0 0
Roll 15 15 15
Roll 4 4 1 3
Roll 0 0 0
Roll 0 0 0
PCS 0 0 0
Roll 1 1 5 -4
Roll 104 104 46 58
100 lbr/Pak 0 0 0
500 lbr/Pak 0 0 0
Pcs 1 5 6 6
Pcs 0 5 5 5 10
50 Buah / Kotak 35 40 75 17 58 10
Pcs 0 0 0
Pcs 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
Roll 0 0 0
Botol @ 300 ml 5 5 5
Botol @ 500 ml 0 0 0 5
Roll 0 0 0
Roll 0 0 0
Roll 0 0 0
Roll 3 3 3
Pcs 1 5 6 6 5
Pcs 0 0 0 5
Pcs 4 4 4 5
Pcs 0 0 0
Pcs 0 0 0
36 pcs/kotak 0 0 0
Kotak 0 0 0
Botol 0 10 10 10 10
Botol 0 10 10 10 10
Botol 0 6 6 6 10
Botol 0 10 10 10 10
BOX 0 1 1 1 10
pcs 10 10 10
Roll 0 0 0
Pcs 50 50 50 50
Pcs 0 0 0 50
Pcs 0 0 0 50
Pcs 50 50 50
Pcs 0 0 0
0 0 0
0
Botol 0 0 0 10
Botol 0 0 0 10
Botol 0 0 0 10
BOX 0 0 0 10
Roll 0 0 0
Pcs 0 0 0 50
Pcs 0 0 0 50
Pcs 0 0 0 50
Pcs 0 0 0
Pcs 0 0 0
Roll 6 6 19 -13
Vial 10 100 10 20
botol 1
Botol 1
PJ. Apotik Pusk
apt. Haris Munanda

APBK APBA LAIN-2 KET
11 12 13 14
PJ. Apotik Puskesmas
apt. Haris Munandar, S.Farm


Untuk : DINKES
Tanggal : 05 Oktober
Tahun : 2022
1 2 3
Amlodipin tab 5 mg
7 Tab / Kaps / Kapl

darah kombinasi)


123
124
128
133 Sirup / Susp
trimetoprim 40 mg
145
146
148 Krim / Salep
174 Krim / Salep
4% - 30 gram
178
179
205 MGSO4 INJ / INF
221 Omeprazole kaps 20 mg INJ / INF
222
242
243
266 Bisturi 21 BMHP
267 Bisturi 23 BMHP
268 Bisturi 24 BMHP
276 Daryantule BMHP
307 Masker BMHP
308 MY Gel BMHP
327 Slide kaca BMHP
330 Stik Hb BMHP
333 Supratul BMHP
339 Underpad BMHP
341
343 Stik Hb BMHP
352 Underpad BMHP
353 Paper Tape BMHP
355
356
Mengetahui,
NIP:19770105 200904 1 002
Laporan Bulan : September

Permintaan Bulan : Oktober
STOCK SISA
AWAL STOCK
4 5 6 7=(5+6) 8 9=(7-8) 10
30 tablet / kotak 0 200 200 200
100 tablet / kotak 2000 2000 4000 800 3200
100 tablet / kotak 0 2640 2640 300 2340
30tab/kotak 100 100 100 0 500
30 tablet / kotak 250 0

250 250 500
300 tab/bok 0 0 0
100 tablet / kotak 2000 1000 3000 400 2600 2000
100 tablet / kotak 750 1000 1750 50 1700 500
100 tab/kotak 0 0

1000 1000 3000
100 tablet / botol 0 0
900 900 300 600
100 tablet / kotak 1000 1000 2000 100 1900 500
50 tab/kotak 0 0 100
100 tab/kotak 3000 3000 800 2200
100 tablet / kotak 700 500 1200 1200 0
kotak @ 50 gr 25 24 49 49 50
30 tab/kotak 0 0
30 tab/kotak 60 60 120 120
30 tab/kotak 1000 1000 1000

100 tab / kotak 500 500 500
100 tablet / kotak 500 500 500 0 1000
100 tab / botol 600 600 600 0 2000
50 tab/kotak 0 0
100 tablet / botol 0 0
50 tab/kotak 50 200 250 150 100 600
100 tablet / kotak 200 200 400 200 200

100 100 500
100 tablet / kotak 0 0 0 1000
100 tablet / kotak 200 200 200
100 tablet / kotak 2400 2000 4400 900 3500
SUPP 10 10 10
SUPP 0 0 0
SUPP 0 0 0
SUPP 0 0 0
100/kotak 0 0 0
100 tab/kotak 0 0 0
30 tab/kotak 900 500 1400 600 800 500
3000/kotak 0 0 0
100 tablet / kotak 100 100 100

100 300 100 500
100 tab/kotak 0 0
100 tablet / kotak 200 1000 1200 300 900 500
50 tablet / kotak 100 50 150 150 500
100 tablet / kotak 300 500 800 800 300
100 tab/kotak 0 0 600
100 tablet / botol 3000 3000 3000
100 tablet / kotak 2400 1000 3400 700 2700
1000 tablet / botol 500 500 1000 300 700
30 tablet / kotak 100 200 300 300 200
30 tablet/ kotak 200 200 400 400 200
50 tablet / kotak 300 300 100 200 300
100 tablet / botol 800 800 800
100 tablet / kotak 0 0 0 500
100 kaplet / kotak 100 1000 1100 1100 0 2000
50 tab/kotak 0 0 0
100 tablet / kotak 1100 300 1400 900 500 500
100 tablet / kotak 500 2000 2500 2500 0 3000
100 tablet / kotak 500 500 500
100 tab/kotak 100 100 100
100 tab/kotak 0 0 0
100 tablet / kotak 100 100 100
12 Tabb/ box 0 0 0
30 tablet / kotak 2850 1800 4650 2130 2520 3000
100 tablet / kotak 7200 2000 9200 6800 2400 3000
Supp 0 0 0 10
Supp 0 0
100 tab/kotak 0 0 0
100 tab/kotak 0 0
1000 tablet / botol 200 300 500 500 0 500
100 tab/kotak 0 0 0
100 tablet / kotak 1100 1100 400 700
100 tablet / kotak 200 500 700 500 200 200
100 tablet / kotak 200 500 700 400 300 200
50 tablet / kotak 100 1000 1100 300 800
50 tablet / kotak 250 250 250 200
100 tab/kotak 0
100 kapsul / kotak 0 0
50 kapsul / botol 0 0
50 kapsul / botol 0 0
100 tablet / kotak 1500 5000 6500 6500
100 tablet / kotak 1900 1900 200 1700
100 tablet / kotak 2000 2000 100 1900
100 tablet / botol 2200 2200 1000 1200
100 tablet / botol 1000 5000 6000 1500 4500
100 tablet / kotak 300 300 300 0 400
0 0 0
0
Botol @ 60 ml 0 0 0
Botol 0 0
Botol @ 60 ml 200 50 250 100 150 50
600 100
100 500 500 400
Botol @ 60 ml 0 0 0
Botol @ 60 ml 100 100 100
Botol @ 60 ml 0 0
Botol @ 60 ml 11 24 35 24 11 24
Botol @ 60 ml 90 70
90 20
Botol @ 60 ml 50 50 100 100
Botol @ 60 ml 0 0 0
Botol @ 60 ml 0 100 100 100
Botol @ 60 ml 0 0
Botol 0 0 0
Botol 200 200 200
Botol @ 100 ml 500 500 20 480
Botol @ 15 ml 0 0 0 50
Botol @ 60 ml 500 400 900 100 800
Botol @ 60 ml 0 0
Botol @ 100 ml 0 0 0
Tube 25 100 125 125 50
Tube 175 175

75 100
SUPS 10 10 10
Tube 25 200 225 75 150 200
Botol 0 0 100
Tube 0 0
Pot 0 0 0
Botol 0 0 0
Botol @ 10 ml 0 0 0
Botol @ 10 ml 48 48 48
Botol 0 0 0
Botol 0 0 48
Botol 0 0 0 100
Botol 2 2 2
Tube @ 5 gr 50 100 150 30 120
Pot 0 0 24
Tube 0 0 0
Tube @ 10 gr 25 25 25 100
KOTAK 0 0 0
Tube @ 5 gr 10 50 60 10 50
botol 0 100 100 100
Botol @ 5 ml 75 100 175 25 150
Tube @ 15 gr 74 74 24 50 50
Tube @ 10 gr 48 48 96 24 72 100
Tube 0 50 50 25 25
Tube 25 50 75 25 50
Botol @30 ml 0
Botol 120 96
0 120 24
Botol 0 0
Pot 0 0 0
Tube 0 5 5 5 0
Vial 0 0
Vial 0 0 0
ampul 0 0 0
ampul 0 0 10
Vial 50 50 10 40
ampul 0
Vial
Vial 0
Ampul 0 0
Ampul 0 0 0
Ampul @ 1ml 0 0
Ampul @ 1ml 0 0 0
Ampul @ 1 ml 0 0 0
Ampul 0 0 0
Ampul 0 0
Ampul 0 0 0
Ampul 0 0 0
Botol 0 0 0
Botol @ 500 ml 51 51 26 25
Ampul 0 0 0
Ampul 0 0
Ampul 100 100 100
Ampul 0 0
Ampul @ 2 ml 0 0 0
Ampul 30 30 30
Botol@500 ml 5 5 5 5
Vial 0 0 0
Ampul 0 0 0
Botol @ 500 ml 60 80 140 25 115
0 0 0
ampul @ 1 ml 0 0
Ampul 60 60 6 54
Ampul 0 0 0
AMPUL 0 0 0 100
Botol @500 ml 70 100 170 122 48 200
Ampul 1 1 1
Ampul 0 0 0 50
Vial 0 0 0
Ampul @ 1 ml 10 10 5 5 10
Ampul 30 30 60 31 29
Botol 0 0 10
Ampul 100 120 220 10 210
0 0 0
100 tablet / kotak 0 0 0 100
100 tablet / kotak 0 0 0 100
100 tablet / kotak 0 0 0 100
Ampul @ 2ml
100 tablet / botol 100 100 100
50 tablet/kotak 0 0 500
100 tablet / botol 168 168 168 100
Can 0 0 5
100 tablet / kotak 0 0 0 5
Ampul @ 1 ml 0 0 0
50 tablet / kotak 500 500 300 200 300
100 tablet / kotak 140 140 140 200
Pcs 10 10 10 0 10
Pcs 10 10 10 0 10
Pcs 10 10 10 0 10
Pcs 100 9 109 59 50 100
Pcs 100 100 50 50 100
Pcs 100 100 100
Pcs 50 50 100 100
100 Set / Kotak 600 600 500 100 200
100 Set / Kotak 200 200 100 100 200
100 Set / Kotak 100 100 100 200
100 Set / Kotak 100 100 100 200
100 Set / Kotak 200 200 400 300 100 200
100 Set / Kotak 0 0 200
Botol 0 0
200 pcs/kotak 0 0 0 5
Botol @ 500 ml 0 5
Botol 0 1
BOTOL 0 0 0
BOTOL 0 0 0
BOTOL 0 0 0
Pcs 7 7 7
Kotak / 100's 2 2 2 0 5
Kotak / 100's 0 0 5
Kotak / 100's 0 0 5
100 pcs/box 0 0 0 5
Botol 0 0 0
Botol 0 0 5
pcs 0 0 2
24 pcs/kotak 0 0 0 2
pcs 0 0 2
pcs 0 0 0
10 lbr/kotak 11 11 5 6
Roll 4 4 4
Roll 1 1 1
Roll 2 2 1 1
Botol @300 ml 14 14 14
Botol @ 100 ml 2 2 2
Botol @ 100 ml 3 3 3
50 pasang / kotak 0 10 10 10
50 pasang / kotak 1 10 11 2 9
50 pasang / kotak 2 10 12 12
50 pairs 0 0
50 pairs 0 9
50 pairs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 150 150 150 0 100
Pcs 50 100 150 150
Bungkus 0 0
Bungkus 0 0
Roll 15 15 15
Roll 0 5 5 1 4
Roll 0 0
Roll 0 0 0
PCS 0 0 0
Roll 6 6 5 1
Roll 150 150 46 104
100 lbr/Pak 0 0 0
500 lbr/Pak 0 0 0
Pcs 0 1 1 1
Pcs 0 0 0 10
50 Buah / Kotak 12 40 52 17 35 10
Pcs 0 0 0
Pcs 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
Roll 0 0 0
Botol @ 300 ml 5 5 5
Botol @ 500 ml 0 0 0 5
Roll 0 0
Roll 0 0
Roll 0 0
Roll 3 3 3
Pcs 1 1 1 5
Pcs 0 0 0 5
Pcs 4 4 4 5
Pcs 0 0 0
Pcs 0 0
36 pcs/kotak 0 0
Kotak 0 0 0
Botol 0 0 10
Botol 0 0 10
Botol 0 0 10
Botol 0 0 10
BOX 0 0 0 10
pcs 10 10 10
Roll 0 0 0
Pcs 50 50 50 50
Pcs 0 0 0 50
Pcs 0 0 0 50
Pcs 0 50 50 50
Pcs 0 0 0
0 0
Botol 0 0 0 10
Botol 0 0 0 10
Botol 0 0 0 10
BOX 0 0 0 10
Roll 0 0 0
Pcs 0 0 0 50
Pcs 0 0 0 50
Pcs 0 0 0 50
Pcs 0 0 0
Pcs 0 0 0
Roll 1 24 25 19 6
Vial 10 10 20

PJ. Apotik Pusk
apt. Haris Munanda

11 12 13 14


Untuk : DINKES
Tanggal : 05 November
Tahun : 2022
1 2 3
Amlodipin tab 5 mg
7 Tab / Kaps / Kapl

darah kombinasi)


123
124
128
133 Sirup / Susp
trimetoprim 40 mg
145
146
148 Krim / Salep
174 Krim / Salep
4% - 30 gram
178
179
205 MGSO4 INJ / INF
221 Omeprazole inj INJ / INF
222
242
243
266 Bisturi 20 BMHP
267 Bisturi 22 BMHP
268 Bisturi 24 BMHP
276 Daryantule BMHP
307 Masker BMHP
308 MY Gel BMHP
327 Slide kaca BMHP
330 Stik Hb BMHP
333 Supratul BMHP
339 Underpad BMHP
341
343 Stik Hb BMHP
352 Underpad BMHP
353 Paper Tape BMHP
355
356
Mengetahui,
NIP:19770105 200904 1 002
Laporan Bulan : November

Permintaan Bulan : Desember
STOCK SISA
AWAL STOCK
4 5 6 7=(5+6) 8 9=(7-8) 10
30 tablet / kotak 200 200 100 100
100 tablet / kotak 3200 3200 3200
100 tablet / kotak 2340 2340 1200 1140 2000
30tab/kotak 0 150 150 150 500

0 300 290 800
300 tab/bok 0 0 0
100 tablet / kotak 2600 1000 3600 2000 1600 4000
100 tablet / kotak 1700 500 2200 1200 1000 2000
100 tab/kotak 0 0 0
100 tablet / kotak 3000 1000

0 3000 2000 3000
600 600 300 300 300
100 tablet / kotak 1900 500 2400 1300 1100 3000
50 tab/kotak 0 0 0
100 tab/kotak 2200 2200 2200
50 tablet / kotak 0 500 500 500 500
kotak @ 50 gr 49 49 49 0 100
30 tab/kotak 0 0 0
30 tab/kotak 120 120 120

0
30 tab/kotak 1000 1000 1000 0 500
100 tab / kotak 500 500 300 200 500
100 tablet / kotak 0 0 0 2000
100 tab / botol 0 2000 2000 700 1300 1000
50 tab/kotak 0 0 0 300
50 tab/kotak 100 600 700 700 500
100 tablet / kotak 200 200 200 0 700

0 500 300
100 tablet / kotak 0 0 0 1700
100 tablet / kotak 200 200 200
100 tablet / kotak 3500 3500 1500 2000 1700
SUPP 10 10 10
SUPP 0 0 0
SUPP 0 0 0
SUPP 0 0 0
100/kotak 0 0 0
100 tab/kotak 0 500 500 500 700
30 tab/kotak 800 800 800
3000/kotak 0 0 0
100 tablet / kotak 100 100 100 100

300 500
100 tab/kotak 0 0 0
100 tablet / kotak 900 500 1400 200 1200 800
50 tablet / kotak 150 250 400 400 200
100 tablet / kotak 800 800 800
100 tab/kotak 0 0 0
100 tablet / botol 3000 3000 1600 1400 500
100 tablet / kotak 2700 2700 2200 500 3000
1000 tablet / botol 700 700 700 0 800
30 tablet / kotak 300 60 360 360 0 500
30 tablet/ kotak 400 120 520 120 400 300
50 tablet / kotak 200 300 500 500 500
100 tablet / botol 800 800 800
100 tablet / kotak 0 500 500 500 700
100 kaplet / kotak 0 0 0
50 tab/kotak 0 0 0 1000
100 tablet / kotak 500 500 1000 200 800 500
100 tablet / kotak 0 3000 3000 3000 0 4000
100 tablet / kotak 500 500 500
100 tablet / kotak 0 0 0 1000
50 tablet / kotak 0 2000 2000 600 1400 3000
100 tab/kotak 100 100 100
100 tab/kotak 0 0 0
100 tablet / kotak 0 0 0 300
100 tablet / kotak 100 100 100 0 300
12 Tabb/ box 0 0 0
30 tablet / kotak 2520 2400 4920 1820 3100 3000
100 tablet / kotak 2400 3000 5400 2400 3000 6000
Supp 0 0 0
Supp 0 0 0
100 tab/kotak 0 0 0
100 tab/kotak 0 0 0
1000 tablet / botol 0 700 700 200 500 1500
100 tab/kotak 0 0 0
100 tablet / kotak 700 700 500 200 700
100 tablet / kotak 200 200 400 200 200 500
100 tablet / kotak 300 200 500 200 300 500
50 tablet / kotak 800 800 200 600 300
50 tablet / kotak 250 500 750 100 650 300
100 tab/kotak 0
100 tablet / kotak 6500 6500 6500 0 6000
100 tablet / kotak 1700 1700 1700
100 tablet / kotak 1900 1900 1900 0 3000
100 tablet / botol 1200 1200 1200
100 tablet / botol 4500 4500 4500 0 3000
100 tablet / kotak 0 200 200 200 700
0 0 0
0
Botol @ 60 ml 0 0 0
Botol 0 0 0
Botol @ 60 ml 150 50 200 200
500 500
100 400
Botol @ 60 ml 0 0 0
Botol @ 60 ml 100 100 200 200
Botol @ 60 ml 0 0 0
Botol @ 60 ml 11 11 11
Botol @ 60 ml 70 70
70
Botol @ 60 ml 100 100 100
Botol @ 60 ml 0 0 0
Botol @ 60 ml 100 100 100
Botol @ 60 ml 0 0 0
Botol 0 0 0
Botol 200 200 200
Botol @ 100 ml 480 480 480
Botol @ 15 ml 0 0 0
Botol @ 60 ml 800 800 800
Botol @ 60 ml 0 0 0
Botol @ 100 ml 0 0 0
0
0
Tube 125 75 200 200
Tube 175 150

175 25
SUPS 10 10 10
Tube 150 200 350 150 200
Botol 0 0 0 20
Tube 0 0 0
Pot 0 0 0
Botol 0 0 0
Botol @ 10 ml 0 0 0
Botol @ 10 ml 48 48 48 0
Botol 0 0 0
Botol 0 0 0
Botol 0 50 50 30 20 200
Botol 2 2 1 1
Tube @ 5 gr 120 120 120 0 500
Pot 0 0 0
Tube 0 0 0
Tube @ 10 gr 25 25 25 0 200
KOTAK 0 0 0
Tube @ 5 gr 50 50 50 0
botol 100 100 100 0 500
Botol @ 5 ml 150 150 100 50 300
Tube @ 15 gr 50 50 100 100
Tube @ 10 gr 72 120 192 92 100 200
Tube 25 25 25
Tube 50 50 50
Botol @30 ml 0 0
Botol 96 72
96 24 120
Botol 0 0 0
Pot 0 0 0
Tube 0 0 0
Vial 0 3 3 3
Vial 0 0 0
ampul 0 0 0
ampul 0 0 0
Vial 40 50 20 40 200
ampul 0 0 0
Vial 0 0 0
Vial 0 0 0
Ampul 0 0 0
Ampul 0 0 0
Ampul @ 1ml 0 0 0
Ampul @ 1ml 0 0 0
Ampul @ 1 ml 0 10 10 10
Ampul 0 0 0
Ampul 0 0 0
Ampul 0 0 0
Ampul 0 0 0
Botol 0 0 0
Botol @ 500 ml 25 25 25
Ampul 0 0 0
Ampul 0 0 0
Ampul 100 100 100
Ampul 0 0 0 100
Ampul @ 2 ml 0 0 0
Ampul 30 30 30
Botol@500 ml 5 5 5
Vial 0 6 6 6 24
Ampul 0 0 0
Botol @ 500 ml 115 115 15 100
0 0 0
ampul @ 1 ml 0 0 0
Ampul 54 54 54
Ampul 0 0 0
AMPUL 0 0 0
Botol @500 ml 48 200 248 48 200 120
Ampul 1 1 1
Ampul 0 0 0
Vial 0 0 0
Ampul @ 1 ml 5 10 15 15
Ampul 29 29 29
Botol 0 0 0
Ampul 210 210 10 200 100

100 tablet / kotak 0 100 100 100
Ampul @ 2ml 0
100 tablet / botol 100 100 100
50 tablet/kotak 0 500 500 500
100 tablet / botol 168 168 168
Can 0 1 1 1
Ampul @ 1 ml 0 0 0
50 tablet / kotak 200 200 100 100 200
100 tablet / kotak 140 200 340 340
Pcs 0 0 0 2
Pcs 0 0 0 2
Pcs 0 0 0 2
Pcs 50 50 50 0 200
Pcs 50 50 50 0 200
Pcs 100 100 100 0 200
Pcs 100 100 100 0 200
100 Set / Kotak 100 200 300 100 200 200
100 Set / Kotak 100 200 300 100 200
100 Set / Kotak 100 200 300 300
100 Set / Kotak 100 200 300 150 150 200
100 Set / Kotak 100 200 300 100 200 100
100 Set / Kotak 0 200 200 200
Botol 0 0 0
200 pcs/kotak 0 5 5 5 0 10
Botol @ 500 ml 5 5 5
Botol 1 1 1
BOTOL 0 0 0
BOTOL 0 0 0
BOTOL 0 0 0
Pcs 7 7 7 0 5
Kotak / 100's 0 1 1 1
Kotak / 100's 0 1 1 1
Kotak / 100's 0 0 0
100 pcs/box 0 0 0
Botol 0 0 0
Botol 0 0 0
pcs 0 5 5 5 10
24 pcs/kotak 0 0 0
pcs 0 0 0
pcs 0 0 0
10 lbr/kotak 6 6 6
Roll 4 4 4
Roll 1 1 1
Roll 1 1 1
Botol @300 ml 14 14 14
Botol @ 100 ml 2 2 2
Botol @ 100 ml 3 3 3
50 pasang / kotak 9 9 2 7 50
50 pairs 0 0 0
50 pairs 9 9 9
50 pairs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 150 150 150
Bungkus 0 0 0
Bungkus 0 0 0
Roll 15 15 7 8 5
Roll 4 4 4 5
Roll 0 0 0
Roll 0 0 0
PCS 0 0 0
Roll 1 1 1 2
Roll 104 104 34 70 100
100 lbr/Pak 0 0 0
500 lbr/Pak 0 0 0 3
Pcs 1 5 6 6 10
Pcs 0 5 5 5 10
50 Buah / Kotak 35 10 45 20 25 50
Pcs 0 0 0
Pcs 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
100's/kemasan 0 0 0
Roll 0 0 0
Botol @ 300 ml 5 5 5
Botol @ 500 ml 0 9 9 9
Roll 0 0 0
Roll 0 0 0
Roll 0 0 0
Roll 3 3 3
Pcs 1 1 1 10
Pcs 0 0 0 5
Pcs 4 4 4 20
Pcs 0 0 0
Pcs 0 0 0
36 pcs/kotak 0 0 0
Kotak 0 0 0
Botol 0 5 5 5
Botol 0 5 5 5
Botol 0 5 5 5
Botol 0 5 5 5
BOX 0 0 0
pcs 10 10 10
Roll 0 0 0
Pcs 50 50 50
Pcs 0 5 5 5
Pcs 0 5 5 5
Pcs 50 50 50
Pcs 0 0 0
0 0 0
0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
BOX 0 0 0
Roll 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Roll 6 6 6
Vial 10 20 10

PJ. Apotik Pusk
apt. Haris Munanda

11 12 13 14

LPLPO 2022 Agustus

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

LPLPO 2022 Agustus

Diunggah oleh

Hak Cipta:

Format Tersedia

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

Dar : UPTD PUSKESMAS LIGAN Laporan Bulan : Juli

Mengetahui, PJ. Apotik Puskesmas

Muhammad Ikhsan,Amd.Kep apt. Haris Munandar, S.Farm

Dar : UPTD PUSKESMAS LIGAN

NO NAMA OBAT SATUAN KEMASAN

8 Amlodipin 5 mg Tab / Kaps / Kapl

35 DHP- Tab / Kaps / Kapl

53 Gambapetin 300 mg Tab / Kaps / Kapl

Laporan Bulan : Agustus

30 tablet / kotak 150 -100

100 tablet / kotak 3000 2000

100 sachet / kotak 0 0

100 kaplet / kotak 500 400

100 sachet / kotak 800 700

Tube 175 175

PJ. Apotik Pusk

apt. Haris Munanda

apt. Haris Munandar, S.Farm

Dar : UPTD PUSKESMAS LIGAN

NO NAMA OBAT SATUAN KEMASAN

8 Amlodipin 5 mg Tab / Kaps / Kapl

35 DHP- Tab / Kaps / Kapl

53 Gambapetin 300 mg Tab / Kaps / Kapl

Laporan Bulan : September

30 tablet / kotak 250 0

100 tablet / kotak 1000 0

100 sachet / kotak 0 0

30 tab/kotak 1000 1000 1000

100 kaplet / kotak 100 0

100 sachet / kotak 400 300

Tube 25 100 125 125 50

Tube 175 175

Jumlah Peserta JKN :

PJ. Apotik Pusk

apt. Haris Munanda

apt. Haris Munandar, S.Farm

Dar : UPTD PUSKESMAS LIGAN

NO NAMA OBAT SATUAN KEMASAN

8 Amlodipin 5 mg Tab / Kaps / Kapl

35 DHP- Tab / Kaps / Kapl

53 Gambapetin 300 mg Tab / Kaps / Kapl

Laporan Bulan : November

30 tablet / kotak 300 10

100 tablet / kotak 3000 1000

100 sachet / kotak 0 0

100 kaplet / kotak 500 500

100 sachet / kotak 800 800

Tube 175 150

100 tablet / kotak 0 0 0

Jumlah Peserta JKN :

PJ. Apotik Pusk

apt. Haris Munanda

apt. Haris Munandar, S.Farm

Anda mungkin juga menyukai