LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN LOGISTIK COVID -19

(LPLPO)
KODE PUSKESMAS :
NAMA PUSKESMAS : PINOLOSIAN
KECAMATAN : PINOLOSIAN BULAN : JANUARI
KABUPATEN : BOLAANG MONGONDOW SELATAN TAHUN : 2023
PROVINSI : SULAWESI UTARA

NO NAMA OBAT SEDIAAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN RUSAK/ED SISA STOK STOK OPT PERMINTAAN PEMBERIAN KET

1 2 3 4 5 6=(4+5) 7 8 9=(6-7-8) 10 11 12 13
DAU BTT APBD II TAHAP 1
1 ALAT PELINDUNG DIRI PAKET PAKET
2 HAND SANITIZER 500 ML BOTOL
3 THERMOMETER ELEKTRIK QQZM TF-600 UNIT
4 SARUNG TANGAN KARET PANJANG PASANG 2 0 2 0 2
DAU BTT APBD II TAHAP 2
1 ALAT PELINDUNG DIRI PAKET PAKET 11 0 11 1 0 10
2 SPRAYER (TANGKI SEMPROT) UNIT 0 0 0 0 0 0
3 ALKOHOL 70% 1 LITER BOTOL 0 0 0 0 0 0
4 BAJU APD (DISPOSABLE PROTECTIVE COVERALL) PIECES 0 0 0 0 0 0
5 DESINFEKTAN (XYZ SODIUM HIPOCLORIDE) 5 Lt GALON 0 0 0 0 0 0
6 HAND SANITIZER 100 ML BOTOL 0 0 0 0 0 0
7 MASKER N95 PIECES 30 0 30 0 0 30
8 MASKER NON MEDIS (KAIN) PIECES 0 0 0 0 0 0
9 MASKES MEDIS PIECES 0 0 0 0 0 0
10 RAPID TEST ANTIBODY KIT KIT 0 0 0 0 0 0
11 SABUN CUCI TANGAN BOTOL 0 0 0 0 0 0
12 SARUNG TANGAN STERIL NO 7,5 (TRO-SENSOSURGE) PASANG 0 0 0 0 0 0
13 THERMOMETER ELEKTRIK INFRARED HT-820D UNIT 0 0 0 0 0 0
14 THERMOMETER ELEKTRIK NONCONTAC UNIT 0 0 0 0 0 0
15 TONG AIR 350 L + KAKI UNIT 0 0 0 0 0 0
DAU BTT APBD II TAHAP 3
1 ALAT PELINDUNG DIRI PAKET PAKET
2 RAPID TEST ANTIBODY KIT (EGENS) KIT
3 SARUNG TANGAN NON STERIL (HANDSEAL) M PASANG
DAU BTT APBD II TAHAP 4
OBAT-OBATAN :
1 MULTIVITAMIN TABLET ( MEVITON ) TABLET 40 0 40 40 0 0
2 MULTIVITAMIN TABLET ( NEVRADIN E ) TABLET 0 0 0 0 0 0
3 ZISTIC (Azithromycin Dihydrate Kaplet 500 mg) TABLET 1020 0 1020 0 0 1020
BAHAN MEDIS HABIS PAKAI (BMHP) : 0
1 ALAT PELINDUNG DIRI PAKET PAKET 14 0 14 0 0 14
2 HAND SANITIZER 500 ML MEDIKA HAND-RUB BOTOL 37 0 37 0 0 37
NO NAMA OBAT SEDIAAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN RUSAK/ED SISA STOK STOK OPT PERMINTAAN PEMBERIAN KET

1 2 3 4 5 6=(4+5) 7 8 9=(6-7-8) 10 11 12 13
3 KANTONG PLASTIK LIMBAH MEDIS KUNING 60 X 100 PIECES 0 0 0 0 0 0
4 MASKER MEDIS (FAMOUS) 3 ply PIECES 0 0 0 0 0 0
5 MASKER N95 PIECES 0 0 0 0 0 0
6 RAPID TEST ANTIBODY KIT (GENRUI) KIT 0 0 0 0 0 0
7 RAPID TEST ANTIBODY KIT CASSETTE (EGENS) KIT 0 0 0 0 0 0
8 SARUNG TANGAN NON STERIL PASANG 0 0 0 0 0 0
9 SARUNG TANGAN STERIL NO.6 MAXTER PASANG 0 0 0 0 0 0
10 SARUNG TANGAN STERIL NO.6,5 MAXTER PASANG 0 0 0 0 0 0
11 SARUNG TANGAN STERIL NO.7 MAXTER PASANG 0 0 0 0 0 0
12 SARUNG TANGAN STERIL NO.7,5 MAXTER PASANG 0 0 0 0 0 0
13 SARUNG TANGAN STERIL NO.8,5 MAXTER PASANG 0 0 0 0 0 0
14 THERMOMETER ELEKTRIK Non Contact UNIT 1 0 1 0 0 1
15 VIRUS TRANSPORT MEDIA (VTM CHAORAN) KIT 0 0 0 0 0 0
DANA INSENTIF DAERAH (DID)
OBAT-OBATAN :
1 ECHINATUR KAPSUL TABLET 0 0 0 0 0 0
2 MULTIVITAMIN SIRUP (VITAPLEKS) BOTOL 0 0 0 0 0 0
3 MULTIVITAMIN TABLET (ASTINOX) TABLET 0 0 0 0 0 0
4 MULTIVITAMIN TABLET (BENOVIT) TABLET 0 0 0 0 0 0
5 MULTIVITAMIN TABLET (COMVIT C) TABLET 0 0 0 0 0 0
6 MULTIVITAMIN TABLET (NEVRADIN E) TABLET 0 0 0 0 0 0
7 MULTIVITAMIN TABLET (PROXIDAN 400) KAPSUL 370 0 370 0 0 370
BAHAN MEDIS HABIS PAKAI (BMHP) :
1 HAND SANITIZER 5 LITER (ASEPTIC GEL) GALON 5 L 0 0 0 0 0 0
BANTUAN ANGGOTA DEWAN
1 BAJU APD (DISPOSABLE PROTECTIVE COVERALL) PIECES
BANTUAN BANK SULUTGO
1 MASKER NON MEDIS KOTAK 2 0 2 0 0 2
2 MASKER MEDIS KOTAK 0 0 0 0 0 0
BANTUAN JRBM
1 BAJU APD (DISPOSABLE PROTECTIVE COVERALL) PIECES 0 0 0 0
2 HAND SANITIZER 2 LITER (JOHNSON) BOTOL 2 Lt 0 0 0 0
3 KACA MATA GOOGLE PIECES 4 0 4 4
4 MASKER MEDIS PIECES 0 0 0 0
5 SARUNG TANGAN NON STERIL PASANG 0 0 0 0
6 SEPATU BOOTS PASANG 0 0 0 0
BANTUAN KAHMI
1 APD celemek hijau BUAH
2 BAJU APD (DISPOSABLE PROTECTIVE COVERALL) PIECES
3 FACE SHIELD BUAH
4 MASKER NON MEDIS (KAIN SCUBA PUTIH) BUAH
5 MASKES NON MEDIS (KAIN PERSEGI) BUAH
BANTUAN KEMENKES RI
NO NAMA OBAT SEDIAAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN RUSAK/ED SISA STOK STOK OPT PERMINTAAN PEMBERIAN KET

1 2 3 4 5 6=(4+5) 7 8 9=(6-7-8) 10 11 12 13
1 MASKER NON MEDIS (KAIN BERLOGO) PIECES 0 0 0 0 0 0
2 MASKER NON MEDIS (KAIN POLOS) PIECES 200 0 200 200 0 0
3 THERMOMETER ELEKTRIK OMRON MC-720 UNIT 0 0 0 0 0 0
BANTUAN DINKES PROVINSI
OBAT-OBATAN :
1 MULTIVITAMIN TABLET (SIVIT - ZINC) TABLET 0 0 0 0 0 0
2 MULTIVITAMIN TABLET (BIONICOM ZINC) TABLET 0 0 0 0 0 0
3 VITAMIN C 500 MG TABLET 40 0 40 40 0 0
4 STIMUNO SIRUP BOTOL 0 0 0 0 0 0
5 FAVIPIRAVIR TAB 200 MG TABLET 0 0 0 0 0 0
6 OSELTAMIVIR PHOSPHATE 75 MG KAPSUL 480 0 480 0 0 480
BAHAN MEDIS HABIS PAKAI (BMHP) :
1 APD JAS HUJAN PIECES 0 0 0 0 0 0
2 BAJU APD (DISPOSABLE PROTECTIVE COVERALL) PIECES 43 0 43 0 0 43
3 FACE SHIELD PIECES 0 0 0 0 0 0
4 HAND SANITIZER 5 LITER (COROMED) GALON 0 0 0 0 0 0
5 HELEM PIECES 0 0 0 0 0 0
6 KACAMATA GOOGLE PCS 40 0 40 0 0 40
7 MASKER KN95 TAINOUER PCS 25 0 25 0 0 25
8 MASKER KN95 3M 9501 V+ PCS 25 0 25 0 0 25
9 MASKER MEDIS PIECES 1300 0 1300 0 0 1300
10 RAPID TEST ANTIBODY KIT (COLLOIDAL GOLD) KIT 0 0 0 0 0 0
11 RAPID TEST ANTIBODY KIT (WONDFO) KIT 0 0 0 0 0 0
12 RAPID TEST ANTIGEN (KHIBIO) KIT 0 0 0 0 0 0
13 SARUNG TANGAN KARET PASANG 2 0 2 0 0 2
14 SARUNG TANGAN NON STERIL PASANG 0 0 0 0 0 0
15 SARUNG TANGAN STERIL (MASTER) PASANG 0 0 0 0 0 0
16 SEPATU BOOTS PASANG 0 0 0 0 0 0
17 SPRAYER (TANGKI SEMPROT) UNIT 0 0 0 0 0 0
18 THERMOMETER ELEKTRIK INFRARED PCS 1 0 1 1 0 0
19 VIRUS TRANSPORT MEDIA (VTM CITODIA) KIT 0 0 0 0 0 0
VAKSIN COVID-19 :
1 CORONA VAC SINGLE DOSIS (SINOVAC) VIAL 1 DOSIS 0 0 0 0 0 0
2 CORONA VAC DOUBLE DOSIS (SINOVAC) VIAL 2 DOSIS 0 0 0 0 0 0
3 COVID-19 VACCINE MULTI DOSIS (SINOVAC) VIAL 10 DOSIS 0 0 0 0 0 0
4 ASTRAZENECA 10 DOSIS VIAL 10 DOSIS 0 0 0 0 0 0
5 ASTRAZENECA 8 DOSIS VIAL 8 DOSIS 0 0 0 0 0 0
6 MODERNA 10 DOSIS VIAL 10 DOSIS 0 0 0 0 0 0
7 MODERNA 14 DOSIS VIAL 14 DOSIS 0 0 0 0 0 0
8 PFIZER - COMIRNATY 6 DOSIS VIAL 6 DOSIS 0 2 2 1 1 0
9 COVOVAX 10 DOSIS VIAL 10 DOSIS 0 0 0 0 0 0
10 INDOVAC 10 DOSIS VIAL 10 DOSIS 0 1 1 1 0 0
LOGISTIK VAKSIN COVID-19
1 EPHINEFRIN INJEKSI AMPUL 1 ML
2 ALAT SUNTIK SEKALI PAKAI 0,5 ML PIECES 644 100 744 0 0 744
 NO NAMA OBAT SEDIAAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN RUSAK/ED SISA STOK STOK OPT PERMINTAAN PEMBERIAN KET

1 2 3 4 5 6=(4+5) 7 8 9=(6-7-8) 10 11 12 13
3 ALAT SUNTIK SEKALI PAKAI 0,3 ML PIECES 181 100 281 8 0 273
4 ALAT SUNTIK SEKALI PAKAI 3 ML PIECES 11 6 17 1 0 16
5 NaCl 0,9% VIAL 3 6 9 1 0 8
6 ALKOHOL SWAB 2 PLY PIECES 156 50 206 0 0 206
7 SAFETY BOX PIECES 13 25 38 0 0 38
8 APD IMUN SET 0 0 0 0 0 0
9 ALKOHOL SWAB 2 PLY (PFIZER) PIECES 69 67 136 6 0 130
DAK PENUGASAN
1 BACK SPAYER PIECES 9 0 9 0 9
DANA BTT
1 BALIHO PIECES 3 0 3 0 3

ASKES JAMKESMAS JUMLAH

JUMLAH KUNJUNGAN RESEP TIDAK BAYAR

Mengetahui, Pinolosian, Januari 2023

Kepala Puskesmas Pinolosian Yang Membuat Laporan

Hilda I. Kumangki,A.Md.Kep. Ni Nyoman Cilly Arlini

NIP : 19791011 200501 2 012 Nip: 19890208 201001 2 003

*Kalo ada yang tidak masuk dalam daftar obat di atas, tambahkan di dalam kolom kosong di bawah