LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

SUB UNIT PELAYANAN

13
SUB UNIT : PUSTU DESA SUNGAI BULAN DOKUMEN PUSKESMAS SUB UNIT
PUSKESMAS : SUNGAI RAYA DALAM NOMOR :
KECAMATAN : SUNGAI RAYA LAPORAN BULAN : SEPTEMBER 2020
KABUPATEN : KUBU RAYA PERMINTAAN BULAN : SEPTEMBER 2020

STOK PENER PERSE PEMA SISA PERMI PEMB

I DIAAN KAIAN N E
AWAL STOK
NO NAMA OBAT SAT MAAN TAAN RIAN KET

1 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0 0 0

2 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0
3 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0
4 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0
5 ALBENDAZOL TAB.400 MG TAB 0 0 0 0
6 ALOPURINOL TABLET 100 MG TAB 90 90 20 70
7 AMBROXOL TAB. 30 MG TAB 1730 1730 165 1565
8 AMBROXOL SYR 15 MG/ML (Hufaxol) BTL 0 0 0 0
9 AMINOFILIN TABLET 200 MG TAB 0 0 0 0
10 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BTL 0 0 0 0
11 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0 0
12 AMOKSISILIN KAPSUL 500 MG ( AMPI 500 mg ) KAP 0 0 0 0
13 ANTALGIN (METAMPIRON) TABLET 500 MG TAB 0 0 0 0
14 ANTASIDA DOEN TABLET KOMB. TAB 0 0 0 0
15 ANTASIDA DOEN SUSPENSI SIRUP BTL 0 0 0 0
16 ANTI BAKTERI DOEN SALEP TUB 3 3 0 3
17 ANTIFUNGI DOEN KOMBINASI POT 1 1 1 0
18 ASIKLOVIR TABLET 200 MG TAB 100 100 20 80
19 ASIKLOVIR TABLET 400 MG TAB 100 100 20 80
20 ASIKLOVIR KRIM TUBE 12 12 2 10
21 ASAM ASKORBAT( VIT.C) TAB.50 MG TAB 10 10 10 0
22 ASAM MEFENAMAT 500 MG TAB 0 0 0 0
23 BACITRACIN-POLYMYXIN B TUB 12 12 2 10
24 BETAMETASON KRIM 0,1 % TUBE 9 9 2 7
25 BIONICK SYRUP /CURBION SYRUP BTL 0 0 0 0
26 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET 1/2 1/2 1/0 0/2
27 DEXAMETASON TAB.0,5MG TAB 50 50 0 50
28 DEKSTROMETORFAN HBR TAB.15 MG TAB 0 0 0 0
29 DEPO PROGESTON SUNTIK KB BTL 0 0 0 0
30 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMP 0 0 0 0
31 EKSTRAK BELLADON TAB.10 MG TAB 0 0 0 0
32 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMP 0 0 0 0
33 EFEDRIN HCL TABLET 25 MG TAB 0 0 0 0
34 ETAKRIDIN (RIVANOL) LARUTAN 0,1% BTL 0 0 0 0
35 ETANOL 70 % (ALKOHOL) 100 ml BTL 0 0 0 0 0
36 ETIL KLORIDA SEMPROT BTL 0 0 0 0
37 ERYTROMISIN 250 MG KAP 0 0 0 0
38 ERYTROMISIN 500 MG TAB 0 0 0 0
39 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMP 0 0 0 0
40 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TAB 0 0 0 0
41 FUROSEMID TAB.40 MG TAB 120 120 0 120
42 GARAM ORALIT UNTUK 200 ML ZAK 0 0 0 0
43 GENTIAN VIOLET LARUTAN 1 % BTL 0 0 0 0
44 GENTAMYCIN SALEP KULIT 0,1 % TUB 0 0 0 0
45 GLIBENKELAMID TABLET 5 MG TAB 30 30 0 30
46 GLISERIL GUAYAKOLAT TAB.100 MG TAB 10 10 10 0
47 GLUKOSA LAR,INFUS 10 % STERIL FLS 0 0 0 0
48 GLUKOSA LAR.INFUS 5 % STERIL FLS 0 0 0 0
49 GRISEOFULVIN TAB. 125 MG (Omefulvin) TAB 70 70 30 40
50 HIDROKLOROTIAZID (HCT) TAB.25 MG TAB 35 35 30 5
51 HIDROKORTISON KRIM 2,5% TUB 3 3 0 3
52 IBUPROFEN TABLET 200 MG TAB 24 24 24 0
53 IBUPROFEN TABLET 400 MG TAB 0 0 0 0
54 IV CATHETER NO. 24 SET 0 0 0 0
55 IV CATHETER NO. 22 SET 1 1 0 1
56 IV CATHETER NO. 20 SET 1 1 0 1
57 IV CATHETER NO. 18 SET 2 2 0 2
58 JARUM OTOT SET 3 3 1 2
59 KAPTOPRIL 12,5 MG TAB 30 30 10 20
60 KAPTOPRIL 25 MG TAB 25 25 10 15
61 KALSIUM LAKTAT (KALK) TAB.500 MG TAB 30 30 10 20
62 KAPAS PEMBALUT ABSORBEN 250 GR GRAM 1 1 1 0
63 KASA PEMBALUT 16 X 16 CM ROLL 1 1 1 0
64 KASA KOMPRES 40/40 STERIL ROLL 2 2 2 0
65 KASA PEMBALUT 2M X 80 CM ROLL 0 0 0 0
66 KASA PEMBALUT HIDROFIL 4M X 15 CM ROLL 0 0 0 0
67 KASA PEMBALUT HIDROFIL 4M X 3 CM ROLL 0 0 0 0
68 KLORAMFENIKOL KAPSUL 250 MG KAP 70 70 10 60
69 KETOKONAZOLE SK BTL 7 7 2 5
70 KLORAMFENIKOL SALEP MATA 1% TUBE 0 0 0 0
71 KLORAMFENIKOL TETES TELINGA 3% BTL 6 6 0 6
72 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TAB 0 0 0 0
73 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0 0 0
74 KOTRIMOKSAZOL TABLET 480 MG TAB 40 40 40 0
75 KOTRIMOKSAZOL TABLET PEDIATRIK TAB 20 20 20 0
76 LIDOKAIN KOMB.INJ. HCL 2% AMP 0 0 0 0
77 LIDOKAIN INJ. 2% AMP 0 0 0 0
78 LISOL MENGANDUNG KRESOL TERSABUN 50 % BTL 0 0 0 0
79 MEBENDAZOL TABLET 100 MG TAB 0 0 0 0
80 METILERGOMETRIN MALEAT TAB 0,125 MG TAB 100 100 10 90
81 METIL EGOMETRIN MALEAT INJ.0,200 MG-1ML AMP 0 0 0 0
82 METOKLOPRAMID 10 MG (TIVOMIT) TAB 70 70 25 45
83 METRONIDAZOL TAB.250 MG TAB 110 110 20 90
84 METRONIDAZOL TAB 500 MG TAB 90 90 30 60
85 MIKONAZOLE SALEP (MOLADERM) TUBE 2 2 1 1
86 NaCL LARUTAN INFUS 0,9 % STERIL FLC 0 0 0 0
87 NATRIUM BICARBONAT TABLET TAB 0 0 0 0
88 NISTATIN TABLET VAGINAL 100.000 IU/G TAB 0 0 0 0
89 NISTATIN SALUT VAGINAL 500.000 IU TAB 0 0 0 0
90 NIFEDIPINE 10 MG TAB 10 10 0 10
91 OBAT BATUK HITAM (OBH) CAIRAN BTL 0 0 0 0
92 OKSITETRASIKLIN HCL INJ.50 MG /ML -10ML VIAL 0 0 0 0
93 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 6 6 3 3
94 OKSITETRASIKLIN HCL SALEP 3 % TUBE 2 2 2 0
95 OKSITOSIN INJ 10 IU/ML - 1 ML AMP 0 0 2 -2
96 PARASETAMOL TAB.500 MG TAB 2730 3000 2730 200 2530
97 PARASETAMOL TAB.100 MG TAB 0 0 0 0
98 PARASETAMOL SYRUP 120 MG/5 ML BTL 0 0 0 0
99 PIRIDOKSIN HCL TAB. 10 MG ( VIT.B6 ) TAB 0 0 0 0
100 PIRANTEL TABLET 125 MG TAB 6 6 6 0
101 PIROXICAM 10 MG TAB 0 0 0 0
102 PIROXICAM 20 MG TAB 0 0 0 0
103 PLASTER 5 YARD X 2 INCH ROLL 0 0 0 0
104 PREDNISON TAB.5 MG TAB 35 35 0 35
105 RETINOL (VIT A) KAPSUL 100.000 IU KAP 0 0 0 0
106 RETINOL (VIT A) KAPSUL 200.000 IU KAP 0 0 0 0
107 RANITIDIN 150 MG TAB 0 0 0 0
108 RINGER LAKTAT LAR.INFUS STERIL FLC 0 0 0 0 0
109 SALBUTAMOL TABLET 2 MG TAB 0 0 0 0
110 SALEP 2-4 KOMB. POT 4 4 0 4
111 SALISIL BEDAK 2 % KTK 2 2 0 2
112 SIANOKOBALAMINA (VITB 12) INJ.500 MCG/ML AMP 0 0 0 0
113 SIANOKOBALAMINA (VITB 12) TABLET TAB 0 0 0 0
114 SAMCOBION KAP 0 0 0 0
115 SILK(BENANG BEDAH SUTERA)NO.3/0 SET 3 3 0 3
116 SIMETIDIN TABLET TAB 0 0
117 TABLET TAMBAH DARAH KOMB. SACH 15 15 10 5
118 TETRASIKLIN HCL KAPSUL 250 MG KAP 0 0 0 0
119 TETRASIKLIN HCL KAP.500 MG (BIMATRA 500) KAP 0 0 0 0
120 TIAMIN HCL (VIT B 1 ) INJ.100 MG/ML -1ML AMP 0 0 0 0
121 TIAMIN HCL (VIT B1) TAB.50 MG TAB 65 65 20 45
122 VITAMIN B COMPLEKS TAB TAB 80 80 20 60
123 VITAMIN MULTI ( CALVERA ) TAB 0 0 0 0
124 YODIUM POVIDON IODIDA 30 ML 10% btl 0 0 0 0
125 YODIUM POVIDON IODIDA 300 ML 10% ML 0 0 0 0
126 ZINC TABLET TAB 0 0 0 0
127 HALOPERIDOL DECANOATE INJ 50 MG AMP 0 0 0 0
128 DIAZEPAM 5 MG INJ AMP 0 0 0 0
129 CHLORPROMAZINE INJ 5 MG AMP 0 0 0 0
130 SET INFUS 0 0 0 0
131 SIMVASTATIN 10 MG KAP 0 0 0 0
132 NEURODEX TAB 0 0 0 0
133 BISTURI (PISAU BEDAH) PCS 0 0 0 0
134 SPUIT 3 CC PCS 90 100 90 30 60
135 SPUIT 0,5 CC PCS 120 100 120 30 90
136 ALK0H0L 70 % LTR 9 10 9 1 8
137 MASKER KTK 3 1 3 2 1
138 SARUNG TANGAN KTK 3 0 3 1 2
139 SABUN CUCI TANGAN LTR 15 0 15 5 10

BPJS UMUM TOTAL

JUMLAH KUNJUNGAN RESEP
12 19 31

Mengetahui /menyetujui Yang Menyerahkan Yang meminta / melapor

Kepala Puskesmas Pengelola Obat Pimpinan Pustu Desa Sungai Bulan

YULI HEROWATI,A.Md.Keb Syamsul Huda, A.Md.Kep

NIP.19690719 198812 1 001 NIP.19660430 198812 1 002
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

SUB UNIT : POSKESDES SUNGAI BULAN DOKUMEN PUSKESMAS SUB UNIT

PUSKESMAS : SUNGAI RAYA DALAM NOMOR :
KECAMATAN : SUNGAI RAYA LAPORAN BULAN : SEPTEMBER 2020
KABUPATEN : KUBU RAYA PERMINTAAN BULAN : SEPTEMBER 2020
Hal.1
STOK PENER PERSE PEMA SISA PERMI PEMB
I DIAAN KAIAN N E
AWAL STOK
NO NAMA OBAT SAT MAAN TAAN RIAN KET

1 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0 0 0 0 0 0

2 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0 0 0
3 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0 0 0
4 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0 0 0 0
5 ALBENDAZOL TAB.400 MG SET 0 0 0 0 0 0 0
7 ALBENDAZOL TAB.400 MG TAB 0 0 0 0 0 0 0
8 ALOPURINOL TABLET 100 MG TAB 0 0 0 0 0 0 0
10 AMBROXOL TAB. 30 MG TAB 0 0 0 0 0 0 0
11 AMBROXOL SYR 15 MG/ML (Hufaxol) BTL 0 0 0 0 0 0 0
12 AMINOFILIN TABLET 200 MG TAB 0 0 0 0 0 0 0
14 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BTL 0 0 0 0 0 0 0
15 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0 0 0 0 0
16 AMOKSISILIN KAPSUL 500 MG KAP 0 0 0 0 0 0 0
21 ANTALGIN (METAMPIRON) TABLET 500 MG TAB 0 0 0 0 0 0 0
23 ANTASIDA DOEN TABLET KOMB. TAB 0 0 0 0 0 0 0
24 ANTASIDA DOEN SUSPENSI BTL 0 0 0 0 0 0 0
25 ANTI BAKTERI DOEN SALEP TUB 0 0 0 0 0 0 0
27 ANTIFUNGI DOEN KOMBINASI POT 0 0 0 0 0 0 0
35 ASIKLOVIR TABLET 200 MG TAB 0 0 0 0 0 0 0
36 ASIKLOVIR TABLET 400 MG TAB 0 0 0 0 0 0 0
37 ASIKLOVIR KRIM TUBE 0 0 0 0 0 0 0
38 ASAM ASKORBAT(VIT.C) TAB.50 MG TAB 0 0 0 0 0 0 0
39 ASAM MEFENAMAT 500 MG TAB 0 0 0 0 0 0 0
45 BETAMETASON KRIM 0,1 % TUBE 0 0 0 0 0 0 0
46 BACITRACIN-POLYMYXIN B TUB 0 0 0 0 0 0 0
47 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET 0 0 0 0 0 0 0
56 DEXAMETASON TAB.0,5MG TAB 0 0 0 0 0 0 0
57 DEKSTROMETORFAN HBR TAB.15 MG TAB 0 0 0 0 0 0 0
58 DEKSTROMETORFAN SYRUP 10 MG/5 ML BTL 0 0 0 0 0 0 0
62 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMP 0 0 0 0 0 0 0
67 EKSTRAK BELLADON TAB.10 MG TAB 0 0 0 0 0 0 0
68 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMP 0 0 0 0 0 0 0
69 EFEDRIN HCL TABLET 25 MG TAB 0 0 0 0 0 0 0
70 ETAKRIDIN (RIVANOL) LARUTAN 0,1% BTL 0 0 0 0 0 0 0
71 ETANOL 70 % (ALKOHOL) ML 0 0 0 0 0 0 0
73 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0 0 0
74 ERYTROMISIN 250 MG KAP 0 0 0 0 0 0 0
75 ERYTROMISIN 500 MG TAB 0 0 0 0 0 0 0
82 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMP 0 0 0 0 0 0 0
83 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TAB 0 0 0 0 0 0 0
86 FUROSEMID TAB.40 MG TAB 0 0 0 0 0 0 0
88 GARAM ORALIT UNTUK 200 ML ZAK 0 0 0 0 0 0 0
89 GENTIAN VIOLET LARUTAN 1 % BTL 0 0 0 0 0 0 0
90 GENTAMYCIN SALEP KULIT 0,1 % TUB 0 0 0 0 0 0 0
95 GLIBENKELAMID TABLET 5 MG TAB 0 0 0 0 0 0 0
 Hal.2
96 GLISERIL GUAYAKOLAT TAB.100 MG TAB 0 0 0 0 0 0 0
97 GLUKOSA LAR,INFUS 10 % STERIL FLS 0 0 0 0 0 0 0
98 GLUKOSA LAR.INFUS 5 % STERIL FLS 0 0 0 0 0 0 0
99 GRISEOFULVIN TAB. 125 MG (Omefulvin) TAB 0 0 0 0 0 0 0
100 HIDROKLOROTIAZID (HCT) TAB.25 MG TAB 0 0 0 0 0 0 0
103 HIDROKORTISON KRIM 2,5% TUB 0 0 0 0 0 0 0
104 IBUPROFEN TABLET 200 MG TAB 0 0 0 0 0 0 0
105 IBUPROFEN TABLET 400 MG TAB 0 0 0 0 0 0 0
111 IV CATHETER NO. 24 SET 0 0 0 0 0 0 0
112 IV CATHETER NO. 22 SET 0 0 0 0 0 0 0
113 IV CATHETER NO. 20 SET 0 0 0 0 0 0 0
114 IV CATHETER NO. 18 SET 0 0 0 0 0 0 0
115 JARUM OTOT SET 0 0 0 0 0 0 0
116 KAPTOPRIL 12,5 MG TAB 0 0 0 0 0 0 0
117 KAPTOPRIL 25 MG TAB 0 0 0 0 0 0 0
121 KALSIUM LAKTAT (KALK) TAB.500 MG TAB 0 0 0 0 0 0 0
123 KAPAS PEMBALUT ABSORBEN 250 GR ROLL 0 0 0 0 0 0 0
126 KASA PEMBALUT 40 X 80 CM ROLL 0 0 0 0 0 0 0
127 KASA KOMPRES 40/40 STERIL ROLL 0 0 0 0 0 0 0
128 KASA PEMBALUT 2M X 80 CM ROLL 0 0 0 0 0 0 0
129 KASA PEMBALUT HIDROFIL 4M X 15 CM ROLL 0 0 0 0 0 0 0
130 KASA PEMBALUT HIDROFIL 4M X 3 CM ROLL 0 0 0 0 0 0 0
135 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0 0 0 0 0 0
136 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0 0 0 0 0 0
137 KLORAMFENIKOL SALEP MATA 1% TUBE 0 0 0 0 0 0 0
138 KLORAMFENIKOL TETES TELINGA 3% BTL 0 0 0 0 0 0 0
139 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TAB 0 0 0 0 0 0 0
147 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0 0 0 0 0 0
148 KOTRIMOKSAZOL TABLET 480 MG TAB 0 0 0 0 0 0 0
149 KOTRIMOKSAZOL TABLET PEDIATRIK TAB 0 0 0 0 0 0 0
174 LIDOKAIN KOMB.INJ. HCL 2% AMP 0 0 0 0 0 0 0
175 LIDOKAIN INJ. 2% AMP 0 0 0 0 0 0 0
176 LISOL MENGANDUNG KRESOL TERSABUN 50 % BTL 0 0 0 0 0 0 0
181 MEBENDAZOL TABLET 100 MG TAB 0 0 0 0 0 0 0
182 METILERGOMETRIN MALEAT TAB 0,125 MG TAB 0 0 0 0 0 0 0
183 METIL EGOMETRIN MALEAT INJ.0,200 MG-1ML AMP 0 0 0 0 0 0 0
185 METOKLOPRAMID 10 MG (TIVOMIT) TAB 0 0 0 0 0 0 0
186 METRONIDAZOL TAB.250 MG TAB 0 0 0 0 0 0 0
187 METRONIDAZOL TAB 500 MG TAB 0 0 0 0 0 0 0
188 MIKONAZOLE SALEP (MOLADERM) TUBE 0 0 0 0 0 0 0
193 NaCL LARUTAN INFUS 0,9 % STERIL FLC 0 0 0 0 0 0 0
194 NATRIUM BICARBONAT TABLET TAB 0 0 0 0 0 0 0
195 NISTATIN TABLET VAGINAL 100.000 IU/G TAB 0 0 0 0 0 0 0
196 NISTATIN SALUT VAGINAL 500.000 IU TAB 0 0 0 0 0 0 0
197 NIFEDIPINE 10 MG TAB 0 0 0 0 0 0 0
198 OBAT BATUK HITAM (OBH) CAIRAN BTL 0 0 0 0 0 0 0
199 OKSITETRASIKLIN HCL INJ.50 MG /ML -10ML VIAL 0 0 0 0 0 0 0
200 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0 0 0 0 0 0
201 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0 0 0
202 OKSITOSIN INJ 10 IU/ML - 1 ML AMP 0 0 0 0 0 0 0
205 PARASETAMOL TAB.500 MG TAB 0 0 0 0 0 0 0
 Hal.3
206 PARASETAMOL TAB.100 MG TAB 0 0 0 0 0 0 0
207 PARASETAMOL SYRUP 120 MG/5 ML BTL 0 0 0 0 0 0 0
210 PIRIDOKSIN HCL TAB. 10 MG ( Vit B6 ) TAB 0 0 0 0 0 0 0
214 PIRANTEL TABLET 125 MG TAB 0 0 0 0 0 0 0
215 PIROXICAM 10 MG TAB 0 0 0 0 0 0 0
216 PIROXICAM 20 MG TAB 0 0 0 0 0 0 0
217 PLASTER 5 YARD X 2 INCH ROLL 0 0 0 0 0 0 0
219 PREDNISON TAB.5 MG TAB 0 0 0 0 0 0 0
225 RETINOL (VIT A) KAPSUL 100.000 IU KAP 0 0 0 0 0 0 0
226 RETINOL (VIT A) KAPSUL 200.000 IU KAP 0 0 0 0 0 0 0
230 RINGER LAKTAT LAR.INFUS STERIL FLC 0 0 0 0 0 0 0
231 SALBUTAMOL TABLET 2 MG/4MG TAB 0 0 0 0 0 0 0
233 SALEP 2-4 KOMB. POT 0 0 0 0 0 0 0
234 SALISIL BEDAK 2 % KTK 0 0 0 0 0 0 0
240 SIANOKOBALAMINA (VITB 12) INJ.500 MCG/ML AMP 0 0 0 0 0 0 0
241 SIANOKOBALAMINA (VITB 12) TABLET TAB 0 0 0 0 0 0 0
242 SILK(BENANG BEDAH SUTERA)NO.3/0 SET 0 0 0 0 0 0 0
243 SIMETIDIN TABLET TAB 0 0 0 0 0 0 0
248 TABLET TAMBAH DARAH KOMB. ZAK 0 0 0 0 0 0 0
253 TETRASIKLIN HCL KAPSUL 250 MG KAP 0 0 0 0 0 0 0
254 TETRASIKLIN HCL KAP.500 MG (BIMATRA 500) KAP 0 0 0 0 0 0 0
255 TIAMIN HCL (VIT B 1 ) INJ.100 MG/ML -1ML AMP 0 0 0 0 0 0 0
256 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TAB 0 0 0 0 0 0 0
261 VITAMIN B COMPLEKS TAB TAB 0 0 0 0 0 0 0
262 YODIUM POVIDON IODIDA 30 ML 10% BTL 0 0 0 0 0 0 0
263 YODIUM POVIDON IODIDA 300 ML 10% BTL 0 0 0 0 0 0 0
264 SANGOBION TAB 0 0 0 0 0 0 0
265 PISAU BEDAH PCS 0 0 0 0 0 0 0
266 CATGUT PLAN PCS 0 0 0 0 0 0 0
267 CATGUT CROMIC PCS 0 0 0 0 0 0 0

BPJS UMUM TOTAL

JUMLAH KUNJUNGAN RESEP
14 15 29

Mengetahui /menyetujui Yang Menyerahkan Yang meminta / melapor

Kepala Puskesmas Pengelola Obat Pimpinan Poskesdes Desa Sungai Bulan

YULI HEROWATI,A.Md.Keb …………………………. BIDAN SUAIDAH

NIP.19690719 198812 1 001 NIP.19690108 198812 2 001