LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT/BMHP REGULER

KODE PUSKESMAS : 1071242

PUSKESMAS : TAMPA PADANG BULAN PELAPORAN : SEPTEMBER
KECAMATAN : KALUKKU BULAN PEMAKAIAN : AGUSTUS
KABUPATEN : MAMUJU TAHUN : 2023
PROPINSI : SULAWESI BARAT

STOK PEMBERIAN JUMLAH TOTAL

NO NAMA OBAT/BMHP SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PERMINTAAN KET
PENGAMAN PEMBERIAN
PKD PROG/DKP LAIN2
1 2 3 4 5 6 = (4+5) 7 8 = (6-7) 9 = (7X20%) 10 11 12 13 14 15
1 Accugence Blood Glukosa Box/50 - - - - - 10
2 Accugence Blood Uric Acid Box/25 5 5 2 3 0
3 Acyclovir tab 200 mg Tablet 80 500 580 580 - 116 1,000
4 Acyclovir tab 400 mg Tablet 1,000 1,000 890 110 178
Adhesive Wound Strip 5 cm X 5 m
5 Roll - - - - - 20
(Plester)
6 Alat Suntik Sekali Pakai 1 ml (Stera) Pieces 263 200 463 315 148 63 300
7 Alat Suntik Sekali Pakai 3 ml Pieces 248 200 448 400 48 80 500
8 Alat Suntik Sekali Pakai 5 ml Pieces 168 300 468 200 268 40 100
9 Allopurinol 100 mg Tablet 446 2,000 2,446 2,100 346 420 3,000
10 Allopurinol 300 mg Tablet - 1,000 1,000 840 160 168 1,000
11 Aminophyllin 200 mg tab Tablet 100 100 100 - 20 100
12 Aminophyllin 24 mg/ml Injeksi Ampul - - - - -
13 Aminophyllin Injeksi Ampul - - - - -
14 Amlodipin tablet 10 mg Tablet - - - - - 5,000
15 Amlodipin tablet 5 mg Tablet 404 7,000 7,404 3,958 3,446 792 2,000
16 Amoxicillin 500 mg Tablet 520 5,000 5,520 2,470 3,050 494 3,000
17 Amoxicillin Sirup 125 mg/5 ml Botol 25 25 25 - 5 100
18 Antacida suspensi btl /60 ml - - - - - 100
19 Antasida Tab Tablet 730 6,000 6,730 3,685 3,045 737 3,000
20 Antihaemorrid Supp Supp/2 g - - - - - 50
21 Antimigrain : ergotamine + coffeine tablet - - - - - 500
22 Antiseptik hand rub 500 ml Botol 9 9 5 4 1 10
 Antiseptik hand rub 500 ml (Henclin
23 Botol - - - - -
2%)
24 Aqua Pro Injeksi 25 ml Btl/25 ml 100 100 2 98 0 ED
25 Asam Asetilsasilisilat tab 80 mg Tablet - - - - - 100
26 Asam Askorbat tab 250 mg Tablet 2,814 2,814 496 2,318 99
27 Asam Askorbat tab 50 mg Tablet 925 5,000 5,925 5,595 330 1,119 6,000
28 Asam Folat Tab. 1 mg Tablet 260 800 1,060 690 370 138 1,500
29 Asam Mefenamat tab 500 mg Tablet 1,424 2,000 3,424 3,067 357 613 5,000
30 Asering Infus Btl/500 ml - - - - -
31 Atapulgit tab 600 mg Tablet 145 145 5 140 1
32 Atropin sulfat Injeksi 0,25 mg/ml Ampul 20 20 - 20 -
33 Bedak Salisil Pot 5 30 35 34 1 7 50
34 Betahistin 6 mg Tablet - - - - - 1000
35 Betametason 0,1% krim Tube 22 72 94 56 38 11 24
36 Bisturi No. 10 Pcs - - - - - 1
37 Blood Lancet Box - - - - - -
38 Captopril 12,5 mg Tablet 1,530 1,530 390 1,140 78
39 Captopril 25 mg tablet 1,733 1,000 2,733 2,733 - 547 5000
40 Carbamazepin tab 200 mg Tablet 200 200 - 200 - ED
41 Catgut Chromic 2/0 HR 30 MM Pcs 24 24 48 23 25 5 24
42 Catgut Chromic 3/0 HR 30 MM Pcs 48 48 16 32 3 24
43 Cefadroxil 500 mg Tablet 430 500 930 570 360 114 500
44 Ciprofloxacin tab 500 mg Tablet 930 930 280 650 56 500
45 Dexamethasone 0,5 mg tablet Tablet 3,540 500 4,040 3,886 154 - 5000
46 Dexamethasone Injeksi Ampul 10 10 - 10 -
47 Diazepam 2 mg Tablet 68 68 - 68 -
48 Diazepam 5 mg Tablet 484 484 1 483 0
49 Diazepam Injeksi Ampul 31 31 3 28 1 30 ed, 8/23
50 Difenhidramin Injeksi 10 mg/ml Ampul 30 30 - 30 -
51 Digoxin tablet 0,25 mg Tablet 100 100 - 100 - -
52 Diltiazem tab 30 mg Tablet 100 100 - 100 - -
53 Dimenhidrinat tab 50 mg Tablet 1,760 1,760 885 875 177 1,000
54 Domperidon tablet 10 mg Tablet 60 1,020 1,080 995 85 199 3,000
55 Efinefrin Injeksi 0,1% Ampul 22 22 22 - 4
56 Eritromisin kapsul 250 mg Tablet - - - - -
57 Eritromisin kapsul 500 mg Capsul 100 100 - 100 -
58 Eritromisin Syrup Botol 71 71 - 71 -
59 Ethanol 70 % 1.000 ml Botol 3 10 13 13 - 3 15
60 Etylchlorida semprot Btl/100 - 2 2 2 - 3 5
61 Fenobarbital tab 30 mg Tablet 469 469 2 467 0

62 Fitomenadion (Vit. K1) Injeksi 10 mg/ml Ampul - - - - -

63 Fitomenadion (Vit. K1) Injeksi 2 mg/ml Ampul 34 30 64 16 48 3 30

64 Fitomenadion 10 mg Tablet 1,006 1,006 556 450 111 500

65 Furosemide Tablet 40 mg Tablet 620 620 - 620 -
Gentamicin Salep Mata (Genoint) 0.3
66 Tube - - - - -
%
67 Gentamicin sulfat TM 0,3% Btl/ 5 ml - - - - - 20
68 Glibenklamid tab 5 mg Tablet 405 500 905 410 495 82 500
69 Glimepiride 2 mg Tablet 670 480 1,150 520 630 104 1,000
70 Glukosa 10 % Botol - - - - -
71 Glukosa 5 % Botol - 100 100 44 56 9 60
72 Griseofulvin 125 mg Tablet 1,285 1,285 640 645 128 1,000
73 Haloperidol tab 0,5 mg Tablet - - - - - 1,000
74 Haloperidol tab 1,5 mg Tablet - - - - - 1,000
75 Hidroklorothiazid (HCT) tab Tablet 550 550 - 520 - ED
76 Hidrokortison Cream 2,5% Tube 32 72 104 103 1 21 120
77 Hiosina butilbromida tab 10 mg Tablet 434 1,000 1,434 1,135 299 227 2,000
78 Hypafix 5 cm x 5 m Roll - - - - - 10
79 Ibuprofen 200 mg Tablet 10 3,000 3,010 1,695 1,315 339 3,000
80 Ibuprofen 400 mg Tablet 1,880 200 2,080 1,840 240 368 3,000
81 Infus Set Dewasa Pieces - - - - -
82 Infus Set Dewasa Pieces - - - - -
83 Infusion set anak Pcs 153 153 5 148 1 200
84 Infusion set makro Pcs 105 200 305 305 - 61 500
85 Isosorbide Dinitrate tab 5 mg Tablet 150 150 30 120 6
86 IV Canula 18 G Pcs 260 260 27 233 5 -
87 IV Canula 20 G Pieces 113 200 313 218 95 44 300 ekonomed
88 IV Canula 22 G Pieces 170 200 370 155 215 31 200 ekonomed
89 IV Canula 24 G Pieces 262 262 - 262 - ekomed
90 Jarum Jahit bedah No. 11 Bungkus - - - - -
91 Jarum Jahit bedah No. 12 Bungkus - - - - -
92 Jarum Jahit bedah No. 9 Bungkus - - - - -
93 Ka-en 3B Larutan infus botol - - - - -
94 Kalsium Laktat 500 mg Tablet 460 460 460 - 92 2,000
95 Kapas 250 gram Roll - - - - - 10
Karbogliserin Tetes Telinga (Fenol
96 btl/ 5 ml 22 22 11 11 2 20
Gliserol 10%)
97 Kasa Kompres 40 x 40 cm Pieces - - - - -
98 Kasa Roll 3,6 x 15 cm Roll - - - - -
99 Kasa Roll 3,6 x 5 cm Roll - - - - - 20
100 Kasa Roll Panjang 40 Y x 80 cm Roll 5 10 15 8 7 2 5
101 Kasa Steril 16 x 16 cm Box 30 30 60 50 10 10 50
102 Ketoconazole 200 mg Tablet 230 230 200 30 40 300
103 Khlorpheniramin Maleat 4 mg (CTM) Tablet 1,335 5,000 6,335 4,165 2,170 833 5,000
104 Kloramfenikol caps 250 mg Kapsul 100 100 - 80 -
105 Kloramfenikol Salep kulit 2% Tube 44 44 12 32 2
Kloramfenikol Salep Mata 1 %
106 Tube - - - - - 50
(Erlamycetine)
107 Kloramfenikol Tetes Telinga Botol/5 ml 13 10 23 4 19 1 -
108 Klorpromazin Tab. 100 mg Tablet 457 457 60 397 12
109 Kotrimoxazole 480 mg Tablet - - - - - 1,000 ED
110 Kotrimoxazole Suspensi Botol - - - - -
111 Leukoplast (Plester ) Roll - - - - - 20
112 Lidocain HCl Compositum Injeksi Ampul 51 60 111 15 96 3
113 Lidocain HCl injeksi 2% Ampul 81 100 181 50 131 10 -
114 Lisol Botol - - - - 8 10
115 Loperamid tablet Tablet 1,070 1,070 375 695 75
116 Loratadine Tablet 10 mg Tab 1,300 1,300 1,200 100 240 2,000
117 Masker Bedah Pieces - - - - -
118 Masker Bedah Earloop Pieces 340 200 540 66 474 13 200
119 Masker Bedah Hijab Pieces 490 1,400 1,890 1,440 450 288 1,400
120 Masker N95 Box - - - - -
121 Metformin 500 mg Tablet 934 2,000 2,934 1,968 966 394 2,500
122 Metformin 850 mg Tablet - - - - -
123 Methylprednisolon 4 mg Tablet - - - - - 3,000
124 Metoklorpropamide Injeksi Ampul 34 34 34 - 7
125 Metoklorpropamide tab 10 mg Tablet 50 50 50 - 10 500
126 Metoklorpropamide tab 5 mg Tablet 110 500 610 610 - 122 2,000
127 Metronidazole 500 mg Tablet 1,110 1,110 240 870 48
128 Metylergometrin Maleat Inj Ampul 7 7 - 7 -
129 Metylergometrin Maleat tab. Tablet 13 500 513 423 90 85 500
130 Miconazole krim Tube 31 96 127 76 51 15 72
131 Mission HB Strip Box/50 - - - - - 10
132 Mission Ultra Total Cholesterol Box/25 - - - - -
133 M-Y Jelly 82 Gram Tube - - - - -
134 N-Asetil Sistein 200 mg Tablet 1,800 1,800 3,600 2,646 954 529 3,000
135 Natrium Diklofenak 25 mg Tablet 1,595 1,595 965 630 193 1,000
136 Natrium Diklofenak 50 mg Tablet 500 4,000 4,500 3,000 1,500 600 4,000
137 Natrium Klorida Inf 0,9% Btl/ 500 ml 139 200 339 159 180 32 200
138 Nifedipine 10 mg tablet Tablet 386 386 120 266 24 300
139 Nistatin Tab. Vag 100.000 UI Tablet vag 119 119 25 94 5
140 Nistatin Tab. Vag 500.000 UI Tablet 200 200 200 - 40
141 Omeprazole capsul 20 mg Kapsul 1,230 600 1,830 1,301 529 260 2,000
142 Omeprazole Injeksi Vial - - - - - 10
143 Oxytetracycline Salep Mata Tube - - - - - 100
144 Oxytocin Inj 10 mg/ml Ampul - - - - -
145 Paracetamol syrup Btl/ 60 ml 34 34 22 12 4 100
146 Parasetamol tablet 500 mg Tablet 925 7,500 8,425 7,010 1,415 1,402 7,000
147 Plester 5 cm x 5 m Roll - 1 1 1 - 0 10 sumb.lain- lain
148 Prednison tablet 5 mg Tablet 200 1,000 1,200 100 1,100 20
149 Propanolol 10 mg Tablet 295 295 129 166 26 300
150 Propiltiuourasil (PTU) Tablet 200 200 40 160 8 300

151 Pyridoksin Hcl (Vitamin B6) Tab. 10 mg Tablet 1,010 1,010 720 290 144

152 Rapid Antigen (Egens) Test - - - - -

153 Reagen Golda Botol - - - - - 10
154 Ringer Laktat Infus Btl/ 500 ml 60 1,000 1,060 544 516 109 600
155 Salbutamol tab 4 mg Tablet 331 1,000 1,331 416 915 83 1,000
156 Salep 2-4 Pot 4 50 54 26 28 5 20
157 Salep Antifungi 30 gram Pot - - - - -
158 Sarung Tangan L Box 2 20 22 22 - 4 20
159 Sarung Tangan M Box 2 5 7 7 - 1 20
160 Sarung Tangan S Box 2 10 12 12 - 2 20
161 Sarung tangan steril 7 Pcs - - - - -
162 Sarung Tangan Steril No. 6,5 Pasang 6 20 26 26 - 5 50
163 Sarung Tangan Steril no. 7 Pieces 2 20 22 22 - 4 50
164 Sarung Tangan Steril no. 7,5 Pasang 15 20 35 35 - 7 50
Sianocobalamin (Vit. B12) Injeksi 500
165 Ampul - - - - -
mcg
Sianocobalamin (Vit. B12) tablet 500
166 Tablet 4,800 2,000 6,800 1,200 5,600 240
mcg
167 Silk Black 2/0 HR 30 MM Pcs 36 36 10 26 2
168 Silk Black 3/0 HR 30 MM Pcs 139 139 - 139 -
169 Simvastatin 10 mg Tablet 76 1,000 1,076 706 370 141 1,000
170 Simvastatin 20 mg Tablet 710 1,000 1,710 1,640 70 328 2,000
171 Strip Asam Urat Botol - - - - - 10
172 Strip Glukosa Botol - - - - - 10
173 Strip Kolestrol Botol - - - - - 10
174 Thiamin 50 mg Tablet 530 2,000 2,530 2,270 260 454 3,000
175 Vitamin B Complex tab Tablet 545 2,000 2,545 2,545 - 509 7,000
176 Yodium 300 ml Botol - - (8) 8 (2) 10
177 Atenolol 100 mg Tablet - - - - - 100
178 Atenolol 50 mg Tablet - - - - - 100
179 Ranitidine 150 mg tablet Tablet 402 2,000 2,402 2,402 - 480 3,000
180 Kasa 4 x 15 cm (prokasa) pcs 33 33 33 - 7 50
181 Kasa Hidrofil Lipat 40 x 40 cm pcs - - - - -
182 freestyle Strip Glukosa box/100 - - - - -
183 Yodium 1000 ml botol 3 10 13 10 3 2 10
184 Diazepam enema 5 mg Tube - - - - -
185 Zink tab disp 20 mg tablet - - - - - 5,000
186 IV Canula 24 G (tipe pen) Pcs - - - - -
187 Becefort (multivitamin) tablet - - - - -
188 IV Canula 22 G (Tipe Pen) Pcs - - - - -
189 salep whitefield 30 gram pot 6 20 26 7 19
190 Amitriptilin tab Tablet 100 100 - 100
191 sarung tangan steril no. 6 Pasang - - - -
192 kotrimoksazole 960 mg tablet - - - - 1,000
193 strip HB botl/25 - - - -
194 ceterizin tablet - 300 300 - 300
195 stezolid pcs - - - - 10
196 zink syr botol 4 50 54 34 20 30
197 Risperidone 2 mg tablet 500 200 700 - 700
198 Hypafix 5 cm x 5 m Pcs - 2 2 2 - 10 sumb. lain-lain
 JUMLAH KUNJUNGAN RESEP KET
NO FASILITAS KESEHATAN
BPJS NON BPJS JML
1 PUSKESMAS 703 336
2 PUSKESMAS PEMBANTU 978 409
3 POSKESDES
4 PUSKESMAS KELILING
5 PELAYANAN LUAR GEDUNG 2426
TOTAL 1681 3171 4852
Tampa Padang, 31 Agustus 2023
Mengetahui, Menyetujui : Mengetahui
Plt. Kepala Dinas kesehatan Kab. Mamuju Plt. Kepala Instalasi Farmasi Kab. Mamuju Kepala Puskesmas Tampapadang Yang Membuat Laporan

dr. Acong Fatmawati, S.Si., Apt NURHAEDAH, S.Tr.Keb Apt. Hasmira Hasanuddin, S.Farm
NIP.19651105 200012 1 003 NIP. 19810807 201503 2 003 NIP.19760101 200502 2 010 NIP.19880902 202012 2 003