LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA

PUSKESMAS PARUNG PANJANG

PUSKESMAS : PARUNG PANJANG

KECAMATAN : PARUNG PANJANG PELAPORAN BULAN / PERIODE :

Sep-23
KABUPATEN : BOGOR PERMINTAAN BULAN / PERIODE :
PROPINSI : JAWA BARAT

NO. NAMA OBAT SATUAN STOCK AWAL PENERIMAAN

PKD PROGRAM JKN BOK PKD PROGRAM JKN BOK
1 Alopurinol tab 100 mg tablet 2700
2 Amitriptilin tab tablet
3 Amlodipin tab 10 mg tablet 300 600
4 Amlodipin tab 5mg tablet 9993
5 Amoksisilin sirup kering botol
6 Amoksisilin trihidrat 125 mg/5 ml botol 580
7 Amoksisilin 250 mg tab tablet
8 Amoksisilin 500 mg tab tablet 9000 5000
9 Antalgin tab tablet
10 Antasid DOEN sirup botol 0
11 Antasida kombinasi tab tablet 0 29738 2000
12 Anti Fungi kombinasi salep tube 141
13 AntiHemoroid kombinasi Supos 265
14 Antimigren DOEN kombinasi tablet
15 Asam askorbat (vitamin C) 50 mg tablet
60002 2700

16 Asam Mefenamat kaps tablet 4988 1000

17 Asetosal tab tablet
18 Asiklovir tab 200mg tablet
19 Asiklovir tab 400mg tablet 1614
20 Atropin Sulfat Injeksi ampul
21 Attapulgit/New Antides tab tablet
22 Bedak Salisil serb tablet 0 200
23 Betahistin Melistat tab tablet 940 0
24 Betametason krim tube 68 100
25 Deksametason Injeksi ampul 40 10
26 Deksametason tab tablet 0 18354 500 20000
27 Diazepam enema (Suppos) 5 mg Supos 10
28 Diazepam enema(Suppos)10 mg Supos 0
29 Diazepam tab 2 mg tablet 0 200
30 Difenhidramin HCl Injeksi ampul 35
31 Digoksin tab tablet
32 Dimenhidrinat tab tablet 100
33 Efedrin HCl tab tablet 4
34 Epinefrin HCl/Bitatrtat inj (Efinefrin ampul 29
35 Etanol 70% 1000 ml botol 2
36 Fenobarbital injeksi ampul
37 Fenobarbital tab tablet 123 200
38 Fitomenadion(vitamin K1)inj ampul
30 50

39 Fitomenadion ( vit K1 ) tab tablet 366

40 Furosemid tab tablet
41 Gigi, Lidokain 2% + epinefrin ampul 90
 Gigi, Bahan tumpatan sementara lar+ serb
(Temporary)
42 set

43 Gigi, Bonding buah

44 Gigi, Eritromisin 500 kaps tablet
45 Gigi, Etil Klorida spray botol 4 2
46 Gigi, Eugenol Cairan botol 1
47 Gigi, Glass ionomer ART (Atraumatic set 5
48 Gigi, Kalsium hidroksida bubuk, tube
pasta
49 Gigi, Klorfenol kamfer mentol botol
(CHKM) cairan
50 Gigi, Komposit resin Set +Bonding + set
ETSA 5
51 Gigi, Mummifying Pasta tablet
52 Gigi, Pasta devitalisasi (non arsen) tube

53 Gigi, Semen Seng Fosfat Serbuk & set

54 Glibenklamid tab tablet 2078 1100
55 Glukosa Larutan Infus botol 40
56 Griseofulviin (micronized) tablet
57 Griseofulvin 500 mg tablet
58 Haloperidol 1.5 mg tab tablet
59 Haloperidol tab 5 mg tab tablet 2000
60 Hidroklorotiazid tab tablet
61 Hidrokortison krim tube 1157 48
62 Ibuprofen tab 200mg tablet
63 Ibuprofen tab 400mg tablet 10896 800
64 Isosorbid dinitrat tab tablet 60
65 Kalsium Glukonat injeksi ampul
66 Kalsium laktat tab tablet
67 Kaptopril 25 mg tab tablet 800 2000
68 Karbamazepin tab tablet
69 Karbon Aktif tab tablet
70 Kloramfenikol kaps (250 mg) tablet 200
71 Kloramfenikol salep kulit 2% tube 0 72
72 Kloramfenikol salep mata tube 0 10
73 Kloramfenikol susp Supos
74 Klorfeniramin tab (ctm) tablet 19600 5000
75 Klorpromazin tab tablet 2000
76 Kodein 10 mg tablet 300
77 Kotrimoksazol (dewasa) tab 480mg tablet
kombinasi 500
78 Kotrimoksazol (dewasa) tab 960mg tablet
kombinasi
79 Kotrimoksazol anak kombinasi botol
suspensi 0
80 Larutan mengandung elektrolit botol
(Ringer Laktat) 2961
81 Lidokain Inj 2% ampul 150
82 Lisol larutan botol
83 Magnesium Sulfat inj 20% (i.v.) ampul
84 Magnesium Sulfat inj 40% (i.v.) ampul
85 Metformin tab tablet 4325 2200
86 Methyl prednisolon tab tablet
87 Metilergometrin inj ampul 50
88 Metilergometrin tab tablet
89 Metoklopramid tab tablet
90 Metronidazol tab tablet 0 400
91 Meylon 84-B.P. ampul
92 Mikonazol krim tube 0 120
93 N-Asetil Sistein tab tablet 29040 12000
94 Natrium Bikarbonat tab tablet
95 Natrium Diklofenak 50 mg tablet 2750
96 Natrium Klorida Infus 500ml botol 20
97 Neo Diaform tab tablet 58890 1200
98 Nifedipin tab tablet 4300
99 Nistatin tab sal gula 500.000 IU tablet
100 Nistatin tab vaginal 100.000 IU tablet 156
101 Oksigen ih, gas dalam tabung botol
24
102 Oksitetrasiklin HCl Salep Mata tube
55 100
103 Oksitosin injeksi ampul 200
104 Parasetamol sirup botol 240
105 Parasetamol tab 500 mg tablet 87334 90000
106 Piridoksin (vitamin B6) tab tablet 72800
107 Povidon Iodida lar 60 ml botol 35
108 Prednison tab tablet 0
109 Proparonol tab tablet
110 Propiltiourasil tab tablet
111 Pyrantel l syrup botol
112 Ranitidin tab tablet 10000 1200
113 Retinol(vitamin A) 100.000IU tablet
114 Retinol(vitamin A) 200.000IU tablet
115 Salbutamol nebules ampul
116 Salbutamol tab 4 mg tablet 824
117 Salep 2-4 kombinasi tube 192
118 Sefadroksil kaps Kapsul
119 Sefadroksil syrup botol
120 Serum anti bisa ular I inj ampul 1 5
121 Serum antitetanus (A.T.S) ampul 1 5
122 Simvastatin tab 20 mg tablet 1000
123 Siprofloxacin 500 mg tablet 1000 800
124 Tablet Tambah Darah Kombinasi tab tablet
125 Tetes mata Kloramfenikol botol 50
126 Tetes Mata Sulfasetamid Natrium botol
127 Tetrasiklin HCl 500 mg tablet
128 Tiamin (vitamin B1) tab tablet 20500
129 Triheksifenidil tab tablet 1000
130 Vitamin B kompleks tab tablet 36988 1000
131 Zinc tab tablet 6500

OBAT - OBATAN TAMBAHAN

132 Parasetamol Drop 15 ml kapsul 100
133 domperidon Sirup 60 ml vial
134 Diazepam injeksi botol
135 Albendazol Susp 200 mg/5 ml tablet
136 Omeprazole tablet 0 1000
137 Haloperidol 5 mg/1 ml ampul

138 Azitromicin 500 mg tablet 75

139 Ibuprofen Sirup 60 ml tablet 100
140 Haloperidol Dekanoat Inj tablet 15 10
141 Phenol Gliserol Tetes Telinga botol

142 Kloramfenikol Tetes Telinga dus 72 10

143 Ampisilin Serbuk Inj botol
144 Flufenazine Dekanoat Inj botol
145 Favipiravir 200 mg tube
146 Ketoconazole krim tube 144
147 Loratadin 10 mg tablet 50 1000
148 Metronidazol Infus ampul
149 Vitamin C 1000 mg inj ampul

PROGRAM GIZI
150 Taburia sachet
151 Retinol 100.000 UI kapsul 1350
152 Retinol 200.000 UI kapsul 6600 0
153 Tablet tambah darah ( Fe ) tablet 396400 0
154 Albendazole 400 mg tablet 6460 20000
155 Albendazole susp 200 mg/5 ml botol

PROGRAM JIWA
156 Risperidon 2 mg tablet 1000 1000
157 Haloperidol dekanoat inj ampul 22 10
158 Haloperidol inj ampul
159 Risperidon 1 mg tablet
160 Clozapin 100 mg tablet
161 Clozapin 25 mg tablet 1401
162 Amitriptilin 25 mg tablet 2467 3000
163 Triheksifenidil 2 mg tablet 0 1000
164 Haloperidol 5 mg tablet 0 2000
165 Klorpromazine 100 mg tablet 1000 1000
166 Clobazam 10 mg tablet

PROGRAM TB
167 Test Mantoux botol
168 Ziel Neelson botol 2
169 Cartridge TCM Paket
170 FDC / OAT kategori anak set 0 2
171 FDC / OAT kategori I set 0
172 OAT KDT harian paket 0 20
173 Kaca slide kotak 10 5
174 Isoniazide 100 mg tablet 0
175 Pot dahak pot 120 200
176 Masker Bedah MRA pcs 3
177 Masker N95 (AERO) pcs
178 MASKER N95 (DREAMCAN) pcs

PROGRAM KUSTA
179 Paket kusta MB dewasa paket 7 6
180 Paket kusta PB dewasa paket 1
181 Paket kusta MB anak paket 2

PROGRAM HEPATITIS
182 HBSAg buah 0 300
183 Vaksin HBIg pcs

Program PTM
184 GlucoDr strip gula darah box
185 Benecheck Total Kolesterol Test box
Strip BK C-1 9200
186 Safety bok buah
187 Blood Lancet box 9600 228
188 Alkohol swab kotak 4500 240
Program KIA
189 Ampisilin Serb Inj 1000 mg/vial vial
190 Diazepam inj 5 mg/ml amp 5
191 Fenobarbital inj amp
193 Fitomenadion (Vitamin K 1) INJ vial 25 150
194 Gentamisin cairan inj 40 mg/ml amp
195 Metronidazol inf 5mg/ml botol
196 Magnesium sulfat inj 20% amp
197 Magnesium sulfat inj 40% amp

LABORATORIUM
198 Test kehamilan isi 25 bok
199 Pack D bok
200 Golongan darah kit
201 Tabung EDTA bok
202 Spiritus Liter
203 Kolesterol total kit
204 Bilirubin direct 4x50ml R2: 1
205 Bilirubin total 4x50ml R2: 1
206 Trigliserida 1x250 ml
207 HB mission plus (stick) box
208 SGOT 2x50
209 SGPT 4x50ml R2: 1
210 Glukosa set
211 Asam Urat set
212 Ureum set
213 Kreatinin set
214 HDL P set
215 Erba Wash set
216 Erba Norm set
217 Cell clean botol
218 Stromatolizer botol
219 Cell pack botol
220 Vesmatic kantong
221 Parafilm roll
0 0 0 0
AN LEMBAR PERMINTAAN OBAT (LPLPO)
FORM : LPLPO
SMAS PARUNG PANJANG

96305 : 3520 = 27.35

DOKUMEN NOMOR

DINAS KAB
PUSKESMAS

PERSEDIAAN PEMAKAIAN STOCK AKHIR PERMINTAAN

PKD PROGRAM JKN BOK PKD PROGRAM JKN BOK PKD PROGRAM JKN BOK
0 0 2700 0 0 0 2500 0 0
0 0 0 0 0 0 0 0 0
900 0 0 0 400 0 0 0 500
0 0 9993 0 0 0 2093 0 7900
0 0 0 0 0 0 0 0 0
0 0 580 0 0 0 580 0 0
0 0 0 0 0 0 0 0 0
5000 0 52800 0 4000 0 47800 0 1000 5000
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2000 0 123738 0 2000 0 118538 0 5200
0 0 141 0 0 0 91 0 50
0 0 265 0 0 0 265 0 0
0 0 0 0 0 0 0 0 0

2700 0 60002 0 1000 0 60002 0 1700 0

1000 0 37988 0 100 0 37988 0 900 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1614 0 0 0 170 0 0 0 1650
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 0 25 0 0 0 175 0
0 0 940 0 0 0 940 0 0 0
100 0 68 0 50 0 68 0 50 0
50 0 0 0 10 0 0 0 40 0
500 0 20000 0 500 0 3600 0 0 16400
10 0 0 0 5 0 0 0 5 0
0 0 0 0 0 0 0 0 0 0
200 0 0 0 70 0 0 0 130
35 0 0 0 30 0 0 0 5
0 0 0 0 0 0 0 0 0
100 0 0 0 20 0 0 0 80
4 0 0 0 4 0 0 0 0
29 0 0 0 29 0 0 0 0
2 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0
323 0 0 0 123 0 0 0 200

80 0 0 0 80 0 0 0 0

0 0 366 0 0 0 366 0 0
0 0 0 0 0 0 0 0 0
90 0 0 0 50 0 0 0 40 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
2 0 4 0 0 0 4 0 2 0
1 0 0 0 0 0 0 0 1 0
5 0 0 0 0 0 0 0 5 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

5 0 0 0 0 0 0 0 5 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
1100 0 2078 0 600 0 2078 0 500 0
40 0 0 0 40 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
2000 0 0 0 1200 0 0 0 800 0
0 0 0 0 0 0 0 0 0
48 0 1157 0 48 0 1157 0 0 0
0 0 0 0 0 0 0 0 0
800 0 10896 0 800 0 10896 0 0 0
60 0 0 0 60 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2000 0 800 0 600 0 800 0 1400 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 0 200 0 0 0 0 0
72 0 0 0 22 0 0 0 50 0
10 0 0 0 10 0 0 0 0
0 0 0 0 0 0 0 0 0
5000 0 59400 0 4800 0 59400 0 200 0
2000 0 0 0 1600 0 0 0 400 0
300 0 0 0 100 0 0 0 100 0

500 0 0 0 300 0 0 0 200

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 2961 0 0 0 2081 0 880

150 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 0 0
2200 0 4325 0 1200 0 4325 0 1000 0
0 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 50
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
400 0 0 0 400 0 0 0 0 0
0 0 0 0 0 0 0 0 0
120 0 0 0 20 0 0 0 100 0
0 0 41040 0 0 0 12000 0 29040
 0 0 0 0 0 0 0 0 0
0 0 2750 0 0 0 2750 0 0 0
20 0 0 0 20 0 0 0 0
1200 0 58890 0 800 0 58890 0 400 0
0 0 4300 0 0 0 4300 0 0
0 0 0 0 0 0 0 0 0
156 0 0 0 156 0 0 0 0

24 0 0 0 24 0 0 0 0

55 0 100 0 55 0 100 0 0
200 0 0 0 100 0 0 0 100 0
240 0 0 0 240 0 0 0 0
0 0 90000 0 0 0 11300 0 78700
0 0 72800 0 0 0 72800 0 0
0 0 35 0 0 0 30 0 5
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 0 0 0
1200 0 10000 0 800 0 260 0 400 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
824 0 0 0 100 0 0 0 0
0 0 192 0 0 0 192 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
6 0 0 0 1 0 0 0 5 0
6 0 0 0 1 0 0 0 4
0 0 1000 0 0 0 1000 0 0
1800 0 0 0 1000 0 0 0 800
0 0 0 0 0 0 0
50 0 0 0 50 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 20500 0 0 0 20200 0 0 300
1000 0 0 200 0 0 100
1000 0 36988 0 1000 0 36988 0 0 0
6500 0 0 0 6500 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 100 0 0 0 100 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
1000 0 0 0 500 0 0 0 500 0

0 0 0 0 0 0 0 0 0
0 75 0 0 0 75 0 0 0 0
0 0 100 0 0 0 100 0 0
0 35 0 0 0 3 0 0 0 32

0 0 0 0 0 0 0 0 0

10 0 72 0 10 0 72 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 0 144 0 0 0 144 0 0
1050 0 0 0 250 0 0 0 800 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 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1350 0 0 0 1350 0 0 0
0 6600 0 0 0 6600 0 0 0
0 396400 0 0 0 215300 0 0 171800 0
0 26460 0 0 0 26460 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 2000 0 0 0 1600 0 0 400 0
0 32 0 0 0 0 0 0 32
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 1401 0 0 0 1401 0 0 0
0 5467 0 0 0 4467 0 0 1000
0 1000 0 0 0 0 0 0 100
0 2000 0 0 0 1000 0 0 1000 0
0 2000 0 0 0 1300 0 0 700
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 0 0
0 2 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0
0 20 0 0 0 20 0 0 0
0 15 0 0 0 5 0 0 10
0 0 0 0 0 0 0 0 0
0 320 0 0 0 240 0 0 80
0 3 0 0 0 3 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 0 0 0 0
0 13 0 0 0 0 0 0 0
0 1 0 0 0 1 0 0 0
0 2 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
0 300 0 0 0 300 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 0 0 0 0 0 0

0 9200 0 0 0 9200 0 0 0
0 0 0 0 0 0 0 0 0
228 9600 0 0 228 9100 0 0 500
240 4500 0 0 240 4000 0 0 500
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 0 0 0 5 0 0 0
0 0 0 0 0 0 0 0 0
 25 150 0 0 25 150 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 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 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 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 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 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 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 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 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
 PEMBERIAN
PKD PROGRAM
222 Poch-L Botol
223 Stick urine 10V Tube
224 Stik Gula Botol
225 Stik Kolesterol Botol
226 Stik Asam Urat Botol
227 Stik Hb botol
228 Kartu Golongan Darah Buah
229 Widal set
230 Kertas lensa bok
231 Eight Check botol
232 Albumin kit
233 Detergent for Spectrofotometer botol
234 Kontrol Normal Kimia Kit
PROGRAM HIV
236 Vacutainer EDTA bok
237 Vacutainer clot activator bok
238 SPUIT 3 CC JMI PCS
239 Spuit 5 cc AXIMED box
240 Sarung tangan size L AXIMED box
241 Sarung tangan size M AXIMED box

242 AXIMED swab 4 Ply kotak

243 Yellow tip bag
244 plesterin bulat box
245 Rapid Test HIV (virocheck HIV 1/2 ) test
246 Rapid 2 HIV Fokus 1+2 KHB Test 100
247 Rapid HIV 1/2 (SD HIV) Test 250
248 Rapid sifilis cassete test
249 Rapid test sifilis bok 175
250 Plastik Medis pak
251 Safety box HIV pcs
252 Masker Bedah kotak

PROGRAM COVID 19
253 APD ( Hazmat) pcs
254 Masker Disposible kotak 100 20
255 Face shield pcs
256 Sarung tangan obsgyn pcs 50
257 Rapid Tes Corona test
258 Rapid Test CoVID-19 Antigen test 175
259 VTM buah 50
260 Antiseptik tangan 100 ml botol
261 Hand Sanitizer 5 Liter galon 1
262 Hand Sanitizer 250 ml botol
263 Alkohol 70% botol 38 0
264 Masker N 95 pcs 0 4700 60
265 Google pcs
266 Masker KN95 pcs
267 Masker FFP2 NR pcs
268 Masker Kain pcs
269 Nurse cap kotak 500 3
270 vitamin E 200 IU kapsul
271 Vitamin B Kompleks (Selkom C,sivit tablet
272 Multivitamin (Sivit Zn) tablet
273 Asam askorbat (vitamin C) 500 mg tablet
10015

274 Kantung Jenazah buah

275 Epinefrin inj 1 mg/ml ampul 28
276 Levofloksasin 500 mg tablet
277 Levofloksasin infus botol
278 Mayoguedel airway pcs
279 Sarung tangan non steril pcs
280 Vitamin C inj 1000 mg ampul
281 Favipiravir 200 mg tablet 480
282 Vitamin D3 1000 IU tablet 3300
283 Sarung tangan steril pcs 4
284 Triheksifenidil tab 2 mg tablet
285 Wing needle no 23 pcs 48
286 Wing needle no 25 pcs 36
287 Blood Lancet unistik 3 neonata botol
288 Gelafusal infus bag
289 Threeway stopcock pcs
290 ETT no 7.1 cuffed pcs
PROGRAM IMUNISASI
291 ADS 0.5 ML PCS 6634
292 ADS 0.3 ML PCS 557
293 DISPOSABLE SYRINGE 3 ML (TP) PCS 0
294 NACL 10 ML BOTOL 0 50
295 SAFETY BOX PCS 100
296 ALKOHOL SWAB PCS 0
PROGRAM VAKSIN
297 VAKSIN COVID-19 SINOVAC VIAL
298 VAKSIN COVID-19 SINOVAC VIAL
MULTIDOSE-10

299 VAKSIN COVID-19 SINOVAC (2 DS) VIAL

300 VAKSIN COVID-19 MODERNA VIAL

301 VAKSIN COVID-19 PFIZER VIAL 0
302 VAKSIN COVID-19 SINOFARM VIAL
303 VAKSIN JANSSEN (5 DS) VIAL 0
304 VAKSIN COVID-19 ASTRAZENECA VIAL
MULTIDOSE-10
305 VAKSIN COVID-19 (COVOVAX 10- VIAL
DOSE)
306 VAKSIN MENINGITIS (MENIVAX VIAL
ACYW)
307 VAKSIN ANTI RABIES VIAL

PROGRAM SURVEILANS
308 Alat pelindung diri surveilans set
309 APD set set
310 Masker earloop kotak
311 Masker headloop (Hijab) kotak
312 Sarung tangan nitril ukuran L kotak
313 Sarung tangan nitril ukuran M kotak
314 Sarung tangan nitril ukuran S kotak
315 Hand Sanitizer 500 ml botol
316 Masker KN95 kotak

PROGRAM DIARE
317 Garam oralit sach 5000
318 Zink tablet 5000
BOK
319 Handsanitizer 5 liter Galon
320 Desinfektan (ZAFARO) Liter
321 Sepatu Boot (ANDO BOOT) Pasang
322 Sarung Tangan Karet/Latex (Local) Pasang
323 Masker Bedah Sensi (Headloop- Box
324 Kacamata Google (google zafaro) Buah
325 Sarung tangan non steril latex S Box
1000
326 Sarung tangan non steril latex M Box
12000
327 Sarung tangan non steril latex L Box
800
328 Apron (Celemek Medis ONEMED) Box
329 Nurse Cap (isi 100) sensi Box
330 Sarung TanganSteril panjang Pasang
331 Face Shield Buah
332 Hand sanit 500 ml + pump botol
BAHAN MEDIS HABIS PAKAI
333 ADS 0.05 ml buah 800
334 ADS 0.5 ml buah
335 Alat suntik sekali pakai 1 ml + jarum buah
100
336 Alat suntik sekali pakai 3 ml + jarum buah

337 Alat suntik sekali pakai 5 ml + jarum buah

338 Alkohol 70% 1 liter buah

339 Alkohol swab kotak 10
340 Bisturi (Surgical Blade) buah
341 Catgut Chromic/benang bedah no. buah
2/0 + jarum 121 5
342 Catgut Chromic/benang bedah no. buah
3/0 + jarum 132 5
343 Catgut Plain / benang bedah no. 2/0 buah
+ jarum
344 Catgut Plain / benang bedah no. 3/0 buah
+ jarum
345 Foley Catheter 2 way No. 18 buah 2
346 Hecting needle (tanpa benang) untuk buah
kulit
347 Hecting needle (tanpa benang) untuk buah
otot
348 Infusion set anak buah 70 15
349 Infusion set dewasa buah 100 200 38
350 IV catheter no 18 G buah
351 IV catheter no 20 G buah 34
352 IV catheter no 22 G buah 0
353 IV catheter no 24 G buah 5 35
354 Kapas pembalut / absorben buah
355 Kasa pembalut hidrofil 4 m x 15 cm roll
(4x10) 50 260
356 Kasa Steril 16 x 16 bok 11
357 Masker Disposible kotak 25900
358 Masker N95 buah 100 4700
359 Mikropipet pak
360 Plester Besar buah 67
361 Plester Kecil buah 2
362 Safety Box buah 25
363 Sarung tangan bedah steril buah
364 Sarung tangan Obgyn buah 47
365 Sarung Tangan Pendek non steril kotak
ukuran L 10000
366 Sarung Tangan Pendek non steril kotak
ukuran M 30000
367 Sarung Tangan Pendek non steril kotak
ukuran S 10000
368 Selang Oksigen Dewasa buah 21
369 Selang Oksigen Anak buah
370 Silk (Benang bedah sutera) No. 3/0 bok
371 Silk( Benang Bedah Sutera) No 2/0 bok
151
372 Sopratulle buah
373 Tabung EDTA bok
374 Tip Blue 500-1000 ul buah
375 Tip White 10-20 ul buah
376 Tip Yellow 50 ul buah
377 Torniquet buah
378 Urine bag steril buah 135

BAHAN MEDIS HABIS PAKAI

379 Komposit flowabel syringe
380 Komposit gc solare sculpt syringe
381 Etsa botol
382 Stain remover OCO botol
383 Dental bonding gigi masterbon botol
384 Ultrasound gel botol
385 Microbrush dental pak
386 Cotton roll dental 10 mm pak
387 Umbilikal klem pcs
388 Kassa Pembalut Hidrofil 4 Y x 80 cm buah

389 Needle 24 box

390 Needle 25 box
391 Kertas seal box
392 Plastik obat klip 13x8 pak
393 Plastik obat klip 10x7 pak
394 Kertas perkamen pak
395 Masker nebulizer set anak buah
396 Masker nebulizer set dewasa buah
397 Masker oksigen bayi buah
398 Masker oksigen anak buah
399 Masker oksigen dewasa buah
400 Syringe 10 ml with needle buah
401 Needle 23 box
402 Hand sanit + pump (500 ml) Botol
403 Plastik sampah medis uk 60x100 pak

404 Plastik sampah non medis uk 60x100 pak

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Jumlah Kunjungan Bulan
Tunai : 2215
BPJS : 1305
PBI : 10
Gratis : 8
Poned : 13
Anak : 1132
Dewasa : 2388
Rawat Inap : 16
Pasien Gigi : 386
Pasien Jiwa : 33
Pasien TB : 12
 Mengetahui,
Kepala Puskesmas Parung Panjang

dr. SUSI JUNIAR SIMANJUNTAK, M.Kes.

NIP. 197406032008012005
 Bogor, 30/09/2023

Bendahara Obat Puskesmas Parung Panjang

Randi Adi Praja. S. Farm,.