Apotek Maret 2016

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REGISTER OBAT PUSKESMAS KLUNGKUNG II

BULAN FEBRUARI 2016 s/d MARET 2016

NO
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NAMA OBAT
Obat Pelayanan Kesehatan Dasar dan Program
Albendazol tablet 400mg
Alopurinol tablet 100mg
Aminofilin injeksi 24mg/ml - 10ml
Aminofilin tablet 200mg
Amitriptilin HCl tablet salut 25mg
Amoksisilin kaplet 500mg
Amoksisilin kapsul 250mg
Amoksisilin syrup kering 125mg/5ml
Ampisilin injeksi im/iv 500mg/vial
Antalgin injeksi 250mg/ml-2ml
Antalgin tablet 500mg
Antasida Syrup
Antasida DOEN tablet Kombinasi
Anti Bakteri DOEN salep kombinasi ( Bacitracin )
Anti Hemoroid DOEN kombinasi
Anti Parkinson DOEN tablet Kombinasi
Karbidopa 25mg + Levodopa 25 mg
Antifungi DOEN kombinasi ( Zalf 36 )
Antimigren DOEN Kombinasi :
Aqua pro injeksi steril, bebas pirogen
Aquadest Steril
Artemeter injeksi
Artesdiaquine tablet
Artesunat injeksi
Asam Askorbat (Vit C) tablet 50mg
Asam Askorbat tablet 250mg
Asetosal tablet 500mg
Astosal tablet 100mg
Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml
Atropin sulfat tablet 0,5mg
Atropin Sulfat tetes mata o,5%
Besi Syrup
Benzatin Benzil Penisilin inj. 1,2 jt IU
Benzatin Benzil Penisilin inj. 2.4 jt IU
Betametason krim 0,1%
Deksametason injkesi 5mg/ml-1ml
Deksametason tablet 0,5 mg
Dekstran 70 - Larutan infus 6 % steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5mg/ml-2ml
Diazepam tablet 2mg

BULAN
LALU
0
70
0
0
0
464
0
22
0
0
30
11
288
6
0
0
0
0
10
0
0
0
0
0
280
0
0
0
0
20
0
0
0
0
3
0
388
0
0
0
0
100

INCOME

100

1500
25

500
300
25
30

500

5
500

TOTAL
INCOME
0
170
0
0
0
1964
0
47
0
0
530
11
588
31
30
0
0
6
10
0
0
0
0
0
780
0
0
0
0
20
0
0
0
0
8
0
888
0
0
0
0
100

26

43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92

Diazepam tablet 5mg


Difenhidramin injeksi 10mg/ml-1ml
Delldryl Injeksi
Digoksin tablet 0,25 mg
Doksisiklin kspsul 100mg
Efedrin HCl tablet 25mg
Efinefrin HCl/Bitartrat (Efinefrine/Adrenalin)
Ekstrak Belladona tablet 10mg
Ergotamin tartrat 1mg + Kofein 50mg
Eritromycin kapsul 250mg
Eritromycin sirup 200mg/5ml
Etakridin (Rivanol) larutan 10% 300ml
Etanol 70% 1 liter
Fenitoin Natrium injeksi 50mg/ml
Fenitoin Natrium kapsul 30mg
Fenobarbital inj. 50mg/ml - 2ml
Fenobarbital tablet 100mg
Fenobarbital tablet 30mg
Fenoksimetil Penisilin tablet 250 mg
Fenoksimetil penisilin tablet 500mg
Fenol Gliserol tetes telinga 10%
Fitomenadion (Vit K) injeksi 10mg/ml-1ml
Fitomenadion (Vit K) tablet salut gula 10mg
Furosemid tablet 40 mg
Gameksan emulsi 1%
Garam oralit untuk 200ml air
Gentian Violet 1%
Glibenklamida tablet 5 mg
Gliseril Guayakolat tablet 100mg
Gliserin
Glukosa larutan infus 10% steril (produk lokal)
Glukosa larutan infus 40% steril (produk lokal)
Glukosa larutan infus 5% steril (produk lokal)
Griseofulvin tablet 125mg, micronized
Haloperidol tablet 0,5mg
Haloperidol tablet 1,5mg
Haloperidol tablet 5mg
Hidrogen Peroksida 3%
Hidroklorotiazid (HCT) tablet 125mg
Hidrokortison krim 2,5 %
Ibupropen tablet 200mg
Ibupropen tablet 400mg
Isoniazid tablet 300mg
Isosorbit Dinitrat tablet sublingual
Kalium permanganat serbuk
Kalsium Laktat (Kalk) tablet 500mg
Kaptopril tablet 12,5mg
Kaptopril tablet 25mg
Karbamazepin tablet 200mg
Ketamin injeksi 10mg/ml

90
0
0
0
100
90
0
0
0
50
4
1
2
0
0
0
0
74
0
0
1
0
0
150
0
66
0
440
49
0
0
0
0
40
0
0
61
0
0
4
417
130
0
0
0
70
0
657
0
0

100

300

50
6
300
700

200
24
200

200
600

90
0
0
0
100
190
0
0
0
50
4
1
2
0
0
0
0
374
0
0
4
0
0
150
0
116
6
740
749
0
0
0
0
40
0
0
61
0
200
28
417
330
0
0
0
270
0
1257
0
0

93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142

Klofasimin kapsul 100mg, micronized


Kloramfenikol kapsul 250mg
Kloramfenikol tetes telinga 3%
Klorfeniramin Maleat (CTM)
Klorokuin tablet 150 mg
Klorpromasin HCl injeksi 25mg/ml-1ml
Klorpromasin HCl injeksi 5mg/ml-2ml
Klorpromasin HCl tablet salut 100mg
Klorpromasin HCl tablet salut 25mg
Kotrimoksasol suspensi kombinasi
Kotrimoksasol tablet kombinasi adult
Kotrimoksazol tablet kombinasi pediatrik
Kuinin (Kina) tablet 222mg
Kuinin Dihidrokloride injeksi 25%-2ml
Lidokain komp. Inj. Kombinasi
Lisol, mengandung Kresol tersabun 50%
Magnesium Sulfat inj. (IV) 20%- 25ml
Magnesium Sulfat inj. (IV) 40%- 25ml
Magnesium Sulfat serbuk 30gram
Mebendazol sirup 100mg/5ml
Mebendazol tablet 100mg
Metformin tablet 500mg
Metil ergometrin maleat inj. 0,200mg-1ml
Metil ergometrin maleat tablet 0,125mg
Metronidasol tablet 250mg
Metronidasol tablet 500mg
Mg Hidroksida 200mg + Al Hidroksida 200mg
Natrium Bikarbonat tablet 500mg
Natrium Diklofenak tablet 25mg
Natrium Diklofenak tablet 50mg
Natrium Fluoresein tetes mata 2%
Natrium Klorida larutan infus ( Nacl )
Natrium Tiosulfat injeksi 25 % - 10 ml
Nistatin tablet salut 500.000 IU
Nistatin tablet vaginal 100.000 IU/g
Obat Anti TBC Katagori Anak
Obat Anti TBC Katagori I / FDC I
Obat Anti TBC Katagori II / FDC II
Obat Anti TBC Katagori III / FDC III
Obat Anti TBC Katagori Sisipan
Obat Batuk Hitam (OBH)
Oksitetrasiklin HCl injeksi I.m 50mg/ml-10ml
Oksitetrasiklin HCL salep mata 1%
Oksitosin injeksi 10IU/ml-1ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg/5ml
Parasetamol tablet 100mg
Parasetamol tablet 500mg
Pilokarpin HCl/Nitrat tetes mata 2%
Pirantel tablet 125mg

0
0
0
19
0
0
0
23
0
7
52
0
0
0
0
0
0
0
0
0
0
635
0
80
58
100
0
0
26
100
0
1
0
0
29
0
0
0
0
0
22
0
0
0
0
51
0
643
0
0

100
10
1000

100

200

1000

50

20
1000

0
100
10
1019
0
0
0
123
0
7
252
0
0
0
0
0
0
0
0
0
0
1635
0
80
108
100
0
0
26
100
0
3
0
0
29
0
2
0
0
0
22
0
0
0
0
71
0
1643
0
0

143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
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166
167
168
169
170
171
172
173
174
175
176
177
178
179
180

Piridoksin HCl ( Vit. B6) tablet 10mg


Polikresulen
Povidon Iodida 10% 300ml ( Iodin Povoidon )
Povidon Iodida 10% 30ml ( Iodin Povoidon )
Prazikuantel tablet 300mg
Prednison tablet 5mg
Primakuin tablet 15mg
Propanolol tablet 40mg
Propiltiourasil tablet 100 mg
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol kapsul 100.000 IU
Retinol kapsul 200.000 IU
Ringer Laktat larutan infussteril (produk lokal)
Salbutamol tablet 2mg
Salbutamol tablet 4mg
Salep 2-4, kombinasi :
Salisil Bedak 2%
Serum Anti Bisa Ular Polivalen inj 50ml (ABU II)
Serum Anti Bisa Ular Polivalen inj 5ml (ABU I)
Serum Anti Difteri Inj. 20.000 IU/vial (ADS)
Serum Anti Tetanus Injeksi 1.500 IU/ampul (ATS)
Serum Anti Tetanus Injeksi 20.000 IU/vial (ATS)
Sianokobalamin (Vit B12) inj. 500 mcg/ml-1ml
Simvastatin tablet 10mg
Sulfadimidin tablet 500mg
Sulfasetamida Natrium tetes mata15%
Tablet Tambah Darah
Tetrakain HCl tetes mata 0,5%
Tetrasiklin HCL kapsul 250mg
Tetrasiklin HCL kapsul 500mg
Thiamin HCl (Vit B1) inj. 100mg/ml - 1ml
Thiamin HCl / Mononitrat (Vit B1)tablet 50mg
Tiopental Natrium Serbuk Injeksi 1000 mg/ampul
Triheksipenidil tablet 2 mg
Vaksin Rabies vero
Vitamin B Kompleks tablet
Zink Dispersible tablet

133
0
0
0
0
145
0
0
0
0
0
-50
-350
0
193
38
7
19
0
0
0
24
0
0
0
0
2
210
0
230
0
0
470
0
0
0
52
110

1
2
3
4
5
6
7
8
9
10

LAIN - LAIN
Alprazolam tablet 0,5mg
Alprazolam tablet 1mg
Ambroxol sirup 15mg/5ml
Ambroxol tablet 30mg
Amoksisilin injeksi 1 gram
Ampisilin injeksi 1 gram
Asam Mefenamat tablet 500mg
Asam Traneksamat injeksi 250mg
Asam Traneksamat injeksi 500mg
Asiklovir krim 5%

0
0
0
118
0
0
0
0
0
11

1
2

50
350

100
15

210

2000

25

500

133
0
1
2
0
145
0
0
0
0
0
0
0
0
193
138
7
34
0
0
0
24
0
0
0
0
2
420
0
230
0
0
470
0
0
0
2052
110

0
0
25
118
0
0
500
0
0
11

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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40
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42
43
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45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60

Asiklovir tablet 200mg


Asiklovir tablet 400mg
Asam Folat
Biolysin syrup 60ml
Bioplacenton jelly
Bisakodil supp 10mg
Buscopan injeksi
Cimetidin tablet 200mg
Ciprofloksazin tablet 500mg
Cortison injeksi
Delladril injeksi
Diazepam Rectal 4mg/ml
Dopamin injeksi 40mg/ml
Gentamycin injkesi 10mg/ml
Gentamycin salep kulit
Gentamycin Tetes Mata
Ibuprofen Suspensi
Isoniazid ( INH ) 100mg
Ketokenasol salep
Ketokenazol tablet 200mg
Kloramfenikol salep mata 1%
Kloramfenikol Tetes Mata
Livron Bplek
Metoklopramide HCl injeksi 5mg/ml10mg
Metoklopramide HCl tablet 10mg
Metronidazol Sirup
Meylon injeksi
Mikonazol krim 2%
Neurotropin injeksi
New Diaform / Puralex
Nipedipin tablet 10mg
Obat Kusta MB Anak
Obat Kusta MB Dewasa
Obat Kusta PB
Oksitetrasiklin Salep Kulit 3%
Oseltamivir kapsul 75mg
Papaverin tablet
Parasetamol Rectal sup 120mg
Pehacain injeksi
Perak Sulfadiazin krim 1%
Phenil butason tablet
Piroxicam kapsul 10mg
Piroxicam kapsul 20mg
Progesteron Injeksi ( 3bln/1ml)
Ketoprofen injeksi
Ketoprofen sup 100mg
Ranitidin injeksi
Ranitidin tablet 150mg
Salbutamol nebulizer 2,5mg/2,5ml
Seftriaxon injeksi 1g

70
0
76
0
0
6
0
0
0
0
0
0
0
0
0
0
13
472
0
15
0
0
0
0
107
11
0
4
0
51
0
0
0
0
0
0
0
0
0
0
0
160
540
0
0
0
0
140
0
0

100
200

50
16

15
100

15

3
40

100

100
5

70
100
276
0
0
6
0
0
0
0
0
0
0
0
5
0
13
472
0
65
16
0
0
0
107
11
0
19
0
151
0
0
0
0
15
0
0
3
40
0
0
260
540
0
0
0
0
240
5
0

61
62
63
64
65
66

Tamiflu tablet
Transamin injeksi 250
Transamin injeksi 500
Trifluoperazin tablet 5mg
Xilomidon injeksi
Scabizid Zalf

1
2
3
4
5
6
7
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20
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24
25
26
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33
34
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37
38
39
40
41

ALAT KESEHATAN
Abocath 18G
Abocath 20G
Abocath 22G
Abocath 24 G
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2, 5 ml
Alat suntik sekali pakai 5 ml
Catgut / Benang Bedah no 2/0-3/0 dengan jarum bedah
Centifuge Electric
Elastic Bandage
Folley Catether No. 16-18
Handscoon Steril 6,5
Handscoon Steril 7,5
Handscoon Steril 8
Handscoon Non Steri 6,5
Handscoon Non Steri 7,5
Handscoon Non Steri 8
Handscoon Gynaecolog (panjang)
Jarum Jahit
Infusion set anak
Infusion set dewasa
Kapas berlemak 500gr
Kapas Pembalut/Adsorben 250 gram
Kasa Kompres 40/40 steril
Kasa Pembalut 2m x 80cm
Kasa Pembalut Hidrofil 4m x 3cm
Kasa Pembalut 4 X 5 cm
Kasa Pembalut 4 X 10cm
Kasa pembalut hidrofil 4m x 15cm
Kasa Gulung 40 x 80 cm
Masker
Pembalut Gips
Plester 5 yards x 2 inch
Silk Benang bedah Sutra No. 3/0 dengan jarum bedah
Urobag
Wing Needle 21 G
Wing Needle 23 G
Wing Needle 25G
Wing Needle 27G
Kertas Perkamen
Klip Obat

0
0
0
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
10
10
0
0
150
0
1
0
0
0
0
0
0
3
500

3
56

100

300

20
20
2

0
0
0
0
0
3
59
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
2
0
0
0
30
30
0
2
150
0
3
0
0
0
0
0
0
3
500

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

OBAT GIGI
Air Raksa dental use
Avogyl
Caustiner
Cavit G
Cresopate
Devitalisasi pasta (Non arsen)
Etil klorida spray
Eugenol cairan
Flour tablet 0,5mg
Fuji 1 x B
Fuji 1 x MB
Glas Ionomer Cement ART
Kalsium Hidroksida Pasta
Klorfenol kamfer mentol (CHKM)
Mumifying pasta
Saliva Ejektotor
Semen seng fospat serbuk dan cairan
Silver amalgam serbuk 65-75%
Spongestan
Temporary Stoping Fletcher serbuk dan cairan
Trikresol Formalin
Xylocain Gel
Bahan Laboratorium
Alkohol 70%
Alumunium Foil 7,6 m X 300 mm
Anisol 100 cc
Aquadest 500 cc
Combur 10 Test AD 203 HH
EDTA (Anti Koagulan) 250 gr
Extrans TCBS
Glukotest/Gluco DR Super Sensor/Accu Check Active
Kapas Bebas Lemak
Kapas Berlemak
Kertas Tisue
Larutan Benedict
Larutan BGLB (Oxoid) 500 gr / cm 0031
Larutan eosin 2%
Larutan Etanol Asam
larutan Giemsa stain
Larutan HB Sahli (HCl 0,1 N) 100 cc
Larutan Karbol Fuchsin
Larutan LB (Oxoid) 50 gr / cm 0137
Larutan metilen biru
Larutan REES ECKER 250 ml
Larutan turk
Mac Conkey media bubuk
Pehidrol 1000ml
Pot Sputum
Raegen HB (Drabskin)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

1
3

1
1

0
0
0
0
0
1
3
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
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67
68
69
70
71
72
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74
75
76

Slide
Spiritus
Test Golongan Darah
Test Kehamilan (PP Test)
Urine Protein Test
Widal (Typhi O,H, Paratyphi A-O, B-O, C-O)
Betahistin 6mg
Loratadin 10mg
Methylprednisolone 8mg
Methylprednisolone 4mg
Spuite 10cc
Omeprazole
Amlodipine 5mg
Amlodipine 10mg
Glimepiride 2mg
Dimenhydrinat 50mg
Lanzoprazole 30mg
Cetirizine 10mg
Salbutamol Cap
Salbutamol Rotary
Mouth Pieces Disposible
Flatpak Mouthpieces
Strip Lipid Panel
Bene Check Strip Glucosa 50's
Bene Check Strip Uric Acid 25's
Bene Check Strip Colesterol 10's
Spuite 0,05 ml
Spuite 0,5 ml
Safety Box
SD Bio HIV 1/2
SD Bio Syphilis Liq
Viria 1/2
Intec One Strip
Oncoprobe
SD Lutec HIV 1/2
Rapid
Cholesterol Strip Easy Touch
Micro Pipet 61
Micro Pipet 60
BD Vacumtainer
Cryo Tube
Micro Pipet Biru
Micro Pipet Kuning

0
0
0
0
0
0
4
0
0
30
0
60
0
7
40
0
30
350
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

288

50

70
100

150

130
190
8
9
3

288
0
0
50
0
0
4
70
0
130
0
60
150
7
40
0
30
350
0
0
0
0
0
0
0
0
0
0
0
130
190
0
8
9
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0

77
78
79
80
81
82
83
84
85
86
87
88
89
90

0
0
0
0
0
0
0
0
0
0
0
0
0
0

27

28

29

30

31

PEMAKAIAN OBAT BULAN INI


7
8
9 10 11 12 13

14

15

16

17

18

19

20

21

22

23

24

25

TOTAL
OUT

SISA

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
170
0
0
0
1964
0
47
0
0
530
11
588
31
30
0
0
6
10
0
0
0
0
0
780
0
0
0
0
20
0
0
0
0
8
0
888
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

90
0
0
0
100
190
0
0
0
50
4
1
2
0
0
0
0
374
0
0
4
0
0
150
0
116
6
740
749
0
0
0
0
40
0
0
61
0
200
28
417
330
0
0
0
270
0
1257
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
10
1019
0
0
0
123
0
7
252
0
0
0
0
0
0
0
0
0
0
1635
0
80
108
100
0
0
26
100
0
3
0
0
29
0
2
0
0
0
22
0
0
0
0
71
0
1643
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

133
0
1
2
0
145
0
0
0
0
0
0
0
0
193
138
7
34
0
0
0
24
0
0
0
0
2
420
0
230
0
0
470
0
0
0
2052
110

0
0
0
0
0
0
0
0
0
0

0
0
25
118
0
0
500
0
0
11

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

70
100
276
0
0
6
0
0
0
0
0
0
0
0
5
0
13
472
0
65
16
0
0
0
107
11
0
19
0
151
0
0
0
0
15
0
0
3
40
0
0
260
540
0
0
0
0
240
5
0

0
0
0
0
0
0
0

0
0
0
0
0
3
59

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
300
0
0
0
0
0
0
2
0
0
0
30
30
0
2
150
0
3
0
0
0
0
0
0
3
500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
1
3
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

288
0
0
50
0
0
4
70
0
130
0
60
150
7
40
0
30
350
0
0
0
0
0
0
0
0
0
0
0
130
190
0
8
9
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
0
0
0
0

REGISTER OBAT GENERIK & NON GENERIK PUSKESMAS KLUNGKUNG II


BULAN FEBRUARI 2016 s/d MARET 2016
Tanggal
26-2-2016
27-2-2016
28-2-2016
29-2-2016
30-2-2016
31-2-2016
1-3-2016
2-3-2016
3-3-2016
4-3-2016
5-3-2016
6-3-2016
7-3-2016
8-3-2016
9-3-2016
10-3-2016
11-3-2016
12-3-2016
13-3-2016
14-3-2016
15-3-2016
16-3-2016
17-3-2016
18-3-2016
19-3-2016
20-3-2016
21-3-2016
22-3-2016
23-3-2016
24-3-2016
25-3-2016
TOTAL

Resep
Generik

Resep
Non Generik

Jumlah
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

DATA PASIEN PENGUNA OKT PUSKESMAS KLUNGKUNG II


BULAN FEBRUARI 2016 s/d MARET 2016

No

Tanggal

Nama Pasien

1 26-02-2016
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

TOTAL

Umur

Alamat

Jenis Obat
CPZ
CPZ
25 mg
100 mg

Luminal
30 mg

Luminal
100 mg

Diazepam Diazepam
2 mg
5 mg

REGISTER PEMAKAIAN OBAT TERBANYAK PUSKESMAS KLUNGKUNG II


BULAN FEBRUARI 2016 s/d MARET 2016

No
1
2
3
4
5
6
7
8
9
10

Nama Obat

Jumlah
Pemakaian

Jumlah Pemakaian
12
10
8
6
4
2
0

Jumlah Pemakaian

BUKU KUNJUNGAN RESEP PUSKESMAS KLUNGKUNG II


BULAN FEBRUARI 2016 s/d MARET 2016
BAYAR
PUSLING DS

TGL

BAYAR

26-2-2016
27-2-2016
28-2-2016
29-2-2016
30-2-2016
31-2-2016
1-3-2016
2-3-2016
3-3-2016
4-3-2016
5-3-2016
6-3-2016
7-3-2016
8-3-2016
9-3-2016
10-3-2016
11-3-2016
12-3-2016
13-3-2016
14-3-2016
15-3-2016
16-3-2016
17-3-2016
18-3-2016
19-3-2016
20-3-2016
21-3-2016
22-3-2016
23-3-2016
24-3-2016
25-3-2016
JUMLAH

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Resep generik

Resep non generik =

PROGRAM

TIDAK BAYAR
JKMS KADER UKS

IM

BPJS

JUMLAH

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT PUSKESMAS


( LPLPO )
PUSKESMAS
KECAMATAN
KABUPATEN/KOTA
NO

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58

PELAPORAN BULAN : Maret 2016


PERMINTAAN BULAN : April 2016

: APOTEK
: KLUNGKUNG
: KLUNGKUNG
NAMA OBAT

Obat Pelayanan Kesehatan Dasar dan Program


Albendazol tablet 400mg
Alopurinol tablet 100mg
Aminofilin injeksi 24mg/ml - 10ml
Aminofilin tablet 200mg
Amitriptilin HCl tablet salut 25mg
Amoksisilin kaplet 500mg
Amoksisilin kapsul 250mg
Amoksisilin syrup kering 125mg/5ml
Ampisilin injeksi im/iv 500mg/vial
Antalgin injeksi 250mg/ml-2ml
Antalgin tablet 500mg
Antasida Syrup
Antasida DOEN tablet Kombinasi
Anti Bakteri DOEN salep kombinasi ( Bacitracin )
Anti Hemoroid DOEN kombinasi
Anti Parkinson DOEN tablet Kombinasi
Karbidopa 25mg + Levodopa 25 mg
Antifungi DOEN kombinasi ( Zalf 36 )
Antimigren DOEN Kombinasi :
Aqua pro injeksi steril, bebas pirogen
Aquadest Steril
Artemeter injeksi
Artesdiaquine tablet
Artesunat injeksi
Asam Askorbat (Vit C) tablet 50mg
Asam Askorbat tablet 250mg
Asetosal tablet 500mg
Astosal tablet 100mg
Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml
Atropin sulfat tablet 0,5mg
Atropin Sulfat tetes mata o,5%
Besi Syrup
Benzatin Benzil Penisilin inj. 1,2 jt IU
Benzatin Benzil Penisilin inj. 2.4 jt IU
Betametason krim 0,1%
Deksametason injkesi 5mg/ml-1ml
Deksametason tablet 0,5 mg
Dekstran 70 - Larutan infus 6 % steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5mg/ml-2ml
Diazepam tablet 2mg
Diazepam tablet 5mg
Difenhidramin injeksi 10mg/ml-1ml
Delldryl Injeksi
Digoksin tablet 0,25 mg
Doksisiklin kspsul 100mg
Efedrin HCl tablet 25mg
Efinefrin HCl/Bitartrat (Efinefrine/Adrenalin)
Ekstrak Belladona tablet 10mg
Ergotamin tartrat 1mg + Kofein 50mg
Eritromycin kapsul 250mg
Eritromycin sirup 200mg/5ml
Etakridin (Rivanol) larutan 10% 300ml
Etanol 70% 1 liter
Fenitoin Natrium injeksi 50mg/ml
Fenitoin Natrium kapsul 30mg
Fenobarbital inj. 50mg/ml - 2ml

Dokumen
PPK

:
:

Puskesmas :

STOCK PENERI PERSE PEMA


SISA PERMIN PEMBE
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN

0
70
0
0
0
464
0
22
0
0
30
11
288
6
0
0
0
0
10
0
0
0
0
0
280
0
0
0
0
20
0
0
0
0
3
0
388
0
0
0
0
100
90
0
0
0
100
90
0
0
0
50
4
1
2
0
0
0

0
100
0
0
0
1500
0
25
0
0
500
0
300
25
30
0
0
6
0
0
0
0
0
0
500
0
0
0
0
0
0
0
0
0
5
0
500
0
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0

0
170
0
0
0
1964
0
47
0
0
530
11
588
31
30
0
0
6
10
0
0
0
0
0
780
0
0
0
0
20
0
0
0
0
8
0
888
0
0
0
0
100
90
0
0
0
100
190
0
0
0
50
4
1
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
170
0
0
0
1964
0
47
0
0
530
11
588
31
30
0
0
6
10
0
0
0
0
0
780
0
0
0
0
20
0
0
0
0
8
0
888
0
0
0
0
100
90
0
0
0
100
190
0
0
0
50
4
1
2
0
0
0

KET

NO

59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123

NAMA OBAT

Fenobarbital tablet 100mg


Fenobarbital tablet 30mg
Fenoksimetil Penisilin tablet 250 mg
Fenoksimetil penisilin tablet 500mg
Fenol Gliserol tetes telinga 10%
Fitomenadion (Vit K) injeksi 10mg/ml-1ml
Fitomenadion (Vit K) tablet salut gula 10mg
Furosemid tablet 40 mg
Gameksan emulsi 1%
Garam oralit untuk 200ml air
Gentian Violet 1%
Glibenklamida tablet 5 mg
Gliseril Guayakolat tablet 100mg
Gliserin
Glukosa larutan infus 10% steril (produk lokal)
Glukosa larutan infus 40% steril (produk lokal)
Glukosa larutan infus 5% steril (produk lokal)
Griseofulvin tablet 125mg, micronized
Haloperidol tablet 0,5mg
Haloperidol tablet 1,5mg
Haloperidol tablet 5mg
Hidrogen Peroksida 3%
Hidroklorotiazid (HCT) tablet 125mg
Hidrokortison krim 2,5 %
Ibupropen tablet 200mg
Ibupropen tablet 400mg
Isoniazid tablet 300mg
Isosorbit Dinitrat tablet sublingual
Kalium permanganat serbuk
Kalsium Laktat (Kalk) tablet 500mg
Kaptopril tablet 12,5mg
Kaptopril tablet 25mg
Karbamazepin tablet 200mg
Ketamin injeksi 10mg/ml
Klofasimin kapsul 100mg, micronized
Kloramfenikol kapsul 250mg
Kloramfenikol tetes telinga 3%
Klorfeniramin Maleat (CTM)
Klorokuin tablet 150 mg
Klorpromasin HCl injeksi 25mg/ml-1ml
Klorpromasin HCl injeksi 5mg/ml-2ml
Klorpromasin HCl tablet salut 100mg
Klorpromasin HCl tablet salut 25mg
Kotrimoksasol suspensi kombinasi
Kotrimoksasol tablet kombinasi adult
Kotrimoksazol tablet kombinasi pediatrik
Kuinin (Kina) tablet 222mg
Kuinin Dihidrokloride injeksi 25%-2ml
Lidokain komp. Inj. Kombinasi
Lisol, mengandung Kresol tersabun 50%
Magnesium Sulfat inj. (IV) 20%- 25ml
Magnesium Sulfat inj. (IV) 40%- 25ml
Magnesium Sulfat serbuk 30gram
Mebendazol sirup 100mg/5ml
Mebendazol tablet 100mg
Metformin tablet 500mg
Metil ergometrin maleat inj. 0,200mg-1ml
Metil ergometrin maleat tablet 0,125mg
Metronidasol tablet 250mg
Metronidasol tablet 500mg
Mg Hidroksida 200mg + Al Hidroksida 200mg
Natrium Bikarbonat tablet 500mg
Natrium Diklofenak tablet 25mg
Natrium Diklofenak tablet 50mg
Natrium Fluoresein tetes mata 2%

STOCK PENERI PERSE PEMA


SISA PERMIN PEMBE
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN

0
74
0
0
1
0
0
150
0
66
0
440
49
0
0
0
0
40
0
0
61
0
0
4
417
130
0
0
0
70
0
657
0
0
0
0
0
19
0
0
0
23
0
7
52
0
0
0
0
0
0
0
0
0
0
635
0
80
58
100
0
0
26
100
0

0
300
0
0
3
0
0
0
0
50
6
300
700
0
0
0
0
0
0
0
0
0
200
24
0
200
0
0
0
200
0
600
0
0
0
100
10
1000
0
0
0
100
0
0
200
0
0
0
0
0
0
0
0
0
0
1000
0
0
50
0
0
0
0
0
0

0
374
0
0
4
0
0
150
0
116
6
740
749
0
0
0
0
40
0
0
61
0
200
28
417
330
0
0
0
270
0
1257
0
0
0
100
10
1019
0
0
0
123
0
7
252
0
0
0
0
0
0
0
0
0
0
1635
0
80
108
100
0
0
26
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
374
0
0
4
0
0
150
0
116
6
740
749
0
0
0
0
40
0
0
61
0
200
28
417
330
0
0
0
270
0
1257
0
0
0
100
10
1019
0
0
0
123
0
7
252
0
0
0
0
0
0
0
0
0
0
1635
0
80
108
100
0
0
26
100
0

KET

NO

124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180

1
2
3
4
5
6

NAMA OBAT

STOCK PENERI PERSE PEMA


SISA PERMIN PEMBE
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN

Natrium Klorida larutan infus ( Nacl )


Natrium Tiosulfat injeksi 25 % - 10 ml
Nistatin tablet salut 500.000 IU
Nistatin tablet vaginal 100.000 IU/g
Obat Anti TBC Katagori Anak
Obat Anti TBC Katagori I / FDC I
Obat Anti TBC Katagori II / FDC II
Obat Anti TBC Katagori III / FDC III
Obat Anti TBC Katagori Sisipan
Obat Batuk Hitam (OBH)
Oksitetrasiklin HCl injeksi I.m 50mg/ml-10ml
Oksitetrasiklin HCL salep mata 1%
Oksitosin injeksi 10IU/ml-1ml
Paraformaldehid tablet 1 gram
Parasetamol sirup 120 mg/5ml
Parasetamol tablet 100mg
Parasetamol tablet 500mg
Pilokarpin HCl/Nitrat tetes mata 2%
Pirantel tablet 125mg
Piridoksin HCl ( Vit. B6) tablet 10mg
Polikresulen
Povidon Iodida 10% 300ml ( Iodin Povoidon )
Povidon Iodida 10% 30ml ( Iodin Povoidon )
Prazikuantel tablet 300mg
Prednison tablet 5mg
Primakuin tablet 15mg
Propanolol tablet 40mg
Propiltiourasil tablet 100 mg
Reserpin tablet 0,10 mg
Reserpin tablet 0,25 mg
Retinol kapsul 100.000 IU
Retinol kapsul 200.000 IU
Ringer Laktat larutan infussteril (produk lokal)
Salbutamol tablet 2mg
Salbutamol tablet 4mg
Salep 2-4, kombinasi :
Salisil Bedak 2%
Serum Anti Bisa Ular Polivalen inj 50ml (ABU II)
Serum Anti Bisa Ular Polivalen inj 5ml (ABU I)
Serum Anti Difteri Inj. 20.000 IU/vial (ADS)
Serum Anti Tetanus Injeksi 1.500 IU/ampul (ATS)
Serum Anti Tetanus Injeksi 20.000 IU/vial (ATS)
Sianokobalamin (Vit B12) inj. 500 mcg/ml-1ml
Simvastatin tablet 10mg
Sulfadimidin tablet 500mg
Sulfasetamida Natrium tetes mata15%
Tablet Tambah Darah
Tetrakain HCl tetes mata 0,5%
Tetrasiklin HCL kapsul 250mg
Tetrasiklin HCL kapsul 500mg
Thiamin HCl (Vit B1) inj. 100mg/ml - 1ml
Thiamin HCl / Mononitrat (Vit B1)tablet 50mg
Tiopental Natrium Serbuk Injeksi 1000 mg/ampul
Triheksipenidil tablet 2 mg
Vaksin Rabies vero
Vitamin B Kompleks tablet
Zink Dispersible tablet

1
0
0
29
0
0
0
0
0
22
0
0
0
0
51
0
643
0
0
133
0
0
0
0
145
0
0
0
0
0
-50
-350
0
193
38
7
19
0
0
0
24
0
0
0
0
2
210
0
230
0
0
470
0
0
0
52
110

2
0
0
0
0
2
0
0
0
0
0
0
0
0
20
0
1000
0
0
0
0
1
2
0
0
0
0
0
0
0
50
350
0
0
100
0
15
0
0
0
0
0
0
0
0
0
210
0
0
0
0
0
0
0
0
2000
0

3
0
0
29
0
2
0
0
0
22
0
0
0
0
71
0
1643
0
0
133
0
1
2
0
145
0
0
0
0
0
0
0
0
193
138
7
34
0
0
0
24
0
0
0
0
2
420
0
230
0
0
470
0
0
0
2052
110

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

3
0
0
29
0
2
0
0
0
22
0
0
0
0
71
0
1643
0
0
133
0
1
2
0
145
0
0
0
0
0
0
0
0
193
138
7
34
0
0
0
24
0
0
0
0
2
420
0
230
0
0
470
0
0
0
2052
110

LAIN - LAIN
Alprazolam tablet 0,5mg
Alprazolam tablet 1mg
Ambroxol sirup 15mg/5ml
Ambroxol tablet 30mg
Amoksisilin injeksi 1 gram
Ampisilin injeksi 1 gram

0
0
0
118
0
0

0
0
25
0
0
0

0
0
25
118
0
0

0
0
0
0
0
0

0
0
25
118
0
0

KET

NO

NAMA OBAT

7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66

Asam Mefenamat tablet 500mg


Asam Traneksamat injeksi 250mg
Asam Traneksamat injeksi 500mg
Asiklovir krim 5%
Asiklovir tablet 200mg
Asiklovir tablet 400mg
Asam Folat
Biolysin syrup 60ml
Bioplacenton jelly
Bisakodil supp 10mg
Buscopan injeksi
Cimetidin tablet 200mg
Ciprofloksazin tablet 500mg
Cortison injeksi
Delladril injeksi
Diazepam Rectal 4mg/ml
Dopamin injeksi 40mg/ml
Gentamycin injkesi 10mg/ml
Gentamycin salep kulit
Gentamycin Tetes Mata
Ibuprofen Suspensi
Isoniazid ( INH ) 100mg
Ketokenasol salep
Ketokenazol tablet 200mg
Kloramfenikol salep mata 1%
Kloramfenikol Tetes Mata
Livron Bplek
Metoklopramide HCl injeksi 5mg/ml10mg
Metoklopramide HCl tablet 10mg
Metronidazol Sirup
Meylon injeksi
Mikonazol krim 2%
Neurotropin injeksi
New Diaform / Puralex
Nipedipin tablet 10mg
Obat Kusta MB Anak
Obat Kusta MB Dewasa
Obat Kusta PB
Oksitetrasiklin Salep Kulit 3%
Oseltamivir kapsul 75mg
Papaverin tablet
Parasetamol Rectal sup 120mg
Pehacain injeksi
Perak Sulfadiazin krim 1%
Phenil butason tablet
Piroxicam kapsul 10mg
Piroxicam kapsul 20mg
Progesteron Injeksi ( 3bln/1ml)
Ketoprofen injeksi
Ketoprofen sup 100mg
Ranitidin injeksi
Ranitidin tablet 150mg
Salbutamol nebulizer 2,5mg/2,5ml
Seftriaxon injeksi 1g
Tamiflu tablet
Transamin injeksi 250
Transamin injeksi 500
Trifluoperazin tablet 5mg
Xilomidon injeksi
Scabizid Zalf

1
2
3

Abocath 18G
Abocath 20G
Abocath 22G

STOCK PENERI PERSE PEMA


SISA PERMIN PEMBE
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN

0
0
0
11
70
0
76
0
0
6
0
0
0
0
0
0
0
0
0
0
13
472
0
15
0
0
0
0
107
11
0
4
0
51
0
0
0
0
0
0
0
0
0
0
0
160
540
0
0
0
0
140
0
0
0
0
0
0
0
0
3

500
0
0
0
0
100
200
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
50
16
0
0
0
0
0
0
15
0
100
0
0
0
0
15
0
0
3
40
0
0
100
0
0
0
0
0
100
5
0
0
0
0
0
0
3
56

500
0
0
11
70
100
276
0
0
6
0
0
0
0
0
0
0
0
5
0
13
472
0
65
16
0
0
0
107
11
0
19
0
151
0
0
0
0
15
0
0
3
40
0
0
260
540
0
0
0
0
240
5
0
0
0
0
0
0
3
59

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

500
0
0
11
70
100
276
0
0
6
0
0
0
0
0
0
0
0
5
0
13
472
0
65
16
0
0
0
107
11
0
19
0
151
0
0
0
0
15
0
0
3
40
0
0
260
540
0
0
0
0
240
5
0
0
0
0
0
0
3
59

0
0
0

0
0
0

0
0
0

0
0
0

0
0
0

ALAT KESEHATAN

KET

NO

NAMA OBAT

4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41

Abocath 24 G
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2, 5 ml
Alat suntik sekali pakai 5 ml
Catgut / Benang Bedah no 2/0-3/0 dengan jarum bedah
Centifuge Electric
Elastic Bandage
Folley Catether No. 16-18
Handscoon Steril 6,5
Handscoon Steril 7,5
Handscoon Steril 8
Handscoon Non Steri 6,5
Handscoon Non Steri 7,5
Handscoon Non Steri 8
Handscoon Gynaecolog (panjang)
Jarum Jahit
Infusion set anak
Infusion set dewasa
Kapas berlemak 500gr
Kapas Pembalut/Adsorben 250 gram
Kasa Kompres 40/40 steril
Kasa Pembalut 2m x 80cm
Kasa Pembalut Hidrofil 4m x 3cm
Kasa Pembalut 4 X 5 cm
Kasa Pembalut 4 X 10cm
Kasa pembalut hidrofil 4m x 15cm
Kasa Gulung 40 x 80 cm
Masker
Pembalut Gips
Plester 5 yards x 2 inch
Silk Benang bedah Sutra No. 3/0 dengan jarum bedah
Urobag
Wing Needle 21 G
Wing Needle 23 G
Wing Needle 25G
Wing Needle 27G
Kertas Perkamen
Klip Obat

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

1
2

OBAT GIGI
Air Raksa dental use
Avogyl
Caustiner
Cavit G
Cresopate
Devitalisasi pasta (Non arsen)
Etil klorida spray
Eugenol cairan
Flour tablet 0,5mg
Fuji 1 x B
Fuji 1 x MB
Glas Ionomer Cement ART
Kalsium Hidroksida Pasta
Klorfenol kamfer mentol (CHKM)
Mumifying pasta
Saliva Ejektotor
Semen seng fospat serbuk dan cairan
Silver amalgam serbuk 65-75%
Spongestan
Temporary Stoping Fletcher serbuk dan cairan
Trikresol Formalin
Xylocain Gel
Bahan Laboratorium
Alkohol 70%
Alumunium Foil 7,6 m X 300 mm

STOCK PENERI PERSE PEMA


SISA PERMIN PEMBE
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
10
0
0
150
0
1
0
0
0
0
0
0
3
500

0
0
100
0
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
2
0
0
0
20
20
0
2
0
0
2
0
0
0
0
0
0
0
0

0
0
100
0
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
2
0
0
0
30
30
0
2
150
0
3
0
0
0
0
0
0
3
500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
300
0
0
0
0
0
0
2
0
0
0
30
30
0
2
150
0
3
0
0
0
0
0
0
3
500

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
1
3
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0

0
0
0
0
0
1
3
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
1
3
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0

0
0

0
0

0
0

0
0

0
0

KET

NO

3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67

NAMA OBAT

Anisol 100 cc
Aquadest 500 cc
Combur 10 Test AD 203 HH
EDTA (Anti Koagulan) 250 gr
Extrans TCBS
Glukotest/Gluco DR Super Sensor/Accu Check Active
Kapas Bebas Lemak
Kapas Berlemak
Kertas Tisue
Larutan Benedict
Larutan BGLB (Oxoid) 500 gr / cm 0031
Larutan eosin 2%
Larutan Etanol Asam
larutan Giemsa stain
Larutan HB Sahli (HCl 0,1 N) 100 cc
Larutan Karbol Fuchsin
Larutan LB (Oxoid) 50 gr / cm 0137
Larutan metilen biru
Larutan REES ECKER 250 ml
Larutan turk
Mac Conkey media bubuk
Pehidrol 1000ml
Pot Sputum
Raegen HB (Drabskin)
Slide
Spiritus
Test Golongan Darah
Test Kehamilan (PP Test)
Urine Protein Test
Widal (Typhi O,H, Paratyphi A-O, B-O, C-O)
Betahistin 6mg
Loratadin 10mg
Methylprednisolone 8mg
Methylprednisolone 4mg
Spuite 10cc
Omeprazole
Amlodipine 5mg
Amlodipine 10mg
Glimepiride 2mg
Dimenhydrinat 50mg
Lanzoprazole 30mg
Cetirizine 10mg
Salbutamol Cap
Salbutamol Rotary
Mouth Pieces Disposible
Flatpak Mouthpieces
Strip Lipid Panel
Bene Check Strip Glucosa 50's
Bene Check Strip Uric Acid 25's
Bene Check Strip Colesterol 10's
Spuite 0,05 ml
Spuite 0,5 ml
Safety Box
SD Bio HIV 1/2
SD Bio Syphilis Liq
Viria 1/2
Intec One Strip
Oncoprobe
SD Lutec HIV 1/2
Rapid
Cholesterol Strip Easy Touch
Micro Pipet 61
Micro Pipet 60
BD Vacumtainer
Cryo Tube

STOCK PENERI PERSE PEMA


SISA PERMIN PEMBE
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
30
0
60
0
7
40
0
30
350
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
288
0
0
50
0
0
0
70
0
100
0
0
150
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
130
190
0
8
9
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
288
0
0
50
0
0
4
70
0
130
0
60
150
7
40
0
30
350
0
0
0
0
0
0
0
0
0
0
0
130
190
0
8
9
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
288
0
0
50
0
0
4
70
0
130
0
60
150
7
40
0
30
350
0
0
0
0
0
0
0
0
0
0
0
130
190
0
8
9
0
3
0
0
0
0
0

KET

NO

NAMA OBAT

68 Micro Pipet Biru


69 Micro Pipet Kuning
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

STOCK PENERI PERSE PEMA


SISA PERMIN PEMBE
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

UMUM

JUMLAH KUNJUNGAN RESEP/LEMBAR RESEP

BAYAR

JUMLAH RESEP GENERIK


JUMLAH RESEP NON GENERIK
TOTAL RESEP

Mengetahui / Menyetujui
Kepala Puskesmas Klungkung II

dr. I Komang Gede Sentanu Wibawa


NIP. 19840418 200902 1 004

BPJS JUMLAH

0
0
0

Yang menyerahkan
Petugas Obat,

Anom Eka Kharisma


NIP.198908142009021001

Yang Meminta
Apotek

Anom Eka Kharisma


NIP.198908142009021001

KET

RENCANA KERJA HARIAN PETUGAS PUSKESMAS KLUNGKUNG II


BULAN MARET 2016 s/d APRIL 2016
Program : Pelayanan Obat di Apotek dan di Gudang Obat
HARI
Selasa
Rabu
Kamis
Jumat
Sabtu
Minggu
Senin
Selasa
Rabu
Kamis
Jumat
Sabtu
Minggu
Senin
Selasa
Rabu
Kamis
Jumat
Sabtu
Minggu
Senin
Selasa
Rabu
Kamis
Jumat
Sabtu
Minggu
Senin
Selasa
Rabu
Kamis

TGL
KEGIATAN PETUGAS
26
Pelayanan & Pemberian obat kepada pasien
27
-------- Libur -------28
29
Persiapan obat kepada pustu dan masing-masing poli
30
Pemberian obat kepada pustu dan masing-masing poli
31
Setor laporan obat ke GFK
1
2
3
4
5
6
7
8
Pelayanan Pusling
9
10
Pelayanan Pusling
11
12
13
14
15
Pelayanan obat dan penerimaan obat dari GFK
16
17
Pelayanan Pusling
18
19
Pelayanan Pusling
20
21
22 Pelayanan obat, tutup buku dan perencanaan obat pusling
23
24
25 Pelayanan obat, tutup buku dan perencanaan obat apotek

LOKASI
Puks. Klungkung II
-------- Libur -------Puks. Klungkung II
Wilayah Puks. Klungkung II
GFK Klungkung

Desa Takedan
Desa Manduang Kaler

Puks. Klungkung II
Desa Besang Kangin
Desa Yang Api

Puks. Klungkung II

Puks. Klungkung II
Selat, 25 Desember 2014

Kepala UPT Puskesmas Klungkung II

Petugas

dr. I Komang Gede Sentanu Wibawa


NIP.19840418 200902 1 004

Anom Eka Kharisma


NIP.198908142009021001

LAPORAN BULANAN PELAYANAN KEFARMASIAN DI PUSKESMAS


Nama Puskesma:
Kabupaten
:
Provinsi
:
Laporan Bulan :

Puskesmas Klungkung II
Klungkung
Bali
Maret 2016

25% dari total R/

JENIS PELAYANAN RESEP


RAWAT JALAN RAWAT INAP
3
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
31
0

TOTAL

31

NO TANGGAL
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

2
1-3-2016
2-3-2016
3-3-2016
4-3-2016
5-3-2016
6-3-2016
7-3-2016
8-3-2016
9-3-2016
10-3-2016
11-3-2016
12-3-2016
13-3-2016
14-3-2016
15-3-2016
16-3-2016
17-3-2016
18-3-2016
19-3-2016
20-3-2016
21-3-2016
22-3-2016
23-3-2016
24-3-2016
25-3-2016
26-3-2016
27-3-2016
28-3-2016
29-3-2016
30-3-2016
31-3-2016

KONSELING
5
-

INFORMASI
OBAT
6

Yang Melaporkan
Pengelola Obat

Klungkung, 30 Maret 2014


Mengetahui
Kepala UPT Puskesmas Klungkung II

Anom Eka Kharisma


NIP.198908142009021001

dr. I Komang Gede Sentanu Wibawa


NIP. 19840418 200902 1 004

MONITORING PENGGUNAAN OBAT GENERIK DI SARANA PELAYANAN KESEHATAN


PUSKESMAS
ALAMAT
BULAN
STATUS PASIEN

NO TANGGAL
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

2
1-3-2016
2-3-2016
3-3-2016
4-3-2016
5-3-2016
6-3-2016
7-3-2016
8-3-2016
9-3-2016
10-3-2016
11-3-2016
12-3-2016
13-3-2016
14-3-2016
15-3-2016
16-3-2016
17-3-2016
18-3-2016
19-3-2016
20-3-2016
21-3-2016
22-3-2016
23-3-2016
24-3-2016
25-3-2016
26-3-2016
27-3-2016
28-3-2016
29-3-2016
30-3-2016
31-3-2016
TOTAL

:
:
:
:

Klungkung II
Desa Selat, Kecamatan Klungkung
Maret 2016
Umum

ITEM OBAT DALAM RESEP


TOTAL ITEM JUMLAH ITEM% OBAT GENERIK
OBAT DI RESEP
OBAT GENERIK 4/3 X 100%
3
4
5
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
31

31

100.00%

NAMA OBAT
NON GENERIK
6

MONITORING PENGGUNAAN OBAT GENERIK DI SARANA PELAYANAN KESEHATAN


PUSKESMAS
ALAMAT
BULAN
STATUS PASIEN

NO TANGGAL
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

2
1-3-2016
2-3-2016
3-3-2016
4-3-2016
5-3-2016
6-3-2016
7-3-2016
8-3-2016
9-3-2016
10-3-2016
11-3-2016
12-3-2016
13-3-2016
14-3-2016
15-3-2016
16-3-2016
17-3-2016
18-3-2016
19-3-2016
20-3-2016
21-3-2016
22-3-2016
23-3-2016
24-3-2016
25-3-2016
26-3-2016
27-3-2016
28-3-2016
29-3-2016
30-3-2016
31-3-2016
TOTAL

:
:
:
:

Klungkung II
Desa Selat, Kecamatan Klungkung
Maret 2016
BPJS

ITEM OBAT DALAM RESEP


TOTAL ITEM JUMLAH ITEM% OBAT GENERIK
OBAT DI RESEP
OBAT GENERIK 4/3 X 100%
3
4
5
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
1
1
100.00%
31

31

100.00%

NAMA OBAT
NON GENERIK
6

Wibawa

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