Apotek Maret 2016
Apotek Maret 2016
Apotek Maret 2016
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
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
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
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
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
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
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
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
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
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
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
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
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
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
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
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
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
PROGRAM
TIDAK BAYAR
JKMS KADER UKS
IM
BPJS
JUMLAH
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
: APOTEK
: KLUNGKUNG
: KLUNGKUNG
NAMA OBAT
Dokumen
PPK
:
:
Puskesmas :
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
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
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
1
2
3
Abocath 18G
Abocath 20G
Abocath 22G
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
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
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
BAYAR
Mengetahui / Menyetujui
Kepala Puskesmas Klungkung II
BPJS JUMLAH
0
0
0
Yang menyerahkan
Petugas Obat,
Yang Meminta
Apotek
KET
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
Petugas
Puskesmas Klungkung II
Klungkung
Bali
Maret 2016
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
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
31
100.00%
NAMA OBAT
NON GENERIK
6
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
31
100.00%
NAMA OBAT
NON GENERIK
6
Wibawa