Lplpo Apr 2018 Pustu

LEMBAR PEMAKAIAN DAN PERMINTAAN OBAT
(LPLPO)
UPT PUSKESMAS :PUSTU GISTING ATAS
PERSEDI PEMAKAI SISA STOK PERMINT PEMBERIAAN
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
AAN AN STOK OPTM AAN PKD JPKMM P2M GIZI
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 0 0 0 0 0 0
2 Albendazol tab 400 mg Tab 318 0 318 318 0 -318
3 Albendazole susp 200mg/5ml Botol@60ml 0 0 0 0 0 0
4 Alopurinol tab 100 mg Tab 359 400 759 759 0 -759
5 Ambroksol Tab 30 mg Tab 0 500 500 220 280 264 -16
6 Ambroksol Syr 30mg/5 ml Btl 0 5 5 2 3 2.4 -0.6
7 Aminofilin injeksi 24 mg/ml Ampul 0 0 0 0 0 0
8 Aminofilin tablet scored 200 mg Tab 0 0 0 0 0 0
9 Amlodipin tablet 10 mg Tab 0 60 60 60 0 -60
11 Amoksisilin kap 250 mg Kaps 1142 1000 2142 170 1972 204 -1768
12 Amoksisilin kap scored 500 mg Kaptab 16 1500 1516 559 957 670.8 -286.2
13 Amoksisilin sirup kering forte 250 mg/5 ml Btl@ 60 ml 0 0 0 0 0 0
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 0 10 10 5 5 6 1
15 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 0 0 0 0 0 0
16 Ampisilin Tab 500 mg Tab 0 0 0 0 0 0
17 Ampisillin syr kering 125 mg / 5 ml 0 0 0 0 0 0
18 Antalgin Tab 500mg Tab 0 0 0 0 0 0
19 Antalgin Inj 250mg/2ml Ampul 0 0 0 0 0 0
20 Antasida DOEN I tablet kunyah, komb Tab 2140 0 2140 364 1776 436.8 -1339.2
21 Antasida DOEN II suspensi, komb Btl @ 60 ml 0 0 0 0 0 0
22 Anti Bakteri DOEN salep kombi Tube @ 5g 0 12 12 12 0 -12
23 Anti Diare/ Diapecta tab/New Antides Tab 0 0 0 0 0 0 0
24 Anti Konstipasi / Laxadin Emulsion Btl 0 0 0 0 0 0
25 Antihemoroid komb Supp 0 0 0 0 0 0
26 Antifungi Doen Kombinasi Pot @ 30 g 5 0 5 2 3 2.4 -0.6
27 Antimalaria DOEN kombinasi /suldox tab Tab 150 0 150 150 0 -150
28 Antimigren tab Komb Tab 0 0 0 0 0 0
29 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 0 0 0 0 0 0
30 As. Asetilsalisilat (asetosal) 80 mg/Miniaspi 80 Tab 0 0 0 0 0 0
31 As. Asetilsalisilat (asetosal) tab 500 mg Tab 0 0 0 0 0 0
32 Asam Askorbat (Vitamin C) tablet 250 mg Tab 0 0 0 0 0 0
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab 925 1000 1925 331 1594 397.2 -1196.8
34 Asam Folat tab 1 mg Kaptab 360 1000 1360 1360 0 -1360
35 Asam Mefenamat kaps 500 mg Tab 0 2000 2000 106 1894 127.2 -1766.8
36 Asam pipemidat kap 400 mg/Urotractin tab Ampul 0 60 60 60 0 -60
37 Asam traneksamat injeksi 50 mg/ml Tab 0 0 0 0 0 0
38 Asifit Tab Tube @ 5g 0 0 0 0 0 0
39 Asiklovir Krim Tube 3,5 g 0 0 0 0 0 0
40 Asiklovir salep mata 3%/Temiral Eye Oint Tab 0 0 0 0 0 0
41 Asiklovir tab 200 mg Tab 262 0 262 262 0 -262
42 Asiklovir tab 400 mg Tab 0 0 0 0 0 0
43 Atapulgit tab 600 mg/Pularex Ampul 0 250 250 12 238 14.4 -223.6
44 Atropin Sulfat Inj 0,25mg/1ml Ktk @ 50 g 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
45 Bedak salisil serbuk 2% Kotak 0 10 10 1 9 1.2 -7.8
46 Betahistine Maleat 6 mg Tube 5 gr 80 80 80 0 -80
47 Betametason krim 0,1% Tube 5 gr 0 25 25 2 23 2.4 -20.6
48 Betason N Krim tube 0 0 0 0 0
49 Bioneuron Inj Supp 0 0 0 0 0
50 Bisakodil 10 mg supp/Dulcolax supp adult 10 mg Supp 0 6 6 6 0 -6
51 Bisakodil 5 mg supp/Dulcolax supp infant 5 mg Tablet 0 5 5 5 0 -5
52 Bisakodil tab salut mg Tab 0 0 0 0 0
53 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tube @ 5g 0 0 0 0 0
54 Chloramfecort H Cream Ampul 0 0 0 0 0
55 Deksametason inj 5 mg/ml Tab 0 0 0 0 0
56 Deksametason tablet 0,5 mg tab 0 1000 1000 224 776 268.8 -507.2
57 Dekstran 70-larutan infus 6% steril Tube @ 2,5 ml 0 0 0 0 0
58 Diazepam larutan rektal 5 mg/2,5 mL/Stesolid Ampul 0 0 0 0 0
59 Diazepam injeksi i.v./i.m 5 mg/ml Tab 0 0 0 0 0
60 Diazepam tablet 2 mg Tab 0 0 0 0 0
62 Dietilkarbamazin tablet scored 100 mg Ampul 0 0 0 0 0
63 Difenhidramin inj 10 mg/ml (HCl) Tab 0 0 0 0 0
64 Digoksin tablet 0,25 mg Tab 0 0 0 0 0
65 Diltiazem HCl tablet 30 mg Kapsul 0 0 0 0 0
66 Doksisiklin Kap 100 mg btl @ 60 ml 0 0 0 0 0
67 Domperidon susp/sirup 5 mg/5 ml Tab 10 10 10 0 -10
68 Domperidon tablet 10 mg Tab 124 100 224 90 134 108 -26
69 Efedrin tab 25 mg Tab 0 0 0 0 0
70 Ekstrak Beladona tab 10 mg Ampul 0 0 0 0 0
71 Epinefrin (Adrenalin) inj 1 mg/ml Kapsul 0 0 0 0 0
72 Eritromisin kaps 250 mg Kaplet 0 0 0 0 0
73 Eritromisin kaplet 500 mg Botol @60 ml 0 100 100 100 0 -100
74 Eritromisin sirup kering 200 mg/ 5 ml Botol 0 0 0 0 0
75 Etakridina (Rivanol) Lar 0,1 % 300 ml Btl @ 1000 ml 3 3 3 0 -3
76 Etanol 70% cairan Btl @ 300 ml 3 3 3 0 -3
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0
78 Febrinex Syr Vial 0 0 0 0 0
79 Fenoterol HBr aerosol 100mcg/dosis/Berotec MDI Btl @ 5ml 0 0 0 0 0
80 Fenol gliserol TT 10 % Tab 1 1 1 0 -1
81 Finasterid tab 5 mg/Prostacom Tab Tab 0 0 0 0 0
82 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 224 224 224 0 -224
83 Fituno Tab Tube 5 g 0 0 0 0 0
84 Flusinolon asetonid krim 0,025%/Synarcus Ampul 0 0 0 0 0
85 Furosemid inj 10 mg/ml Tab 0 0 0 0 0
86 Furosemid tablet 40 mg Ampul 0 100 100 100 0 -100
87 Gentamisin injeksi 40 mg/ ml Tube @ 5 g 0 0 0 0 0
88 Gentamisin salep Kulit Tube @ 3,5 gr 0 0 0 0 0
89 Gentamisin salep mata 0,3%/Genoint SM Btl @ 5 ml 0 0 0 0 0
90 Gentamisin tetes mata 0,3% Btl 0 0 0 0 0
91 Gentian Violet 1% Tab 0 0 0 0 0
92 Glibenklamid tablet 5 mg Tab 172 172 172 0 -172
1 2 3 4 5 6 7 8 9 10 11 12 13 14
93 Gliklazid tab 80 mg/Glicab Tab Tab 0 0 0 0 0
94 Glimepiride tablet 2 mg Tab 100 100 100 0 -100
95 Glimepiride tablet 3 mg Tab 0 0 0 0 0
96 Gliseril Guayakolat tab 100mg Btl @ 500 ml 0 0 0 0 0
97 Glukosa larutan infus 10 % steril Btl @ 500 ml 0 0 0 0 0
98 Glukosa larutan infus 5 % steril btl @ 100 ml 0 0 0 0 0
99 Glukosa Larutan Infus 40 % Tab 0 0 0 0 0
100 Griseofulvin tablet 125 mg Tab 91 91 91 0 -91
101 Hidroklorotiazid (HCt ) Tab 25 mg Tube 5 gr 100 100 200 200 0 -200
102 Hidrokortison krim 2,5 % btl @ 60 ml 24 12 36 1 35 1.2 -33.8
103 Ibuprofen sirup 100 mg/5 ml btl @ 60 ml 0 0 0 0 0
104 Ibuprofen tablet 200 mg Tab 0 1000 1000 152 848 182.4 -665.6
105 Ibuprofen tablet 400 mg Pot @ 30 gram 0 1000 1000 656 344 787.2 443.2
106 Ichtyol Salep Tab 0 0 0 0 0
107 Isosorbid Dinitrat tablet sublingual 5 mg Tab 50 50 50 0 -50
108 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 0 0 0 0 0
109 Kalium Diklofenak tab 25 mg Tab 0 0 0 0 0
111 Kalsium Laktat (Kalk) tab 500 mg Tab 0 0 0 0 0
112 Kaptopril tablet scored 25 mg Tab 185 185 10 175 12 -163
113 Kaptopril tablet scored12,5 mg Tube @ 15 g 466 500 966 80 886 96 -790
114 Ketokonazol krim 2% Tab 6 5 11 3 8 3.6 -4.4
115 Ketokonazol tablet 200 mg Ampul 0 150 150 150 0 -150
116 Ketorolac injeksi 30 mg/ml Kapsul 0 0 0 0 0
117 Klindamisin kapsul/kaplet 150 mg Kapsul 30 30 30 0 -30
118 Klindamisin kapsul/kaplet 300 mg Tab 0 0 0 0 0
119 Klonidin tablet 0,15 mg Kapsul 0 0 0 0 0
120 Kloramfenikol kap 250 mg kapsul 0 0 0 0 0
121 Kloramfenikol salep kulit 2%/Bufacetin Tube 5 gr 0 0 0 0 0
122 Kloramfenikol salep mata 1 % vial 0 12 12 6 6 7.2 1.2
123 Kloramfenikol inj 1000 mg/Chloramex inj Btl @ 60 ml 0 0 0 0 0
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 10 10 10 0 -10
125 Kloramfenikol Tetes Mata Btl @ 5 ml 0 0 0 0 0
126 Kloramfenikol Tetes Telinga Tab 0 0 0 0 0
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab 1526 1000 2526 141 2385 169.2 -2215.8
128 Kodein tablet 10 mg Tab 0 0 0 0 0
129 Komb Amoks + As. Klavulanat/Co-Amoxiclav 625mg Tab 0 0 0 0 0
130 Kombinasi tablet salut : Besi (II) sulfat tab+as.folat/Tab. Tambah Darah Btl @ 15 ml 1830 300 2130 90 2040 108 -1932
131 Kombinasi tetes mata /Cendo Lyteers Tab 0 0 0 0 0
132 Kotrimoksazol DOEN I (dewasa) komb Tab 1690 1690 10 1680 12 -1668
133 Kotrimoksazol Pediatrik Tab Btl @ 60 ml 0 0 0 0 0
134 Kotrimoksazol Suspensi komb Kapsul 8 50 58 58 0 -58
135 Lanzoprazol kapsul/kaplet 30 mg Pot 0 0 0 0 0
136 Levertan Ampul 0 0 0 0 0
137 Lidokain injeksi 2% (HCl) syringe @ 10 g 0 30 30 30 0 -30
138 Lidokain jeli 2%/Xylocaine Jelly 2% Btl @ 300 ml 0 0 0 0 0
139 Lisol Tab 0 0 0 0 0
140 Loperamid tablet 2 mg Tab 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
141 Loratadin tablet 10 mg Tab 0 200 200 200 0 -200
142 Mebendazol tablet 500 mg/Vermox tab btl 0 0 0 0 0
143 Mebendazol Sirup 50 mg/ml tab 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0
145 Meloxicam 15 mg Tab 0 0 0 0 0
146 Metformin HCl tablet 500 mg Tab 0 0 0 0 0
147 Metilergometrin Maleat tab salut 0,125 mg Ampul 0 0 0 0 0
148 Metilergometrin Maleat inj 0,200 mg-1 ml Tab 0 0 0 0 0
149 Metilprednisolon tablet 16 mg Tab 0 0 0 0 0
151 Metilprednisolon tablet 8 mg Ampul 0 100 100 100 0 -100
152 Metoklopramide injeksi 5 mg/ ml Btl @ 60 ML 0 0 0 0 0
153 Metoklopramide sirup 5 mg/ 5 ml/Lexapram syr Btl @ 10 ml 0 0 0 0 0
154 Metoklopramide drop 2mg/ml/Mepramide drop 2mg/ml Tab 0 0 0 0 0
155 Metoklopramide tablet 10 mg Btl @ 100 ml 100 100 100 0 -100
156 Metronidazol infus 500 mg/100 ml Tab Vag 0 0 0 0 0
157 Metronidazol ovula 500 mg/Vagizol Btl @ 60ml 0 0 0 0 0
158 Metronidazol sirup 125 mg/5 Ml Supp 0 0 0 0 0
159 Metronidazol supositoria 500 mg/Flagyl Tab 0 0 0 0 0
160 Metronidazol tablet 250 mg Tab 240 100 340 10 330 12 -318
161 Metronidazol tablet 500 mg Tube 10 gram 0 0 0 0 0
162 Mikonazol krim/salep 2 % (Nitrat) Btl@25gr 0 0 0 0 0
163 Miconazol Serbuk 2%/Mycorin Powder Tab 0 0 0 0 0
164 Miraclav tab Kap 0 0 0 0 0
165 Miraneuron kap Tab 0 0 0 0 0
166 Multivitamin Kom Dewasa/Ramaton Tab Btl @ 60 ml 0 0 0 0 0
167 Multivitamin Anak+DHA Syr/Bionick DHA Milk Syr Btl @ 60 ml 0 0 0 0 0
168 Multivitamin Anak Syr/Bionick Syr Btl @ 30 ml 0 0 0 0 0
169 Multivitamin Bayi Drop/Bionick Drop Btl 500 ml 0 0 0 0 0
170 Nacl 0,9% Tab 0 20 20 20 0 -20
171 Natrium Bikarbonat Tab 500mg Tab 0 0 0 0 0
172 Natrium Diklofenak tablet 50 mg Tab 0 0 0 0 0
173 Natrium Diklofenak tablet 25 mg Ampul 0 0 0 0 0
174 Natrium Tiosulfat Inj 25%-10 ml Tab 0 0 0 0 0
175 Neurovit E tab Tab 0 0 0 0 0
176 Nifedipin tab 10 mg Tab 49 49 49 0 -49
177 Nistatin tablet salut 500.000 IU/ g Tab Vag 70 70 10 60 12 -48
178 Nistatin vaginal tablet 100.000 IU/ g Tab 0 0 0 0 0
179 Noza tab Btl @ 100 ml 0 0 0 0 0
180 Obat Batuk Hitam (OBH) Syrup Tab 0 0 0 0 0
181 Obat Batuk pilek Komb (Hustab tab) Btl @ 100 ml 0 0 0 0 0
182 Obat Flu Anak komb (Flutamol Syr) Tab 0 0 0 0 0
183 Ofloxacin tablet 200 mg Tab 0 0 0 0 0
184 Ofloxacin tablet 400 mg Botol 0 0 0 0 0
185 Ofloksasin tetes telinga 3%/Tarivid Otic Solution botol @ 10 ml 0 0 0 0 0
186 Oksimetazolin tts hidung 0,025%/Ilaidin Drop Vial 0 0 0 0 0
187 Oksitetrasiklin HCl inj 50 mg/ ml Tube 0 0 0 0 0
188 Oksitetrasiklin HCl Salep 3 % Tube 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
189 Oksitetrasiklin HCl Salep 1 % Vial 0 0 0 0 0
190 Omeprazol injeksi 40 mg/ 10 ml Kaps 0 0 0 0 0
191 Omeprazol kaps 20 mg Ampul 0 0 0 0 0
192 ondansetron inj 4 mg/ 2 mL Tab 0 0 0 0 0
193 Ondansetron tab 4 mg Tab 0 0 0 0 0
194 Ondansetron tablet 8 mg Tab 0 0 0 0 0
195 Papaverin Tab Ampul 0 0 0 0 0
196 Papaverin Inj Botol @ 15 Ml 0 0 0 0 0
197 Parasetamol drop ( Generik) Btl @ 60 ml 0 0 0 0 0
198 Parasetamol sirup 120 mg / 5 ml Tab 0 192 192 28 164 33.6 -130.4
199 Parasetamol tablet 500 mg Btl @ 15 ml 0 0 0 0 0
200 Parasetamol Drop /Fasidol Drop tube @ 35 gram 0 0 0 0 0
201 Perak sulfadiazin krim 1%/Burnazine cr Tube @ 10 g 0 1 1 1 0 -1
202 Permetrin krim 5%/Scabimite Cream tube @10 g 0 5 5 5 0 -5
203 Petidin inj 50 mg/ml (HCl) Btl @ 60 ml 0 0 0 0 0
204 Pirantel suspensi 125 mg/5 ml Tab 0 0 0 0 0
205 Pirantel tablet score (base) 125 mg Tab 0 0 0 0 0
206 Piridoksin (vitamin B6) 10 mg Tab 496 1000 1496 90 1406 108 -1298
207 Piroxicam tab 10mg Tab 0 0 0 0 0
208 Piroxicam tab 20mg Btl @ 1000 ml 0 0 0 0 0
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml 0 0 0 0 0
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 ml 0 0 0 0 0
211 Povidon Iodida larutan 10% 300 ml btl 60 ml 2 2 2 0 -2
212 Povidon Iodida larutan 10% 60 ml Tab 3 3 3 0 -3
213 Prednison tablet 5 mg Tab 215 1000 1215 84 1131 100.8 -1030.2
215 Progastric tab Tab 0 0 0 0 0
216 Propanolol tablet 10 mg ( HCl ) Tab 0 0 0 0 0
217 Propranolol tablet 40 mg (HCl) Ampul 0 0 0 0 0
218 Propiltiourasil tab 100 mg Tab 0 0 0 0 0
219 Ranitidin injeksi 25 mg/ml Btl @ 500 ml 0 0 0 0 0
220 Ranitidin tablet 150 mg Tab 0 500 500 10 490 12 -478
221 Ringer Laktat larutan infus Tab 0 0 0 0 0
222 Risperidon tablet 2 mg Tab 0 0 0 0 0
223 Salbutamol tab 2mg Btl 0 0 0 0 0
224 Salbutamol Tab 4 mg Btl 519 519 6 513 7.2 -505.8
225 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl 0 0 0 0 0
226 Salbutamol inh 100 mcg/dosis/Ventolin Inhaler Pot @ 30 gram 0 0 0 0 0
227 Salbutamol Syr Btl @ 60 ml 0 0 0 0 0
228 Salep 2-4 , Komb pot @30 gr 0 24 24 24 0 -24
229 Sefadroksil sirup kering 125 mg/5ml Kapsul 0 0 0 0 0
230 Sefadroksil kapsul 500 mg Kapsul 222 100 322 322 0 -322
231 Sefaleksin kapsul 500 mg Btl @ 30 ml 0 0 0 0 0
232 Sefiksim kapsul 100 mg Vial 0 0 0 0 0
233 Sefiksim sirup kering 100 mg/ 5 ml Vial 0 0 0 0 0
234 Sefotaksim injeksi 1 g Vial 0 0 0 0 0
235 Seftriakson serbuk injeksi 1 g/vial Ampul 0 0 0 0 0
236 Serum ABU Polivalen inj 5 ml Vial 0 0 0 0 0
237 Serum ATS 1500 IU/ml Btl @ 60 ml 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
238 Serum ATS 20.000 mcg.ml Kapsul 0 0 0 0 0
239 Setirizin sirup 5 mg/5 ml Ampul 0 0 0 0 0
240 Setirizin tablet 10 mg Tab 0 7200 7200 643 6557 771.6 -5785.4
241 Sianokobalamin (vitamin B12) inj 500 mcg Tab 0 0 0 0 0
242 Sianokobalamin (vitamin B12) tab 50 mcg Kap 0 0 0 0 0
243 Simetidine Tab 10 mg Tab 436 436 40 396 48 -348
244 Simvastatin scored tablet 10 mg Tab 0 0 0 0 0
245 Simvastatin tab 20 mg Tab 50 50 50 0 -50
246 Siprofloksasin tablet 500 mg (sebagai HCl) Tab 960 500 1460 60 1400 72 -1328
247 Spiramisin tablet 500 mg Tab 0 0 0 0 0
248 Spironolakton tablet 100 mg Btl @ 60 ml 0 0 0 0 0
249 Spironolakton tablet 25 mg Tab 0 0 0 0 0
250 Stimuno Syr Btl @ 100 ml 0 0 0 0 0
251 Stimuno Tab Tab 0 0 0 0 0
252 Sukralfat susp 500 mg/5 mL/Ulsafate Tab 0 0 0 0 0
253 Sukralfat tab 500 mg/Ulsidex Tab 2 2 2 0 -2
254 Tab Tambah darah/Hemafort Kapsul 0 0 0 0 0
255 Terbutalin tablet 2,5 mg/Molasma Kapsul 0 0 0 0 0
256 Tetrasiklin kapsul 250 mg Ampul 291 291 291 0 -291
257 Tetrasiklin Kapsul 500 mg Tab 200 200 200 0 -200
258 Thiamin HCl inj 100mg/ml Kapsul 0 0 0 0 0
259 Thiamin Mononitrat Tab 50 mg tab 848 100 948 230 718 276 -442
260 Thiamfenikol Kap 500 mg Tab 0 0 0 0 0
261 Tramadol injeksi 50 mg/ml tube 0 0 0 0 0
262 Tramadol Tab 50 mg Btl 0 0 0 0 0
263 Urea krim 10%/Soft U Derm Tab 0 1 1 1 0 1.2 1.2
264 Videne Povidone Iodine 500 ml Btl 0 0 0 0 0
265 Vitamin Tab/Becefort Tab Tab 0 0 0 0 0
266 Vitamin Syr/Becefort Syr Btl 0 0 0 0 0
267 Vitamin B Kompleks tablet Tab 1597 500 2097 160 1937 192 -1745
266 zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml 0 0 0 0
267 zinc sir 10 mg/mL/Zinc Kid Btl @100 ml 0 0 0 0
268 Zinc sir 20 mg/5 Ml Btl @60 ml 0 0 0 0
269 Zinc tablet dispersible20 mg Tab 70 70 0 -70
OBAT PROGRAMMALARIA 0 0 0 0
303 Triheksifenidil HCl tab 2 mg Blister 0 0 0 0
304 Tab 0 0 0 0
305 ACT Tab Ampul 0 0 0 0
306 Antimalaria DOEN kombinasi /suldox tab Tab 0 0 0 0
307 Artemether injeksi 80 mg/ml/Artem Vial 0 0 0 0
308 Arterakin/Darplex/DHP Tab Unit 0 0 0 0
309 Artesunate inj 60 mg/ml/Artesunate Tab 0 0 0 0
310 Fokus Malaria PF&PV Casette Ampul 0 0 0 0
311 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0
312 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Galon 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
313 Kuinin tablet 222 mg (H2SO4.7H2O) Tab 0 0 0 0
314 Larvasida Malaria Test 0 0 0 0
315 Primakuin tablet 15 mg Piece 300 300 300 0 -300
RDT Malaria 0 0 0 0 0
OBAT PROGRAM DIARE 0 0 0 0 0
317 0 0 0 0 0
318 Garam Oralit I serbuk, kombi sachet 0 50 50 10 40 12 -28
319 Zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml 0 0 50 0 -50
320 Zinc sir 10 mg/mL/Zinc Kid Btl @100 ml 0 0 0 0 0
Zinc sir 20 mg/5 Ml Btl @60 ml 0 0 0 0 0
Zinc tablet dispersible20 mg Tab 70 70 70 0 -70
322 Paket 0 0 0 0
323 ALKES 0 0 0 0
326 Alat Suntik 0,05 ml Buah 100 100 100 0 -100
327 Alat Suntik 0,5 ml Buah 0 0 0 0 0
328 Alat Suntik 1 ml. Buah 675 675 675 0 -675
329 Alat Suntik 2,5 ml. Buah 0 100 100 15 85 18 -67
330 Alat Suntik 5 ml. Buah 955 955 15 940 18 -922
Alat Suntik 10 ml Buah 0 0 0 0 0
363 Blood Lancet Set 0 0 0 0 0
364 Bisturi No. 11 Set 0 0 0 0 0
365 Cat Gut/ Benang Bedah no. 2/0 Buah 75 12 87 87 0 -87
367 Folley Cathether No. 14 Buah 0 0 0 0 0
369 Folley Cathether No. 18 Paket 0 0 0 0 0
371 Hanscond 7 / M Paket 230 230 10 220 12 -208
372 Hanscond 7,5/L Set 9 9 9 0 10.8 10.8
373 Hanscond 7,5/L Set 0 0 0 0 0
381 Kasa Pembalut Hidrofil 4m x 10cm Roll 2 2 2 0 -2
382 Kapas Berlemak 500 mg. Roll 3 3 3 0 -3
383 Kapas Pembalut/Adsorben 250 mg. Roll 0 0 0 0 0
384 Kasa Elastis Roll 0 0 0 0 0
385 Kasa Meteran 36m x 80cm Roll 0 0 0 0 0
386 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 9 9 9 0 -9
387 Kasa Pembalut 2m x 80cm. Roll 0 0 0 0 0
388 Kasa Pembalut Hidrofil 4m x 15cm. Roll 31 31 31 0 -31
389 Kasa Pembalut Hidrofil 4m x 3cm. Kotak 0 0 0 0 0
390 Kasa Pembalut Hidrofil 4m x 5cm. Roll 60 10 70 70 0 -70
391 Kasa Steril Buah 0 10 10 10 0 -10
392 Leucoplast 7,50cm x 4,5m Roll 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
393 Masker Pak 33 50 83 15 68 18 -50
394 Pembalut Gips Pak 0 0 0 0 0
395 Plastik Besar Roll 3 3 1 2 1.2 -0.8
396 Plastik Kecil Set 0 0 0 0 0
397 Plester 5 Yard x 2 Inc. Buah 5 5 1 4 1.2 -2.8
398 Silk (benang bedah sutra) no 3/0 Set 5 12 17 17 0 -17
399 PBI PUSAT PBI DAERAH PBI
UMUM JUMLAH
MANDIRI
400 JUMLAH PASIEN BULAN JANUARI
401
402
403
404
405
406
Ka, UPT Puskemas Rawat Inap Gisting Petugas Pengelola Obat

Kabupaten Tanggamus Kepala Puskesmas Pembantu
Gisting Atas
SAIFULLAH, SKM., M.Kes Hj.RETNONINGSIH, S.ST

NIP. 19660714 198803 1 004 NIP. 19740313 199212 2 002
BULAN : JANUARI 2017
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
(LPLPO)
UPT PUSKESMAS : GISTING
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 0 0 0 0 0 0 0
2 Albendazol tab 400 mg Tab 318 0 318 0 318 0 -318
3 Albendazole susp 200mg/5ml Botol@60ml 0 0 0 0 0 0 0
4 Alopurinol tab 100 mg Tab 759 0 759 10 749 12 -737
5 Ambroksol Tab 30 mg Tab 280 0 280 245 35 294 259
6 Ambroksol Syr 30mg/5 ml Btl 3 0 3 2 1 2.4 1.4
7 Aminofilin injeksi 24 mg/ml Ampul 0 0 0 0 0 0 0
8 Aminofilin tablet scored 200 mg Tab 0 0 0 0 0 0 0
9 Amlodipin tablet 10 mg Tab 60 0 60 0 60 0 -60
10 Amlodipin tablet 5 mg Tab 330 0 330 0 330 0 -330
11 Amoksisilin kap 250 mg Kaps 1972 0 1972 180 1792 216 -1576
12 Amoksisilin kap scored 500 mg Kaptab 957 0 957 424 533 508.8 -24.2
13 Amoksisilin sirup kering forte 250 mg/5 ml Btl@ 60 ml 0 0 0 0 0 0 0
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 5 0 5 4 1 4.8 3.8
15 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 0 0 0 0 0 0 0
16 Ampisilin Tab 500 mg Tab 0 0 0 0 0 0 0
17 Ampisillin syr kering 125 mg / 5 ml 0 0 0 0 0 0 0
18 Antalgin Tab 500mg Tab 0 0 0 0 0 0 0
19 Antalgin Inj 250mg/2ml Ampul 0 0 0 0 0 0 0
20 Antasida DOEN I tablet kunyah, komb Tab 1776 0 1776 393 1383 471.6 -911.4
21 Antasida DOEN II suspensi, komb Btl @ 60 ml 0 0 0 0 0 0 0
22 Anti Bakteri DOEN salep kombi Tube @ 5g 12 0 12 0 12 0 -12
23 Anti Diare/ Diapecta tab/New Antides Tab 0 0 0 0 0 0 0
24 Anti Konstipasi / Laxadin Emulsion Btl 0 0 0 0 0 0 0
25 Antihemoroid komb Supp 0 0 0 0 0 0 0
26 Antifungi Doen Kombinasi Pot @ 30 g 3 0 3 0 3 0 -3
27 Antimalaria DOEN kombinasi /suldox tab Tab 150 0 150 0 150 0 -150
28 Antimigren tab Komb Tab 0 0 0 0 0 0 0
29 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 0 0 0 0 0 0 0
30 As. Asetilsalisilat (asetosal) 80 mg/Miniaspi 80 Tab 0 0 0 0 0 0 0
31 As. Asetilsalisilat (asetosal) tab 500 mg Tab 0 0 0 0 0 0 0
32 Asam Askorbat (Vitamin C) tablet 250 mg Tab 0 0 0 0 0 0 0
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab 1594 0 1594 153 1441 183.6 -1257.4
34 Asam Folat tab 1 mg Kaptab 1360 0 1360 70 1290 84 -1206
35 Asam Mefenamat kaps 500 mg Tab 1894 0 1894 78 1816 93.6 -1722.4
36 Asam pipemidat kap 400 mg/Urotractin tab Ampul 60 0 60 0 60 0 -60
37 Asam traneksamat injeksi 50 mg/ml Tab 0 0 0 0 0 0 0
38 Asifit Tab Tube @ 5g 0 0 0 0 0 0 0
39 Asiklovir Krim Tube 3,5 g 0 0 0 0 0 0 0
40 Asiklovir salep mata 3%/Temiral Eye Oint Tab 0 0 0 0 0 0 0
41 Asiklovir tab 200 mg Tab 262 0 262 50 212 60 -152
42 Asiklovir tab 400 mg Tab 0 0 0 0 0 0 0
43 Atapulgit tab 600 mg/Pularex Ampul 238 0 238 12 226 14.4 -211.6
44 Atropin Sulfat Inj 0,25mg/1ml Ktk @ 50 g 0 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
45 Bedak salisil serbuk 2% Tablet 9 0 9 1 8 1.2 -6.8
46 Betahistine Maleat 6 mg Tube 5 gr 80 0 80 0 80 0 -80
48 Betason N Krim Ampul 0 0 0 0 0 0 0
49 Bioneuron Inj Supp 0 0 0 0 0 0 0
50 Bisakodil 10 mg supp/Dulcolax supp adult 10 mg Supp 6 0 6 0 6 0 -6
51 Bisakodil 5 mg supp/Dulcolax supp infant 5 mg Tablet 5 0 5 0 5 0 -5
52 Bisakodil tab salut mg Tab 0 0 0 0 0 0 0
53 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tube @ 5g 0 0 0 0 0 0 0
54 Chloramfecort H Cream Ampul 0 0 0 0 0 0 0
55 Deksametason inj 5 mg/ml Tab 0 0 0 0 0 0 0
56 Deksametason tablet 0,5 mg Botol 776 0 776 234 542 280.8 -261.2
57 Dekstran 70-larutan infus 6% steril Tube @ 2,5 ml 0 0 0 0 0 0 0
58 Diazepam larutan rektal 5 mg/2,5 mL/Stesolid Ampul 0 0 0 0 0 0 0
59 Diazepam injeksi i.v./i.m 5 mg/ml Tab 0 0 0 0 0 0 0
60 Diazepam tablet 2 mg Tab 0 0 0 0 0 0 0
61 Diazepam tablet 5 mg Tab 0 0 0 0 0 0 0
62 Dietilkarbamazin tablet scored 100 mg Ampul 0 0 0 0 0 0 0
63 Difenhidramin inj 10 mg/ml (HCl) Tab 0 0 0 0 0 0 0
64 Digoksin tablet 0,25 mg Tab 0 0 0 0 0 0 0
65 Diltiazem HCl tablet 30 mg Kapsul 0 0 0 0 0 0 0
66 Doksisiklin Kap 100 mg btl @ 60 ml 0 0 0 0 0 0 0
67 Domperidon susp/sirup 5 mg/5 ml Tab 10 0 10 1 9 1.2 -7.8
69 Efedrin tab 25 mg Tab 0 0 0 0 0 0 0
70 Ekstrak Beladona tab 10 mg Ampul 0 0 0 0 0 0 0
71 Epinefrin (Adrenalin) inj 1 mg/ml Kapsul 0 0 0 0 0 0 0
72 Eritromisin kaps 250 mg Kaplet 0 0 0 0 0 0 0
73 Eritromisin kaplet 500 mg Botol @60 ml 100 0 100 0 100 0 -100
74 Eritromisin sirup kering 200 mg/ 5 ml Botol 0 0 0 0 0 0 0
75 Etakridina (Rivanol) Lar 0,1 % 300 ml Btl @ 1000 ml 3 0 3 0 3 0 -3
76 Etanol 70% cairan Btl @ 300 ml 3 0 3 0 3 0 -3
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0 0
78 Febrinex Syr Vial 0 0 0 0 0 0 0
79 Fenoterol HBr aerosol 100mcg/dosis/Berotec MDI Btl @ 5ml 0 0 0 0 0 0 0
80 Fenol gliserol TT 10 % Tab 1 0 1 1 0 1.2 1.2
81 Finasterid tab 5 mg/Prostacom Tab Tab 0 0 0 0 0 0 0
82 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 224 0 224 0 224 0 -224
83 Fituno Tab Tube 5 g 0 0 0 0 0 0 0
84 Flusinolon asetonid krim 0,025%/Synarcus Ampul 0 0 0 0 0 0 0
85 Furosemid inj 10 mg/ml Tab 0 0 0 0 0 0 0
86 Furosemid tablet 40 mg Ampul 100 0 100 0 100 0 -100
87 Gentamisin injeksi 40 mg/ ml Tube @ 5 g 0 0 0 0 0 0 0
88 Gentamisin salep Kulit Tube @ 3,5 gr 0 0 0 0 0 0 0
89 Gentamisin salep mata 0,3%/Genoint SM Btl @ 5 ml 0 0 0 0 0 0 0
90 Gentamisin tetes mata 0,3% Btl 0 0 0 0 0 0 0
91 Gentian Violet 1% Tab 0 0 0 0 0 0 0
92 Glibenklamid tablet 5 mg Tab 172 0 172 10 162 12 -150
1 2 3 4 5 6 7 8 9 10 11 12 13 14
93 Gliklazid tab 80 mg/Glicab Tab Tab 0 0 0 0 0 0 0
94 Glimepiride tablet 2 mg Tab 100 0 100 0 100 0 -100
95 Glimepiride tablet 3 mg Tab 0 0 0 0 0 0 0
96 Gliseril Guayakolat tab 100mg Btl @ 500 ml 0 0 0 0 0 0 0
97 Glukosa larutan infus 10 % steril Btl @ 500 ml 0 0 0 0 0 0 0
98 Glukosa larutan infus 5 % steril btl @ 100 ml 0 0 0 0 0 0 0
99 Glukosa Larutan Infus 40 % Tab 0 0 0 0 0 0 0
100 Griseofulvin tablet 125 mg Tab 91 0 91 0 91 0 -91
101 Hidroklorotiazid (HCt ) Tab 25 mg Tube 5 gr 200 0 200 0 200 0 -200
103 Ibuprofen sirup 100 mg/5 ml Tab 0 0 0 0 0 0 0
104 Ibuprofen tablet 200 mg Tab 848 0 848 267 581 320.4 -260.6
105 Ibuprofen tablet 400 mg Pot @ 30 gram 344 0 344 344 0 412.8 412.8
106 Ichtyol Salep Tab 0 0 0 0 0 0 0
107 Isosorbid Dinitrat tablet sublingual 5 mg Tab 50 0 50 0 50 0 -50
108 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 0 0 0 0 0 0 0
109 Kalium Diklofenak tab 25 mg Tab 0 0 0 0 0 0 0
110 Kalium Diklofenak tab 50 mg Tab 0 0 0 0 0 0 0
111 Kalsium Laktat (Kalk) tab 500 mg Tab 0 0 0 0 0 0 0
112 Kaptopril tablet scored 25 mg Tab 175 0 175 10 165 12 -153
113 Kaptopril tablet scored12,5 mg Tube @ 15 g 886 0 886 30 856 36 -820
114 Ketokonazol krim 2% Tab 8 0 8 1 7 1.2 -5.8
115 Ketokonazol tablet 200 mg Ampul 150 0 150 0 150 0 -150
116 Ketorolac injeksi 30 mg/ml Kapsul 0 0 0 0 0 0 0
117 Klindamisin kapsul/kaplet 150 mg Kapsul 30 0 30 0 30 0 -30
118 Klindamisin kapsul/kaplet 300 mg Tab 0 0 0 0 0 0 0
119 Klonidin tablet 0,15 mg Kapsul 0 0 0 0 0 0 0
120 Kloramfenikol kap 250 mg Tube @ 15g 0 0 0 0 0 0 0
121 Kloramfenikol salep kulit 2%/Bufacetin Tube 5 gr 0 0 0 0 0 0 0
122 Kloramfenikol salep mata 1 % vial 6 0 6 1 5 1.2 -3.8
123 Kloramfenikol inj 1000 mg/Chloramex inj Btl @ 60 ml 0 0 0 0 0 0 0
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 10 0 10 0 10 0 -10
125 Kloramfenikol Tetes Mata Btl @ 5 ml 0 0 0 0 0 0 0
126 Kloramfenikol Tetes Telinga Tab 0 0 0 0 0 0 0
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab 2385 0 2385 226 2159 271.2 -1887.8
128 Kodein tablet 10 mg Tab 0 0 0 0 0 0 0
129 Komb Amoks + As. Klavulanat/Co-Amoxiclav 625mg Tab 0 0 0 0 0 0 0
130 Kombinasi tablet salut : Besi (II) sulfat tab+as.folat/Tab. Tambah Darah Btl @ 15 ml 2040 0 2040 120 1920 144 -1776
131 Kombinasi tetes mata /Cendo Lyteers Tab 0 0 0 0 0 0 0
132 Kotrimoksazol DOEN I (dewasa) komb Tab 1680 0 1680 10 1670 12 -1658
133 Kotrimoksazol Pediatrik Tab Btl @ 60 ml 0 0 0 0 0 0 0
134 Kotrimoksazol Suspensi komb Kapsul 58 0 58 2 56 2.4 -53.6
135 Lanzoprazol kapsul/kaplet 30 mg Pot 0 0 0 0 0 0 0
136 Levertan Ampul 0 0 0 0 0 0 0
137 Lidokain injeksi 2% (HCl) syringe @ 10 g 30 0 30 0 30 0 -30
138 Lidokain jeli 2%/Xylocaine Jelly 2% Btl @ 300 ml 0 0 0 0 0 0 0
139 Lisol Tab 0 0 0 0 0 0 0
140 Loperamid tablet 2 mg Tab 0 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
141 Loratadin tablet 10 mg Tab 200 0 200 0 200 0 -200
142 Mebendazol tablet 500 mg/Vermox tab btl 0 0 0 0 0 0 0
143 Mebendazol Sirup 50 mg/ml tab 0 0 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0 0
145 Meloxicam 15 mg Tab 0 0 0 0 0 0 0
146 Metformin HCl tablet 500 mg Tab 0 0 0 0 0 0 0
147 Metilergometrin Maleat tab salut 0,125 mg Ampul 0 0 0 0 0 0 0
148 Metilergometrin Maleat inj 0,200 mg-1 ml Tab 0 0 0 0 0 0 0
149 Metilprednisolon tablet 16 mg Tab 0 0 0 0 0 0 0
150 Metilprednisolon tablet 4 mg Tab 0 0 0 0 0 0 0
151 Metilprednisolon tablet 8 mg Ampul 100 0 100 0 100 0 -100
152 Metoklopramide injeksi 5 mg/ ml Btl @ 60 ML 0 0 0 0 0 0 0
153 Metoklopramide sirup 5 mg/ 5 ml/Lexapram syr Btl @ 10 ml 0 0 0 0 0 0 0
154 Metoklopramide drop 2mg/ml/Mepramide drop 2mg/ml Tab 0 0 0 0 0 0 0
155 Metoklopramide tablet 10 mg Btl @ 100 ml 100 0 100 0 100 0 -100
156 Metronidazol infus 500 mg/100 ml Tab Vag 0 0 0 0 0 0 0
157 Metronidazol ovula 500 mg/Vagizol Btl @ 60ml 0 0 0 0 0 0 0
158 Metronidazol sirup 125 mg/5 Ml Supp 0 0 0 0 0 0 0
159 Metronidazol supositoria 500 mg/Flagyl Tab 0 0 0 0 0 0 0
161 Metronidazol tablet 500 mg Tube 10 gram 0 0 0 0 0 0 0
162 Mikonazol krim/salep 2 % (Nitrat) Btl@25gr 0 0 0 0 0 0 0
163 Miconazol Serbuk 2%/Mycorin Powder Tab 0 0 0 0 0 0 0
164 Miraclav tab Kap 0 0 0 0 0 0 0
165 Miraneuron kap Tab 0 0 0 0 0 0 0
166 Multivitamin Kom Dewasa/Ramaton Tab Btl @ 60 ml 0 0 0 0 0 0 0
167 Multivitamin Anak+DHA Syr/Bionick DHA Milk Syr Btl @ 60 ml 0 0 0 0 0 0 0
168 Multivitamin Anak Syr/Bionick Syr Btl @ 30 ml 0 0 0 0 0 0 0
169 Multivitamin Bayi Drop/Bionick Drop Btl 500 ml 0 0 0 0 0 0 0
170 Nacl 0,9% Tab 20 0 20 1 19 1.2 -17.8
171 Natrium Bikarbonat Tab 500mg Tab 0 0 0 0 0 0 0
172 Natrium Diklofenak tablet 50 mg Tab 0 0 0 0 0 0 0
173 Natrium Diklofenak tablet 25 mg Ampul 0 0 0 0 0 0 0
174 Natrium Tiosulfat Inj 25%-10 ml Tab 0 0 0 0 0 0 0
175 Neurovit E tab Tab 0 0 0 0 0 0 0
176 Nifedipin tab 10 mg Tab 49 0 49 0 49 0 -49
177 Nistatin tablet salut 500.000 IU/ g Tab Vag 60 0 60 0 60 0 -60
178 Nistatin vaginal tablet 100.000 IU/ g Tab 0 0 0 0 0 0 0
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0 0
180 Obat Batuk Hitam (OBH) Syrup Tab 0 0 0 0 0 0 0
181 Obat Batuk pilek Komb (Hustab tab) Btl @ 100 ml 0 0 0 0 0 0 0
182 Obat Flu Anak komb (Flutamol Syr) Tab 0 0 0 0 0 0 0
183 Ofloxacin tablet 200 mg Tab 0 0 0 0 0 0 0
184 Ofloxacin tablet 400 mg Botol 0 0 0 0 0 0 0
185 Ofloksasin tetes telinga 3%/Tarivid Otic Solution botol @ 10 ml 0 0 0 0 0 0 0
186 Oksimetazolin tts hidung 0,025%/Ilaidin Drop Vial 0 0 0 0 0 0 0
187 Oksitetrasiklin HCl inj 50 mg/ ml Tube 0 0 0 0 0 0 0
188 Oksitetrasiklin HCl Salep 3 % Tube 0 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
189 Oksitetrasiklin HCl Salep 1 % Vial 0 0 0 0 0 0 0
190 Omeprazol injeksi 40 mg/ 10 ml Kaps 0 0 0 0 0 0 0
191 Omeprazol kaps 20 mg Ampul 0 0 0 0 0 0 0
192 ondansetron inj 4 mg/ 2 mL Tab 0 0 0 0 0 0 0
193 Ondansetron tab 4 mg Tab 0 0 0 0 0 0 0
194 Ondansetron tablet 8 mg Tab 0 0 0 0 0 0 0
195 Papaverin Tab Ampul 0 0 0 0 0 0 0
196 Papaverin Inj Botol @ 15 Ml 0 0 0 0 0 0 0
197 Parasetamol drop ( Generik) Btl @ 60 ml 0 0 0 0 0 0 0
199 Parasetamol tablet 500 mg Btl @ 15 ml 0 0 0 0 0 0 0
200 Parasetamol Drop /Fasidol Drop tube @ 35 gram 0 0 0 0 0 0 0
201 Perak sulfadiazin krim 1%/Burnazine cr Tube @ 10 g 1 0 1 0 1 0 -1
202 Permetrin krim 5%/Scabimite Cream Ampul 5 0 5 0 5 0 -5
203 Petidin inj 50 mg/ml (HCl) Btl @ 60 ml 0 0 0 0 0 0 0
204 Pirantel suspensi 125 mg/5 ml Tab 0 0 0 0 0 0 0
205 Pirantel tablet score (base) 125 mg Tab 0 0 0 0 0 0 0
206 Piridoksin (vitamin B6) 10 mg Tab 1406 0 1406 191 1215 229.2 -985.8
207 Piroxicam tab 10mg Tab 0 0 0 0 0 0 0
208 Piroxicam tab 20mg Btl @ 1000 ml 0 0 0 0 0 0 0
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml 0 0 0 0 0 0 0
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 ml 0 0 0 0 0 0 0
211 Povidon Iodida larutan 10% 300 ml btl 60 ml 2 0 2 0 2 0 -2
212 Povidon Iodida larutan 10% 60 ml Tab 3 0 3 0 3 0 -3
214 Progastric tab Tab 0 0 0 0 0 0 0
215 Propanolol tablet 10 mg ( HCl ) Tab 0 0 0 0 0 0 0
216 Propranolol tablet 40 mg (HCl) Tab 0 0 0 0 0 0 0
217 Propiltiourasil tab 100 mg Ampul 0 0 0 0 0 0 0
218 Ranitidin injeksi 25 mg/ml Btl @ 500 ml 0 0 0 0 0 0 0
219 0 0 0 0 0 0 0
220 Ranitidin tablet 150 mg Tab 490 0 490 20 470 24 -446
221 Ringer Laktat larutan infus Tab 0 0 0 0 0 0 0
222 Risperidon tablet 2 mg Tab 0 0 0 0 0 0 0
223 Salbutamol tab 2mg Btl 0 0 0 0 0 0 0
224 Salbutamol Tab 4 mg Btl 513 0 513 28 485 33.6 -451.4
225 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl 0 0 0 0 0 0 0
226 Salbutamol inh 100 mcg/dosis/Ventolin Inhaler Pot @ 30 gram 0 0 0 0 0 0 0
227 Salbutamol Syr Btl @ 60 ml 0 0 0 0 0 0 0
228 Salep 2-4 , Komb Kapsl 24 0 24 1 23 1.2 -21.8
229 Sefadroksil sirup kering 125 mg/5ml Kapsul 0 0 0 0 0 0 0
230 Sefadroksil kapsul 500 mg Kapsul 322 0 322 20 302 24 -278
231 Sefaleksin kapsul 500 mg Btl @ 30 ml 0 0 0 0 0 0 0
232 Sefiksim kapsul 100 mg Vial 0 0 0 0 0 0 0
233 Sefiksim sirup kering 100 mg/ 5 ml Vial 0 0 0 0 0 0 0
234 Sefotaksim injeksi 1 g Vial 0 0 0 0 0 0 0
235 Seftriakson serbuk injeksi 1 g/vial Ampul 0 0 0 0 0 0 0
236 Serum ABU Polivalen inj 5 ml Vial 0 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
237 Serum ATS 1500 IU/ml Btl @ 60 ml 0 0 0 0 0 0 0
238 Serum ATS 20.000 mcg.ml Kapsul 0 0 0 0 0 0 0
239 Setirizin sirup 5 mg/5 ml Ampul 0 0 0 0 0 0 0
240 Setirizin tablet 10 mg Tab 6557 0 6557 297 6260 356.4 -5903.6
241 Sianokobalamin (vitamin B12) inj 500 mcg Tab 0 0 0 0 0 0 0
242 Sianokobalamin (vitamin B12) tab 50 mcg Kap 0 0 0 0 0 0 0
243 Simetidine Tab 10 mg Tab 396 0 396 0 396 0 -396
244 Simvastatin scored tablet 10 mg Tab 0 0 0 0 0 0 0
245 Simvastatin tab 20 mg Tab 50 0 50 0 50 0 -50
247 Spiramisin tablet 500 mg Tab 0 0 0 0 0 0 0
248 Spironolakton tablet 100 mg Btl @ 60 ml 0 0 0 0 0 0 0
249 Spironolakton tablet 25 mg Tab 0 0 0 0 0 0 0
250 Stimuno Syr Btl @ 100 ml 0 0 0 0 0 0 0
251 Stimuno Tab Tab 0 0 0 0 0 0 0
252 Sukralfat susp 500 mg/5 mL/Ulsafate Tab 0 0 0 0 0 0 0
253 Sukralfat tab 500 mg/Ulsidex Tab 2 0 2 0 2 0 -2
254 Tab Tambah darah/Hemafort Kapsul 0 0 0 0 0 0 0
255 Terbutalin tablet 2,5 mg/Molasma Kapsul 0 0 0 0 0 0 0
256 Tetrasiklin kapsul 250 mg Ampul 291 0 291 10 281 12 -269
257 Tetrasiklin Kapsul 500 mg Tab 200 0 200 0 200 0 -200
258 Thiamin HCl inj 100mg/ml Kapsul 0 0 0 0 0 0 0
259
Thiamin Mononitrat Tab 50 mg Ampul 718 0 718 130 588 156 -432
260 Thiamfenikol Kap 500 mg Tab 0 0 0 0 0 0 0
261 Tramadol injeksi 50 mg/ml tube 0 0 0 0 0 0 0
262 Tramadol Tab 50 mg Btl 0 0 0 0 0 0 0
263 Urea krim 10%/Soft U Derm Tab 0 0 0 0 0 0 0
264 Videne Povidone Iodine 500 ml Btl 0 0 0 0 0 0 0
265 Vitamin Tab/Becefort Tab Tab 0 0 0 0 0 0 0
Vitamin Syr/Becefort Syr 0 0 0 0 0 0 0
Vitamin B Kompleks tablet 1937 0 1937 180 1757 216 -1541
OBAT PROGRAMMALARIA 0 0 0 0 0 0 0
303 Triheksifenidil HCl tab 2 mg Blister 0 0 0 0 0 0 0
304 Tab 0 0 0 0 0 0 0
305 ACT Tab Ampul 0 0 0 0 0 0 0
306 Antimalaria DOEN kombinasi /suldox tab Tab 0 0 0 0 0 0 0
307 Artemether injeksi 80 mg/ml/Artem Vial 0 0 0 0 0 0 0
308 Arterakin/Darplex/DHP Tab Unit 0 0 0 0 0 0 0
309 Artesunate inj 60 mg/ml/Artesunate Tab 0 0 0 0 0 0 0
310 Fokus Malaria PF&PV Casette Ampul 0 0 0 0 0 0 0
311 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0 0 0 0
312 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Galon 0 0 0 0 0 0 0
313 Kuinin tablet 222 mg (H2SO4.7H2O) Tab 0 0 0 0 0 0 0
314 Larvasida Malaria Test 0 0 0 0 0 0 0
315 Primakuin tablet 15 mg Piece 300 0 300 0 300 0 -300
1 2 3 4 5 6 7 8 9 10 11 12 13 14
RDT Malaria 0 0 0 0 0 0 0
OBAT PROGRAM DIARE 0 0 0 0 0 0
316 0 0 0 0 0 0 0
317 0 0 0 0 0 0 0
318 Garam Oralit I serbuk, kombi sacchet 40 0 40 6 34 7.2 -26.8
319 Zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml 50 0 50 0 50 0 -50
320 Zinc sir 10 mg/mL/Zinc Kid Tab 0 0 0 0 0 0 0
Zinc sir 20 mg/5 Ml 0 0 0 0 0 0 0
Zinc tablet dispersible20 mg 70 0 70 30 40 36 -4
ALKES
364
365 Alat Suntik 0,05 ml Buah 100 0 100 0 100 0 -100
366 Alat Suntik 0,5 ml Buah 0 0 0 0 0 0 0
367 Alat Suntik 1 ml. Buah 675 0 675 0 675 0 -675
369 Alat Suntik 5 ml. Buah 940 6 946 10 936 12 -924
370 Alat Suntik 10 ml Buah 0 0 0 0 0 0 0
371 Blood Lancet Set 0 0 0 0 0 0 0
372 Bisturi No. 11 Set 0 0 0 0 0 0 0
373 Cat Gut/ Benang Bedah no. 2/0 Buah 87 0 87 0 87 0 -87
374 Cat Gut/ Benang Bedah no. 3/0 Buah 336 0 336 0 336 0 -336
375 Folley Cathether No. 14 Buah 0 0 0 0 0 0 0
376 Folley Cathether No. 16 Buah 0 0 0 0 0 0 0
377 Folley Cathether No. 18 Paket 0 0 0 0 0 0 0
378 Folley Cathether No. 20 Paket 0 0 0 0 0 0 0
379 Hanscond 7 / M Paket 220 220 10 210 12 -198
380 Hanscond 7,5/L Set 0 0 0 0 0 0 0
381 Hanscond 7,5/L Set 0 0 0 0 0 0 0
389 Kasa Pembalut Hidrofil 4m x 10cm Roll 2 0 2 0 2 0 -2
390 Kapas Berlemak 500 mg. Roll 3 0 3 0 3 0 -3
391 Kapas Pembalut/Adsorben 250 mg. Roll 0 0 0 0 0 0 0
392 Kasa Elastis Roll 0 0 0 0 0 0 0
393 Kasa Meteran 36m x 80cm Roll 0 0 0 0 0 0 0
394 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 9 0 9 0 9 0 -9
395 Kasa Pembalut 2m x 80cm. Roll 0 0 0 0 0 0 0
396 Kasa Pembalut Hidrofil 4m x 15cm. Roll 31 0 31 0 31 0 -31
397 Kasa Pembalut Hidrofil 4m x 3cm. Kotak 0 0 0 0 0 0 0
398 Kasa Pembalut Hidrofil 4m x 5cm. Roll 70 0 70 0 70 0 -70
399 Kasa Steril Buah 10 0 10 0 10 0 -10
400 Leucoplast 7,50cm x 4,5m Roll 0 0 0 0 0 0 0
401 Masker Pak 68 0 68 0 68 0 -68
402 Pembalut Gips Pak 0 0 0 0 0 0 0
403 Plastik Besar Roll 2 0 2 0 2 0 -2
1 2 3 4 5 6 7 8 9 10 11 12 13 14
404 Plastik Kecil Set 0 0 0 0 0 0 0
405 Plester 5 Yard x 2 Inc. Buah 4 0 4 0 4 0 -4
406 Silk (benang bedah sutra) no 3/0 Set 17 0 17 0 17 0 -17
PBI PUSAT PBI DAERAH PBI
UMUM JUMLAH
MANDIRI
JUMLAH PASIEN BULAN FEBRUARI

Gisting, 28 Februari 2017
Kabupaten Tanggamus Puskesmas Pembantu Gisting Atas
RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

NIP. 19740313 199212 2 002
BULAN : FEBRUARI 2017
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ing Atas
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN MEI 2018
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN KET
AAN AN STOK OPTM AAN PKD JPKMM P2M GIZI ASKES LAIN JML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
5 Ambroksol Tab 30 mg Tab 700 700 203 497 243.6 -253.4
6 Ambroksol Syr 30mg/5 ml Btl 0 0 0 0 0 0
10 Amlodipin tablet 5 mg Tab 210 210 180 30 216 186
11 Amoksisilin kap 250 mg Kaps 2632 2632 482 2150 578.4 -1571.6
12 Amoksisilin kap scored 500 mg Kaptab 0 0 0 0 0 0
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 0 0 0 0 0 0
20 Antasida DOEN I tablet kunyah, komb Tab 575 575 309 266 370.8 104.8
22 Anti Bakteri DOEN salep kombi Tube @ 5g 24 24 12 12 14.4 2.4
23 Anti Diare/ Diapecta tab/New Antides Tab 0 0 0 0 0 0
26 Antifungi Doen Kombinasi Pot @ 30 g 24 24 0 24 0 -24
27 Antimalaria DOEN kombinasi /suldox tab Tab 0 0 0 0 0 0
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab 1564 1564 266 1298 319.2 -978.8
35 Asam Mefenamat kaps 500 mg Tab 3176 3176 478 2698 573.6 -2124.4
41 Asiklovir tab 200 mg Tab 466 466 3 463 3.6 -459.4
43 Atapulgit tab 600 mg/Pularex Ampul 1185 1185 10 1175 12 -1163
45 Bedak salisil serbuk 2% Tablet 14 14 0 14 0 -14
46 Betahistine Maleat 6 mg Tube 5 gr 56 56 0 56 0 -56
47 Betametason krim 0,1% Tube 5 gr 24 24 2 22 2.4 -19.6
48 Betason N Krim Ampul 0 0 0 0 0 0
49 Bioneuron Inj Supp 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
52 Bisakodil tab salut mg Tab 0 0 0 0 0 0
53 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tube @ 5g 0 0 0 0 0 0
54 Chloramfecort H Cream Ampul 0 0 0 0 0 0
55 Deksametason inj 5 mg/ml Tab 0 0 0 0 0 0
56 Deksametason tablet 0,5 mg Botol 1500 1500 196 1304 235.2 -1068.8
57 Dekstran 70-larutan infus 6% steril Tube @ 2,5 ml 0 0 0 0 0 0
58 Diazepam larutan rektal 5 mg/2,5 mL/Stesolid Ampul 0 0 0 0 0 0
59 Diazepam injeksi i.v./i.m 5 mg/ml Tab 0 0 0 0 0 0
60 Diazepam tablet 2 mg Tab 0 0 0 0 0 0
62 Dietilkarbamazin tablet scored 100 mg Ampul 0 0 0 0 0 0
63 Difenhidramin inj 10 mg/ml (HCl) Tab 0 0 0 0 0 0
64 Digoksin tablet 0,25 mg Tab 0 0 0 0 0 0
65 Diltiazem HCl tablet 30 mg Kapsul 0 0 0 0 0 0
66 Doksisiklin Kap 100 mg btl @ 60 ml 0 0 0 0 0 0
67 Domperidon susp/sirup 5 mg/5 ml Tab 6 6 0 6 0 -6
68 Domperidon tablet 10 mg Tab 266 266 42 224 50.4 -173.6
69 Efedrin tab 25 mg Tab 0 0 0 0 0 0
70 Ekstrak Beladona tab 10 mg Ampul 0 0 0 0 0 0
71 Epinefrin (Adrenalin) inj 1 mg/ml Kapsul 0 0 0 0 0 0
72 Eritromisin kaps 250 mg Kaplet 0 0 0 0 0 0
73 Eritromisin kaplet 500 mg KAPSUL 232 232 0 232 0 -232
74 Eritromisin sirup kering 200 mg/ 5 ml Botol 0 0 0 0 0 0
75 Etakridina (Rivanol) Lar 0,1 % 300 ml Btl @ 1000 ml 2 2 0 2 0 -2
76 Etanol 70% cairan Btl @ 300 ml 3 3 0 3 0 -3
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0
78 Febrinex Syr Vial 0 0 0 0 0 0
79 Fenoterol HBr aerosol 100mcg/dosis/Berotec MDI Btl @ 5ml 0 0 0 0 0 0
80 Fenol gliserol TT 10 % Tab 24 24 0 24 0 -24
81 Finasterid tab 5 mg/Prostacom Tab Tab 0 0 0 0 0 0
82 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 224 224 30 194 36 -158
83 Fituno Tab Tube 5 g 0 0 0 0 0 0
84 Flusinolon asetonid krim 0,025%/Synarcus Ampul 0 0 0 0 0 0
85 Furosemid inj 10 mg/ml Tab 0 0 0 0 0 0
86 Furosemid tablet 40 mg Ampul 94 94 6 88 7.2 -80.8
87 Gentamisin injeksi 40 mg/ ml Tube @ 5 g 0 0 0 0 0 0
88 Gentamisin salep Kulit Tube @ 3,5 gr 0 0 0 0 0 0
89 Gentamisin salep mata 0,3%/Genoint SM Btl @ 5 ml 0 0 0 0 0 0
90 Gentamisin tetes mata 0,3% Btl 0 0 0 0 0 0
91 Gentian Violet 1% Tab 0 0 0 0 0 0
92 Glibenklamid tablet 5 mg Tab 152 152 0 152 0 -152
93 Gliklazid tab 80 mg/Glicab Tab Tab 0 0 0 0 0 0
94 Glimepiride tablet 2 mg Tab 100 100 0 100 0 -100
95 Glimepiride tablet 3 mg Tab 0 0 0 0 0 0
96 Gliseril Guayakolat tab 100mg Btl @ 500 ml 0 0 0 0 0 0
97 Glukosa larutan infus 10 % steril Btl @ 500 ml 0 0 0 0 0 0
98 Glukosa larutan infus 5 % steril btl @ 100 ml 0 0 0 0 0 0
99 Glukosa Larutan Infus 40 % Tab 0 0 0 0 0 0
100 Griseofulvin tablet 125 mg Tab 91 91 60 31 72 41
102 Hidrokortison krim 2,5 % btl @ 60 ml 41 41 1 40 1.2 -38.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
103 Ibuprofen sirup 100 mg/5 ml Tab 0 0 0 0 0 0
104 Ibuprofen tablet 200 mg Tab 915 915 208 707 249.6 -457.4
105 Ibuprofen tablet 400 mg tab 500 500 54 446 64.8 -381.2
106 Ichtyol Salep Tab 0 0 0 0 0 0
107 Isosorbid Dinitrat tablet sublingual 5 mg Tab 50 50 0 50 0 -50
108 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 0 0 0 0 0 0
109 Kalium Diklofenak tab 25 mg Tab 0 0 0 0 0 0
111 Kalsium Laktat (Kalk) tab 500 mg Tab 1000 1000 104 896 124.8 -771.2
113 Kaptopril tablet scored12,5 mg tab 676 676 10 666 12 -654
114 Ketokonazol krim 2% tube 32 32 0 32 0 -32
116 Ketorolac injeksi 30 mg/ml Kapsul 0 0 0 0 0 0
117 Klindamisin kapsul/kaplet 150 mg Kapsul 0 0 0 0 0 0
118 Klindamisin kapsul/kaplet 300 mg Tab 0 0 0 0 0 0
119 Klonidin tablet 0,15 mg Kapsul 0 0 0 0 0 0
120 Kloramfenikol kap 250 mg Tube @ 15g 0 0 0 0 0 0
121 Kloramfenikol salep kulit 2%/Bufacetin Tube 5 gr 24 24 0 24 0 -24
122 Kloramfenikol salep mata 1 % vial 26 26 4 22 4.8 -17.2
123 Kloramfenikol inj 1000 mg/Chloramex inj Btl @ 60 ml 0 0 0 0 0 0
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 9 9 0 9 0 -9
125 Kloramfenikol Tetes Mata Btl @ 5 ml 10 10 0 10 0 -10
126 Kloramfenikol Tetes Telinga Tab 0 0 0 0 0 0
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab 2665 2665 268 2397 321.6 -2075.4
128 Kodein tablet 10 mg Tab 0 0 0 0 0 0
129 Komb Amoks + As. Klavulanat/Co-Amoxiclav 625mg Tab 0 0 0 0 0 0
130 Kombinasi tablet salut : Besi (II) sulfat tab+as.folat/Tab. Tambah Darah Btl @ 15 ml 3090 3090 150 2940 180 -2760
131 Kombinasi tetes mata /Cendo Lyteers Tab 0 0 0 0 0 0
133 Kotrimoksazol Pediatrik Tab tab 0 0 0 0 0 0
134 Kotrimoksazol Suspensi komb btl @60 102 102 8 94 9.6 -84.4
135 Lanzoprazol kapsul/kaplet 30 mg Pot 0 0 0 0 0 0
136 Levertan Ampul 0 0 0 0 0 0
138 Lidokain jeli 2%/Xylocaine Jelly 2% Btl @ 300 ml 0 0 0 0 0 0
139 Lisol Tab 1 1 1 0 1.2 1.2
140 Loperamid tablet 2 mg Tab 0 0 0 0 0 0
141 Loratadin tablet 10 mg Tab 162 162 2 160 2.4 -157.6
142 Mebendazol tablet 500 mg/Vermox tab btl 0 0 0 0 0 0
143 Mebendazol Sirup 50 mg/ml tab 0 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0
145 Meloxicam 15 mg Tab 0 0 0 0 0 0
146 Metformin HCl tablet 500 mg Tab 0 0 0 0 0 0
147 Metilergometrin Maleat tab salut 0,125 mg Ampul 0 0 0 0 0 0
148 Metilergometrin Maleat inj 0,200 mg-1 ml Tab 0 0 0 0 0 0
149 Metilprednisolon tablet 16 mg Tab 0 0 0 0 0 0
152 Metoklopramide injeksi 5 mg/ ml Btl @ 60 ML 0 0 0 0 0 0
153 Metoklopramide sirup 5 mg/ 5 ml/Lexapram syr Btl @ 10 ml 0 0 0 0 0 0
154 Metoklopramide drop 2mg/ml/Mepramide drop 2mg/ml Tab 0 0 0 0 0 0
155 Metoklopramide tablet 10 mg Btl @ 100 ml 200 200 0 200 0 -200
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
156 Metronidazol infus 500 mg/100 ml Tab Vag 0 0 0 0 0 0
157 Metronidazol ovula 500 mg/Vagizol Btl @ 60ml 0 0 0 0 0 0
158 Metronidazol sirup 125 mg/5 Ml Supp 0 0 0 0 0 0
159 Metronidazol supositoria 500 mg/Flagyl Tab 0 0 0 0 0 0
160 Metronidazol tablet 250 mg Tab 580 580 20 560 24 -536
161 Metronidazol tablet 500 mg Tube 10 gram 0 0 0 0 0 0
162 Mikonazol krim/salep 2 % (Nitrat) Btl@25gr 0 0 0 0 0 0
163 Miconazol Serbuk 2%/Mycorin Powder Tab 0 0 0 0 0 0
164 Miraclav tab Kap 0 0 0 0 0 0
165 Miraneuron kap Tab 0 0 0 0 0 0
166 Multivitamin Kom Dewasa/Ramaton Tab Btl @ 60 ml 0 0 0 0 0 0
167 Multivitamin Anak+DHA Syr/Bionick DHA Milk Syr Btl @ 60 ml 0 0 0 0 0 0
168 Multivitamin Anak Syr/Bionick Syr Btl @ 30 ml 0 0 0 0 0 0
169 Multivitamin Bayi Drop/Bionick Drop Btl 500 ml 0 0 0 0 0 0
170 Nacl 0,9% Tab 18 18 1 17 1.2 -15.8
171 Natrium Bikarbonat Tab 500mg Tab 0 0 0 0 0 0
172 Natrium Diklofenak tablet 50 mg Tab 0 0 0 0 0 0
173 Natrium Diklofenak tablet 25 mg Ampul 0 0 0 0 0 0
174 Natrium Tiosulfat Inj 25%-10 ml Tab 0 0 0 0 0 0
175 Neurovit E tab Tab 0 0 0 0 0 0
176 Nifedipin tab 10 mg Tab 49 49 0 49 0 -49
178 Nistatin vaginal tablet 100.000 IU/ g Tab 0 0 0 0 0 0
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0
180 Obat Batuk Hitam (OBH) Syrup Tab 0 0 0 0 0 0
181 Obat Batuk pilek Komb (Hustab tab) Btl @ 100 ml 0 0 0 0 0 0
182 Obat Flu Anak komb (Flutamol Syr) Tab 0 0 0 0 0 0
183 Ofloxacin tablet 200 mg Tab 0 0 0 0 0 0
184 Ofloxacin tablet 400 mg Botol 0 0 0 0 0 0
185 Ofloksasin tetes telinga 3%/Tarivid Otic Solution botol @ 10 ml 0 0 0 0 0 0
186 Oksimetazolin tts hidung 0,025%/Ilaidin Drop Vial 0 0 0 0 0 0
187 Oksitetrasiklin HCl inj 50 mg/ ml Tube 0 0 0 0 0 0
188 Oksitetrasiklin HCl Salep 3 % Tube 0 0 0 0 0 0
189 Oksitetrasiklin HCl Salep 1 % Vial 0 0 0 0 0 0
190 Omeprazol injeksi 40 mg/ 10 ml Kaps 0 0 0 0 0 0
191 Omeprazol kaps 20 mg Ampul 0 0 0 0 0 0
192 ondansetron inj 4 mg/ 2 mL Tab 0 0 0 0 0 0
193 Ondansetron tab 4 mg Tab 0 0 0 0 0 0
194 Ondansetron tablet 8 mg Tab 0 0 0 0 0 0
195 Papaverin Tab Ampul 0 0 0 0 0 0
196 Papaverin Inj Botol @ 15 Ml 0 0 0 0 0 0
197 Parasetamol drop ( Generik) Btl @ 60 ml 0 0 0 0 0 0
198 Parasetamol sirup 120 mg / 5 ml Tab 292 292 24 268 28.8 -239.2
199 Parasetamol tablet 500 mg Btl @ 15 ml 0 0 0 0 0 0
200 Parasetamol Drop /Fasidol Drop tube @ 35 gram 0 0 0 0 0 0
201 Perak sulfadiazin krim 1%/Burnazine cr Tube @ 10 g 0 0 0 0 0 0
202 Permetrin krim 5%/Scabimite Cream Tube 17 17 0 17 0 -17
203 Petidin inj 50 mg/ml (HCl) Btl @ 60 ml 0 0 0 0 0 0
204 Pirantel suspensi 125 mg/5 ml Tab 0 0 0 0 0 0
205 Pirantel tablet score (base) 125 mg Tab 0 0 0 0 0 0
206 Piridoksin (vitamin B6) 10 mg Tab 1960 1960 75 1885 90 -1795
207 Piroxicam tab 10mg Tab 0 0 0 0 0 0
208 Piroxicam tab 20mg Btl @ 1000 ml 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml 0 0 0 0 0 0
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 ml 0 0 0 0 0 0
211 Povidon Iodida larutan 10% 300 ml btl 60 ml 1 1 0 1 0 -1
212 Povidon Iodida larutan 10% 60 ml Tab 0 0 0 0 0 0
213 Prednison tablet 5 mg Tab 1335 1335 212 1123 254.4 -868.6
214 Progastric tab Tab 0 0 0 0 0 0
215 Propanolol tablet 10 mg ( HCl ) Tab 0 0 0 0 0 0
216 Propranolol tablet 40 mg (HCl) Tab 0 0 0 0 0 0
217 Propiltiourasil tab 100 mg Ampul 0 0 0 0 0 0
218 Ranitidin injeksi 25 mg/ml Tab 0 0 0 0 0 0
219 Ranitidin tablet 150 mg Btl @ 500 ml 908 908 24 884 28.8 -855.2
220 Ringer Laktat larutan infus Tab 0 0 0 0 0 0
221 Risperidon tablet 2 mg Tab 0 0 0 0 0 0
222 Salbutamol tab 2mg Tab 300 300 0 300 28.8 -271.2
223 Salbutamol Tab 4 mg Btl 449 449 24 425 0 -425
224 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl 0 0 0 0 0 0
225 Salbutamol inh 100 mcg/dosis/Ventolin Inhaler Btl 0 0 0 0 0 0
226 Salbutamol Syr Pot @ 30 gram 0 0 0 0 0 0
227 Salep 2-4 , Komb Btl @ 60 ml 43 43 1 42 1.2 -40.8
228 Sefadroksil sirup kering 125 mg/5ml Kapsl 0 0 0 0 0 0
229 Sefadroksil kapsul 500 mg Kapsul 302 302 178 124 213.6 89.6
230 Sefaleksin kapsul 500 mg Kapsul 0 0 0 0 0 0
231 Sefiksim kapsul 100 mg Btl @ 30 ml 0 0 0 0 0 0
232 Sefiksim sirup kering 100 mg/ 5 ml Vial 0 0 0 0 0 0
233 Sefotaksim injeksi 1 g Vial 0 0 0 0 0 0
234 Seftriakson serbuk injeksi 1 g/vial Vial 0 0 0 0 0 0
235 Serum ABU Polivalen inj 5 ml Ampul 0 0 0 0 0 0
236 Serum ATS 1500 IU/ml Vial 0 0 0 0 0 0
237 Serum ATS 20.000 mcg.ml Btl @ 60 ml 0 0 0 0 0 0
238 Setirizin sirup 5 mg/5 ml Kapsul 0 0 0 0 0 0
239 Setirizin tablet 10 mg Ampul 5354 5354 276 5078 331.2 -4746.8
240 Sianokobalamin (vitamin B12) inj 500 mcg Tab 0 0 0 0 0 0
241 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 0 0 0 0 0
242 Simetidine Tab 10 mg Kap 396 396 0 396 0 -396
243 Simvastatin scored tablet 10 mg Tab 0 0 0 0 0 0
244 Simvastatin tab 20 mg Tab 50 50 0 50 0 -50
245 Siprofloksasin tablet 500 mg (sebagai HCl) Tab 1360 1360 390 970 468 -502
246 Spiramisin tablet 500 mg Tab 0 0 0 0 0 0
247 Spironolakton tablet 100 mg Tab 0 0 0 0 0 0
248 Spironolakton tablet 25 mg Btl @ 60 ml 0 0 0 0 0 0
249 Stimuno Syr Tab 0 0 0 0 0 0
250 Stimuno Tab Btl @ 100 ml 0 0 0 0 0 0
251 Sukralfat susp 500 mg/5 mL/Ulsafate Tab 0 0 0 0 0 0
252 Sukralfat tab 500 mg/Ulsidex Tab 0 0 0 0 0 0
253 Tab Tambah darah/Hemafort Tab 0 0 0 0 0 0
254 Terbutalin tablet 2,5 mg/Molasma Kapsul 0 0 0 0 0 0
255 Tetrasiklin kapsul 250 mg Kapsul 281 281 70 211 84 -127
256 Tetrasiklin Kapsul 500 mg Ampul 200 200 0 200 0 -200
257 Thiamin HCl inj 100mg/ml Tab 0 0 0 0 0 0
258 Thiamin Mononitrat Tab 50 mg Kapsul 1308 1308 140 1168 168 -1000
259
Thiamfenikol Kap 500 mg Ampul 0 0 0 0 0 0
260 Tramadol injeksi 50 mg/ml Tab 0 0 0 0 0 0
261 Tramadol Tab 50 mg tube 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
262 Urea krim 10%/Soft U Derm Btl 0 0 0 0 0 0
263 Videne Povidone Iodine 500 ml Tab 0 0 0 0 0 0
264 Vitamin Tab/Becefort Tab Btl 0 0 0 0 0 0
265 Vitamin Syr/Becefort Syr Tab 0 0 0 0 0 0
Vitamin B Kompleks tablet tab 1076 1076 130 946 156 -790
OBAT PROGRAMMALARIA 0 0 0 0 0 0
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
305 Antimalaria DOEN kombinasi /suldox tab Ampul 0 0 0 0 0 0
306 Artemether injeksi 80 mg/ml/Artem Tab 0 0 0 0 0 0
307 Arterakin/Darplex/DHP Tab Vial 0 0 0 0 0 0
308 Artesunate inj 60 mg/ml/Artesunate Unit 0 0 0 0 0 0
309 Fokus Malaria PF&PV Casette Tab 0 0 0 0 0 0
310 Kuinin (Kina) tablet 200 mg Ampul 0 0 0 0 0 0
311 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Tab 0 0 0 0 0 0
312 Kuinin tablet 222 mg (H2SO4.7H2O) Galon 0 0 0 0 0 0
313 Larvasida Malaria Tab 0 0 0 0 0 0
314 Primakuin tablet 15 mg Test 0 0 0 0 0 0
315 RDT Malaria Piece 0 0 0 0 0 0
RDT Malaria 0 0 0 0 0 0
316 Sacchet 0 0 0 0 0 0
317 Garam Oralit I serbuk, kombi Sacchet 24 24 3 21 3.6 -17.4
318 Zinc drop 10 mg/mL/Zincpro Drops btl @15 ml 0 0 0 0 0 0
319 Zinc sir 10 mg/mL/Zinc Kid Btl @ 60 ml 0 0 0 0 0 0
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0 0
Zinc tablet dispersible20 mg 20 20 0 20 0 -20
0
ALKES 0
363 0
364 Alat Suntik 0,05 ml Buah 0 0 0 0 0 0
367 Alat Suntik 2,5 ml. Buah 160 160 20 140 24 -116
369 Alat Suntik 10 ml Buah 0 0 0 0 0 0
370 Blood Lancet Buah 0 0 0 0 0 0
371 Bisturi No. 11 Set 0 0 0 0 0 0
372 Cat Gut/ Benang Bedah no. 2/0 Set 87 87 0 87 0 -87
374 Folley Cathether No. 14 Buah 0 0 0 0 0 0
377 Folley Cathether No. 20 Paket 0 0 0 0 0 0
378 Hanscond 7 / M Paket 180 180 20 160 24 -136
379 Hanscond 7,5/L Paket 0 0 0 0 0 0
380 Hanscond 7,5/L Set 0 0 0 0 0 0
388 Kasa Pembalut Hidrofil 4m x 10cm Roll 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
389 Kapas Berlemak 500 mg. Roll 4 4 1 3 1.2 -1.8
390 Kapas Pembalut/Adsorben 250 mg. Roll 2 2 0 2 0 -2
391 Kasa Elastis Roll 0 0 0 0 0 0
392 Kasa Meteran 36m x 80cm Roll 0 0 0 0 0 0
393 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 9 9 0 9 0 -9
394 Kasa Pembalut 2m x 80cm. Roll 0 0 0 0 0 0
395 Kasa Pembalut Hidrofil 4m x 15cm. Roll 20 20 10 10 12 2
397 Kasa Pembalut Hidrofil 4m x 5cm. Kotak 100 100 0 100 0 -100
398 Kasa Steril Roll 40 40 30 10 36 26
399 Leucoplast 7,50cm x 4,5m Buah 1 1 0 1 0 -1
400 Masker Roll 90 90 20 70 24 -46
401 Pembalut Gips Pak 0 0 0 0 0 0
402 Plastik Besar Pak 1 1 1 0 1.2 1.2
403 Plastik Kecil Roll 0 0 0 0 0 0
404 Plester 5 Yard x 2 Inc. Set 1 1 1 0 1.2 1.2
405 Silk (benang bedah sutra) no 3/0 Buah 16 16 0 16 0 -16
UMUM JUMLAH
MANDIRI
JUMLAH PASIEN BULAN MARET

Gisting, 31 MEI 2018
Ka, Puskesmas Pembantu Gisting Atas Petugas Pengelola Obat

NIP. 19740313 199212 2 002
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN
PERS PEMBERIAAN
STOK PENERIMA PEMA SISA STOK PERMI
NO NAMA OBAT SATUAN EDIAA KET
AWAL AN KAIAN STOK OPTM NTAAN PKD JPKM P2M GIZI ASKE LAIN JML
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul
2 Albendazol tab 400 mg Tab
3 Albendazole susp 200mg/5ml Botol@60ml
4 Alopurinol tab 100 mg Tab
5 Ambroksol Tab 30 mg Tab
6 Ambroksol Syr 30mg/5 ml Btl
7 Aminofilin injeksi 24 mg/ml Ampul
8 Aminofilin tablet scored 200 mg Tab
9 Amlodipin tablet 10 mg Tab
10 Amlodipin tablet 5 mg Tab
11 Amoksisilin kap 250 mg Kaps
12 Amoksisilin kap scored 500 mg Kaptab
13 Amoksisilin sirup kering forte 250 mg/5 mBtl@ 60 ml
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml
15 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial
16 Ampisilin Tab 500 mg Tab
17 Ampisillin syr kering 125 mg / 5 ml
18 Antalgin Tab 500mg Tab
19 Antalgin Inj 250mg/2ml Ampul
20 Antasida DOEN I tablet kunyah, komb Tab
21 Antasida DOEN II suspensi, komb Btl @ 60 ml
22 Anti Bakteri DOEN salep kombi Tube @ 5g
23 Anti Diare/ Diapecta tab/New Antides Tab
24 Anti Konstipasi / Laxadin Emulsion Btl
25 Antihemoroid komb Supp
26 Antifungi Doen Kombinasi Pot @ 30 g
27 Antimalaria DOEN kombinasi /suldox tab Tab
28 Antimigren tab Komb Tab
29 As. Asetilsalisilat (asetosal) tablet 100 mg Tab
30 As. Asetilsalisilat (asetosal) 80 mg/MiniaspTab
31 As. Asetilsalisilat (asetosal) tab 500 mg Tab
32 Asam Askorbat (Vitamin C) tablet 250 mg Tab
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab
34 Asam Folat tab 1 mg Kaptab
35 Asam Mefenamat kaps 500 mg Tab
36 Asam pipemidat kap 400 mg/Urotractin ta Ampul
PERS PEMBERIAAN
NO NAMA OBAT SATUAN EDIAA JPKM ASKE KET
AWAL AN KAIAN STOK OPTM NTAAN PKD P2M GIZI LAIN JML
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
37 Asam traneksamat injeksi 50 mg/ml Tab
38 Asifit Tab Tube @ 5g
39 Asiklovir Krim Tube 3,5 g
40 Asiklovir salep mata 3%/Temiral Eye Oint Tab
41 Asiklovir tab 200 mg Tab
42 Asiklovir tab 400 mg Tab
43 Atapulgit tab 600 mg/Pularex Ampul
44 Atropin Sulfat Inj 0,25mg/1ml Ktk @ 50 g
45 Bedak salisil serbuk 2% Tablet
46 Betahistine Maleat 6 mg Tube 5 gr
47 Betametason krim 0,1% Tube 5 gr
48 Betason N Krim Ampul
49 Bioneuron Inj Supp
50 Bisakodil 10 mg supp/Dulcolax supp adult Supp
51 Bisakodil 5 mg supp/Dulcolax supp infant Tablet
52 Bisakodil tab salut mg Tab
53 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tube @ 5g
54 Chloramfecort H Cream Ampul
55 Deksametason inj 5 mg/ml Tab
56 Deksametason tablet 0,5 mg Botol
57 Dekstran 70-larutan infus 6% steril Tube @ 2,5 ml
58 Diazepam larutan rektal 5 mg/2,5 mL/StesoAmpul
59 Diazepam injeksi i.v./i.m 5 mg/ml Tab
60 Diazepam tablet 2 mg Tab
61 Diazepam tablet 5 mg Tab
62 Dietilkarbamazin tablet scored 100 mg Ampul
63 Difenhidramin inj 10 mg/ml (HCl) Tab
64 Digoksin tablet 0,25 mg Tab
65 Diltiazem HCl tablet 30 mg Kapsul
66 Doksisiklin Kap 100 mg btl @ 60 ml
67 Domperidon susp/sirup 5 mg/5 ml Tab
68 Domperidon tablet 10 mg Tab
69 Efedrin tab 25 mg Tab
70 Ekstrak Beladona tab 10 mg Ampul
71 Epinefrin (Adrenalin) inj 1 mg/ml Kapsul
72 Eritromisin kaps 250 mg Kaplet
73 Eritromisin kaplet 500 mg KAPSUL
74 Eritromisin sirup kering 200 mg/ 5 ml Botol
75 Etakridina (Rivanol) Lar 0,1 % 300 ml Btl @ 1000 ml
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
76 Etanol 70% cairan Btl @ 300 ml
77 Etanol 96% Btl @ 60 ml
78 Febrinex Syr Vial
79 Fenoterol HBr aerosol 100mcg/dosis/Bero Btl @ 5ml
80 Fenol gliserol TT 10 % Tab
81 Finasterid tab 5 mg/Prostacom Tab Tab
82 Fitomenadion (Vit.K1) tab salut gula 10 m Tab
83 Fituno Tab Tube 5 g
84 Flusinolon asetonid krim 0,025%/SynarcusAmpul
85 Furosemid inj 10 mg/ml Tab
86 Furosemid tablet 40 mg tab
87 Gentamisin injeksi 40 mg/ ml Tube @ 5 g
88 Gentamisin salep Kulit Tube @ 3,5 gr
89 Gentamisin salep mata 0,3%/Genoint SM Btl @ 5 ml
90 Gentamisin tetes mata 0,3% Btl
91 Gentian Violet 1% Tab
92 Glibenklamid tablet 5 mg Tab
93 Gliklazid tab 80 mg/Glicab Tab Tab
94 Glimepiride tablet 2 mg Tab
95 Glimepiride tablet 3 mg Tab
96 Gliseril Guayakolat tab 100mg Btl @ 500 ml
97 Glukosa larutan infus 10 % steril Btl @ 500 ml
98 Glukosa larutan infus 5 % steril btl @ 100 ml
99 Glukosa Larutan Infus 40 % Tab
100 Griseofulvin tablet 125 mg Tab
101 Hidroklorotiazid (HCt ) Tab 25 mg Tube 5 gr
102 Hidrokortison krim 2,5 % btl @ 60 ml
103 Ibuprofen sirup 100 mg/5 ml Tab
104 Ibuprofen tablet 200 mg Tab
105 Ibuprofen tablet 400 mg tab
106 Ichtyol Salep Tab
107 Isosorbid Dinitrat tablet sublingual 5 mg Tab
108 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab
109 Kalium Diklofenak tab 25 mg Tab
110 Kalium Diklofenak tab 50 mg Tab
111 Kalsium Laktat (Kalk) tab 500 mg Tab
112 Kaptopril tablet scored 25 mg Tab
113 Kaptopril tablet scored12,5 mg tab
114 Ketokonazol krim 2% tube
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
115 Ketokonazol tablet 200 mg Ampul
116 Ketorolac injeksi 30 mg/ml Kapsul
117 Klindamisin kapsul/kaplet 150 mg Kapsul
118 Klindamisin kapsul/kaplet 300 mg Tab
119 Klonidin tablet 0,15 mg Kapsul
120 Kloramfenikol kap 250 mg kapsul
121 Kloramfenikol salep kulit 2%/Bufacetin Tube 5 gr
122 Kloramfenikol salep mata 1 % vial
123 Kloramfenikol inj 1000 mg/Chloramex inj Btl @ 60 ml
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml
125 Kloramfenikol Tetes Mata Btl @ 5 ml
126 Kloramfenikol Tetes Telinga Tab
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab
128 Kodein tablet 10 mg Tab
129 Komb Amoks + As. Klavulanat/Co-Amoxi Tab
130 Kombinasi tablet salut : Besi (II) sulfat t Btl @ 15 ml
131 Kombinasi tetes mata /Cendo Lyteers Tab
132 Kotrimoksazol DOEN I (dewasa) komb Tab
133 Kotrimoksazol Pediatrik Tab tab
134 Kotrimoksazol Suspensi komb btl @60
135 Lanzoprazol kapsul/kaplet 30 mg Pot
136 Levertan Ampul
137 Lidokain injeksi 2% (HCl) syringe @ 10 g
138 Lidokain jeli 2%/Xylocaine Jelly 2% Btl @ 300 ml
139 Lisol Tab
140 Loperamid tablet 2 mg Tab
141 Loratadin tablet 10 mg Tab
142 Mebendazol tablet 500 mg/Vermox tab btl
143 Mebendazol Sirup 50 mg/ml tab
144 Meloxicam 7,5 mg tab
145 Meloxicam 15 mg Tab
146 Metformin HCl tablet 500 mg Tab
147 Metilergometrin Maleat tab salut 0,125 m Ampul
148 Metilergometrin Maleat inj 0,200 mg-1 ml Tab
149 Metilprednisolon tablet 16 mg Tab
150 Metilprednisolon tablet 4 mg Tab
151 Metilprednisolon tablet 8 mg Ampul
152 Metoklopramide injeksi 5 mg/ ml Btl @ 60 ML
153 Metoklopramide sirup 5 mg/ 5 ml/Lexapra Btl @ 10 ml
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
154 Metoklopramide drop 2mg/ml/Mepramide Tab
155 Metoklopramide tablet 10 mg Btl @ 100 ml
156 Metronidazol infus 500 mg/100 ml Tab Vag
157 Metronidazol ovula 500 mg/Vagizol Btl @ 60ml
158 Metronidazol sirup 125 mg/5 Ml Supp
159 Metronidazol supositoria 500 mg/Flagyl Tab
160 Metronidazol tablet 250 mg Tab
161 Metronidazol tablet 500 mg Tube 10 gram
162 Mikonazol krim/salep 2 % (Nitrat) Btl@25gr
163 Miconazol Serbuk 2%/Mycorin Powder Tab
164 Miraclav tab Kap
165 Miraneuron kap Tab
166 Multivitamin Kom Dewasa/Ramaton Tab Btl @ 60 ml
167 Multivitamin Anak+DHA Syr/Bionick DHA Btl @ 60 ml
168 Multivitamin Anak Syr/Bionick Syr Btl @ 30 ml
169 Multivitamin Bayi Drop/Bionick Drop Btl 500 ml
170 Nacl 0,9% Tab
171 Natrium Bikarbonat Tab 500mg Tab
172 Natrium Diklofenak tablet 50 mg Tab
173 Natrium Diklofenak tablet 25 mg Ampul
174 Natrium Tiosulfat Inj 25%-10 ml Tab
175 Neurovit E tab Tab
176 Nifedipin tab 10 mg Tab
177 Nistatin tablet salut 500.000 IU/ g Tab Vag
178 Nistatin vaginal tablet 100.000 IU/ g Tab
179 Noza tab Btl @ 100 ml
180 Obat Batuk Hitam (OBH) Syrup Tab
181 Obat Batuk pilek Komb (Hustab tab) Btl @ 100 ml
182 Obat Flu Anak komb (Flutamol Syr) Tab
183 Ofloxacin tablet 200 mg Tab
184 Ofloxacin tablet 400 mg Botol
185 Ofloksasin tetes telinga 3%/Tarivid Otic Sobotol @ 10 ml
186 Oksimetazolin tts hidung 0,025%/Ilaidin DVial
187 Oksitetrasiklin HCl inj 50 mg/ ml Tube
188 Oksitetrasiklin HCl Salep 3 % Tube
189 Oksitetrasiklin HCl Salep 1 % Vial
190 Omeprazol injeksi 40 mg/ 10 ml Kaps
191 Omeprazol kaps 20 mg Ampul
192 ondansetron inj 4 mg/ 2 mL Tab
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
193 Ondansetron tab 4 mg Tab
194 Ondansetron tablet 8 mg Tab
195 Papaverin Tab Ampul
196 Papaverin Inj Botol @ 15 Ml
197 Parasetamol drop ( Generik) Btl @ 60 ml
198 Parasetamol sirup 120 mg / 5 ml Tab
199 Parasetamol tablet 500 mg Btl @ 15 ml
200 Parasetamol Drop /Fasidol Drop tube @ 35 gram
201 Perak sulfadiazin krim 1%/Burnazine cr Tube @ 10 g
202 Permetrin krim 5%/Scabimite Cream Tube
203 Petidin inj 50 mg/ml (HCl) Btl @ 60 ml
204 Pirantel suspensi 125 mg/5 ml Tab
205 Pirantel tablet score (base) 125 mg Tab
206 Piridoksin (vitamin B6) 10 mg Tab
207 Piroxicam tab 10mg Tab
208 Piroxicam tab 20mg Btl @ 1000 ml
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 ml
211 Povidon Iodida larutan 10% 300 ml btl 60 ml
212 Povidon Iodida larutan 10% 60 ml Tab
213 Prednison tablet 5 mg Tab
214 Progastric tab Tab
215 Propanolol tablet 10 mg ( HCl ) Tab
216 Propranolol tablet 40 mg (HCl) Tab
217 Propiltiourasil tab 100 mg Ampul
218 Ranitidin injeksi 25 mg/ml Tab
219 Ranitidin tablet 150 mg Btl @ 500 ml
220 Ringer Laktat larutan infus Tab
221 Risperidon tablet 2 mg Tab
222 Salbutamol tab 2mg Tab
223 Salbutamol Tab 4 mg Btl
224 Salbutamol cairan ih 0,1%/Ventolin NebuleBtl
225 Salbutamol inh 100 mcg/dosis/Ventolin InhBtl
226 Salbutamol Syr Pot @ 30 gram
227 Salep 2-4 , Komb Btl @ 60 ml
228 Sefadroksil sirup kering 125 mg/5ml Kapsl
229 Sefadroksil kapsul 500 mg Kapsul
230 Sefaleksin kapsul 500 mg Kapsul
231 Sefiksim kapsul 100 mg Btl @ 30 ml
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
232 Sefiksim sirup kering 100 mg/ 5 ml Vial
233 Sefotaksim injeksi 1 g Vial
234 Seftriakson serbuk injeksi 1 g/vial Vial
235 Serum ABU Polivalen inj 5 ml Ampul
236 Serum ATS 1500 IU/ml Vial
237 Serum ATS 20.000 mcg.ml Btl @ 60 ml
238 Setirizin sirup 5 mg/5 ml Kapsul
239 Setirizin tablet 10 mg Ampul
240 Sianokobalamin (vitamin B12) inj 500 mc Tab
241 Sianokobalamin (vitamin B12) tab 50 mcg Tab
242 Simetidine Tab 10 mg Kap
243 Simvastatin scored tablet 10 mg Tab
244 Simvastatin tab 20 mg Tab
245 Siprofloksasin tablet 500 mg (sebagai HCl)Tab
246 Spiramisin tablet 500 mg Tab
247 Spironolakton tablet 100 mg Tab
248 Spironolakton tablet 25 mg Btl @ 60 ml
249 Stimuno Syr Tab
250 Stimuno Tab Btl @ 100 ml
251 Sukralfat susp 500 mg/5 mL/Ulsafate Tab
252 Sukralfat tab 500 mg/Ulsidex Tab
253 Tab Tambah darah/Hemafort Tab
254 Terbutalin tablet 2,5 mg/Molasma Kapsul
255 Tetrasiklin kapsul 250 mg Kapsul
256 Tetrasiklin Kapsul 500 mg Ampul
257 Thiamin HCl inj 100mg/ml Tab
258 Thiamin Mononitrat Tab 50 mg Kapsul
259 Thiamfenikol Kap 500 mg Ampul
260 Tramadol injeksi 50 mg/ml Tab
261 Tramadol Tab 50 mg tube
262 Urea krim 10%/Soft U Derm Btl
263 Videne Povidone Iodine 500 ml Tab
264 Vitamin Tab/Becefort Tab Btl
265 Vitamin Syr/Becefort Syr Tab
Vitamin B Kompleks tablet tab
OBAT PROGRAMMALARIA
303 Blister
304 ACT Tab Tab
305 Antimalaria DOEN kombinasi /suldox tab Ampul
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
306 Artemether injeksi 80 mg/ml/Artem Tab
307 Arterakin/Darplex/DHP Tab Vial
308 Artesunate inj 60 mg/ml/Artesunate Unit
309 Fokus Malaria PF&PV Casette Tab
310 Kuinin (Kina) tablet 200 mg Ampul
311 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Tab
312 Kuinin tablet 222 mg (H2SO4.7H2O) Galon
313 Larvasida Malaria Tab
314 Primakuin tablet 15 mg Test
315 RDT Malaria Piece
RDT Malaria
OBAT PROGRAM DIARE
316 Sacchet
317 Garam Oralit I serbuk, kombi Sacchet
318 Zinc drop 10 mg/mL/Zincpro Drops btl @15 ml
319 Zinc sir 10 mg/mL/Zinc Kid Btl @ 60 ml
320 Zinc sir 20 mg/5 Ml
Zinc tablet dispersible20 mg
ALKES
363
364 Alat Suntik 0,05 ml Buah
365 Alat Suntik 0,5 ml Buah
366 Alat Suntik 1 ml. Buah
367 Alat Suntik 2,5 ml. Buah
368 Alat Suntik 5 ml. Buah
369 Alat Suntik 10 ml Buah
370 Blood Lancet Buah
371 Bisturi No. 11 Set
372 Cat Gut/ Benang Bedah no. 2/0 Set
373 Cat Gut/ Benang Bedah no. 3/0 Buah
374 Folley Cathether No. 14 Buah
377 Folley Cathether No. 20 Paket
378 Hanscond 7 / M Paket
379 Hanscond 7,5/L Paket
380 Hanscond 7,5/L Set
388 Kasa Pembalut Hidrofil 4m x 10cm Roll
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
389 Kapas Berlemak 500 mg. Roll
390 Kapas Pembalut/Adsorben 250 mg. Roll
391 Kasa Elastis Roll
392 Kasa Meteran 36m x 80cm Roll
393 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll
394 Kasa Pembalut 2m x 80cm. Roll
395 Kasa Pembalut Hidrofil 4m x 15cm. Roll
396 Kasa Pembalut Hidrofil 4m x 3cm. Roll
397 Kasa Pembalut Hidrofil 4m x 5cm. Kotak
398 Kasa Steril Roll
399 Leucoplast 7,50cm x 4,5m Buah
400 Masker Roll
401 Pembalut Gips Pak
402 Plastik Besar Pak
403 Plastik Kecil Roll
404 Plester 5 Yard x 2 Inc. Set
405 Silk (benang bedah sutra) no 3/0 Buah
PBI PUSAT PBI PBI
UMUM DAERAH MAND JUMLA
IRI H
JUMLAH PASIEN BULAN SEPTEMBER

Gisting,
Kabupaten Tanggamus
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN Nov-18
PERS PEMBERIAAN
NO NAMA OBAT SATUAN EDIAA KET
AWAL AN KAIAN STOK OPTM NTAAN PKD JPKM P2M GIZI ASKE LAIN JML
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 0 0 0 0 0
2 Albendazol tab 400 mg Tab 0 0 0 0 0
3 Albendazole susp 200mg/5ml Botol@60ml 0 0 0 0 0
5 Ambroksol Tab 30 mg Tab 0 0 0 0 0
6 Ambroksol Syr 30mg/5 ml Btl 0 0 0 0 0
7 Aminofilin injeksi 24 mg/ml Ampul 0 0 0 0 0
8 Aminofilin tablet scored 200 mg Tab 0 500 500 500 0 -500
9 Amlodipin tablet 10 mg Tab 0 0 0 0 0
10 Amlodipin tablet 5 mg Tab 0 0 0 0 0
11 Amoksisilin kap 250 mg Kaps 954 1,500 2454 544 1910 652.8 -1257.2
12 Amoksisilin kap scored 500 mg Kaptab 0 0 0 0 0
13 Amoksisilin sirup kering forte 250 mg/5 mBtl@ 60 ml 0 0 0 0 0
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 0 0 0 0 0
15 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 0 0 0 0 0
16 Ampisilin Tab 500 mg Tab 0 0 0 0 0
17 Ampisillin syr kering 125 mg / 5 ml 0 0 0 0 0
18 Antalgin Tab 500mg Tab 0 0 0 0 0
19 Antalgin Inj 250mg/2ml Ampul 0 0 0 0 0
20 Antasida DOEN I tablet kunyah, komb Tab 1086 1,000 2086 277 1809 332.4 -1476.6
21 Antasida DOEN II suspensi, komb Btl @ 60 ml 10 25 35 35 0 -35
22 Anti Bakteri DOEN salep kombi Tube @ 5g 10 10 10 0 -10
23 Anti Diare/ Diapecta tab/New Antides Tab 0 0 0 0 0
24 Anti Konstipasi / Laxadin Emulsion Btl 0 0 0 0 0
25 Antihemoroid komb Supp 0 0 0 0 0
27 Antimalaria DOEN kombinasi /suldox tab Tab 0 0 0 0 0
28 Antimigren tab Komb Tab 0 0 0 0 0
29 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 0 0 0 0 0
30 As. Asetilsalisilat (asetosal) 80 mg/MiniaspTab 0 0 0 0 0
31 As. Asetilsalisilat (asetosal) tab 500 mg Tab 0 0 0 0 0
32 Asam Askorbat (Vitamin C) tablet 250 mg Tab 0 0 0 0 0
34 Asam Folat tab 1 mg Kaptab 2440 1,000 3440 30 3410 36 -3374
35 Asam Mefenamat kaps 500 mg Tab 1900 500 2400 330 2070 396 -1674
36 Asam pipemidat kap 400 mg/Urotractin ta Ampul 40 40 40 0 -40
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
37 Asam traneksamat injeksi 50 mg/ml Tab 0 0 0 0 0
38 Asifit Tab Tube @ 5g 0 0 0 0 0
39 Asiklovir Krim Tube 3,5 g 0 0 0 0 0
40 Asiklovir salep mata 3%/Temiral Eye Oint Tab 0 0 0 0 0
42 Asiklovir tab 400 mg Tab 0 0 0 0 0
44 Atropin Sulfat Inj 0,25mg/1ml Ktk @ 50 g 0 0 0 0 0
45 Bedak salisil serbuk 2% Tablet 12 5 17 17 0 -17
48 Betason N Krim Ampul 0 0 0 0 0
49 Bioneuron Inj Supp 0 0 0 0 0
50 Bisakodil 10 mg supp/Dulcolax supp adult Supp 3 3 3 0 -3
51 Bisakodil 5 mg supp/Dulcolax supp infant Tablet 5 5 5 0 -5
52 Bisakodil tab salut mg Tab 60 60 60 0 -60
53 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tube @ 5g 0 0 0 0 0
54 Chloramfecort H Cream Ampul 0 0 0 0 0
55 Deksametason inj 5 mg/ml Tab 0 0 0 0 0
56 Deksametason tablet 0,5 mg Botol 1310 1,000 2310 336 1974 403.2 -1570.8
57 Dekstran 70-larutan infus 6% steril Tube @ 2,5 0 0 0 0 0
58 Diazepam larutan rektal 5 mg/2,5 mL/StesoAmpul 0 0 0 0 0
59 Diazepam injeksi i.v./i.m 5 mg/ml Tab 0 0 0 0 0
62 Dietilkarbamazin tablet scored 100 mg Ampul 0 0 0 0 0
63 Difenhidramin inj 10 mg/ml (HCl) Tab 0 0 0 0 0
64 Digoksin tablet 0,25 mg Tab 0 0 0 0 0
65 Diltiazem HCl tablet 30 mg Kapsul 0 0 0 0 0
66 Doksisiklin Kap 100 mg btl @ 60 ml 0 0 0 0 0
67 Domperidon susp/sirup 5 mg/5 ml Tab 23 23 23 0 -23
69 Efedrin tab 25 mg Tab 0 0 0 0 0
70 Ekstrak Beladona tab 10 mg Ampul 0 0 0 0 0
71 Epinefrin (Adrenalin) inj 1 mg/ml Kapsul 0 0 0 0 0
72 Eritromisin kaps 250 mg Kaplet 0 0 0 0 0
73 Eritromisin kaplet 500 mg KAPSUL 82 82 40 42 48 6
74 Eritromisin sirup kering 200 mg/ 5 ml Botol 0 0 0 0 0
75 Etakridina (Rivanol) Lar 0,1 % 300 ml Btl @ 1000 1 1 1 0 1.2 1.2
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
76 Etanol 70% cairan Btl @ 300 m 0 0 0 0 0
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0
78 Febrinex Syr Vial 0 0 0 0 0
79 Fenoterol HBr aerosol 100mcg/dosis/Bero Btl @ 5ml 0 0 0 0 0
81 Finasterid tab 5 mg/Prostacom Tab Tab 0 0 0 0 0
82 Fitomenadion (Vit.K1) tab salut gula 10 m Tab 0 0 0 0 0
83 Fituno Tab Tube 5 g 0 0 0 0 0
84 Flusinolon asetonid krim 0,025%/SynarcusAmpul 0 0 0 0 0
85 Furosemid inj 10 mg/ml Tab 0 0 0 0 0
86 Furosemid tablet 40 mg Ampul 0 400 400 40 360 48 -312
87 Gentamisin injeksi 40 mg/ ml Tube @ 5 g 0 0 0 0 0
88 Gentamisin salep Kulit Tube @ 3,5 0 0 0 0 0
89 Gentamisin salep mata 0,3%/Genoint SM Btl @ 5 ml 0 5 5 5 0 -5
90 Gentamisin tetes mata 0,3% Btl 0 0 0 0 0
91 Gentian Violet 1% Tab 0 0 0 0 0
92 Glibenklamid tablet 5 mg Tab 132 132 132 0 -132
93 Gliklazid tab 80 mg/Glicab Tab Tab 0 0 0 0 0
94 Glimepiride tablet 2 mg Tab 100 100 100 0 -100
95 Glimepiride tablet 3 mg Tab 0 0 0 0 0
96 Gliseril Guayakolat tab 100mg Btl @ 500 m 0 0 0 0 0
97 Glukosa larutan infus 10 % steril Btl @ 500 m 0 0 0 0 0
98 Glukosa larutan infus 5 % steril btl @ 100 ml 0 0 0 0 0
99 Glukosa Larutan Infus 40 % Tab 0 0 0 0 0
100 Griseofulvin tablet 125 mg Tab 0 0 0 0 0
101 Hidroklorotiazid (HCt ) Tab 25 mg Tube 5 gr 200 200 200 0 -200
103 Ibuprofen sirup 100 mg/5 ml Tab 0 0 0 0 0
104 Ibuprofen tablet 200 mg Tab 487 487 246 241 295.2 54.2
105 Ibuprofen tablet 400 mg tab 18 18 18 0 21.6 21.6
106 Ichtyol Salep Tab 0 0 0 0 0
107 Isosorbid Dinitrat tablet sublingual 5 mg Tab 30 30 30 0 -30
108 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 0 0 0 0 0
111 Kalsium Laktat (Kalk) tab 500 mg Tab 419 1,000 1419 140 1279 168 -1111
114 Ketokonazol krim 2% tube 32 32 32 0 -32
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
115 Ketokonazol tablet 200 mg Ampul 350 350 350 0 -350
116 Ketorolac injeksi 30 mg/ml Kapsul 0 0 0 0 0
117 Klindamisin kapsul/kaplet 150 mg Kapsul 0 0 0 0 0
118 Klindamisin kapsul/kaplet 300 mg Tab 0 0 0 0 0
119 Klonidin tablet 0,15 mg Kapsul 0 0 0 0 0
120 Kloramfenikol kap 250 mg kapsul 0 200 200 200 0 -200
123 Kloramfenikol inj 1000 mg/Chloramex inj Btl @ 60 ml 0 0 0 0 0
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 0 0 0 0 0
125 Kloramfenikol Tetes Mata Btl @ 5 ml 9 9 1 8 1.2 -6.8
126 Kloramfenikol Tetes Telinga Tab 0 0 0 0 0
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab 1850 1,000 2850 465 2385 558 -1827
128 Kodein tablet 10 mg Tab 0 0 0 0 0
129 Komb Amoks + As. Klavulanat/Co-Amoxi Tab 0 0 0 0 0
130 Kombinasi tablet salut : Besi (II) sulfat t Btl @ 15 ml 2490 2490 2490 0 -2490
131 Kombinasi tetes mata /Cendo Lyteers Tab 0 0 0 0 0
133 Kotrimoksazol Pediatrik Tab tab 0 0 0 0 0
135 Lanzoprazol kapsul/kaplet 30 mg Pot 0 0 0 0 0
136 Levertan Ampul 0 0 0 0 0
137 Lidokain injeksi 2% (HCl) syringe @ 10 24 24 24 0 -24
138 Lidokain jeli 2%/Xylocaine Jelly 2% Btl @ 300 m 0 0 0 0 0
139 Lisol Tab 0 0 0 0 0
140 Loperamid tablet 2 mg Tab 0 0 0 0 0
141 Loratadin tablet 10 mg Tab 150 150 150 0 -150
142 Mebendazol tablet 500 mg/Vermox tab btl 0 0 0 0 0
143 Mebendazol Sirup 50 mg/ml tab 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0
145 Meloxicam 15 mg Tab 0 0 0 0 0
146 Metformin HCl tablet 500 mg Tab 0 0 0 0 0
147 Metilergometrin Maleat tab salut 0,125 m Ampul 0 0 0 0 0
148 Metilergometrin Maleat inj 0,200 mg-1 ml Tab 0 0 0 0 0
151 Metilprednisolon tablet 8 mg Ampul 100 100 100 0 -100
152 Metoklopramide injeksi 5 mg/ ml Btl @ 60 M 0 0 0 0 0
153 Metoklopramide sirup 5 mg/ 5 ml/Lexapra Btl @ 10 ml 0 0 0 0 0
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
154 Metoklopramide drop 2mg/ml/Mepramide Tab 0 0 0 0 0
155 Metoklopramide tablet 10 mg Btl @ 100 m 200 200 200 0 -200
156 Metronidazol infus 500 mg/100 ml Tab Vag 0 0 0 0 0
157 Metronidazol ovula 500 mg/Vagizol Btl @ 60ml 0 0 0 0 0
158 Metronidazol sirup 125 mg/5 Ml Supp 0 0 0 0 0
159 Metronidazol supositoria 500 mg/Flagyl Tab 0 0 0 0 0
161 Metronidazol tablet 500 mg Tube 10 gra 0 0 0 0 0
162 Mikonazol krim/salep 2 % (Nitrat) Btl@25gr 0 12 12 12 0 -12
163 Miconazol Serbuk 2%/Mycorin Powder Tab 0 0 0 0 0
164 Miraclav tab Kap 0 0 0 0 0
165 Miraneuron kap Tab 0 0 0 0 0
166 Multivitamin Kom Dewasa/Ramaton Tab Btl @ 60 ml 0 0 0 0 0
167 Multivitamin Anak+DHA Syr/Bionick DHA Btl @ 60 ml 0 0 0 0 0
168 Multivitamin Anak Syr/Bionick Syr Btl @ 30 ml 0 0 0 0 0
169 Multivitamin Bayi Drop/Bionick Drop Btl 500 ml 0 0 0 0 0
170 Nacl 0,9% Tab 12 12 12 0 -12
171 Natrium Bikarbonat Tab 500mg Tab 0 0 0 0 0
172 Natrium Diklofenak tablet 50 mg Tab 0 0 0 0 0
173 Natrium Diklofenak tablet 25 mg Ampul 500 500 500 0 -500
174 Natrium Tiosulfat Inj 25%-10 ml Tab 0 0 0 0 0
175 Neurovit E tab Tab 0 0 0 0 0
176 Nifedipin tab 10 mg Tab 19 19 19 0 -19
178 Nistatin vaginal tablet 100.000 IU/ g Tab 0 0 0 0 0
179 Noza tab Btl @ 100 m 0 0 0 0 0
180 Obat Batuk Hitam (OBH) Syrup Tab 0 0 0 0 0
181 Obat Batuk pilek Komb (Hustab tab) Btl @ 100 m 0 0 0 0 0
182 Obat Flu Anak komb (Flutamol Syr) Tab 0 0 0 0 0
183 Ofloxacin tablet 200 mg Tab 0 0 0 0 0
184 Ofloxacin tablet 400 mg Botol 0 0 0 0 0
185 Ofloksasin tetes telinga 3%/Tarivid Otic Sobotol @ 10 0 0 0 0 0
186 Oksimetazolin tts hidung 0,025%/Ilaidin DVial 0 0 0 0 0
187 Oksitetrasiklin HCl inj 50 mg/ ml Tube 0 0 0 0 0
188 Oksitetrasiklin HCl Salep 3 % Tube 0 0 0 0 0
189 Oksitetrasiklin HCl Salep 1 % Vial 0 0 0 0 0
190 Omeprazol injeksi 40 mg/ 10 ml Kaps 0 0 0 0 0
191 Omeprazol kaps 20 mg Ampul 0 0 0 0 0
192 ondansetron inj 4 mg/ 2 mL Tab 0 0 0 0 0
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
193 Ondansetron tab 4 mg Tab 0 0 0 0 0
194 Ondansetron tablet 8 mg Tab 0 0 0 0 0
195 Papaverin Tab Ampul 0 0 0 0 0
196 Papaverin Inj Botol @ 15 0 0 0 0 0
197 Parasetamol drop ( Generik) Btl @ 60 ml 52 52 5 47 6 -41
199 Parasetamol tablet 500 mg Btl @ 15 ml 936 1,500 2436 173 2263 207.6 -2055.4
200 Parasetamol Drop /Fasidol Drop tube @ 35 g 0 0 0 0 0
201 Perak sulfadiazin krim 1%/Burnazine cr Tube @ 10 g 2 2 4 1 3 1.2 -1.8
202 Permetrin krim 5%/Scabimite Cream Tube 10 10 2 8 2.4 -5.6
203 Petidin inj 50 mg/ml (HCl) Btl @ 60 ml 0 0 0 0 0
204 Pirantel suspensi 125 mg/5 ml Tab 0 0 0 0 0
205 Pirantel tablet score (base) 125 mg Tab 0 0 0 0 0
206 Piridoksin (vitamin B6) 10 mg Tab 2370 1,000 3370 150 3220 180 -3040
207 Piroxicam tab 10mg Tab 0 0 0 0 0
208 Piroxicam tab 20mg Btl @ 1000 0 0 0 0 0
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml 1 1 1 0 -1
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 m 2 2 2 0 -2
211 Povidon Iodida larutan 10% 300 ml btl 60 ml 0 0 0 0 0
212 Povidon Iodida larutan 10% 60 ml Tab 0 0 0 0 0
213 Prednison tablet 5 mg Tab 0 1,000 1000 1000 0 -1000
214 Progastric tab Tab 0 0 0 0 0
215 Propanolol tablet 10 mg ( HCl ) Tab 0 0 0 0 0
216 Propranolol tablet 40 mg (HCl) Tab 0 0 0 0 0
217 Propiltiourasil tab 100 mg Ampul 0 0 0 0 0
218 Ranitidin injeksi 25 mg/ml Tab 0 0 0 0 0
219 Ranitidin tablet 150 mg Btl @ 500 m 587 1,000 1587 50 1537 60 -1477
220 Ringer Laktat larutan infus Tab 0 0 0 0 0
221 Risperidon tablet 2 mg Tab 0 0 0 0 0
222 Salbutamol tab 2mg Tab 300 300 300 12 -288
224 Salbutamol cairan ih 0,1%/Ventolin NebuleBtl 0 0 0 0 0
225 Salbutamol inh 100 mcg/dosis/Ventolin InhBtl 0 0 0 0 0
226 Salbutamol Syr Pot @ 30 gr 0 0 0 0 0
227 Salep 2-4 , Komb Btl @ 60 ml 26 24 50 50 0 -50
228 Sefadroksil sirup kering 125 mg/5ml Kapsl 0 0 0 0 0
229 Sefadroksil kapsul 500 mg Kapsul 0 0 0 0 0
230 Sefaleksin kapsul 500 mg Kapsul 0 0 0 0 0
231 Sefiksim kapsul 100 mg Btl @ 30 ml 0 0 0 0 0
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
232 Sefiksim sirup kering 100 mg/ 5 ml Vial 0 0 0 0 0
233 Sefotaksim injeksi 1 g Vial 0 0 0 0 0
234 Seftriakson serbuk injeksi 1 g/vial Vial 0 0 0 0 0
235 Serum ABU Polivalen inj 5 ml Ampul 0 0 0 0 0
236 Serum ATS 1500 IU/ml Vial 0 0 0 0 0
237 Serum ATS 20.000 mcg.ml Btl @ 60 ml 0 0 0 0 0
238 Setirizin sirup 5 mg/5 ml Kapsul 0 0 0 0 0
240 Sianokobalamin (vitamin B12) inj 500 mc Tab 0 0 0 0 0
241 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 500 500 500 0 -500
243 Simvastatin scored tablet 10 mg Tab 0 0 0 0 0
244 Simvastatin tab 20 mg Tab 0 0 0 0 0
245 Siprofloksasin tablet 500 mg (sebagai HCl)Tab 1096 100 1196 150 1046 180 -866
246 Spiramisin tablet 500 mg Tab 0 0 0 0 0
247 Spironolakton tablet 100 mg Tab 0 0 0 0 0
248 Spironolakton tablet 25 mg Btl @ 60 ml 0 0 0 0 0
249 Stimuno Syr Tab 0 0 0 0 0
250 Stimuno Tab Btl @ 100 m 0 0 0 0 0
251 Sukralfat susp 500 mg/5 mL/Ulsafate Tab 0 0 0 0 0
252 Sukralfat tab 500 mg/Ulsidex Tab 0 0 0 0 0
253 Tab Tambah darah/Hemafort Tab 0 0 0 0 0
254 Terbutalin tablet 2,5 mg/Molasma Kapsul 0 0 0 0 0
255 Tetrasiklin kapsul 250 mg Kapsul 0 0 0 0 0
256 Tetrasiklin Kapsul 500 mg Ampul 0 0 0 0 0
257 Thiamin HCl inj 100mg/ml Tab 0 0 0 0 0
258 Thiamin Mononitrat Tab 50 mg Kapsul 1635 1,000 2635 130 2505 156 -2349
259 Thiamfenikol Kap 500 mg Ampul 0 0 0 0 0
260 Tramadol injeksi 50 mg/ml Tab 0 0 0 0 0
261 Tramadol Tab 50 mg tube 0 0 0 0 0
262 Urea krim 10%/Soft U Derm Btl 0 0 0 0 0
263 Videne Povidone Iodine 500 ml Tab 0 0 0 0 0
264 Vitamin Tab/Becefort Tab Btl 0 0 0 0 0
265 Vitamin Syr/Becefort Syr Tab 0 0 0 0 0
Vitamin B Kompleks tablet tab 1443 1443 72 1371 86.4 -1284.6
OBAT PROGRAMMALARIA 0 0 0 0 0
303 Blister 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0
305 Antimalaria DOEN kombinasi /suldox tab Ampul 0 0 0 0 0
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
306 Artemether injeksi 80 mg/ml/Artem Tab 0 0 0 0 0
307 Arterakin/Darplex/DHP Tab Vial 0 0 0 0 0
308 Artesunate inj 60 mg/ml/Artesunate Unit 0 0 0 0 0
309 Fokus Malaria PF&PV Casette Tab 0 0 0 0 0
310 Kuinin (Kina) tablet 200 mg Ampul 0 0 0 0 0
311 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Tab 0 0 0 0 0
312 Kuinin tablet 222 mg (H2SO4.7H2O) Galon 0 0 0 0 0
313 Larvasida Malaria Tab 0 0 0 0 0
314 Primakuin tablet 15 mg Test 0 0 0 0 0
315 RDT Malaria Piece 0 0 0 0 0
OBAT PROGRAM DIARE 0 0 0 0 0
316 Sacchet 0 0 0 0 0
317 Garam Oralit I serbuk, kombi Sacchet 15 15 15 0 -15
318 Zinc drop 10 mg/mL/Zincpro Drops btl @15 ml 0 0 0 0 0
319 Zinc sir 10 mg/mL/Zinc Kid Btl @ 60 ml 0 0 0 0 0
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0
Zinc tablet dispersible20 mg 0 0 0 0 0
0
ALKES 0
363 0
367 Alat Suntik 2,5 ml. Buah 60 60 30 30 36 6
369 Alat Suntik 10 ml Buah 0 0 0 0 0
370 Blood Lancet Buah 0 0 0 0 0
371 Bisturi No. 11 Set 0 0 0 0 0
378 Hanscond 7 / M Paket 35 35 6 29 7.2 -21.8
379 Hanscond 7,5/L Paket 40 40 10 30 12 -18
380 Hanscond 7,5/L Set 0 0 0 0 0
388 Kasa Pembalut Hidrofil 4m x 10cm Roll 0 0 0 0 0
PERS PEMBERIAAN
N M S
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
389 Kapas Berlemak 500 mg. Roll 0 0 0 0 0
390 Kapas Pembalut/Adsorben 250 mg. Roll 0 0 0 0 0
391 Kasa Elastis Roll 0 0 0 0 0
392 Kasa Meteran 36m x 80cm Roll 0 0 0 0 0
393 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 3 3 1 2 1.2 -0.8
394 Kasa Pembalut 2m x 80cm. Roll 0 0 0 0 0
395 Kasa Pembalut Hidrofil 4m x 15cm. Roll 0 0 0 0 0
396 Kasa Pembalut Hidrofil 4m x 3cm. Roll 0 0 0 0 0
398 Kasa Steril Roll 0 0 0 0 0
399 Leucoplast 7,50cm x 4,5m Buah 1 1 1 0 -1
400 Masker Roll 60 200 260 20 240 24 -216
401 Pembalut Gips Pak 0 0 0 0 0
402 Plastik Besar Pak 0 0 0 0 0
403 Plastik Kecil Roll 0 0 0 0 0
404 Plester 5 Yard x 2 Inc. Set 0 0 0 0 0
405 Silk (benang bedah sutra) no 3/0 Buah 16 16 16 0 -16
PBI PUSAT PBI PBI
UMUM DAERAH MAND JUMLA
IRI H

Gisting, 30 November 2018

NIP. 19740313 199212 2 002
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN Oct-18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 Albendazol tab 400 mg Tab 0 0 0 0 0 0
5 Ambroksol Tab 30 mg Tab 0 0 0 0 0 0
11 Amoksisilin kap 250 mg Kaps 1464 1464 510 954 612 -342
20 Antasida DOEN I tablet kunyah, komb Tab 0 1,300 1300 214 1086 256.8 -829.2
21 Antasida DOEN II suspensi, komb Btl @ 60 ml 0 10 10 0 10 0 -10
22 Anti Bakteri DOEN salep kombi Tube @ 5g 11 11 1 10 1.2 -8.8
26 Antifungi Doen Kombinasi Pot @ 30 g 17 17 3 14 3.6 -10.4
35 Asam Mefenamat kaps 500 mg Tab 2380 2380 480 1900 576 -1324
45 Bedak salisil serbuk 2% Tablet 14 14 2 12 2.4 -9.6
52 Bisakodil tab salut mg Tab 60 60 0 60 0 -60
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
67 Domperidon susp/sirup 5 mg/5 ml Tab 25 25 2 23 2.4 -20.6
75 Etakridina (Rivanol) Lar 0,1 % 300 ml Btl @ 1000 ml 2 2 1 1 1.2 0.2
76 Etanol 70% cairan Btl @ 300 ml 1 1 1 0 1.2 1.2
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0
82 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 0 0 0 0 0 0
86 Furosemid tablet 40 mg Ampul 0 0 0 0 0 0
104 Ibuprofen tablet 200 mg Tab 177 500 677 190 487 228 -259
105 Ibuprofen tablet 400 mg tab 18 18 0 18 0 -18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
121 Kloramfenikol salep kulit 2%/Bufacetin Tube 5 gr 24 24 3 21 3.6 -17.4
122 Kloramfenikol salep mata 1 % vial 21 21 0 21 0 -21
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 0 0 0 0 0 0
130 Kombinasi tablet salut : Besi (II) sulfat tab+as.folat/Tab. Btl @ 15 ml 2520 2520 30 2490 36 -2454
139 Lisol Tab 0 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
170 Nacl 0,9% Tab 13 13 1 12 1.2 -10.8
173 Natrium Diklofenak tablet 25 mg Ampul 500 500 0 500 0 -500
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0
197 Parasetamol drop ( Generik) Btl @ 60 ml 56 56 4 52 4.8 -47.2
199 Parasetamol tablet 500 mg Btl @ 15 ml 0 1,000 1000 64 936 76.8 -859.2
206 Piridoksin (vitamin B6) 10 mg Tab 2466 2466 96 2370 115.2 -2254.8
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml 1 1 0 1 0 -1
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 ml 3 3 1 2 1.2 -0.8
211 Povidon Iodida larutan 10% 300 ml btl 60 ml 0 0 0 0 0 0
213 Prednison tablet 5 mg Tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
222 Salbutamol tab 2mg Tab 300 300 0 300 12 -288
227 Salep 2-4 , Komb Btl @ 60 ml 27 27 1 26 1.2 -24.8
229 Sefadroksil kapsul 500 mg Kapsul 0 0 0 0 0 0
239 Setirizin tablet 10 mg Ampul 4495 4495 345 4150 414 -3736
244 Simvastatin tab 20 mg Tab 0 0 0 0 0 0
255 Tetrasiklin kapsul 250 mg Kapsul 0 0 0 0 0 0
256 Tetrasiklin Kapsul 500 mg Ampul 0 0 0 0 0 0
259
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
316 Sacchet 0 0 0 0 0 0
317 Garam Oralit I serbuk, kombi Sacchet 15 15 0 15 0 -15
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0 0
Zinc tablet dispersible20 mg 0 0 0 0 0 0
0
ALKES 0
363 0
371 Bisturi No. 11 Set 0 0 0 0 0 0
378 Hanscond 7 / M Paket 55 55 20 35 24 -11
379 Hanscond 7,5/L Paket 50 50 10 40 12 -28
380 Hanscond 7,5/L Set 0 0 0 0 0 0
389 Kapas Berlemak 500 mg. Roll 0 0 0 0 0 0
390 Kapas Pembalut/Adsorben 250 mg. Roll 0 0 0 0 0 0
395 Kasa Pembalut Hidrofil 4m x 15cm. Roll 1 1 1 0 1.2 1.2
398 Kasa Steril Roll 0 0 0 0 0 0
400 Masker Roll 80 80 20 60 24 -36
402 Plastik Besar Pak 0 0 0 0 0 0
404 Plester 5 Yard x 2 Inc. Set 0 0 0 0 0 0
UMUM JUMLAH
MANDIRI

Gisting, 31 Oktober 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

NIP. 19740313 199212 2 002
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN Sep-08
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
11 Amoksisilin kap 250 mg Kaps 938 1,000 1938 474 1464 568.8 -895.2
20 Antasida DOEN I tablet kunyah, komb Tab 0 0 0 0 0 0
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab 303 1,000 1303 303 1000 363.6 -636.4
35 Asam Mefenamat kaps 500 mg Tab 1368 1,500 2868 488 2380 585.6 -1794.4
52 Bisakodil tab salut mg Tab 0 60 60 0 60 0 -60
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
56 Deksametason tablet 0,5 mg Botol 1133 1,000 2133 461 1672 553.2 -1118.8
67 Domperidon susp/sirup 5 mg/5 ml Tab 0 25 25 0 25 0 -25
68 Domperidon tablet 10 mg Tab 18 300 318 18 300 21.6 -278.4
76 Etanol 70% cairan Btl @ 300 ml 2 2 1 1 1.2 0.2
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0
86 Furosemid tablet 40 mg Ampul 42 42 42 0 50.4 50.4
104 Ibuprofen tablet 200 mg Tab 361 361 184 177 220.8 43.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
111 Kalsium Laktat (Kalk) tab 500 mg Tab 632 632 115 517 138 -379
125 Kloramfenikol Tetes Mata Btl @ 5 ml 10 10 1 9 1.2 -7.8
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab 1741 1,000 2741 345 2396 414 -1982
134 Kotrimoksazol Suspensi komb btl @60 63 25 88 17 71 20.4 -50.6
137 Lidokain injeksi 2% (HCl) syringe @ 10 g 26 26 2 24 2.4 -21.6
139 Lisol Tab 0 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
170 Nacl 0,9% Tab 14 14 1 13 1.2 -11.8
173 Natrium Diklofenak tablet 25 mg Ampul 0 500 500 0 500 0 -500
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0
197 Parasetamol drop ( Generik) Btl @ 60 ml 0 56 56 0 56 0 -56
198 Parasetamol sirup 120 mg / 5 ml Tab 161 100 261 161 100 193.2 93.2
201 Perak sulfadiazin krim 1%/Burnazine cr Tube @ 10 g 0 2 2 0 2 0 -2
202 Permetrin krim 5%/Scabimite Cream Tube 14 14 14 0 16.8 16.8
206 Piridoksin (vitamin B6) 10 mg Tab 1610 1,000 2610 144 2466 172.8 -2293.2
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml 0 1 1 0 1 0 -1
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 ml 0 3 3 0 3 0 -3
219 Ranitidin tablet 150 mg Btl @ 500 ml 514 500 1014 295 719 354 -365
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
227 Salep 2-4 , Komb Btl @ 60 ml 29 29 2 27 2.4 -24.6
239 Setirizin tablet 10 mg Ampul 3385 1,500 4885 390 4495 468 -4027
245 Siprofloksasin tablet 500 mg (sebagai HCl) Tab 730 500 1230 54 1176 64.8 -1111.2
256 Tetrasiklin Kapsul 500 mg Ampul 0 0 0 0 0 0
258 Thiamin Mononitrat Tab 50 mg Kapsul 938 1,000 1938 183 1755 219.6 -1535.4
259
Vitamin B Kompleks tablet tab 613 1,000 1613 70 1543 84 -1459
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
316 Sacchet 0 0 0 0 0 0
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0 0
Zinc tablet dispersible20 mg 0 0 0 0 0 0
0
ALKES 0
363 0
371 Bisturi No. 11 Set 0 0 0 0 0 0
378 Hanscond 7 / M Paket 70 70 15 55 18 -37
379 Hanscond 7,5/L Paket 0 50 50 0 50 0 -50
380 Hanscond 7,5/L Set 0 0 0 0 0 0
389 Kapas Berlemak 500 mg. Roll 1 1 1 0 1.2 1.2
390 Kapas Pembalut/Adsorben 250 mg. Roll 2 2 2 0 2.4 2.4
395 Kasa Pembalut Hidrofil 4m x 15cm. Roll 3 3 2 1 2.4 1.4
400 Masker Roll 40 50 90 10 80 12 -68
UMUM JUMLAH
MANDIRI

Gisting, 30 September 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

NIP. 19740313 199212 2 002
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN Jul-18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 Antasida DOEN I tablet kunyah, komb Tab 0 0 0 0 0 0
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab 1064 1064 761 303 913.2 610.2
47 Betametason krim 0,1% Tube 5 gr 17 17 5 12 6 -6
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
67 Domperidon susp/sirup 5 mg/5 ml Tab 0 0 0 0 0 0
68 Domperidon tablet 10 mg Tab 113 113 95 18 114 96
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0
80 Fenol gliserol TT 10 % Tab 23 23 1 22 1.2 -20.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab 1996 1996 255 1741 306 -1435
134 Kotrimoksazol Suspensi komb btl @60 78 78 15 63 18 -45
139 Lisol Tab 0 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
170 Nacl 0,9% Tab 15 15 1 14 1.2 -12.8
176 Nifedipin tab 10 mg Tab 39 39 20 19 24 5
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0
198 Parasetamol sirup 120 mg / 5 ml Tab 216 216 55 161 66 -95
219 Ranitidin tablet 150 mg Btl @ 500 ml 664 664 150 514 180 -334
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
227 Salep 2-4 , Komb Btl @ 60 ml 31 31 2 29 2.4 -26.6
229 Sefadroksil kapsul 500 mg Kapsul 34 34 34 0 40.8 40.8
239 Setirizin tablet 10 mg Ampul 3975 3975 590 3385 708 -2677
255 Tetrasiklin kapsul 250 mg Kapsul 31 31 31 0 37.2 37.2
259
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
316 Sacchet 0 0 0 0 0 0
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0 0
0
ALKES 0
363 0
371 Bisturi No. 11 Set 0 0 0 0 0 0
372 Cat Gut/ Benang Bedah no. 2/0 Set 87 87 2 85 2.4 -82.6
378 Hanscond 7 / M Paket 100 100 30 70 36 -34
379 Hanscond 7,5/L Paket 0 0 0 0 0 0
380 Hanscond 7,5/L Set 0 0 0 0 0 0
389 Kapas Berlemak 500 mg. Roll 1 1 0 1 0 -1
395 Kasa Pembalut Hidrofil 4m x 15cm. Roll 4 4 1 3 1.2 -1.8
400 Masker Roll 50 50 10 40 12 -28
UMUM JUMLAH
MANDIRI
JUMLAH PASIEN BULAN AGUSTUS

Gisting, 31 Agustus 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

NIP. 19740313 199212 2 002
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN Jul-18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 Albendazol tab 400 mg Tab 302 302 302 0 362.4 362.4
5 Ambroksol Tab 30 mg Tab 356 356 201 155 241.2 86.2
20 Antasida DOEN I tablet kunyah, komb Tab 149 149 149 0 178.8 178.8
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab 1239 1239 175 1064 210 -854
43 Atapulgit tab 600 mg/Pularex Ampul 1175 1175 86 1089 103.2 -985.8
46 Betahistine Maleat 6 mg Tube 5 gr 56 56 16 40 19.2 -20.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
50 Bisakodil 10 mg supp/Dulcolax supp adult 10 mg Supp 6 6 3 3 3.6 0.6
67 Domperidon susp/sirup 5 mg/5 ml Tab 0 0 0 0 0 0
76 Etanol 70% cairan Btl @ 300 ml 3 3 1 2 1.2 -0.8
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0
80 Fenol gliserol TT 10 % Tab 24 24 1 23 1.2 -21.8
82 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 194 194 194 0 232.8 232.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
104 Ibuprofen tablet 200 mg Tab 617 617 80 537 96 -441
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 5 5 0 5 0 -5
139 Lisol Tab 0 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
170 Nacl 0,9% Tab 16 16 1 15 1.2 -13.8
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
211 Povidon Iodida larutan 10% 300 ml btl 60 ml 1 1 1 0 1.2 1.2
227 Salep 2-4 , Komb Btl @ 60 ml 37 37 6 31 7.2 -23.8
242 Simetidine Tab 10 mg Kap 396 396 96 300 115.2 -184.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
259
Vitamin B Kompleks tablet tab 856 856 103 753 123.6 -629.4
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
316 Sacchet 0 0 0 0 0 0
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0 0
0
ALKES 0
363 0
371 Bisturi No. 11 Set 0 0 0 0 0 0
378 Hanscond 7 / M Paket 140 140 40 100 48 -52
379 Hanscond 7,5/L Paket 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
380 Hanscond 7,5/L Set 0 0 0 0 0 0
389 Kapas Berlemak 500 mg. Roll 2 2 1 1 1.2 0.2
400 Masker Roll 60 60 10 50 12 -38
UMUM JUMLAH
MANDIRI
JUMLAH PASIEN BULANJULI

Gisting, 31 JULI 2018

NIP. 19740313 199212 2 002
(LPLPO)
UPT PUSKESMAS : PUSKESMAS PEMBANTU GISTING ATAS BULAN Jun-18
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
5 Ambroksol Tab 30 mg Tab 497 497 141 356 169.2 -186.8
20 Antasida DOEN I tablet kunyah, komb Tab 266 266 117 149 140.4 -8.6
22 Anti Bakteri DOEN salep kombi Tube @ 5g 12 12 1 11 1.2 -9.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
67 Domperidon susp/sirup 5 mg/5 ml Tab 6 6 6 0 7.2 7.2
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0
100 Griseofulvin tablet 125 mg Tab 31 31 31 0 37.2 37.2
104 Ibuprofen tablet 200 mg Tab 707 707 90 617 108 -509
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 9 9 4 5 4.8 -0.2
139 Lisol Tab 0 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0
170 Nacl 0,9% Tab 17 17 1 16 1.2 -14.8
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
206 Piridoksin (vitamin B6) 10 mg Tab 1885 1885 50 1835 60 -1775
213 Prednison tablet 5 mg Tab 1123 1123 150 973 180 -793
227 Salep 2-4 , Komb Btl @ 60 ml 42 42 5 37 6 -31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
259
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
316 Sacchet 0 0 0 0 0 0
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0 0
0
ALKES 0
363 0
371 Bisturi No. 11 Set 0 0 0 0 0 0
378 Hanscond 7 / M Paket 160 160 20 140 24 -116
379 Hanscond 7,5/L Paket 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
380 Hanscond 7,5/L Set 0 0 0 0 0 0
389 Kapas Berlemak 500 mg. Roll 3 3 1 2 1.2 -0.8
398 Kasa Steril Roll 10 10 10 0 12 12
400 Masker Roll 70 70 10 60 12 -48
UMUM JUMLAH
MANDIRI

Gisting, 30 JUNI 2018

NIP. 19740313 199212 2 002
(LPLPO)
UPT PUSKESMAS :PEMBANTU GISTING ATAS BULAN : APRIL 2018
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 0 - 0 0 0 0 0
2 Albendazol tab 400 mg Tab 318 - 318 16 302 19.2 -282.8
3 Albendazole susp 200mg/5ml Botol@60ml 0 - 0 0 0 0 0
4 Alopurinol tab 100 mg Tab 749 300 1049 50 999 60 -939
5 Ambroksol Tab 30 mg Tab 0 700 700 0 700 0 -700
6 Ambroksol Syr 30mg/5 ml Btl 0 - 0 0 0 0 0
7 Aminofilin injeksi 24 mg/ml Ampul 0 - 0 0 0 0 0
8 Aminofilin tablet scored 200 mg Tab 0 - 0 0 0 0 0
9 Amlodipin tablet 10 mg Tab 60 - 60 0 60 0 -60
10 Amlodipin tablet 5 mg Tab 330 - 330 120 210 144 -66
11 Amoksisilin kap 250 mg Kaps 1692 1,000 2692 60 2632 72 -2560
12 Amoksisilin kap scored 500 mg Kaptab 208 - 208 208 0 249.6 249.6
13 Amoksisilin sirup kering forte 250 mg/5 ml Btl@ 60 ml 0 - 0 0 0 0 0
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 1 - 1 1 0 1.2 1.2
15 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 0 - 0 0 0 0 0
16 Ampisilin Tab 500 mg Tab 0 - 0 0 0 0 0
17 Ampisillin syr kering 125 mg / 5 ml 0 - 0 0 0 0 0
18 Antalgin Tab 500mg Tab 0 - 0 0 0 0 0
19 Antalgin Inj 250mg/2ml Ampul 0 - 0 0 0 0 0
20 Antasida DOEN I tablet kunyah, komb Tab 966 - 966 391 575 469.2 -105.8
21 Antasida DOEN II suspensi, komb Btl @ 60 ml 0 - 0 0 0 0 0
22 Anti Bakteri DOEN salep kombi Tube @ 5g 12 12 24 0 24 0 -24
23 Anti Diare/ Diapecta tab/New Antides Tab 0 - 0 0 0 0 0
24 Anti Konstipasi / Laxadin Emulsion Btl 0 - 0 0 0 0 0
25 Antihemoroid komb Supp 0 - 0 0 0 0 0
27 Antimalaria DOEN kombinasi /suldox tab Tab 0 - 0 0 0 0 0
28 Antimigren tab Komb Tab 0 - 0 0 0 0 0
29 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 0 - 0 0 0 0 0
30 As. Asetilsalisilat (asetosal) 80 mg/Miniaspi 80 Tab 0 - 0 0 0 0 0
31 As. Asetilsalisilat (asetosal) tab 500 mg Tab 0 - 0 0 0 0 0
32 Asam Askorbat (Vitamin C) tablet 250 mg Tab 0 - 0 0 0 0 0
33 Asam Askorbat (Vitamin C) tablet 50 mg Tab 1262 1,000 2262 698 1564 837.6 -726.4
35 Asam Mefenamat kaps 500 mg Tab 1636 2,000 3636 460 3176 552 -2624
36 Asam pipemidat kap 400 mg/Urotractin tab Ampul 60 - 60 0 60 0 -60
37 Asam traneksamat injeksi 50 mg/ml Tab 0 - 0 0 0 0 0
38 Asifit Tab Tube @ 5g 0 - 0 0 0 0 0
39 Asiklovir Krim Tube 3,5 g 0 - 0 0 0 0 0
40 Asiklovir salep mata 3%/Temiral Eye Oint Tab 0 - 0 0 0 0 0
42 Asiklovir tab 400 mg Tab 0 - 0 0 0 0 0
43 Atapulgit tab 600 mg/Pularex Ampul 210 1,000 1210 25 1185 30 -1155
44 Atropin Sulfat Inj 0,25mg/1ml Ktk @ 50 g 0 - 0 0 0 0 0
46 Betahistine Maleat 6 mg Tube 5 gr 62 - 62 6 56 7.2 -48.8
47 Betametason krim 0,1% Tube 5 gr 12 12 24 0 24 0 -24
48 Betason N Krim Ampul 0 - 0 0 0 0 0
49 Bioneuron Inj Supp 0 - 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
50 Bisakodil 10 mg supp/Dulcolax supp adult 10 mg Supp 6 - 6 0 6 0 -6
51 Bisakodil 5 mg supp/Dulcolax supp infant 5 mg Tablet 5 - 5 0 5 0 -5
52 Bisakodil tab salut mg Tab 0 - 0 0 0 0 0
53 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tube @ 5g 0 - 0 0 0 0 0
54 Chloramfecort H Cream Ampul 0 - 0 0 0 0 0
55 Deksametason inj 5 mg/ml Tab 0 - 0 0 0 0 0
56 Deksametason tablet 0,5 mg Botol 305 1,500 1805 305 1500 366 -1134
57 Dekstran 70-larutan infus 6% steril Tube @ 2,5 ml 0 - 0 0 0 0 0
58 Diazepam larutan rektal 5 mg/2,5 mL/Stesolid Ampul 0 - 0 0 0 0 0
59 Diazepam injeksi i.v./i.m 5 mg/ml Tab 0 - 0 0 0 0 0
60 Diazepam tablet 2 mg Tab 0 - 0 0 0 0 0
61 Diazepam tablet 5 mg Tab 0 - 0 0 0 0 0
62 Dietilkarbamazin tablet scored 100 mg Ampul 0 - 0 0 0 0 0
63 Difenhidramin inj 10 mg/ml (HCl) Tab 0 - 0 0 0 0 0
64 Digoksin tablet 0,25 mg Tab 0 - 0 0 0 0 0
65 Diltiazem HCl tablet 30 mg Kapsul 0 - 0 0 0 0 0
66 Doksisiklin Kap 100 mg btl @ 60 ml 0 - 0 0 0 0 0
67 Domperidon susp/sirup 5 mg/5 ml Tab 8 - 8 2 6 2.4 -3.6
69 Efedrin tab 25 mg Tab 0 - 0 0 0 0 0
70 Ekstrak Beladona tab 10 mg Ampul 0 - 0 0 0 0 0
71 Epinefrin (Adrenalin) inj 1 mg/ml Kapsul 0 - 0 0 0 0 0
72 Eritromisin kaps 250 mg Kaplet 0 - 0 0 0 0 0
73 Eritromisin kaplet 500 mg KAPSUL 80 200 280 48 232 57.6 -174.4
74 Eritromisin sirup kering 200 mg/ 5 ml Botol 0 - 0 0 0 0 0
75 Etakridina (Rivanol) Lar 0,1 % 300 ml Btl @ 1000 ml 3 - 3 1 2 1.2 -0.8
76 Etanol 70% cairan Btl @ 300 ml 3 - 3 0 3 0 -3
77 Etanol 96% Btl @ 60 ml 0 - 0 0 0 0 0
78 Febrinex Syr Vial 0 - 0 0 0 0 0
79 Fenoterol HBr aerosol 100mcg/dosis/Berotec MDI Btl @ 5ml 0 - 0 0 0 0 0
80 Fenol gliserol TT 10 % Tab 0 24 24 0 24 0 -24
81 Finasterid tab 5 mg/Prostacom Tab Tab 0 - 0 0 0 0 0
82 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 224 - 224 0 224 0 -224
83 Fituno Tab Tube 5 g 0 - 0 0 0 0 0
84 Flusinolon asetonid krim 0,025%/Synarcus Ampul 0 - 0 0 0 0 0
85 Furosemid inj 10 mg/ml Tab 0 - 0 0 0 0 0
86 Furosemid tablet 40 mg Ampul 94 - 94 0 94 0 -94
87 Gentamisin injeksi 40 mg/ ml Tube @ 5 g 0 - 0 0 0 0 0
88 Gentamisin salep Kulit Tube @ 3,5 gr 0 - 0 0 0 0 0
89 Gentamisin salep mata 0,3%/Genoint SM Btl @ 5 ml 0 - 0 0 0 0 0
90 Gentamisin tetes mata 0,3% Btl 0 - 0 0 0 0 0
91 Gentian Violet 1% Tab 0 - 0 0 0 0 0
92 Glibenklamid tablet 5 mg Tab 152 - 152 0 152 0 -152
93 Gliklazid tab 80 mg/Glicab Tab Tab 0 - 0 0 0 0 0
94 Glimepiride tablet 2 mg Tab 100 - 100 0 100 0 -100
95 Glimepiride tablet 3 mg Tab 0 - 0 0 0 0 0
96 Gliseril Guayakolat tab 100mg Btl @ 500 ml 0 - 0 0 0 0 0
97 Glukosa larutan infus 10 % steril Btl @ 500 ml 0 - 0 0 0 0 0
98 Glukosa larutan infus 5 % steril btl @ 100 ml 0 - 0 0 0 0 0
99 Glukosa Larutan Infus 40 % Tab 0 - 0 0 0 0 0
100 Griseofulvin tablet 125 mg Tab 91 - 91 0 91 0 -91
101 Hidroklorotiazid (HCt ) Tab 25 mg Tube 5 gr 200 - 200 0 200 0 -200
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
103 Ibuprofen sirup 100 mg/5 ml Tab 0 - 0 0 0 0 0
104 Ibuprofen tablet 200 mg Tab 325 1,000 1325 410 915 492 -423
105 Ibuprofen tablet 400 mg tab 0 500 500 0 500 0 -500
106 Ichtyol Salep Tab 0 - 0 0 0 0 0
107 Isosorbid Dinitrat tablet sublingual 5 mg Tab 50 - 50 0 50 0 -50
108 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 0 - 0 0 0 0 0
109 Kalium Diklofenak tab 25 mg Tab 0 - 0 0 0 0 0
110 Kalium Diklofenak tab 50 mg Tab 0 - 0 0 0 0 0
111 Kalsium Laktat (Kalk) tab 500 mg Tab 0 1,000 1000 0 1000 0 -1000
113 Kaptopril tablet scored12,5 mg tab 756 - 756 80 676 96 -580
114 Ketokonazol krim 2% tube 7 25 32 0 32 0 -32
115 Ketokonazol tablet 200 mg Ampul 150 200 350 0 350 0 -350
116 Ketorolac injeksi 30 mg/ml Kapsul 0 - 0 0 0 0 0
117 Klindamisin kapsul/kaplet 150 mg Kapsul 30 - 30 30 0 36 36
118 Klindamisin kapsul/kaplet 300 mg Tab 0 - 0 0 0 0 0
119 Klonidin tablet 0,15 mg Kapsul 0 - 0 0 0 0 0
120 Kloramfenikol kap 250 mg Tube @ 15g 0 - 0 0 0 0 0
121 Kloramfenikol salep kulit 2%/Bufacetin Tube 5 gr 0 24 24 0 24 0 -24
122 Kloramfenikol salep mata 1 % vial 2 24 26 0 26 0 -26
123 Kloramfenikol inj 1000 mg/Chloramex inj Btl @ 60 ml 0 - 0 0 0 0 0
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 9 - 9 0 9 0 -9
125 Kloramfenikol Tetes Mata Btl @ 5 ml 0 10 10 0 10 0 -10
126 Kloramfenikol Tetes Telinga Tab 0 - 0 0 0 0 0
127 Klorfeniramina Maleat (CTM) tab 4 mg Tab 2001 1,000 3001 336 2665 403.2 -2261.8
128 Kodein tablet 10 mg Tab 0 - 0 0 0 0 0
129 Komb Amoks + As. Klavulanat/Co-Amoxiclav 625mg Tab 0 - 0 0 0 0 0
130 Kombinasi tablet salut : Besi (II) sulfat tab+as.folat/Tab. Tambah Darah Btl @ 15 ml 1770 2,160 3930 840 3090 1008 -2082
131 Kombinasi tetes mata /Cendo Lyteers Tab 0 - 0 0 0 0 0
132 Kotrimoksazol DOEN I (dewasa) komb Tab 1650 600 2250 30 2220 36 -2184
133 Kotrimoksazol Pediatrik Tab tab 0 - 0 0 0 0 0
134 Kotrimoksazol Suspensi komb btl @60 56 50 106 4 102 4.8 -97.2
135 Lanzoprazol kapsul/kaplet 30 mg Pot 0 - 0 0 0 0 0
136 Levertan Ampul 0 - 0 0 0 0 0
137 Lidokain injeksi 2% (HCl) syringe @ 10 g 29 - 29 0 29 0 -29
138 Lidokain jeli 2%/Xylocaine Jelly 2% Btl @ 300 ml 0 - 0 0 0 0 0
139 Lisol Tab 0 1 1 0 1 0 -1
140 Loperamid tablet 2 mg Tab 0 - 0 0 0 0 0
141 Loratadin tablet 10 mg Tab 182 - 182 20 162 24 -138
142 Mebendazol tablet 500 mg/Vermox tab btl 0 - 0 0 0 0 0
143 Mebendazol Sirup 50 mg/ml tab 0 - 0 0 0 0 0
144 Meloxicam 7,5 mg tab 0 - 0 0 0 0 0
145 Meloxicam 15 mg Tab 0 - 0 0 0 0 0
146 Metformin HCl tablet 500 mg Tab 0 - 0 0 0 0 0
147 Metilergometrin Maleat tab salut 0,125 mg Ampul 0 - 0 0 0 0 0
148 Metilergometrin Maleat inj 0,200 mg-1 ml Tab 0 - 0 0 0 0 0
149 Metilprednisolon tablet 16 mg Tab 0 - 0 0 0 0 0
150 Metilprednisolon tablet 4 mg Tab 0 - 0 0 0 0 0
151 Metilprednisolon tablet 8 mg Ampul 100 - 100 0 100 0 -100
152 Metoklopramide injeksi 5 mg/ ml Btl @ 60 ML 0 - 0 0 0 0 0
153 Metoklopramide sirup 5 mg/ 5 ml/Lexapram syr Btl @ 10 ml 0 - 0 0 0 0 0
154 Metoklopramide drop 2mg/ml/Mepramide drop 2mg/ml Tab 0 - 0 0 0 0 0
155 Metoklopramide tablet 10 mg Btl @ 100 ml 100 100 200 0 200 0 -200
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
156 Metronidazol infus 500 mg/100 ml Tab Vag 0 - 0 0 0 0 0
157 Metronidazol ovula 500 mg/Vagizol Btl @ 60ml 0 - 0 0 0 0 0
158 Metronidazol sirup 125 mg/5 Ml Supp 0 - 0 0 0 0 0
159 Metronidazol supositoria 500 mg/Flagyl Tab 0 - 0 0 0 0 0
161 Metronidazol tablet 500 mg Tube 10 gram 0 - 0 0 0 0 0
162 Mikonazol krim/salep 2 % (Nitrat) Btl@25gr 0 - 0 0 0 0 0
163 Miconazol Serbuk 2%/Mycorin Powder Tab 0 - 0 0 0 0 0
164 Miraclav tab Kap 0 - 0 0 0 0 0
165 Miraneuron kap Tab 0 - 0 0 0 0 0
166 Multivitamin Kom Dewasa/Ramaton Tab Btl @ 60 ml 0 - 0 0 0 0 0
167 Multivitamin Anak+DHA Syr/Bionick DHA Milk Syr Btl @ 60 ml 0 - 0 0 0 0 0
168 Multivitamin Anak Syr/Bionick Syr Btl @ 30 ml 0 - 0 0 0 0 0
169 Multivitamin Bayi Drop/Bionick Drop Btl 500 ml 0 - 0 0 0 0 0
170 Nacl 0,9% Tab 19 - 19 1 18 1.2 -16.8
171 Natrium Bikarbonat Tab 500mg Tab 0 - 0 0 0 0 0
172 Natrium Diklofenak tablet 50 mg Tab 0 - 0 0 0 0 0
173 Natrium Diklofenak tablet 25 mg Ampul 0 - 0 0 0 0 0
174 Natrium Tiosulfat Inj 25%-10 ml Tab 0 - 0 0 0 0 0
175 Neurovit E tab Tab 0 - 0 0 0 0 0
176 Nifedipin tab 10 mg Tab 49 - 49 0 49 0 -49
177 Nistatin tablet salut 500.000 IU/ g Tab Vag 54 100 154 54 100 64.8 -35.2
178 Nistatin vaginal tablet 100.000 IU/ g Tab 0 - 0 0 0 0 0
179 Noza tab Btl @ 100 ml 0 - 0 0 0 0 0
180 Obat Batuk Hitam (OBH) Syrup Tab 0 - 0 0 0 0 0
181 Obat Batuk pilek Komb (Hustab tab) Btl @ 100 ml 0 - 0 0 0 0 0
182 Obat Flu Anak komb (Flutamol Syr) Tab 0 - 0 0 0 0 0
183 Ofloxacin tablet 200 mg Tab 0 - 0 0 0 0 0
184 Ofloxacin tablet 400 mg Botol 0 - 0 0 0 0 0
185 Ofloksasin tetes telinga 3%/Tarivid Otic Solution botol @ 10 ml 0 - 0 0 0 0 0
186 Oksimetazolin tts hidung 0,025%/Ilaidin Drop Vial 0 - 0 0 0 0 0
187 Oksitetrasiklin HCl inj 50 mg/ ml Tube 0 - 0 0 0 0 0
188 Oksitetrasiklin HCl Salep 3 % Tube 0 - 0 0 0 0 0
189 Oksitetrasiklin HCl Salep 1 % Vial 0 - 0 0 0 0 0
190 Omeprazol injeksi 40 mg/ 10 ml Kaps 0 - 0 0 0 0 0
191 Omeprazol kaps 20 mg Ampul 0 - 0 0 0 0 0
192 ondansetron inj 4 mg/ 2 mL Tab 0 - 0 0 0 0 0
193 Ondansetron tab 4 mg Tab 0 - 0 0 0 0 0
194 Ondansetron tablet 8 mg Tab 0 - 0 0 0 0 0
195 Papaverin Tab Ampul 0 - 0 0 0 0 0
196 Papaverin Inj Botol @ 15 Ml 0 - 0 0 0 0 0
197 Parasetamol drop ( Generik) Btl @ 60 ml 0 - 0 0 0 0 0
198 Parasetamol sirup 120 mg / 5 ml Tab 130 192 322 30 292 36 -256
199 Parasetamol tablet 500 mg Btl @ 15 ml 0 - 0 0 0 0 0
200 Parasetamol Drop /Fasidol Drop tube @ 35 gram 0 - 0 0 0 0 0
201 Perak sulfadiazin krim 1%/Burnazine cr Tube @ 10 g 1 - 1 1 0 1.2 1.2
202 Permetrin krim 5%/Scabimite Cream Tube 4 15 19 2 17 2.4 -14.6
203 Petidin inj 50 mg/ml (HCl) Btl @ 60 ml 0 - 0 0 0 0 0
204 Pirantel suspensi 125 mg/5 ml Tab 0 - 0 0 0 0 0
205 Pirantel tablet score (base) 125 mg Tab 0 - 0 0 0 0 0
206 Piridoksin (vitamin B6) 10 mg Tab 1102 1,000 2102 142 1960 170.4 -1789.6
207 Piroxicam tab 10mg Tab 0 - 0 0 0 0 0
208 Piroxicam tab 20mg Btl @ 1000 ml 0 - 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
209 Povidon Iodida larutan 10% 1000 ml Bt l@ 30 ml 0 - 0 0 0 0 0
210 Povidon Iodida larutan 10% 30 ml Btl @ 300 ml 0 - 0 0 0 0 0
211 Povidon Iodida larutan 10% 300 ml btl 60 ml 2 1 3 2 1 2.4 1.4
212 Povidon Iodida larutan 10% 60 ml Tab 3 - 3 3 0 3.6 3.6
214 Progastric tab Tab 0 - 0 0 0 0 0
215 Propanolol tablet 10 mg ( HCl ) Tab 0 - 0 0 0 0 0
216 Propranolol tablet 40 mg (HCl) Tab 0 - 0 0 0 0 0
217 Propiltiourasil tab 100 mg Ampul 0 - 0 0 0 0 0
218 Ranitidin injeksi 25 mg/ml Tab 0 - 0 0 0 0 0
219 Ranitidin tablet 150 mg Btl @ 500 ml 438 500 938 30 908 36 -872
220 Ringer Laktat larutan infus Tab 0 - 0 0 0 0 0
221 Risperidon tablet 2 mg Tab 0 - 0 0 0 0 0
222 Salbutamol tab 2mg Tab 0 300 300 0 300 36 -264
223 Salbutamol Tab 4 mg Btl 479 - 479 30 449 0 -449
224 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl 0 - 0 0 0 0 0
225 Salbutamol inh 100 mcg/dosis/Ventolin Inhaler Btl 0 - 0 0 0 0 0
226 Salbutamol Syr Pot @ 30 gram 0 - 0 0 0 0 0
227 Salep 2-4 , Komb Btl @ 60 ml 23 24 47 4 43 4.8 -38.2
228 Sefadroksil sirup kering 125 mg/5ml Kapsl 0 - 0 0 0 0 0
229 Sefadroksil kapsul 500 mg Kapsul 302 - 302 0 302 0 -302
230 Sefaleksin kapsul 500 mg Kapsul 0 - 0 0 0 0 0
231 Sefiksim kapsul 100 mg Btl @ 30 ml 0 - 0 0 0 0 0
232 Sefiksim sirup kering 100 mg/ 5 ml Vial 0 - 0 0 0 0 0
233 Sefotaksim injeksi 1 g Vial 0 - 0 0 0 0 0
234 Seftriakson serbuk injeksi 1 g/vial Vial 0 - 0 0 0 0 0
235 Serum ABU Polivalen inj 5 ml Ampul 0 - 0 0 0 0 0
236 Serum ATS 1500 IU/ml Vial 0 - 0 0 0 0 0
237 Serum ATS 20.000 mcg.ml Btl @ 60 ml 0 - 0 0 0 0 0
238 Setirizin sirup 5 mg/5 ml Kapsul 0 - 0 0 0 0 0
239 Setirizin tablet 10 mg Ampul 5913 - 5913 559 5354 670.8 -4683.2
240 Sianokobalamin (vitamin B12) inj 500 mcg Tab 0 - 0 0 0 0 0
241 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 - 0 0 0 0 0
242 Simetidine Tab 10 mg Kap 396 - 396 0 396 0 -396
243 Simvastatin scored tablet 10 mg Tab 0 - 0 0 0 0 0
244 Simvastatin tab 20 mg Tab 50 - 50 0 50 0 -50
246 Spiramisin tablet 500 mg Tab 0 - 0 0 0 0 0
247 Spironolakton tablet 100 mg Tab 0 - 0 0 0 0 0
248 Spironolakton tablet 25 mg Btl @ 60 ml 0 - 0 0 0 0 0
249 Stimuno Syr Tab 0 - 0 0 0 0 0
250 Stimuno Tab Btl @ 100 ml 0 - 0 0 0 0 0
251 Sukralfat susp 500 mg/5 mL/Ulsafate Tab 0 - 0 0 0 0 0
252 Sukralfat tab 500 mg/Ulsidex Tab 2 - 2 2 0 2.4 2.4
253 Tab Tambah darah/Hemafort Tab 0 - 0 0 0 0 0
254 Terbutalin tablet 2,5 mg/Molasma Kapsul 0 - 0 0 0 0 0
255 Tetrasiklin kapsul 250 mg Kapsul 281 - 281 0 281 0 -281
256 Tetrasiklin Kapsul 500 mg Ampul 200 - 200 0 200 0 -200
257 Thiamin HCl inj 100mg/ml Tab 0 - 0 0 0 0 0
258 Thiamin Mononitrat Tab 50 mg Kapsul 428 1,000 1428 120 1308 144 -1164
259
Thiamfenikol Kap 500 mg Ampul 0 - 0 0 0 0 0
260 Tramadol injeksi 50 mg/ml Tab 0 - 0 0 0 0 0
261 Tramadol Tab 50 mg tube 0 - 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
262 Urea krim 10%/Soft U Derm Btl 0 - 0 0 0 0 0
263 Videne Povidone Iodine 500 ml Tab 0 - 0 0 0 0 0
264 Vitamin Tab/Becefort Tab Btl 0 - 0 0 0 0 0
265 Vitamin Syr/Becefort Syr Tab 0 - 0 0 0 0 0
Vitamin B Kompleks tablet tab 1577 1,000 2577 1501 1076 1801.2 725.2
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
305 Antimalaria DOEN kombinasi /suldox tab Ampul 0 - 0 0 0 0 0
306 Artemether injeksi 80 mg/ml/Artem Tab 0 - 0 0 0 0 0
307 Arterakin/Darplex/DHP Tab Vial 0 - 0 0 0 0 0
308 Artesunate inj 60 mg/ml/Artesunate Unit 0 - 0 0 0 0 0
309 Fokus Malaria PF&PV Casette Tab 0 - 0 0 0 0 0
310 Kuinin (Kina) tablet 200 mg Ampul 0 - 0 0 0 0 0
311 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Tab 0 - 0 0 0 0 0
312 Kuinin tablet 222 mg (H2SO4.7H2O) Galon 0 - 0 0 0 0 0
313 Larvasida Malaria Tab 0 - 0 0 0 0 0
314 Primakuin tablet 15 mg Test 0 - 0 0 0 0 0
315 RDT Malaria Piece 0 - 0 0 0 0 0
RDT Malaria 0 - 0 0 0 0 0
316 Sacchet 0 0 0 0 0 0
317 Garam Oralit I serbuk, kombi Sacchet 31 - 31 7 24 8.4 -15.6
318 Zinc drop 10 mg/mL/Zincpro Drops btl @15 ml 0 - 0 0 0 0 0
319 Zinc sir 10 mg/mL/Zinc Kid Btl @ 60 ml 0 - 0 0 0 0 0
320 Zinc sir 20 mg/5 Ml 0 - 0 0 0 0 0
Zinc tablet dispersible20 mg 40 - 40 20 20 24 4
0
ALKES 0
363
364 Alat Suntik 0,05 ml Buah 100 - 100 100 0 120 120
365 Alat Suntik 0,5 ml Buah 0 - 0 0 0 0 0
366 Alat Suntik 1 ml. Buah 675 - 675 0 675 0 -675
368 Alat Suntik 5 ml. Buah 916 - 916 30 886 36 -850
369 Alat Suntik 10 ml Buah 0 - 0 0 0 0 0
370 Blood Lancet Buah 0 - 0 0 0 0 0
371 Bisturi No. 11 Set 0 - 0 0 0 0 0
372 Cat Gut/ Benang Bedah no. 2/0 Set 87 - 87 0 87 0 -87
373 Cat Gut/ Benang Bedah no. 3/0 Buah 336 - 336 0 336 0 -336
374 Folley Cathether No. 14 Buah 0 - 0 0 0 0 0
377 Folley Cathether No. 20 Paket 0 - 0 0 0 0 0
378 Hanscond 7 / M Paket 200 - 200 20 180 24 -156
379 Hanscond 7,5/L Paket 0 - 0 0 0 0 0
380 Hanscond 7,5/L Set 0 - 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
389 Kapas Berlemak 500 mg. Roll 3 2 5 1 4 1.2 -2.8
390 Kapas Pembalut/Adsorben 250 mg. Roll 0 2 2 0 2 0 -2
395 Kasa Pembalut Hidrofil 4m x 15cm. Roll 30 30 10 20 12 -8
397 Kasa Pembalut Hidrofil 4m x 5cm. Kotak 0 100 100 0 100 0 -100
398 Kasa Steril Roll 60 10 70 30 40 36 -4
399 Leucoplast 7,50cm x 4,5m Buah 0 1 1 0 1 0 -1
400 Masker Roll 60 50 110 20 90 24 -66
401 Pembalut Gips Pak 0 - 0 0 0 0 0
402 Plastik Besar Pak 2 - 2 1 1 1.2 0.2
403 Plastik Kecil Roll 0 - 0 0 0 0 0
404 Plester 5 Yard x 2 Inc. Set 3 3 2 1 2.4 1.4
405 Silk (benang bedah sutra) no 3/0 Buah 16 - 16 0 16 0 -16
UMUM JUMLAH
MANDIRI

Gisting, 30 April 2018

NIP. 19740313 199212 2 002
(LPLPO)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
6 Ambroksol Syr 30mg/5 ml Btl 1 1 1 0 1.2 1.2
11 Amoksisilin kap 250 mg Kaps 1792 1792 100 1692 120 -1572
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 1 1 0 1 0 -1
20 Antasida DOEN I tablet kunyah, komb Tab 1383 1383 417 966 500.4 -465.6
26 Antifungi Doen Kombinasi Pot @ 30 g 3 3 2 1 2.4 1.4
27 Antimalaria DOEN kombinasi /suldox tab Tab 150 150 0 150 0 -150
41 Asiklovir tab 200 mg Tab 212 212 26 186 31.2 -154.8
43 Atapulgit tab 600 mg/Pularex Ampul 226 226 16 210 19.2 -190.8
1 2 3 4 5 6 7 8 9 10 11 12 13 14
46 Betahistine Maleat 6 mg Tube 5 gr 80 80 18 62 21.6 -40.4
67 Domperidon susp/sirup 5 mg/5 ml Tab 9 9 1 8 1.2 -6.8
77 Etanol 96% Btl @ 60 ml 0 0 0 0 0 0
80 Fenol gliserol TT 10 % Tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
100 Griseofulvin tablet 125 mg Tab 91 91 0 91 0 -91
105 Ibuprofen tablet 400 mg tab 0 0 0 0 0 0
111 Kalsium Laktat (Kalk) tab 500 mg Tab 0 0 0 0 0 0
117 Klindamisin kapsul/kaplet 150 mg Kapsul 30 30 0 30 0 -30
121 Kloramfenikol salep kulit 2%/Bufacetin Tube 5 gr 0 0 0 0 0 0
122 Kloramfenikol salep mata 1 % vial 5 5 3 2 3.6 1.6
124 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 5 ml 10 10 1 9 1.2 -7.8
125 Kloramfenikol Tetes Mata Btl @ 5 ml 0 0 0 0 0 0
139 Lisol Tab 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
141 Loratadin tablet 10 mg Tab 200 200 18 182 21.6 -160.4
144 Meloxicam 7,5 mg tab 0 0 0 0 0 0
170 Nacl 0,9% Tab 19 19 0 19 0 -19
177 Nistatin tablet salut 500.000 IU/ g Tab Vag 60 60 6 54 7.2 -46.8
179 Noza tab Btl @ 100 ml 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13 14
198 Parasetamol sirup 120 mg / 5 ml Tab 150 150 20 130 24 -106
202 Permetrin krim 5%/Scabimite Cream Ampul 5 5 1 4 1.2 -2.8
212 Povidon Iodida larutan 10% 60 ml Tab 3 3 0 3 0 -3
223 Salbutamol Tab 4 mg Btl 0 0 0 0 0 0
227 Salep 2-4 , Komb Btl @ 60 ml 23 23 0 23 0 -23
1 2 3 4 5 6 7 8 9 10 11 12 13 14
244 Simvastatin tab 20 mg Tab 50 50 0 50 0 -50
252 Sukralfat tab 500 mg/Ulsidex Tab 2 2 0 2 0 -2
259
OBAT PROGRAMMALARIA 0 0 0 0 0
303 Blister 0 0 0 0 0 0
304 ACT Tab Tab 0 0 0 0 0 0
314 Primakuin tablet 15 mg Test 300 300 0 300 0 -300
1 2 3 4 5 6 7 8 9 10 11 12 13 14
316 Sacchet 0 0 0 0 0 0
318 Zinc drop 10 mg/mL/Zincpro Drops btl @15 ml 50 50 0 50 0 -50
320 Zinc sir 20 mg/5 Ml 0 0 0 0 0 0
ALKES
363 Buah 100 100 0 100 0 -100
371 Bisturi No. 11 Set 0 0 0 0 0 0
378 Hanscond 7 / M Paket 210 210 10 200 12 -188
379 Hanscond 7,5/L Paket 0 0 0 0 0 0
380 Hanscond 7,5/L Set 0 0 0 0 0 0
388 Kasa Pembalut Hidrofil 4m x 10cm Roll 2 2 2 0 2.4 2.4
389 Kapas Berlemak 500 mg. Roll 3 3 0 3 0 -3
390 Kapas Pembalut/Adsorben 250 mg. Roll 0 0 0 0 0 0
397 Kasa Pembalut Hidrofil 4m x 5cm. Kotak 0 0 0 0 0 0
398 Kasa Steril Roll 70 70 10 60 12 -48
399 Leucoplast 7,50cm x 4,5m Buah 0 0 0 0 0 0
400 Masker Roll 68 68 8 60 9.6 -50.4
402 Plastik Besar Pak 2 2 0 2 0 -2
1 2 3 4 5 6 7 8 9 10 11 12 13 14
404 Plester 5 Yard x 2 Inc. Set 4 4 1 3 1.2 -1.8
405 Silk (benang bedah sutra) no 3/0 Buah 17 17 1 16 1.2 -14.8
UMUM JUMLAH
MANDIRI

Gisting, 31 Maret 2018

NIP. 19740313 199212 2 002
BULAN : MARET 2018
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
BERIAAN
KET
ASKES LAIN JML
15 16 17 18
sting Atas
(LPLPO)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul #REF! 300 #REF! 35 #REF! 42 #REF!
2 Albendazol tab 400 mg Tab #REF! 800 #REF! 0 #REF! 0 #REF!
3 Albendazole susp 200mg/5ml Botol@60ml #REF! 60 #REF! 0 #REF! 0 #REF!
4 Alopurinol tab 100 mg Tab #REF! 5000 #REF! 972 #REF! 1166.4 #REF!
5 Ambroksol Tab 30 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
6 Ambroksol Syr 30mg/5 ml Btl #REF! 0 #REF! 0 #REF! 0 #REF!
7 Aminofilin injeksi 24 mg/ml Ampul #REF! 0 #REF! 18 #REF! 21.6 #REF!
8 Aminofilin tablet scored 200 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
9 Amlodipin tablet 10 mg Tab #REF! 2000 #REF! 680 #REF! 816 #REF!
10 Amlodipin tablet 5 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
11 Amoksisilin kap 250 mg Kaps #REF! 5000 #REF! 6731 #REF! 8077.2 #REF!
12 Amoksisilin kap scored 500 mg Kaptab #REF! 20000 #REF! 7442 #REF! 8930.4 #REF!
13 Amoksisilin sirup kering forte 250 mg/5 ml Btl@ 60 ml #REF! 50 #REF! 28 #REF! 33.6 #REF!
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
15 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial #REF! 0 #REF! 0 #REF! 0 #REF!
16 Ampisilin Tab 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
17 Ampisillin syr kering 125 mg / 5 ml #REF! 0 #REF! 0 #REF! 0 #REF!
18 Antalgin Tab 500mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
19 Antalgin Inj 250mg/2ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
20 Antasida DOEN I tablet kunyah, komb Tab #REF! 25000 #REF! 8235 #REF! 9882 #REF!
21 Antasida DOEN II suspensi, komb Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
22 Anti Bakteri DOEN salep kombi Tube @ 5g #REF! 0 #REF! 0 #REF! 0 #REF!
23 Anti Diare/ Diapecta tab/New Antides Tab #REF! 1000 #REF! 614 #REF! 736.8 #REF!
24 Anti Konstipasi / Laxadin Emulsion Btl #REF! 0 #REF! 0 #REF! 0 #REF!
25 Antihemoroid komb Supp #REF! 20 #REF! 3 #REF! 3.6 #REF!
26 Antifungi Doen Kombinasi Pot @ 30 g #REF! 72 #REF! 49 #REF! 58.8 #REF!
27 Antimigren tab Komb Tab #REF! 0 #REF! 0 #REF! 0 #REF!
28 As. Asetilsalisilat (asetosal) tablet 100 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
29 As. Asetilsalisilat (asetosal) 80 mg/Miniaspi 80 Tab #REF! 0 #REF! 0 #REF! 0 #REF!
30 As. Asetilsalisilat (asetosal) tab 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
31 Asam Askorbat (Vitamin C) tablet 250 mg Tab #REF! 2000 #REF! 861 #REF! 1033.2 #REF!
32 Asam Askorbat (Vitamin C) tablet 50 mg Tab #REF! 30000 #REF! 5446 #REF! 6535.2 #REF!
33 Asam Folat tab 1 mg Tab #REF! 4000 #REF! 838 #REF! 1005.6 #REF!
34 Asam Mefenamat kaps 500 mg Kaptab #REF! 0 #REF! 0 #REF! 0 #REF!
35 Asam pipemidat kap 400 mg/Urotractin tab Tab #REF! 240 #REF! 100 #REF! 120 #REF!
36 Asam traneksamat injeksi 50 mg/ml Ampul #REF! 25 #REF! 12 #REF! 14.4 #REF!
37 Asifit Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
38 Asiklovir Krim Tube @ 5g #REF! 0 #REF! 0 #REF! 0 #REF!
39 Asiklovir salep mata 3%/Temiral Eye Oint Tube 3,5 g #REF! 0 #REF! 0 #REF! 0 #REF!
40 Asiklovir tab 200 mg Tab #REF! 200 #REF! 290 #REF! 348 #REF!
41 Asiklovir tab 400 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
42 Atapulgit tab 600 mg/Pularex Tab #REF! 0 #REF! 0 #REF! 0 #REF!
43 Atropin Sulfat Inj 0,25mg/1ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
44 Bedak salisil serbuk 2% Ktk @ 50 g #REF! 0 #REF! 0 #REF! 0 #REF!
45 Betahistine Maleat 6 mg Tablet #REF! 900 #REF! 384 #REF! 460.8 #REF!
46 Betametason krim 0,1% Tube 5 gr #REF! 0 #REF! 0 #REF! 0 #REF!
47 Betason N Krim Tube 5 gr #REF! 0 #REF! 0 #REF! 0 #REF!
48 Bioneuron Inj Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
49 Bisakodil 10 mg supp/Dulcolax supp adult 10 mg Supp #REF! 0 #REF! 0 #REF! 0 #REF!
50 Bisakodil 5 mg supp/Dulcolax supp infant 5 mg Supp #REF! 0 #REF! 0 #REF! 0 #REF!
51 Bisakodil tab salut mg Tablet #REF! 0 #REF! 0 #REF! 0 #REF!
52 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tab #REF! 1000 #REF! 0 #REF! 0 #REF!
53 Chloramfecort H Cream Tube @ 5g #REF! 0 #REF! 0 #REF! 0 #REF!
54 Deksametason inj 5 mg/ml Ampul #REF! 200 #REF! 76 #REF! 91.2 #REF!
55 Deksametason tablet 0,5 mg Tab #REF! 12000 #REF! 8031 #REF! 9637.2 #REF!
56 Dekstran 70-larutan infus 6% steril Botol #REF! 0 #REF! 0 #REF! 0 #REF!
57 Diazepam larutan rektal 5 mg/2,5 mL/Stesolid Tube @ 2,5 ml #REF! 0 #REF! 0 #REF! 0 #REF!
58 Diazepam injeksi i.v./i.m 5 mg/ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
59 Diazepam tablet 2 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
60 Diazepam tablet 5 mg Tab #REF! 0 #REF! 65 #REF! 78 #REF!
61 Dietilkarbamazin tablet scored 100 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
62 Difenhidramin inj 10 mg/ml (HCl) Ampul #REF! 90 #REF! 30 #REF! 36 #REF!
63 Digoksin tablet 0,25 mg Tab #REF! 0 #REF! 30 #REF! 36 #REF!
64 Diltiazem HCl tablet 30 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
65 Doksisiklin Kap 100 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
66 Domperidon susp/sirup 5 mg/5 ml btl @ 60 ml #REF! 100 #REF! 97 #REF! 116.4 #REF!
67 Domperidon tablet 10 mg Tab #REF! 0 #REF! 120 #REF! 144 #REF!
68 Efedrin tab 25 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
69 Ekstrak Beladona tab 10 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
70 Epinefrin (Adrenalin) inj 1 mg/ml Ampul #REF! 0 #REF! 23 #REF! 27.6 #REF!
71 Eritromisin kaps 250 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
72 Eritromisin kaplet 500 mg Kaplet #REF! 0 #REF! 0 #REF! 0 #REF!
73 Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml #REF! 15 #REF! 0 #REF! 0 #REF!
74 Etakridina (Rivanol) Lar 0,1 % 300 ml Botol #REF! 7 #REF! 2 #REF! 2.4 #REF!
75 Etanol 70% cairan Btl @ 1000 ml #REF! 8 #REF! 2 #REF! 2.4 #REF!
76 Etanol 96% Btl @ 300 ml #REF! 0 #REF! 0 #REF! 0 #REF!
77 Febrinex Syr Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
78 Fenoterol HBr aerosol 100mcg/dosis/Berotec MDI Vial #REF! 5 #REF! 0 #REF! 0 #REF!
79 Fenol gliserol TT 10 % Btl @ 5ml #REF! 0 #REF! 0 #REF! 0 #REF!
80 Finasterid tab 5 mg/Prostacom Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
81 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
82 Fituno Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
83 Flusinolon asetonid krim 0,025%/Synarcus Tube 5 g #REF! 0 #REF! 0 #REF! 0 #REF!
84 Furosemid inj 10 mg/ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
85 Furosemid tablet 40 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
86 Gentamisin injeksi 40 mg/ ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
87 Gentamisin salep Kulit Tube @ 5 g #REF! 0 #REF! 0 #REF! 0 #REF!
88 Gentamisin salep mata 0,3%/Genoint SM Tube @ 3,5 gr #REF! 0 #REF! 0 #REF! 0 #REF!
89 Gentamisin tetes mata 0,3% Btl @ 5 ml #REF! 0 #REF! 0 #REF! 0 #REF!
90 Gentian Violet 1% Btl #REF! 0 #REF! 0 #REF! 0 #REF!
91 Glibenklamid tablet 5 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
92 Gliklazid tab 80 mg/Glicab Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
93 Glimepiride tablet 2 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
94 Glimepiride tablet 3 mg Tab #REF! 1000 #REF! 300 #REF! 360 #REF!
95 Gliseril Guayakolat tab 100mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
96 Glukosa larutan infus 10 % steril Btl @ 500 ml #REF! 10 #REF! 0 #REF! 0 #REF!
97 Glukosa larutan infus 5 % steril Btl @ 500 ml #REF! 100 #REF! 0 #REF! 0 #REF!
98 Glukosa Larutan Infus 40 % btl @ 100 ml #REF! 0 #REF! 0 #REF! 0 #REF!
99 Griseofulvin tablet 125 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
100 Hidroklorotiazid (HCt ) Tab 25 mg Tab #REF! 400 #REF! 200 #REF! 240 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
101 Hidrokortison krim 2,5 % Tube 5 gr #REF! 72 #REF! 46 #REF! 55.2 #REF!
102 Ibuprofen sirup 100 mg/5 ml btl @ 60 ml #REF! 100 #REF! 7 #REF! 8.4 #REF!
103 Ibuprofen tablet 200 mg Tab #REF! 10000 #REF! 3000 #REF! 3600 #REF!
104 Ibuprofen tablet 400 mg Tab #REF! 20000 #REF! 6726 #REF! 8071.2 #REF!
105 Ichtyol Salep Pot @ 30 gram #REF! 0 #REF! 0 #REF! 0 #REF!
106 Isosorbid Dinitrat tablet sublingual 5 mg Tab #REF! 400 #REF! 0 #REF! 0 #REF!
107 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab #REF! 2000 #REF! 0 #REF! 0 #REF!
108 Kalium Diklofenak tab 25 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
109 Kalium Diklofenak tab 50 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
110 Kalsium Laktat (Kalk) tab 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
111 Kaptopril tablet scored 25 mg Tab #REF! 0 #REF! 26 #REF! 31.2 #REF!
112 Kaptopril tablet scored12,5 mg Tab #REF! 3000 #REF! 1140 #REF! 1368 #REF!
113 Ketokonazol krim 2% Tube @ 15 g #REF! 75 #REF! 27 #REF! 32.4 #REF!
114 Ketokonazol tablet 200 mg Tab #REF! 0 #REF! 28 #REF! 33.6 #REF!
115 Ketorolac injeksi 30 mg/ml Ampul #REF! 120 #REF! 129 #REF! 154.8 #REF!
116 Klindamisin kapsul/kaplet 150 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
117 Klindamisin kapsul/kaplet 300 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
118 Klonidin tablet 0,15 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
119 Kloramfenikol kap 250 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
120 Kloramfenikol salep kulit 2%/Bufacetin Tube @ 15g #REF! 0 #REF! 0 #REF! 0 #REF!
121 Kloramfenikol salep mata 1 % Tube 5 gr #REF! 0 #REF! 0 #REF! 0 #REF!
122 Kloramfenikol inj 1000 mg/Chloramex inj vial #REF! 20 #REF! 0 #REF! 0 #REF!
123 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 60 ml #REF! 10 #REF! 16 #REF! 19.2 #REF!
124 Kloramfenikol Tetes Mata Btl @ 5 ml #REF! 0 #REF! 0 #REF! 0 #REF!
125 Kloramfenikol Tetes Telinga Btl @ 5 ml #REF! 0 #REF! 0 #REF! 0 #REF!
126 Klorfeniramina Maleat (CTM) tab 4 mg Tab #REF! 20000 #REF! 4804 #REF! 5764.8 #REF!
127 Kodein tablet 10 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
128 Komb Amoks + As. Klavulanat/Co-Amoxiclav 625mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
129 Kombinasi tablet salut : Besi (II) sulfat tab+as.folat/Tab. Tambah Darah Tab #REF! 0 #REF! 720 #REF! 864 #REF!
130 Kombinasi tetes mata /Cendo Lyteers Btl @ 15 ml #REF! 25 #REF! 12 #REF! 14.4 #REF!
131 Kotrimoksazol DOEN I (dewasa) komb Tab #REF! 25000 #REF! 2105 #REF! 2526 #REF!
132 Kotrimoksazol Pediatrik Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
133 Kotrimoksazol Suspensi komb Btl @ 60 ml #REF! 100 #REF! 21 #REF! 25.2 #REF!
134 Lanzoprazol kapsul/kaplet 30 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
135 Levertan Pot #REF! 0 #REF! 0 #REF! 0 #REF!
136 Lidokain injeksi 2% (HCl) Ampul #REF! 0 #REF! 20 #REF! 24 #REF!
137 Lidokain jeli 2%/Xylocaine Jelly 2% syringe @ 10 g #REF! 0 #REF! 0 #REF! 0 #REF!
138 Lisol Btl @ 300 ml #REF! 6 #REF! 1 #REF! 1.2 #REF!
139 Loperamid tablet 2 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
140 Loratadin tablet 10 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
141 Mebendazol tablet 500 mg/Vermox tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
142 Mebendazol Sirup 50 mg/ml btl #REF! 0 #REF! 0 #REF! 0 #REF!
143 Meloxicam 7,5 mg tab #REF! 0 #REF! 0 #REF! 0 #REF!
144 Meloxicam 15 mg tab #REF! 0 #REF! 0 #REF! 0 #REF!
145 Metformin HCl tablet 500 mg Tab #REF! 500 #REF! 410 #REF! 492 #REF!
146 Metilergometrin Maleat tab salut 0,125 mg Tab #REF! 100 #REF! 30 #REF! 36 #REF!
147 Metilergometrin Maleat inj 0,200 mg-1 ml Ampul #REF! 100 #REF! 0 #REF! 0 #REF!
148 Metilprednisolon tablet 16 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
149 Metilprednisolon tablet 4 mg Tab #REF! 500 #REF! 427 #REF! 512.4 #REF!
150 Metilprednisolon tablet 8 mg Tab #REF! 400 #REF! 0 #REF! 0 #REF!
151 Metoklopramide injeksi 5 mg/ ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
152 Metoklopramide sirup 5 mg/ 5 ml/Lexapram syr Btl @ 60 ML #REF! 0 #REF! 0 #REF! 0 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
153 Metoklopramide drop 2mg/ml/Mepramide drop 2mg/ml Btl @ 10 ml #REF! 0 #REF! 0 #REF! 0 #REF!
154 Metoklopramide tablet 10 mg Tab #REF! 1000 #REF! 200 #REF! 240 #REF!
155 Metronidazol infus 500 mg/100 ml Btl @ 100 ml #REF! 0 #REF! 0 #REF! 0 #REF!
156 Metronidazol ovula 500 mg/Vagizol Tab Vag #REF! 0 #REF! 0 #REF! 0 #REF!
157 Metronidazol sirup 125 mg/5 Ml Btl @ 60ml #REF! 50 #REF! 3 #REF! 3.6 #REF!
158 Metronidazol supositoria 500 mg/Flagyl Supp #REF! 0 #REF! 0 #REF! 0 #REF!
159 Metronidazol tablet 250 mg Tab #REF! 2000 #REF! 1006 #REF! 1207.2 #REF!
160 Metronidazol tablet 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
161 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram #REF! 50 #REF! 3 #REF! 3.6 #REF!
162 Miconazol Serbuk 2%/Mycorin Powder Btl@25gr #REF! 0 #REF! 0 #REF! 0 #REF!
163 Miraclav tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
164 Miraneuron kap Kap #REF! 0 #REF! 0 #REF! 0 #REF!
165 Multivitamin Kom Dewasa/Ramaton Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
166 Multivitamin Anak+DHA Syr/Bionick DHA Milk Syr Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
167 Multivitamin Anak Syr/Bionick Syr Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
168 Multivitamin Bayi Drop/Bionick Drop Btl @ 30 ml #REF! 0 #REF! 0 #REF! 0 #REF!
169 Nacl 0,9% Btl 500 ml #REF! 200 #REF! 0 #REF! 0 #REF!
170 Natrium Bikarbonat Tab 500mg Tab #REF! 1000 #REF! 76 #REF! 91.2 #REF!
171 Natrium Diklofenak tablet 50 mg Tab #REF! 0 #REF! 10 #REF! 12 #REF!
172 Natrium Diklofenak tablet 25 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
173 Natrium Tiosulfat Inj 25%-10 ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
174 Neurovit E tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
175 Nifedipin tab 10 mg Tab #REF! 500 #REF! 160 #REF! 192 #REF!
176 Nistatin tablet salut 500.000 IU/ g Tab #REF! 500 #REF! 116 #REF! 139.2 #REF!
177 Nistatin vaginal tablet 100.000 IU/ g Tab Vag #REF! 0 #REF! 50 #REF! 60 #REF!
178 Noza tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
179 Obat Batuk Hitam (OBH) Syrup Btl @ 100 ml #REF! 0 #REF! 0 #REF! 0 #REF!
180 Obat Batuk pilek Komb (Hustab tab) Tab #REF! 0 #REF! 0 #REF! 0 #REF!
181 Obat Flu Anak komb (Flutamol Syr) Btl @ 100 ml #REF! 0 #REF! 0 #REF! 0 #REF!
182 Ofloxacin tablet 200 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
183 Ofloxacin tablet 400 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
184 Ofloksasin tetes telinga 3%/Tarivid Otic Solution Botol #REF! 15 #REF! 3 #REF! 3.6 #REF!
185 Oksimetazolin tts hidung 0,025%/Ilaidin Drop botol @ 10 ml #REF! 20 #REF! 0 #REF! 0 #REF!
186 Oksitetrasiklin HCl inj 50 mg/ ml Vial #REF! 0 #REF! 0 #REF! 0 #REF!
187 Oksitetrasiklin HCl Salep 3 % Tube #REF! 0 #REF! 0 #REF! 0 #REF!
188 Oksitetrasiklin HCl Salep 1 % Tube #REF! 0 #REF! 0 #REF! 0 #REF!
189 Omeprazol injeksi 40 mg/ 10 ml Vial #REF! 0 #REF! 0 #REF! 0 #REF!
190 Omeprazol kaps 20 mg Kaps #REF! 0 #REF! 0 #REF! 0 #REF!
191 ondansetron inj 4 mg/ 2 mL Ampul #REF! 200 #REF! 79 #REF! 94.8 #REF!
192 Ondansetron tab 4 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
193 Ondansetron tablet 8 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
194 Papaverin Tab Tab #REF! 0 #REF! 111 #REF! 133.2 #REF!
195 Papaverin Inj Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
196 Parasetamol drop ( Generik) Botol @ 15 Ml #REF! 0 #REF! 0 #REF! 0 #REF!
197 Parasetamol sirup 120 mg / 5 ml Btl @ 60 ml #REF! 0 #REF! 316 #REF! 379.2 #REF!
198 Parasetamol tablet 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
199 Parasetamol Drop /Fasidol Drop Btl @ 15 ml #REF! 0 #REF! 55 #REF! 66 #REF!
200 Perak sulfadiazin krim 1%/Burnazine cr tube @ 35 gram #REF! 0 #REF! 0 #REF! 0 #REF!
201 Permetrin krim 5%/Scabimite Cream Tube @ 10 g #REF! 15 #REF! 6 #REF! 7.2 #REF!
202 Petidin inj 50 mg/ml (HCl) Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
203 Pirantel suspensi 125 mg/5 ml Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
204 Pirantel tablet score (base) 125 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
205 Piridoksin (vitamin B6) 10 mg Tab #REF! 1500 #REF! 723 #REF! 867.6 #REF!
206 Piroxicam tab 10mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
207 Piroxicam tab 20mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
208 Povidon Iodida larutan 10% 1000 ml Btl @ 1000 ml #REF! 0 #REF! 0 #REF! 0 #REF!
209 Povidon Iodida larutan 10% 30 ml Bt l@ 30 ml #REF! 0 #REF! 0 #REF! 0 #REF!
210 Povidon Iodida larutan 10% 300 ml Btl @ 300 ml #REF! 10 #REF! 3 #REF! 3.6 #REF!
211 Povidon Iodida larutan 10% 60 ml btl 60 ml #REF! 8 #REF! 0 #REF! 0 #REF!
212 Prednison tablet 5 mg Tab #REF! 12000 #REF! 2309 #REF! 2770.8 #REF!
213 Progastric tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
214 Propanolol tablet 10 mg ( HCl ) Tab #REF! 300 #REF! 4 #REF! 4.8 #REF!
215 Propranolol tablet 40 mg (HCl) Tab #REF! 0 #REF! 0 #REF! 0 #REF!
216 Propiltiourasil tab 100 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
217 Ranitidin injeksi 25 mg/ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
218 Ranitidin tablet 150 mg Tab #REF! 0 #REF! 7895 #REF! 9474 #REF!
219 Ringer Laktat larutan infus Btl @ 500 ml #REF! 500 #REF! 140 #REF! 168 #REF!
220 Risperidon tablet 2 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
221 Salbutamol tab 2mg Tab #REF! 2500 #REF! 884 #REF! 1060.8 #REF!
222 Salbutamol Tab 4 mg Tab #REF! 3000 #REF! 0 #REF! 0 #REF!
223 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl #REF! 0 #REF! 27 #REF! 32.4 #REF!
224 Salbutamol inh 100 mcg/dosis/Ventolin Inhaler Btl #REF! 0 #REF! 0 #REF! 0 #REF!
225 Salbutamol Syr Btl #REF! 0 #REF! 0 #REF! 0 #REF!
226 Salep 2-4 , Komb Pot @ 30 gram #REF! 24 #REF! 4 #REF! 4.8 #REF!
227 Sefadroksil sirup kering 125 mg/5ml Btl @ 60 ml #REF! 0 #REF! 19 #REF! 22.8 #REF!
228 Sefadroksil kapsul 500 mg Kapsl #REF! 2000 #REF! 1590 #REF! 1908 #REF!
229 Sefaleksin kapsul 500 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
230 Sefiksim kapsul 100 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
231 Sefiksim sirup kering 100 mg/ 5 ml Btl @ 30 ml #REF! 0 #REF! 0 #REF! 0 #REF!
232 Sefotaksim injeksi 1 g Vial #REF! 20 #REF! 20 #REF! 24 #REF!
233 Seftriakson serbuk injeksi 1 g/vial Vial #REF! 0 #REF! 0 #REF! 0 #REF!
234 Serum ABU Polivalen inj 5 ml Vial #REF! 0 #REF! 0 #REF! 0 #REF!
235 Serum ATS 1500 IU/ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
236 Serum ATS 20.000 mcg.ml Vial #REF! 0 #REF! 0 #REF! 0 #REF!
237 Setirizin sirup 5 mg/5 ml Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
238 Setirizin tablet 10 mg Kapsul #REF! 0 #REF! 9842 #REF! 11810.4 #REF!
239 Sianokobalamin (vitamin B12) inj 500 mcg Ampul #REF! 400 #REF! 110 #REF! 132 #REF!
240 Sianokobalamin (vitamin B12) tab 50 mcg Tab #REF! 300 #REF! 508 #REF! 609.6 #REF!
241 Simetidine Tab 10 mg Tab #REF! 700 #REF! 820 #REF! 984 #REF!
242 Simvastatin scored tablet 10 mg Kap #REF! 240 #REF! 0 #REF! 0 #REF!
243 Simvastatin tab 20 mg Tab #REF! 540 #REF! 90 #REF! 108 #REF!
244 Siprofloksasin tablet 500 mg (sebagai HCl) Tab #REF! 15000 #REF! 1950 #REF! 2340 #REF!
245 Spiramisin tablet 500 mg Tab #REF! 50 #REF! 10 #REF! 12 #REF!
246 Spironolakton tablet 100 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
247 Spironolakton tablet 25 mg Tab #REF! 200 #REF! 36 #REF! 43.2 #REF!
248 Stimuno Syr Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
249 Stimuno Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
250 Sukralfat susp 500 mg/5 mL/Ulsafate Btl @ 100 ml #REF! 0 #REF! 0 #REF! 0 #REF!
251 Sukralfat tab 500 mg/Ulsidex Tab #REF! 0 #REF! 0 #REF! 0 #REF!
252 Tab Tambah darah/Hemafort Tab #REF! 2000 #REF! 905 #REF! 1086 #REF!
253 Terbutalin tablet 2,5 mg/Molasma Tab #REF! 0 #REF! 0 #REF! 0 #REF!
254 Tetrasiklin kapsul 250 mg Kapsul #REF! 0 #REF! 400 #REF! 480 #REF!
255 Tetrasiklin Kapsul 500 mg Kapsul #REF! 700 #REF! 40 #REF! 48 #REF!
256 Thiamin HCl inj 100mg/ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
257 Thiamin Mononitrat Tab 50 mg Tab #REF! 10000 #REF! 3509 #REF! 4210.8 #REF!
258 Thiamfenikol Kap 500 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
259
Tramadol injeksi 50 mg/ml Ampul #REF! 15 #REF! 0 #REF! 0 #REF!
260 Tramadol Tab 50 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
261 Urea krim 10%/Soft U Derm tube #REF! 0 #REF! 0 #REF! 0 #REF!
262 Videne Povidone Iodine 500 ml Btl #REF! 0 #REF! 0 #REF! 0 #REF!
263 Vitamin Tab/Becefort Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
264 Vitamin Syr/Becefort Syr Btl #REF! 15 #REF! 8 #REF! 9.6 #REF!
265 Vitamin B Kompleks tablet Tab #REF! 10000 #REF! 4600 #REF! 5520 #REF!
#REF! 0 #REF! 0 #REF! 0 #REF!
OBAT ASKES #REF! 0 #REF! 0 #REF! 0 #REF!
266 Broadamox 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
267 Cargesik tab 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
268 Farmoten tab 12,5 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
269 Hufadin tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
270 Icthyol Zalf Pot #REF! 0 #REF! 0 #REF! 0 #REF!
271 Levertraan Zalf Pot #REF! 0 #REF! 0 #REF! 0 #REF!
272 Mirasic tab 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
273 Miraneuro Tab tab #REF! 0 #REF! 0 #REF! 0 #REF!
0 #REF! 0 #REF! 0 #REF! 0 #REF!
OBAT G 0 #REF! 0 #REF! 0 #REF! 0 #REF!
274 Air Raksa DentalUse Botol #REF! 0 #REF! 0 #REF! 0 #REF!
275 Devitalisasi Pasta (Non Arsen) Pot #REF! 0 #REF! 0 #REF! 0 #REF!
276 Etil Klorida Semprot Botol #REF! 8 #REF! 0 #REF! 0 #REF!
277 Eugenol cairan Botol #REF! 0 #REF! 0 #REF! 0 #REF!
278 Glass Ionomer Cement (gc IX) Btl #REF! 0 #REF! 0 #REF! 0 #REF!
279 Kalsium hidroksida Pasta Set #REF! 0 #REF! 0 #REF! 0 #REF!
280 Monoklor Mentol Cairan/CHKM Btl #REF! 0 #REF! 0 #REF! 0 #REF!
281 Mummfying Pasta Btl #REF! 0 #REF! 0 #REF! 0 #REF!
282 Semen Seng Fosfat Serbuk Btl #REF! 0 #REF! 0 #REF! 0 #REF!
283 Silver Amalgam Btl #REF! 0 #REF! 0 #REF! 0 #REF!
284 Spon Gelatin Cubicles 1x1x1 cm Buah #REF! 0 #REF! 0 #REF! 0 #REF!
285 Temporary Stopp. F. srb & Cair Btl #REF! 0 #REF! 0 #REF! 0 #REF!
286 Trikresol Formalin Btl #REF! 0 #REF! 0 #REF! 0 #REF!
287 GC Fuji Varnish (Butter Coconut/Varnish) Btl #REF! 0 #REF! 0 #REF! 0 #REF!
288 Articulation Paper Red GC Kotak #REF! 0 #REF! 0 #REF! 0 #REF!
OBAT PROGRAM JIWA #REF! 0 #REF! 0 #REF! 0 #REF!
289 Amitriptilin tablet salut 25 mg (HCl) Tab #REF! 0 #REF! 0 #REF! 0 #REF!
290 Fenitoin injeksi 50 mg/ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
291 Fenitoin kap 100 mg Kaplet #REF! 0 #REF! 0 #REF! 0 #REF!
292 Fenobarbital tab 100 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
293 Fenobarbital tab 30 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
294 Haloperidol tablet 0,5 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
295 Haloperidol tablet 1,5 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
296 Haloperidol tablet 5 mg Tab #REF! 0 #REF! 98 #REF! 117.6 #REF!
297 Karbamazepin tablet 200 mg Tab #REF! 0 #REF! 40 #REF! 48 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
298 Klorpromazin tablet salut 100 mg (HCl) Tab #REF! 0 #REF! 0 #REF! 0 #REF!
299 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
300 Klorpromazin tablet salut 25 mg (HCl) Tab #REF! 0 #REF! 55 #REF! 66 #REF!
301 Trifluoferazin tab 5 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
302 Triheksifenidil HCl tab 2 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
OBAT PROGRAMMALARIA #REF! 0 #REF! 0 #REF! 0 #REF!
303 ACT Tab Blister #REF! 0 #REF! 0 #REF! 0 #REF!
304 Antimalaria DOEN kombinasi /suldox tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
305 Artemether injeksi 80 mg/ml/Artem Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
306 Arterakin/Darplex/DHP Tab Tab #REF! 0 #REF! 0 #REF! 0 #REF!
307 Artesunate inj 60 mg/ml/Artesunate Vial #REF! 0 #REF! 0 #REF! 0 #REF!
308 Fokus Malaria PF&PV Casette Unit #REF! 0 #REF! 0 #REF! 0 #REF!
309 Kuinin (Kina) tablet 200 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
310 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
311 Kuinin tablet 222 mg (H2SO4.7H2O) Tab #REF! 0 #REF! 0 #REF! 0 #REF!
312 Larvasida Malaria Galon #REF! 0 #REF! 0 #REF! 0 #REF!
313 Primakuin tablet 15 mg Tab #REF! 200 #REF! 0 #REF! 0 #REF!
314 RDT Malaria Test #REF! 0 #REF! 0 #REF! 0 #REF!
315 RDT Malaria Piece #REF! 0 #REF! 0 #REF! 0 #REF!
OBAT PROGRAM DIARE #REF! 0 #REF! 0 #REF! 0 #REF!
316 Garam Oralit I serbuk, kombi Sacchet #REF! 1200 #REF! 1170 #REF! 1404 #REF!
317 Zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml #REF! 0 #REF! 0 #REF! 0 #REF!
318 Zinc sir 10 mg/mL/Zinc Kid Btl @ 100 ml #REF! 0 #REF! 0 #REF! 0 #REF!
319 Zinc sir 20 mg/5 Ml Btl @ 60 ml #REF! 0 #REF! 0 #REF! 0 #REF!
320 Zinc tablet dispersible20 mg Tab #REF! 3500 #REF! 1486 #REF! 1783.2 #REF!
321 Isoniazid 100 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
322 Obat Antituberkulosis FDC Kategori 1 Paket #REF! 0 #REF! 0 #REF! 0 #REF!
323 Obat Antituberkulosis FDC Kategori 2 Paket #REF! 0 #REF! 0 #REF! 0 #REF!
324 Obat Antituberkulosis Kategori 3 Paket #REF! 0 #REF! 0 #REF! 0 #REF!
325 Obat Antituberkulosis FDC Kategori Anak Paket #REF! 0 #REF! 0 #REF! 0 #REF!
326 Obat Antituberkulosis FDC Sisipan Paket #REF! 0 #REF! 0 #REF! 0 #REF!
327 Obat Antituberkulosis Kategori 1 dewasa combipac Paket #REF! 0 #REF! 0 #REF! 0 #REF!
328 Obat Antituberkulosis Kategori anak combipac Paket #REF! 0 #REF! 0 #REF! 0 #REF!
329 Pyrazinamid Tab 500 mg Tab #REF! 0 #REF! 0 #REF! 0 #REF!
330 Rifampisin tab 300 mg Kapsul #REF! 0 #REF! 0 #REF! 0 #REF!
331 Rifampisin tab 600 mg Kaplet #REF! 0 #REF! 0 #REF! 0 #REF!
332 Vaksin rabies/Rabipur Vial #REF! 0 #REF! 0 #REF! 0 #REF!
333 Iodin Test Btl #REF! 0 #REF! 0 #REF! 0 #REF!
334 Mineral Mix Sacchet #REF! 0 #REF! 0 #REF! 0 #REF!
335 Retinol (Vitamin A) 100.000 IU Kapsul #REF! 1000 #REF! 0 #REF! 0 #REF!
336 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul #REF! 3000 #REF! 0 #REF! 0 #REF!
337 Taburia Sacchet #REF! 0 #REF! 0 #REF! 0 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
338 Alat HB Hemoglobin Starter Kit Mission Unit #REF! 0 #REF! 0 #REF! 0 #REF!
339 Alat tes Hb Hemoglobin Unit #REF! 0 #REF! 0 #REF! 0 #REF!
340 Benzatin Benzil Penisilin 1,2 juta IU/ vial Vial #REF! 0 #REF! 0 #REF! 0 #REF!
341 Benzatin Benzil Penisilin 2,4 juta IU/vial Vial #REF! 0 #REF! 0 #REF! 0 #REF!
342 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul #REF! 210 #REF! 0 #REF! 0 #REF!
343 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul #REF! 90 #REF! 0 #REF! 0 #REF!
344 HB Sahli Buah #REF! 0 #REF! 0 #REF! 0 #REF!
345 Hb Hemoglobin Strip Test Kotak #REF! 20 #REF! 20 #REF! 24 #REF!
346 Implant Paket #REF! 0 #REF! 0 #REF! 0 #REF!
347 IUD Pcs #REF! 0 #REF! 0 #REF! 0 #REF!
348 Kaporit Tablet Kg #REF! 0 #REF! 0 #REF! 0 #REF!
349 Kalsium Glukonat inj i.v 10% (100 mg/ml) Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
350 Kondom Kotak #REF! 0 #REF! 0 #REF! 0 #REF!
351 Levotiroksin tab 100 mcg/Euthyrox 100 Tab #REF! 0 #REF! 0 #REF! 0 #REF!
352 Magnesium sulfat injeksi 20% Vial #REF! 0 #REF! 0 #REF! 0 #REF!
353 Magnesium sulfat injeksi 40% Vial #REF! 0 #REF! 0 #REF! 0 #REF!
354 Oksitosin injeksi 10 IU/ml Ampul #REF! 100 #REF! 0 #REF! 0 #REF!
355 Paket KIA Paket #REF! 0 #REF! 0 #REF! 0 #REF!
356 Pita Lila Buah #REF! 0 #REF! 0 #REF! 0 #REF!
357 Prokain Benzilpenisilin serbuk inj 3 juta IU/vial Vial #REF! 0 #REF! 0 #REF! 0 #REF!
358 Suntik KB 3 Bln @ 1 ml Vial #REF! 0 #REF! 0 #REF! 0 #REF!
359 Suntik KB 3 Bln @ 3 ml Vial #REF! 0 #REF! 0 #REF! 0 #REF!
360 Test Kehamilan Strip #REF! 0 #REF! 35 #REF! 42 #REF!
361 Urin strip(tes protein &gula) Strip #REF! 0 #REF! 0 #REF! 0 #REF!
362 Underpad Pcs #REF! 0 #REF! 0 #REF! 0 #REF!
ALKES #REF! 0 #REF! 0 #REF! 0 #REF!
363 Alat Suntik 0,05 ml Buah #REF! 0 #REF! 0 #REF! 0 #REF!
364 Alat Suntik 0,5 ml Buah #REF! 0 #REF! 0 #REF! 0 #REF!
365 Alat Suntik 1 ml. Buah #REF! 400 #REF! 100 #REF! 120 #REF!
366 Alat Suntik 2,5 ml. Buah #REF! 0 #REF! 0 #REF! 0 #REF!
367 Alat Suntik 5 ml. Buah #REF! 300 #REF! 410 #REF! 492 #REF!
368 Alat Suntik 10 ml Buah #REF! 300 #REF! 0 #REF! 0 #REF!
369 Blood Lancet Buah #REF! 20 #REF! 2 #REF! 2.4 #REF!
370 Bisturi No. 11 Buah #REF! 50 #REF! 0 #REF! 0 #REF!
371 Cat Gut/ Benang Bedah no. 2/0 Set #REF! 24 #REF! 0 #REF! 0 #REF!
372 Cat Gut/ Benang Bedah no. 3/0 Set #REF! 0 #REF! 0 #REF! 0 #REF!
373 Folley Cathether No. 14 Buah #REF! 0 #REF! 0 #REF! 0 #REF!
377 Hanscond 7 / M Paket #REF! 400 #REF! 0 #REF! 0 #REF!
378 Hanscond 7,5/L Paket #REF! 0 #REF! 0 #REF! 0 #REF!
379 Hanscond 7,5/L Paket #REF! 300 #REF! 200 #REF! 240 #REF!
380 Infusion Set anak Set #REF! 100 #REF! 20 #REF! 24 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
381 Infusion Set dewasa Set #REF! 100 #REF! 35 #REF! 42 #REF!
382 IV catheter no 18 Buah #REF! 25 #REF! 0 #REF! 0 #REF!
386 IV catheter no 24 Buah #REF! 0 #REF! 28 #REF! 33.6 #REF!
387 Kasa Pembalut Hidrofil 4m x 10cm Roll #REF! 40 #REF! 1 #REF! 1.2 #REF!
388 Kapas Berlemak 500 mg. Roll #REF! 0 #REF! 0 #REF! 0 #REF!
389 Kapas Pembalut/Adsorben 250 mg. Roll #REF! 20 #REF! 8 #REF! 9.6 #REF!
390 Kasa Elastis Roll #REF! 0 #REF! 0 #REF! 0 #REF!
391 Kasa Meteran 36m x 80cm Roll #REF! 0 #REF! 1 #REF! 1.2 #REF!
392 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll #REF! 10 #REF! 0 #REF! 0 #REF!
393 Kasa Pembalut 2m x 80cm. Roll #REF! 30 #REF! 0 #REF! 0 #REF!
394 Kasa Pembalut Hidrofil 4m x 15cm. Roll #REF! 50 #REF! 10 #REF! 12 #REF!
397 Kasa Steril Kotak #REF! 30 #REF! 20 #REF! 24 #REF!
398 Leucoplast 7,50cm x 4,5m Roll #REF! 30 #REF! 3 #REF! 3.6 #REF!
399 Masker Buah #REF! 0 #REF! 115 #REF! 138 #REF!
400 Pembalut Gips Roll #REF! 0 #REF! 0 #REF! 0 #REF!
401 Plastik Besar Pak #REF! 8 #REF! 0 #REF! 0 #REF!
402 Plastik Kecil Pak #REF! 0 #REF! 0 #REF! 0 #REF!
403 Plester 5 Yard x 2 Inc. Roll #REF! 0 #REF! 0 #REF! 0 #REF!
404 Silk (benang bedah sutra) no 3/0 Set #REF! 36 #REF! 12 #REF! 14.4 #REF!
405 Sofratull Buah #REF! 20 #REF! 1 #REF! 1.2 #REF!
406 Transfussion set Set #REF! 0 #REF! 0 #REF! 0 #REF!
407 Kantong Urin Dewasa Buah #REF! 6 #REF! 0 #REF! 0 #REF!
0 #REF! 0 #REF! 0 #REF! 0 #REF!
0 #REF! 0 #REF! 0 #REF! 0 #REF!
408 Autocliclik Lancing Device Piece #REF! 0 #REF! 0 #REF! 0 #REF!
409 Alat Hitung bakteri Buah #REF! 0 #REF! 0 #REF! 0 #REF!
410 Alat Test Easy Touch Buah #REF! 0 #REF! 0 #REF! 0 #REF!
411 Alat Benecheck Plus Monitoring Unit #REF! 0 #REF! 0 #REF! 0 #REF!
412 Alkohol Swab Buah #REF! 30 #REF! 0 #REF! 0 #REF!
413 Asam Klorida ).1 N Botol #REF! 0 #REF! 0 #REF! 0 #REF!
414 Asam Sulfosalisilat 20% Botol #REF! 0 #REF! 0 #REF! 0 #REF!
415 Bennecheck Urid Acid Test Strip Kotak #REF! 20 #REF! 6 #REF! 7.2 #REF!
416 Bennecheck Total Cholesterol Test Strip Kotak #REF! 25 #REF! 11 #REF! 13.2 #REF!
417 Bennecheck Blood Glukosa Test Strip Kotak #REF! 25 #REF! 3 #REF! 3.6 #REF!
418 Kertas Golongan darah Lembar #REF! 0 #REF! 0 #REF! 0 #REF!
419 Larutan Giemsa Stain Btl #REF! 0 #REF! 0 #REF! 0 #REF!
420 Larutan H2O2 50 % Btl #REF! 0 #REF! 0 #REF! 0 #REF!
421 Larutan Ziehl Nielson Paket #REF! 0 #REF! 0 #REF! 0 #REF!
422 Malaria test Buah #REF! 0 #REF! 0 #REF! 0 #REF!
423 Pipet Eritrosit Buah #REF! 0 #REF! 0 #REF! 0 #REF!
424 Pot Dahak Buah #REF! 0 #REF! 0 #REF! 0 #REF!
425 Respirator Buah #REF! 0 #REF! 0 #REF! 0 #REF!
1 2 3 4 5 6 7 8 9 10 11 12 13 14
426 Slide Buah #REF! 0 #REF! 0 #REF! 0 #REF!
427 Slide Boks Buah #REF! 0 #REF! 0 #REF! 0 #REF!
428 Test Golongan Darah Paket #REF! 0 #REF! 0 #REF! 0 #REF!
429 Tissu Lensa Buah #REF! 0 #REF! 0 #REF! 0 #REF!
0 #REF! 0 #REF! 0 #REF! 0 #REF!
0 #REF! 0 #REF! 0 #REF! 0 #REF!
430 BCG Vial #REF! 20 #REF! 19 #REF! 22.8 #REF!
431 DPT-HB.HIB/pentabio Buah #REF! 50 #REF! 50 #REF! 60 #REF!
432 POLIO Vial #REF! 50 #REF! 47 #REF! 56.4 #REF!
433 CAMPAK Vial #REF! 0 #REF! 0 #REF! 0 #REF!
434 Hepatitis B/Uniject Vial #REF! 80 #REF! 79 #REF! 94.8 #REF!
435 TT Vial #REF! 0 #REF! 0 #REF! 0 #REF!
436 DT Vial #REF! 0 #REF! 0 #REF! 0 #REF!
437 TD Vial #REF! 20 #REF! 19 #REF! 22.8 #REF!
438 ADS 0,05 ml Ampul #REF! 0 #REF! 0 #REF! 0 #REF!
439 ADS 0,5 ml Buah #REF! 1000 #REF! 1000 #REF! 1200 #REF!
440 ADS 5 ml Buah #REF! 0 #REF! 0 #REF! 0 #REF!
441 Safety Box Buah #REF! 0 #REF! 0 #REF! 0 #REF!
442 Reagen SD HIV Test #REF! 0 #REF! 0 #REF! 0 #REF!
443 Vaksin H big Vial #REF! 0 #REF! 0 #REF! 0 #REF!

UMUM JUMLAH
JUMLAH PASIEN BULAN AGUSTUS MANDIRI
2,566 722 23 245 3,556
Gisting, 31 Agustus 2017

Kabupaten Tanggamus UPT Puskesmas Rawat Inap Gisting
Kabupaten Tanggamus
SAIFULLAH,SKM.M.Kes NOVIYANTI, A.Md.F

NIP. 19660714 198803 1 004 NIP. 19781125 200804 2002
BULAN :
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
ERIAAN
KET
ASKES LAIN JML
15 16 17 18
nap Gisting
1
Err:520 Err:520
1 2 3 4.00 5 6 7 8
Penerimaan Pengeluaran Penerimaan

NO. NAMA OBAT SATUAN Harga Satuan STOK AWAL
Januari Januari Februari
1 2 3 4 5 6 7 8
1 Air untuk Injeksi 25 ml/Otsu Water 25 ml Ampul 2,750.00 50 50
2 Albendazol tab 400 mg Tab 344.00 0 300
3 Albendazole susp 200mg/5ml Botol@60ml 3,849.00
4 Alopurinol tab 100 mg Tab 90.00 2800 730
5 Ambroksol Tab 30 mg Tab 202.84 2700 10,000 6700 1,000
6 Ambroksol Syr 30mg/5 ml Btl 3,750.00
7 Aminofilin injeksi 24 mg/ml Ampul 3,345.00 10 10
8 Aminofilin tablet scored 200 mg Tab 80.00 151 120
9 Amlodipin tablet 10 mg Tab 148.00 0
10 Amlodipin tablet 5 mg Tab 187.00
11 Amoksisilin kap 250 mg Kaps 195.00 1300 20,000 1228
12 Amoksisilin kap scored 500 mg Kaptab 232.00 5200 20,000 3948
13 Amoksisilin sirup kering forte 250 mg/5 ml Btl@ 60 ml 4,070.00
14 Amoksisilin sirup kering 125 mg/ 5 ml Btl @ 60 ml 2,445.00
15 Ampisilin serbuk injeksi i.v. 1000 mg/vial Vial 4,200.00
16 Ampisilin Tab 500 mg Tab 477.00
17 Ampisillin syr kering 125 mg / 5 ml 8,155.00
18 Antalgin Tab 500mg Tab 191.00
19 Antalgin Inj 250mg/2ml Ampul 1,300.00 240
20 Antasida DOEN I tablet kunyah, komb Tab 62.00 2200 20,000 4700
21 Antasida DOEN II suspensi, komb Btl @ 60 ml 2,160.00 35 35
22 Anti Bakteri DOEN salep kombi Tube @ 5g 2,516.00 7 5
23 Anti Diare/ Diapecta tab/New Antides Tab 145.00 200 2,000 118
24 Anti Konstipasi / Laxadin Emulsion Btl 7,700.00
25 Antihemoroid komb Supp 3,045.00 0
26 Antifungi Doen Kombinasi Pot @ 30 g 1,904.00 12 0
27 Antimigren tab Komb Tab 135.00
28 As. Asetilsalisilat (asetosal) tablet 100 mg Tab 116.00
29 As. Asetilsalisilat (asetosal) 80 mg/Miniaspi 80 Tab 92.00
30 As. Asetilsalisilat (asetosal) tab 500 mg Tab 162.00
31 Asam Askorbat (Vitamin C) tablet 250 mg Tab 125.00 0
32 Asam Askorbat (Vitamin C) tablet 50 mg Tab 95.00 3800 20,000 5300
33 Asam Folat tab 1 mg Tab 44.87 1200 184
34 Asam Mefenamat kaps 500 mg Kaptab 112.00 2,000 1097
35 Asam pipemidat kap 400 mg/Urotractin tab Tab 1,815.00 1800 228
36 Asam traneksamat injeksi 50 mg/ml Ampul 2,950.00 20 0 20
37 Asifit Tab Tab 1,818.00
38 Asiklovir Krim Tube @ 5g 3,138.00
39 Asiklovir salep mata 3%/Temiral Eye Oint Tube 3,5 g 24,750.00
40 Asiklovir tab 200 mg Tab 249.00 1400 1,000 118
41 Asiklovir tab 400 mg Tab 336.00
42 Atapulgit tab 600 mg/Pularex Tab 140.00
43 Atropin Sulfat Inj 0,25mg/1ml Ampul 1,672.00 18
44 Bedak salisil serbuk 2% Ktk @ 50 g 1,020.00 43 50 13
45 Betahistine Maleat 6 mg Tablet 149.00 0
46 Betametason krim 0,1% Tube 5 gr 1,520.00 43 16
47 Betason N Krim Tube 5 gr 9,182.00
48 Bioneuron Inj Ampul 4,341.00
49 Bisakodil 10 mg supp/Dulcolax supp adult 10 mg Supp 5,800.00
50 Bisakodil 5 mg supp/Dulcolax supp infant 5 mg Supp 5,800.00
51 Bisakodil tab salut mg Tablet 300.00
52 Bisoprolol tablet 2,5 mg/Concor 2,5 mg Tab 650.00
53 Chloramfecort H Cream Tube @ 5g 9,085.00 20 1
54 Deksametason inj 5 mg/ml Ampul 1,500.00 0 200
55 Deksametason tablet 0,5 mg Tab 62.00 8500 10,000 4605
56 Dekstran 70-larutan infus 6% steril Botol 40,100.00 20 20
57 Diazepam larutan rektal 5 mg/2,5 mL/Stesolid Tube @ 2,5 ml 11,525.00 8 0
58 Diazepam injeksi i.v./i.m 5 mg/ml Ampul 2,344.00
59 Diazepam tablet 2 mg Tab 27.00
60 Diazepam tablet 5 mg Tab 117.00 64 24
61 Dietilkarbamazin tablet scored 100 mg Tab 119.00
62 Difenhidramin inj 10 mg/ml (HCl) Ampul 1,176.00 750 60
63 Digoksin tablet 0,25 mg Tab 105.00 0 1,000
64 Diltiazem HCl tablet 30 mg Tab 134.00
65 Doksisiklin Kap 100 mg Kapsul 341.00 260 0
66 Domperidon susp/sirup 5 mg/5 ml btl @ 60 ml 3,000.00 0 200
67 Domperidon tablet 10 mg Tab 118.00 500 4,000 293
68 Efedrin tab 25 mg Tab 176.00 800 46
69 Ekstrak Beladona tab 10 mg Tab 38.00
70 Epinefrin (Adrenalin) inj 1 mg/ml Ampul 2,204.00 163 33
71 Eritromisin kaps 250 mg Kapsul 557.00
72 Eritromisin kaplet 500 mg Kaplet 730.00
73 Eritromisin sirup kering 200 mg/ 5 ml Botol @60 ml 6,700.00 38 11
74 Etakridina (Rivanol) Lar 0,1 % 300 ml Botol 3,300.00 0
75 Etanol 70% cairan Btl @ 1000 ml 18,600.00 34 6
76 Etanol 96% Btl @ 300 ml 25,000.00
77 Febrinex Syr Btl @ 60 ml 15,830.00
78 Fenoterol HBr aerosol 100mcg/dosis/Berotec MDI Vial 80,000.00
79 Fenol gliserol TT 10 % Btl @ 5ml 1,008.00
80 Finasterid tab 5 mg/Prostacom Tab Tab 2,950.00
81 Fitomenadion (Vit.K1) tab salut gula 10 mg Tab 634.00
82 Fituno Tab Tab 3,014.00
83 Flusinolon asetonid krim 0,025%/Synarcus Tube 5 g 2,400.00
84 Furosemid inj 10 mg/ml Ampul 1,829.00
85 Furosemid tablet 40 mg Tab 80.00
86 Gentamisin injeksi 40 mg/ ml Ampul 3,399.00 90 0
87 Gentamisin salep Kulit Tube @ 5 g 1,350.00
88 Gentamisin salep mata 0,3%/Genoint SM Tube @ 3,5 gr 2,960.00
89 Gentamisin tetes mata 0,3% Btl @ 5 ml 4,000.00 26 6
90 Gentian Violet 1% Btl 900.00
91 Glibenklamid tablet 5 mg Tab 56.00 600 50
92 Gliklazid tab 80 mg/Glicab Tab Tab 248.00
93 Glimepiride tablet 2 mg Tab 436.00 830
94 Glimepiride tablet 3 mg Tab 289.00 420
95 Gliseril Guayakolat tab 100mg Tab 114.00
96 Glukosa larutan infus 10 % steril Btl @ 500 ml 7,500.00 40
97 Glukosa larutan infus 5 % steril Btl @ 500 ml 6,900.00 355 0
98 Glukosa Larutan Infus 40 % btl @ 100 ml 1,960.00
99 Griseofulvin tablet 125 mg Tab 209.00 1100 300
100 Hidroklorotiazid (HCt ) Tab 25 mg Tab 149.00 200 100
101 Hidrokortison krim 2,5 % Tube 5 gr 2,650.00 48 96 35
102 Ibuprofen sirup 100 mg/5 ml btl @ 60 ml 2,475.00 21 10
103 Ibuprofen tablet 200 mg Tab 105.00 400 10,000 4003 10,000
104 Ibuprofen tablet 400 mg Tab 127.00 0
105 Ichtyol Salep Pot @ 30 gram 4,420.00
106 Isosorbid Dinitrat tablet sublingual 5 mg Tab 88.00 600
107 Isosorbid Dinitrat 10 mg/Fasorbid 10 mg Tab 198.00 0
108 Kalium Diklofenak tab 25 mg Tab 332.00
109 Kalium Diklofenak tab 50 mg Tab 425.00
110 Kalsium Laktat (Kalk) tab 500 mg Tab 70.00 600 2,000 1600 5,000
111 Kaptopril tablet scored 25 mg Tab 84.00 5100 476
112 Kaptopril tablet scored12,5 mg Tab 62.00 500 - 276 -
113 Ketokonazol krim 2% Tube @ 15 g 2,545.00 0
114 Ketokonazol tablet 200 mg Tab 300.00 1294 350
115 Ketorolac injeksi 30 mg/ml Ampul 1,290.00 36 84 48 120
116 Klindamisin kapsul/kaplet 150 mg Kapsul 361.00
117 Klindamisin kapsul/kaplet 300 mg Kapsul 553.00
118 Klonidin tablet 0,15 mg Tab 184.00 800
119 Kloramfenikol kap 250 mg Kapsul 500.00
120 Kloramfenikol salep kulit 2%/Bufacetin Tube @ 15g 3,008.00
121 Kloramfenikol salep mata 1 % Tube 5 gr 1,600.00 6 0
122 Kloramfenikol inj 1000 mg/Chloramex inj vial 7,954.00
123 Kloramfenikol suspensi 125 mg/ 5 ml Btl @ 60 ml 4,500.00 8 200 14
124 Kloramfenikol Tetes Mata Btl @ 5 ml 11,850.00 17 14
125 Kloramfenikol Tetes Telinga Btl @ 5 ml 5,940.00
126 Klorfeniramina Maleat (CTM) tab 4 mg Tab 42.00 800 10,000 4146
127 Kodein tablet 10 mg Tab 500.00
128 Komb Amoks + As. Klavulanat/Co-Amoxiclav 625mg Tab 4,550.00
129 Kombinasi tablet salut : Besi (II) sulfat tab+as.folat/Tab. T Tab 42.00 570 10,000 0
130 Kombinasi tetes mata /Cendo Lyteers Btl @ 15 ml 19,125.00 0
131 Kotrimoksazol DOEN I (dewasa) komb Tab 151.00 1500 300
132 Kotrimoksazol Pediatrik Tab Tab 75.00
133 Kotrimoksazol Suspensi komb Btl @ 60 ml 2,190.00 419 73
134 Lanzoprazol kapsul/kaplet 30 mg Kapsul 473.00
135 Levertan Pot 4,780.00 11 0
136 Lidokain injeksi 2% (HCl) Ampul 1,295.00 90 90 0
137 Lidokain jeli 2%/Xylocaine Jelly 2% syringe @ 10 g 40,000.00
138 Lisol Btl @ 300 ml 21,700.00 24
139 Loperamid tablet 2 mg Tab 85.00 1,000 77
140 Loratadin tablet 10 mg Tab 125.00
141 Mebendazol tablet 500 mg/Vermox tab Tab 7,140.00
142 Mebendazol Sirup 50 mg/ml btl 3,534.00
143 Meloxicam 7,5 mg tab 297.00
144 Meloxicam 15 mg tab 1,199.00
145 Metformin HCl tablet 500 mg Tab 100.00 3,600 149
146 Metilergometrin Maleat tab salut 0,125 mg Tab 153.00 1087 123
147 Metilergometrin Maleat inj 0,200 mg-1 ml Ampul 2,849.00 100
148 Metilprednisolon tablet 16 mg Tab 635.00
149 Metilprednisolon tablet 4 mg Tab 194.00 0 1,000
150 Metilprednisolon tablet 8 mg Tab 309.00 0
151 Metoklopramide injeksi 5 mg/ ml Ampul 3,395.00
152 Metoklopramide sirup 5 mg/ 5 ml/Lexapram syr Btl @ 60 ML 2,600.00
153 Metoklopramide drop 2mg/ml/Mepramide drop 2mg/ml Btl @ 10 ml 4,800.00
154 Metoklopramide tablet 10 mg Tab 91.00 100
155 Metronidazol infus 500 mg/100 ml Btl @ 100 ml 9,950.00
156 Metronidazol ovula 500 mg/Vagizol Tab Vag 3,850.00
157 Metronidazol sirup 125 mg/5 Ml Btl @ 60ml 3,800.00 0
158 Metronidazol supositoria 500 mg/Flagyl Supp 3,220.00
159 Metronidazol tablet 250 mg Tab 94.00 10,000 736
160 Metronidazol tablet 500 mg Tab 133.00 0
161 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 3,250.00 48 11
162 Miconazol Serbuk 2%/Mycorin Powder Btl@25gr 26,950.00
163 Miraclav tab Tab 13,200.00
164 Miraneuron kap Kap 598.00
165 Multivitamin Kom Dewasa/Ramaton Tab Tab 698.00 718 356
166 Multivitamin Anak+DHA Syr/Bionick DHA Milk Syr Btl @ 60 ml 16,000.00 24 10
167 Multivitamin Anak Syr/Bionick Syr Btl @ 60 ml 18,700.00
168 Multivitamin Bayi Drop/Bionick Drop Btl @ 30 ml 22,500.00
169 Nacl 0,9% Btl 500 ml 6,410.00 360 40
170 Natrium Bikarbonat Tab 500mg Tab 24.00
171 Natrium Diklofenak tablet 50 mg Tab 200.00 400
172 Natrium Diklofenak tablet 25 mg Tab 133.00
173 Natrium Tiosulfat Inj 25%-10 ml Ampul 3,000.00
174 Neurovit E tab Tab 818.00 46 46
175 Nifedipin tab 10 mg Tab 108.00 480 178 1,000
176 Nistatin tablet salut 500.000 IU/ g Tab 745.00
177 Nistatin vaginal tablet 100.000 IU/ g Tab Vag 523.00 0
178 Noza tab Tab 399.00
179 Obat Batuk Hitam (OBH) Syrup Btl @ 100 ml 6,600.00 111 0 120
180 Obat Batuk pilek Komb (Hustab tab) Tab 284.00
181 Obat Flu Anak komb (Flutamol Syr) Btl @ 100 ml 13,500.00
182 Ofloxacin tablet 200 mg Tab 400.00
183 Ofloxacin tablet 400 mg Tab 650.00
184 Ofloksasin tetes telinga 3%/Tarivid Otic Solution Botol 45,089.00 20 2
185 Oksimetazolin tts hidung 0,025%/Ilaidin Drop botol @ 10 ml 27,550.00 26 0
186 Oksitetrasiklin HCl inj 50 mg/ ml Vial 3,100.00
187 Oksitetrasiklin HCl Salep 3 % Tube 2,514.00
188 Oksitetrasiklin HCl Salep 1 % Tube 1,824.00
189 Omeprazol injeksi 40 mg/ 10 ml Vial 16,997.00 0
190 Omeprazol kaps 20 mg Kaps 160.00 750 340
191 ondansetron inj 4 mg/ 2 mL Ampul 1,650.00 90 70 200
192 Ondansetron tab 4 mg Tab 716.00
193 Ondansetron tablet 8 mg Tab 1,189.00
194 Papaverin Tab Tab 175.00 2800 121
195 Papaverin Inj Ampul 1,150.00
196 Parasetamol drop ( Generik) Botol @ 15 Ml 5,200.00
197 Parasetamol sirup 120 mg / 5 ml Btl @ 60 ml 1,438.00 10596 266
198 Parasetamol tablet 500 mg Tab 79.00 9000 5,000 6311
199 Parasetamol Drop /Fasidol Drop Btl @ 15 ml 6,450.00 800 150
200 Perak sulfadiazin krim 1%/Burnazine cr tube @ 35 gram 23,000.00 16
201 Permetrin krim 5%/Scabimite Cream Tube @ 10 g 11,473.00 3 3 30
202 Petidin inj 50 mg/ml (HCl) Ampul 14,500.00
203 Pirantel suspensi 125 mg/5 ml Btl @ 60 ml 8,360.00 83 0
204 Pirantel tablet score (base) 125 mg Tab 298.00 3183
205 Piridoksin (vitamin B6) 10 mg Tab 118.00 1800 2,000 1960 1,000
206 Piroxicam tab 10mg Tab 86.00
207 Piroxicam tab 20mg Tab 105.00
208 Povidon Iodida larutan 10% 1000 ml Btl @ 1000 ml 87,604.00
209 Povidon Iodida larutan 10% 30 ml Bt l@ 30 ml 3,182.30
210 Povidon Iodida larutan 10% 300 ml Btl @ 300 ml 14,203.00 20 7
211 Povidon Iodida larutan 10% 60 ml btl 60 ml 3,500.00 0
212 Prednison tablet 5 mg Tab 96.00 4560 422
213 Progastric tab Tab 303.00
214 Propanolol tablet 10 mg ( HCl ) Tab 65.00 390 40
215 Propranolol tablet 40 mg (HCl) Tab 107.00 300
216 Propiltiourasil tab 100 mg Tab 264.00
217 Ranitidin injeksi 25 mg/ml Ampul 1,140.00
218 Ranitidin tablet 150 mg Tab 120.00 47200 1437
219 Ringer Laktat larutan infus Btl @ 500 ml 7,150.00 80 200 200 300
220 Risperidon tablet 2 mg Tab 1,008.00 600 49
221 Salbutamol tab 2mg Tab 66.00 2640 876
222 Salbutamol Tab 4 mg Tab 83.00 0 7,000
223 Salbutamol cairan ih 0,1%/Ventolin Nebules Btl 16,445.00 90 20
224 Salbutamol inh 100 mcg/dosis/Ventolin Inhaler Btl 63,750.00
225 Salbutamol Syr Btl 4,750.00
226 Salep 2-4 , Komb Pot @ 30 gram 2,429.00 96 3
227 Sefadroksil sirup kering 125 mg/5ml Btl @ 60 ml 4,896.00 221 27
228 Sefadroksil kapsul 500 mg Kapsl 509.00 10,000 170
229 Sefaleksin kapsul 500 mg Kapsul 1,000.00
230 Sefiksim kapsul 100 mg Kapsul 859.00
231 Sefiksim sirup kering 100 mg/ 5 ml Btl @ 30 ml 7,490.00
232 Sefotaksim injeksi 1 g Vial 5,500.00 60 40 100
233 Seftriakson serbuk injeksi 1 g/vial Vial 3,300.00
234 Serum ABU Polivalen inj 5 ml Vial 473,000.00
235 Serum ATS 1500 IU/ml Ampul 126,000.00
236 Serum ATS 20.000 mcg.ml Vial 525,300.00 20 4
237 Setirizin sirup 5 mg/5 ml Btl @ 60 ml 7,999.00
238 Setirizin tablet 10 mg Kapsul 181.00 144700 3499
239 Sianokobalamin (vitamin B12) inj 500 mcg Ampul 1,077.00 200 100 500
240 Sianokobalamin (vitamin B12) tab 50 mcg Tab 57.00 10,000 2390
241 Simetidine Tab 10 mg Tab 160.00 5700 393
242 Simvastatin scored tablet 10 mg Kap 131.00 0
243 Simvastatin tab 20 mg Tab 504.00 0
244 Siprofloksasin tablet 500 mg (sebagai HCl) Tab 281.00 900 105 1,000
245 Spiramisin tablet 500 mg Tab 1,499.00 1100 100
246 Spironolakton tablet 100 mg Tab 900.00
247 Spironolakton tablet 25 mg Tab 294.00
248 Stimuno Syr Btl @ 60 ml 25,420.00 0
249 Stimuno Tab Tab 2,430.00
250 Sukralfat susp 500 mg/5 mL/Ulsafate Btl @ 100 ml 13,425.00
251 Sukralfat tab 500 mg/Ulsidex Tab 296.00
252 Tab Tambah darah/Hemafort Tab 834.90 3,600 30
253 Terbutalin tablet 2,5 mg/Molasma Tab 99.00
254 Tetrasiklin kapsul 250 mg Kapsul 163.00 1500 80
255 Tetrasiklin Kapsul 500 mg Kapsul 300.00 300 270
256 Thiamin HCl inj 100mg/ml Ampul 690.00
257 Thiamin Mononitrat Tab 50 mg Tab 86.00 10,000 0
258 Thiamfenikol Kap 500 mg Kapsul 900.00
259 Tramadol injeksi 50 mg/ml Ampul 1,800.00 0 50
260 Tramadol Tab 50 mg Tab 387.00
261 Urea krim 10%/Soft U Derm tube 6,809.00
262 Videne Povidone Iodine 500 ml Btl 27,500.00 0
263 Vitamin Tab/Becefort Tab Tab 1,545.43
264 Vitamin Syr/Becefort Syr Btl 17,365.00 50 7
265 Vitamin B Kompleks tablet Tab 115.00 10,000 2366
OBAT ASKES
266 Broadamox 500 mg Tab 1,100.00
267 Cargesik tab 500 mg Tab 448.00
268 Farmoten tab 12,5 mg Tab 270.00
269 Hufadin tab Tab 565.00
270 Icthyol Zalf Pot 5,455.00
271 Levertraan Zalf Pot 4,091.00
272 Mirasic tab 500 mg Tab 248.00
273 Miraneuro Tab tab 891.00
0
OBAT G 0
274 Air Raksa DentalUse Botol 103,536.00
275 Devitalisasi Pasta (Non Arsen) Pot 382,000.00
276 Etil Klorida Semprot Botol 107,000.00 23 2
277 Eugenol cairan Botol 18,100.00 0
278 Glass Ionomer Cement (gc IX) Btl 392,700.00 4 0
279 Kalsium hidroksida Pasta Set 238,500.00 4
280 Monoklor Mentol Cairan/CHKM Btl 55,000.00
281 Mummfying Pasta Btl 172,250.00 2
282 Semen Seng Fosfat Serbuk Btl 93,000.00
283 Silver Amalgam Btl 227,311.00
284 Spon Gelatin Cubicles 1x1x1 cm Buah 9,471.00
285 Temporary Stopp. F. srb & Cair Btl 34,000.00
286 Trikresol Formalin Btl 40,330.00
287 GC Fuji Varnish (Butter Coconut/Varnish) Btl 230,000.00
288 Articulation Paper Red GC Kotak 145,000.00
OBAT PROGRAM JIWA

289 Amitriptilin tablet salut 25 mg (HCl) Tab 143.00 2600
290 Fenitoin injeksi 50 mg/ml Ampul 20,250.00
291 Fenitoin kap 100 mg Kaplet 133.00
292 Fenobarbital tab 100 mg Tab 220.00
293 Fenobarbital tab 30 mg Tab 64.00 8 8
294 Haloperidol tablet 0,5 mg Tab 53.00 300 60
295 Haloperidol tablet 1,5 mg Tab 66.00
296 Haloperidol tablet 5 mg Tab 96.00 1780
297 Karbamazepin tablet 200 mg Tab 245.00 1100 0
298 Klorpromazin tablet salut 100 mg (HCl) Tab 149.00 500
299 Klorpromazin injeksi i.m. 25 mg/ml (HCl) Ampul 1,021.00
300 Klorpromazin tablet salut 25 mg (HCl) Tab 68.00 2367 0
301 Trifluoferazin tab 5 mg Tab 405.00
302 Triheksifenidil HCl tab 2 mg Tab 40.00
OBAT PROGRAMMALARIA
303 ACT Tab Blister 1,375.00 240 0
304 Antimalaria DOEN kombinasi /suldox tab Tab 478.00
305 Artemether injeksi 80 mg/ml/Artem Ampul 22,000.00
306 Arterakin/Darplex/DHP Tab Tab 3,567.00
307 Artesunate inj 60 mg/ml/Artesunate Vial 25,062.50
308 Fokus Malaria PF&PV Casette Unit 53,110.00
309 Kuinin (Kina) tablet 200 mg Tab 670.00
310 Kuinin injeksi i.v. 25% (sebagai 2 HCl) Ampul 6,200.00
311 Kuinin tablet 222 mg (H2SO4.7H2O) Tab 400.00
312 Larvasida Malaria Galon 11,200,000.00
313 Primakuin tablet 15 mg Tab 224.00
314 RDT Malaria Test 5,400.00
315 RDT Malaria Piece 19,854.90
OBAT PROGRAM DIARE

316 Garam Oralit I serbuk, kombi Sacchet 292.00 4800 165
317 Zinc drop 10 mg/mL/Zincpro Drops Btl @15 ml 12,840.00
318 Zinc sir 10 mg/mL/Zinc Kid Btl @ 100 ml 14,980.00
319 Zinc sir 20 mg/5 Ml Btl @ 60 ml 4,789.00
320 Zinc tablet dispersible20 mg Tab 474.00 4,800 154
321 Isoniazid 100 mg Tab 71.00

322 Obat Antituberkulosis FDC Kategori 1 Paket 359,990.00 8 5
323 Obat Antituberkulosis FDC Kategori 2 Paket 1,199,985.00
324 Obat Antituberkulosis Kategori 3 Paket 154,000.00
325 Obat Antituberkulosis FDC Kategori Anak Paket 214,990.00
326 Obat Antituberkulosis FDC Sisipan Paket 160,000.00
327 Obat Antituberkulosis Kategori 1 dewasa combipac Paket 288,199.00 10 10
328 Obat Antituberkulosis Kategori anak combipac Paket 171,195.00
329 Pyrazinamid Tab 500 mg Tab 234.00
330 Rifampisin tab 300 mg Kapsul 376.00
331 Rifampisin tab 600 mg Kaplet 830.00
332 Vaksin rabies/Rabipur Vial 78,500.00
333 Iodin Test Btl 19,250.00 9 0
334 Mineral Mix Sacchet 2,450.00
335 Retinol (Vitamin A) 100.000 IU Kapsul 284.00 0
336 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 460.00 0
337 Taburia Sacchet 457.00
338 Alat HB Hemoglobin Starter Kit Mission Unit 762,000.00 1 1

339 Alat tes Hb Hemoglobin Unit 762,000.00
340 Benzatin Benzil Penisilin 1,2 juta IU/ vial Vial 8,935.00
341 Benzatin Benzil Penisilin 2,4 juta IU/vial Vial 12,185.00
342 Fitomenadion (Vitamin K1) inj 2 mg/ml Ampul 3,550.00 0 90
343 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 1,800.00 30 20
344 HB Sahli Buah 221,968.00
345 Hb Hemoglobin Strip Test Kotak 374,631.00 100 100 3
346 Implant Paket -
347 IUD Pcs -
348 Kaporit Tablet Kg 35,990.16
349 Kalsium Glukonat inj i.v 10% (100 mg/ml) Ampul 7,800.00 19 0
350 Kondom Kotak -
351 Levotiroksin tab 100 mcg/Euthyrox 100 Tab 1,694.00
352 Magnesium sulfat injeksi 20% Vial 3,200.00 48
353 Magnesium sulfat injeksi 40% Vial 3,650.00
354 Oksitosin injeksi 10 IU/ml Ampul 2,700.00 0
355 Paket KIA Paket -
356 Pita Lila Buah 2,145.00
357 Prokain Benzilpenisilin serbuk inj 3 juta IU/vial Vial 10,780.00
358 Suntik KB 3 Bln @ 1 ml Vial -
359 Suntik KB 3 Bln @ 3 ml Vial -
360 Test Kehamilan Strip 1,997.00 0
361 Urin strip(tes protein &gula) Strip 1,076.00
362 Underpad Pcs 8,086.00
ALKES
363 Alat Suntik 0,05 ml Buah 1,656.00 511 0
364 Alat Suntik 0,5 ml Buah 1,656.00 488 0
365 Alat Suntik 1 ml. Buah 896.00 1488 0
366 Alat Suntik 2,5 ml. Buah 891.00 688 200
367 Alat Suntik 5 ml. Buah 1,002.00 900
368 Alat Suntik 10 ml Buah 1,406.00 40 0
369 Blood Lancet Buah 16,800.00 0 6
370 Bisturi No. 11 Buah 3,000.00
371 Cat Gut/ Benang Bedah no. 2/0 Set 34,670.00 168 46
372 Cat Gut/ Benang Bedah no. 3/0 Set 5,583.00 168 0
373 Folley Cathether No. 14 Buah 8,475.00 5 5
374 Folley Cathether No. 16 Buah 8,475.00 40 0
375 Folley Cathether No. 18 Buah 11,880.00
376 Folley Cathether No. 20 Buah 8,475.00
377 Hanscond 7 / M Paket 499.00 100 100 1,000
378 Hanscond 7,5/L Paket 498.96 400 100
379 Hanscond 7,5/L Paket 499.00 100 0 1,000
380 Infusion Set anak Set 5,508.00 80 3
381 Infusion Set dewasa Set 5,184.00 100 200 100
382 IV catheter no 18 Buah 7,560.00 100 0
383 IV catheter no 20 Buah 7,560.00 100 30
384 IV catheter no 22 Buah 7,579.44
385 IV catheter no 22 Buah 7,560.00 50 100 100 300
386 IV catheter no 24 Buah 7,560.00 50 100 50
387 Kasa Pembalut Hidrofil 4m x 10cm Roll 1,083.00 0
388 Kapas Berlemak 500 mg. Roll 16,500.00 18 5
389 Kapas Pembalut/Adsorben 250 mg. Roll 12,500.00 41
390 Kasa Elastis Roll 23,200.00 71
391 Kasa Meteran 36m x 80cm Roll 150,300.00 18 1
392 Kasa Pembalut Hidrofil 40Cm x 40cm. Roll 8,740.00 20 5
393 Kasa Pembalut 2m x 80cm. Roll 9,900.00 5 24 0
394 Kasa Pembalut Hidrofil 4m x 15cm. Roll 3,986.00 1 1
395 Kasa Pembalut Hidrofil 4m x 3cm. Roll 607.00
396 Kasa Pembalut Hidrofil 4m x 5cm. Roll 750.00 3500 1500
397 Kasa Steril Kotak 8,243.00 94 30
398 Leucoplast 7,50cm x 4,5m Roll 35,532.00
399 Masker Buah 440.00 1950 200
400 Pembalut Gips Roll 32,200.00 29
401 Plastik Besar Pak 10,000.00 0
402 Plastik Kecil Pak 7,000.00 0
403 Plester 5 Yard x 2 Inc. Roll 23,510.24 10 10 42
404 Silk (benang bedah sutra) no 3/0 Set 21,110.00 96 96 20
405 Sofratull Buah 21,310.00
406 Transfussion set Set -
407 Kantong Urin Dewasa Buah 3,000.00 18 5
0
0
408 Autocliclik Lancing Device Piece 17,938.00
409 Alat Hitung bakteri Buah 2,910,000.00
410 Alat Test Easy Touch Buah 695,000.00
411 Alat Benecheck Plus Monitoring Unit 199,855.00
412 Alkohol Swab Buah 13,230.03
413 Asam Klorida ).1 N Botol 41,600.00
414 Asam Sulfosalisilat 20% Botol 31,300.00 2 2
415 Bennecheck Urid Acid Test Strip Kotak 128,518.00 4 3
416 Bennecheck Total Cholesterol Test Strip Kotak 233,180.00 4 0 4
417 Bennecheck Blood Glukosa Test Strip Kotak 153,847.00 1 1 4
418 Kertas Golongan darah Lembar 230.00 150 0
419 Larutan Giemsa Stain Btl 160,000.00 0 1
420 Larutan H2O2 50 % Btl 14,804.00
421 Larutan Ziehl Nielson Paket - 4 4
422 Malaria test Buah 35,035.00
423 Pipet Eritrosit Buah 1,716.00
424 Pot Dahak Buah 2,475.00 400 400
425 Respirator Buah 410,000.00
426 Slide Buah 2,608.33
427 Slide Boks Buah 190,000.00
428 Test Golongan Darah Paket 603,300.00
429 Tissu Lensa Buah 54,000.00 2 2
0
0
430 BCG Vial 59,590.00 2 20 19 20
431 DPT-HB.HIB/pentabio Buah 69,350.00 2 30 29 40
432 POLIO Vial 18,997.00 23 21
433 CAMPAK Vial 26,895.00 4 20 21 20
434 Hepatitis B/Uniject Vial 20,900.00 8 30 33 30
435 TT Vial 14,201.00 4 10 11 10
436 DT Vial -
437 TD Vial 14,498.00 13 10
438 ADS 0,05 ml Ampul 1,650.00
439 ADS 0,5 ml Buah 1,240.00
440 ADS 5 ml Buah 1,705.00
441 Safety Box Buah -
442 Reagen SD HIV Test 21,815.00 13 13
443 Vaksin H big Vial 1,300,000.00
JUMLAH 28,884,359 318,991 213,630 68,689 32,734
Ka, UPT Puskemas Rawat Inap Gisting

Kabupaten Tanggamus
SAIFULLAH,SKM.M.Kes
NIP. 19660714 198803 1 004
Err:520
9 10 11 12 13 14 15 16 17
Pengeluaran Penerimaan Pengeluaran Penerimaan Pengeluaran Pengeluaran Penerimaan Pengeluaran

Penerimaan Mei
Februari Maret Maret April April Mei Juni Juni
9 10 11 12 13 14 15 16 17
0 0 120 24 0 24
0 1,000 181 1000 9,000 9119 -
0 -
548 3,500 714 782 673 94
6,802 300 498 0 -
0 -
- - - 90 0 -
31 - 0 -
- 1,000 186 30 36 33
0 -
1046 5,000 4,457 951 994 453
4,261 15,000 11,650 3,699 3272 2,305
0 -
0 -
0 -
0 -
0 -
0 -
0 -
4,500 10,000 7,015 3,250 2989 2,613
- - - 0 -
2 - - 0 -
212 400 270 128 89 96
0 -
- 10 - - 0 -
- 24 27 - 0 -
0 -
0 -
0 -
0 -
- 1,000 - - 0 -
5,897 10,000 4,370 2,479 2726 1,207
608 4,000 1656 694 682 746
903 - - 0 -
224 256 12 58 6
- 20 - 10 -
0 -
0 -
0 -
104 252 110 189 99
0 -
0 -
0 -
7 31 12 14 9
- 540 90 148 183 300 62
14 13 - 0 -
0 -
0 -
0 -
15 4 -
- 100 100 100 0 100 100
3,895 7,500 7693 3,060 3388 10,000 2,517
0 -
2 - - 0 6
0 -
0 -
14 21 200 2 34 35
0 -
90 30 90 - 0 -
100 100 104 96 6
0 -
- 24 26 0 -
6 50 53 1 4 2
348 400 541 474 316 30
32 95 176 201 250 224
0 -
50 50 120 0 30
0 -
0 -
7 10 8 2 3 1
- 4 1 - 0 -
7 5 8 5 0 3
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
- 30 90 - 0 -
0 -
0 -
2 20 32 6 0 -
0 -
30 20 5 8 8
0 -
400 88 24 36 4
0 -
0 -
0 -
15 40 20 20 0 20
0 -
300 300 200 0 -
55 45 0 -
32 72 55 51 96 43 20
9 50 29 10 1 9
3,227 10,000 14,050 3,344 5350 426
- 10,000 2,500 - 0 10,000 2,878
0 -
16 78 6 0 -
- 500 100 - 0 40
0 -
0 -
949 5,051 - 0 -
478 446 90 84 38
224 3,000 245 - 222 - 236 - 80
- 25 - 0 2
134 87 76 74 98
123 69 240 24 24 -
0 -
0 -
0 -
0 -
0 -
6 - 0 -
0 -
19 5 74 9 11 4
3 0 -
0 -
2,178 15,000 10,391 2,066 1756 10,000 1,169
0 -
0 -
430 810 510 520 850
- 5 3 2 0 -
929 10,000 1,862 129 50 36
0 -
68 50 23 24 17 11
0 -
- 1 - 0 -
100 100 80 300 30 120 150
0 -
3 4 4 - 3 7
21 92 96 22 -
0 -
0 -
0 -
0 -
0 -
69 500 334 60 108 32
54 10 - 20 3
0 -
0 -
- 388 321 168 123
- 250 100 - 0 -
0 -
0 -
0 -
0 -
0 -
- 5 3 1 1 -
0 -
60 1,000 1,098 440 251 198
- 500 - - 0 -
12 24 18 18 13 -
0 -
0 -
230 132 - 0 -
14 - - 0 -
0 -
0 -
100 40 - 20 0 -
0 -
0 -
0 -
0 -
- - - 0 -
186 100 188 86 0 64
100 0 -
- 100 - 0 -
0 -
61 24 122 72 0 -
0 -
0 -
0 -
0 -
3 4 4 0 -
3 3 1 4 -
0 -
0 -
0 -
- 50 11 - 0 -
318 92 - 0 -
60 30 40 45 20 100 90
0 -
0 -
98 124 16 0 40
0 -
0 -
238 296 137 165 277
5,419 2,270 4,000 2,708 1292 -
120 20 105 109 114 12
- -
5 5 5 5 2
0 -
- - 1 3 -
2,300 5483 -
1,345 10,000 3,373 1,404 1518 1,494
0 -
0 -
0 -
0 -
- 3 4 3 4 3
- 5 5 - 0 -
500 5,000 1,925 303 396 263
0 -
4 46 - 0 4
0 -
0 -
0 -
1,089 1,024 680 628 480
300 100 100 500 280 100 240 300 440
44 93 148 66 200
742 1,500 898 209 0 128
310 600 402 288 -
10 - 10 0 10
0 -
0 -
- 10 28 22 3 2
42 34 24 16 6
540 1,000 1,518 228 365 283
0 -
0 -
0 -
- 30 50 100 60 100 100 60
0 -
0 -
0 -
4 4 4 0 -
0 -
3,617 3,609 3,887 2511 1,993
100 200 200 0 -
1,721 500 1,942 1,630 1167 578
364 600 765 308 403 276
- 200 - 4 5 11
- 500 90 80 40 -
200 8,000 2,796 207 228 119
100 100 - 0 -
0 -
0 -
- 5 - - 0 -
0 -
0 -
0 -
10 40 122 196 136
0 -
60 600 280 50 20 -
30 200 100 100 0 -
0 -
1,925 10,000 3,832 1,310 1333 1,194
0 -
30 5 15 - 0 -
0 -
0 -
- 3 - - 0 -
0 -
7 9 20 9 3 8
1,971 10,000 5,678 2,621 2611 2,101
-
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
7 6 3 10 3 -
- 1 - - 0 -
- - - 0 2
1 0 -
0 -
1 0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
- - - 0 -
110 120 10
0 -
0 30
- - 0 20
0 -
0 -
5 - 40 22 50
0 -
0 -
0 -
0 -
240 - - 0 -
0 -
0 -
0 -
0 -
50 50 0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
115 1,000 1,086 723 548 52
0 -
0 -
236 2,000 1,330 546 140 185
0 -
0 -
0 -
- 3 15 0 4
2 0 -
0 -
0 -
0 -
- - - 0 -
0 -
0 -
0 -
0 -
4 0 3
0 -
- - - 0 -
0 -
- 400 - 400 0 -
- 2,000 - 2,000 0 -
0 -
0 -
0 -
- - - 0 -
0 -
0 -
0 -
30 90 30 30 30 -
- 100 - - 0 -
0 -
1 2 - 0 10 3
0 -
0 -
0 -
- - - 5 -
0 -
0 -
0 10
0 -
- 30 - - 100 30 10
0 -
0 -
0 -
0 -
0 -
- 50 - - 0 -
0 -
5 0 -
0 -
0 -
- 700 11 - 0 -
- 200 - 88 0 -
- 300 200 200 488 100
- 300 300 88 0 500 400
- 200 100 0 100
- 200 - - 100 -
- 25 5 - 0 3
0 -
24 26 - 0 -
- 48 - 24 24 -
- - - 0 -
- - - 0 -
0 -
0 -
- 400 400 500 100 400
300 - -
300 400 300 - 0 500
- 20 - - 0 50
100 100 100 50 150 200 20
- - - 20 -
20 25 - 50 - 100 75 -
0 -
150 10 100 100 100 10 50 100
- 10 - 50 160 0 -
- 10 - - 0 -
3 15 7 0 -
2 4
0 -
- 1 3 3 2
- 5 - 0 -
- - - 0 -
- 30 - - 0 20
0 -
86 50 24 - 0 -
30 40 34 15 50 5 30
0 24 4
650 100 400 240 200 280
0 -
- 10 10 - 0 -
- 10 10 0 -
10 13 10 0 9
- 40 - 0 36
0 -
0 -
1 - - 0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
- - - 0 -
- - - 0 -
5 - - 0 2
1 - - 0 -
- 150 - 0 -
- 1 - 0 -
0 -
- - - 4 4 -
0 -
0 -
- - - 400 400 -
0 -
0 -
0 -
0 -
- - - 0 -
0 -
0 -
20 20 21 20 19 20 20 20 20
42 40 40 50 48 40 40 40 41
2 - 0 -
20 20 20 20 20 20 20 20 21
30 30 30 40 40 40 41 50 53
10 3 0 - -
0 -
10 10 10 10 10 10 10 11
0 200 200
0 -
0 -
0 -
10 10 0 -
63,615 169,192 116,351 5,801 48,297 12,826 55,703 32,074 29,946
Gisting, 31 Desember 2017

Petugas Pengelola Obat
UPT Puskesmas Rawat Inap Gisting
Kabupaten Tanggamus
NOVIYANTI, A.Md.F
NIP. 19781125 200804 2002
2017 2012 5 Err:520 Err:520 7878 280
983
18 19 20 21 22 23 24 25 26
Penerimaan Pengeluaran Penerimaan Pengeluaran Penerimaan Pengeluaran Penerimaan Pengeluaran Penerimaan

Juli Juli Agustus Agustus September September Oktober Okt0ber November
18 19 20 21 22 23 24 25 26
12 300 35 120 0
- 800 - 0 0
- 60 - 0 0
202 5,000 972 206 250
- - 0 0
- - 0 0
30 18 5 11
- - 0 0
72 2,000 680 50 88
- - 0 0
1,037 5,000 6,731 1244 1830
6,054 20,000 7,442 3296 3446
- 50 28 22 0
- 200 3 104
- - 0 0
- - 0 0
- - 0 0
- - 0 0
240 - 0 0
7,200 2,751 25,000 8,235 2733 4653
- - 0 0
- - 0 0
358 1,000 614 112 154
- - 0 0
- 20 3 0 0
- 72 49 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
39 2,000 861 1285 815
2,302 30,000 5,446 799 1794
5,000 104 4,000 838 1152 1380
- - 19,200 168 1768
16 240 100 150 0
9 25 12 3 11
- - 0 0
- - 0 0
- - 0 0
94 200 290 40 102
- - 0 0
- - 0 0
- - 0 0
7 - 0 0
212 900 384 210 196
- - 200 0 15
- - 0 0
- - 0 0
60
40
- 1,000 - 2 0
- - 0 0
62 200 76 200 17 71 100
3,930 12,000 8,031 3190 4085 16,500
- - 0 0
- - 0 0
- - 0 0
- - 0 0
40 65 0 0
- - 0 0
30 90 30 0 6
4 30 40 54 100
- - 0 0
210 - 0 0
11 100 97 24 7 60
252 120 10 60
276 - 0 0
- - 0 0
2 23 2 3
- - 0 0
- - 0 0
8 15 - 0 2
- 7 2 0 0
1 8 2 1 1
- - 0 0
- - 0 0
- 5 - 5 0
- - 120 1 4
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 120 2 10
- - 0 0
4 - 48 56
- - 0 0
- - 20 0
6 1,000 300 0 34
- - 0 0
40 10 - 0 0
- 100 - 0 0
- - 0 0
- - 0 0
- 400 200 0 0
22 72 46 38 25
2 100 7 0 60
- 10,000 3,000 21 2806
4,854 20,000 6,726 4615 2936
- - 0 0
- 400 - 0 0
- 2,000 - 0 0
- - 0 0
- - 0 0
- - 0 0
80 26 45 69
- 112 3,000 1,140 - 16 - 130 -
6 75 27 3 5
101 28 58 56
121 120 129 26 36
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- 20 - 100 0 43
- 10 16 1 14
- - 0 0
- - 0 0
1,562 20,000 4,804 1599 1449
- - 0 0
- - 0
120 720 880 2241
- 25 12 2 4
100 25,000 2,105 120 50
- - 0 0
26 100 21 18 10
- - 0 0
- - 0 0
23 20 300 78 60
- - 0 0
- 6 1 0 1
7 - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
30 500 410 160 154
200 100 30 10 10
- 100 - 0 0
- - 0 0
1,000 66 500 427 577 0
86 400 - 0 401
- - 0 0
- - 0 0
- 1,000 200 0 6
- - 0 0
- - 0 0
- 50 3 0 7
- - 0 0
324 2,000 1,006 444 506
- - 0 0
- 50 3 0 3
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- 200 - 0 5
1,000 76 36 74
- 10 187 203
- - 0 0
- - 0 0
- - 0 0
18 500 160 49 38
- 500 116 0 0
- 50 10 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
2 15 3 5 3
- 20 - 9 12
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
69 200 79 76 71
- - 0 0
- - 0 0
44 111 1081 1165
- - 0 0
- - 0 0
237 316 218 386
- - 0 0
17 55 51
- - 2 0
1 15 6 2 2
- - 0 0
- - 0 0
- - 0 0
526 1,500 723 908 944
- - 0 0
- - 0 0
- - 0 0
- - 0 0
1 10 3 0 0
- 8 - 0 0
564 12,000 2,309 343 537
- - 0 0
- 300 4 21 0
- - 0 0
- - 0 0
- - 0 0
7,852 7,895 7332 5678
20 500 140 500 238 271
- 0 0
224 2,500 884 24 0
- 3,000 - 64 180
13 27 0 0
- - 0 0
- - 0 0
- 24 4 12 19
12 19 100 33 15
488 2,000 1,590 1416 358
- - 0 0
- - 0 0
- - 0 0
80 20 20 200 50 112
- - 0 0
- - 0 0
- - 0 0
4 - 0 0
- - 0 0
5,060 9,842 7565 6455
24 400 110 100 100
667 300 508 0 0
416 700 820 270 746
- 240 - 60 0
10 540 90 0 26
206 15,000 1,950 1130 242
- 50 10 0 0
- - 0 0
200 36 8 23
5 - 0 0
- - 0 0
- - 0 0
- - 0 0
74 2,000 905 116 1110
- - 0 0
- 400 0 0
- 700 40 30 0
- - 0 0
762 10,000 3,509 1042 2120
- - 0 0
- 15 - 9 15
- - 0 0
- - 0 0
- - 0 0
- - 0 0
1 15 8 2 9
1,909 10,000 4,600 3438 1752
- - 0 0
- - 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 8 - 6 9
- - 0 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
- - 48 147
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
89 98 70 136
31 40 20 20
- - 60 0
- - 0 0
75 55 0 30
- - 0 0
- - 500 10 66
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- 200 - 0 0
- 0 100 100
- - 0 0
- - 0 0
- - 0 0
1,591 1,200 1,170 1180 370
- 0 0
- - 0 0
- - 0 0
495 3,500 1,486 170 335
- - 0 0
- - 0 0
- - 0 0
- - 0 11
- - 0 2
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 1
- - 0 0
- - 0 0
- - 0 0
- 1,000 - 0 0
- 3,000 - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- 210 - 0 0
- 90 - 0 0
- - 0 0
7 20 20 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 38
- - 0 0
- 100 - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
13 35 0 2
- - 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
10 400 100 146 47
300 - 1,800 200 798
15 300 410 185 190
- 300 - 5 15
2 20 2 0 1
- 50 - 0 0
- 24 - 0 0
- - 0 4
- - 0 0
- 7 - 0 2
- 0 0
- - 0 0
- 400 - 500 0 100
- 0
202 300 200 500 50 400
10 100 20 40 7
25 100 35 200 202 77
- 25 - 0 0
- 50 20 0 60
- 0 0
35 35 200 13 54
28 200 80 45
- 40 1 1 0
- - 1 0
- 20 8 0 5
- - 0 10
- 1 0 0
- 10 - 0 0
1 30 - 0 0
- 50 10 0 0
- 50 50 0 0
- - 7 0
16 30 20 100 17 37
- 30 3 4 2
80 115 1,000 50 200
- - 0 0
- 8 - 0 0
- - 0 0
- 0 0
32 36 12 23 13
- 20 1 1 0
- - 0 0
- 6 - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- - 0 0
- 30 - 0 0
- - 0 0
- - 0 0
1 20 6 3 3
1 25 11 6 3
- 25 3 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
10 17 20 19 20 17 10 7 10
50 50 50 50 50 49 0 70
50 47 50 47 50 46 50 0 70
10 10 - 20 18 10 12 20
80 79 80 79 80 79 50 51 100
- - 0 0
- - 0 0
10 18 20 19 20 20 10 0 10
- - 0 0
- 1,000 1,000 0 1,600 1600
- - 0 0
- - 0 0
- - 0 0
1 1
13,410 48,816 274,756 105,258 26,700 52,316 1,831 59,776 17,040
Err:520 1,000
2,505
27 28 29 Err:520 2,468
Pengeluaran Penerimaan Pengeluaran

November Desember Desember
+ - SISA
27 28 29
27 0 590 172 418
0 0 11,100 10,300 800
0 12 0 72 - 72
224 4,000 110 15,300 5,505 9,795
0 10,000 188 24,000 14,188 9,812
0 60 2 60 2 58
0 30 0 130 74 56
0 2,000 0 2,151 151 2,000
88 510 154 3,510 1,417 2,093
0 0 - - -
2000 10,000 1180 41,300 23,151 18,149
3835 12,800 3274 73,000 56,482 16,518
0 0 50 50 -
93 100 6 300 206 94
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 100 0 340 240 100
3964 4,500 2736 68,900 50,139 18,761
0 0 35 35 -
0 75 0 82 7 75
133 52 3,600 2,336 1,264
0 10 0 10 - 10
0 10 1 40 4 36
0 24 0 132 76 56
0 0 - - -
0 0 - - -
0 1,000 10 1,000 10 990
0 0 - - -
0 500 0 3,500 3,000 500
2239 7,000 2391 70,800 36,950 33,850
554 16,500 1448 30,700 10,046 20,654
1978 19,200 1653 40,400 7,567 32,833
24 240 20 2,280 1,094 1,186
0 60 0 125 65 60
0 0 - - -
0 0 - - -
0 0 - - -
159 5,000 124 7,600 1,681 5,919
0 0 - - -
0 15,000 0 15,000 - 15,000
0 30 0 48 - 48
0 100 0 193 93 100
338 300 192 2,040 2,015 25
0 100 0 343 58 285
0 0 - - -
0 0 - - -
10 0
6 0 Err:520 Err:520 Err:520
150 0
0 0 1,000 2 998
0 0 20 20 -
50 100 0 1,000 576 424
964 16,500 326 81,000 45,684 35,316
0 0 20 20 -
0 0 8 8 -
0 0 - - -
0 0 - - -
29 0 264 264 -
0 0 - - -
0 1,080 0 1,950 306 1,644
14 100 0 1,200 548 652
0 0 - - -
0 0 260 260 -
4 60 2 470 211 259
71 700 56 5,600 2,571 3,029
0 0 1,050 1,050 -
0 0 - - -
35 0 283 228 55
0 100 0 100 - 100
0 800 0 800 - 800
1 12 0 75 43 32
0 10 0 21 3 18
2 3 0 50 36 14
0 0 - - -
0 0 - - -
0 5 0 10 5 5
0 72 1 192 6 186
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 800 0 800 - 800
0 30 0 150 90 60
0 0 - - -
0 144 0 144 - 144
2 4 166 64 102
0 0 - - -
22 32 600 283 317
0 0 - - -
0 38 1,230 210 1,020
32 400 0 1,820 372 1,448
0 0 - - -
0 0 50 40 10
0 160 0 655 75 580
0 0 - - -
0 100 0 1,200 1,100 100
200 900 80 1,500 680 820
7 72 3 456 377 79
34 150 321 171 150
1705 5,500 37 45,900 37,969 7,931
2229 5,000 1264 45,000 28,002 16,998
0 0 - - -
0 0 1,000 100 900
18 500 6 3,000 164 2,836
0 0 - - -
0 0 - - -
0 0 7,600 7,600 -
30 34 5,100 1,896 3,204
227 2,000 90 8,500 2,998 5,502
4 100 1 200 48 152
0 2,000 0 3,294 1,062 2,232
0 168 0 768 600 168
0 0 - - -
0 0 - - -
0 500 0 1,300 - 1,300
0 0 - - -
0 0 - - -
0 144 0 150 6 144
77 120 120 -
6 5 3 228 171 57
0 0 17 17 -
0 0 - - -
2347 10,000 3052 65,800 36,519 29,281
0 0 - - -
0 0 - - -
0 44,910 30 55,480 7,111 48,369
0 8 0 38 23 15
30 10,000 10 46,500 5,721 40,779
0 0 - - -
7 150 6 719 304 415
0 0 - - -
0 0 11 1 10
34 30 0 910 695 215
0 30 0 30 - 30
2 7 34 28 6
0 0 1,000 315 685
0 4,000 0 4,000 - 4,000
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
72 2,400 88 7,000 1,666 5,334
10 0 1,187 470 717
0 60 0 260 - 260
0 0 - - -
0 0 2,500 2,070 430
63 1,600 72 2,250 722 1,528
0 10 0 10 - 10
0 0 - - -
15 0
0 300 0 1,400 206 1,194
0 0 - - -
0 0 - - -
3 0 55 18 37
0 0 - - -
300 600 220 13,600 5,583 8,017
0 0 500 - 500
9 7 122 94 28
12 0 12 - 12
0 0 - - -
0 0 - - -
0 0 718 718 -
0 0 24 24 -
0 0 - - -
0 0 - - -
0 100 0 700 165 535
16 20 1,000 222 778
0 0 400 400 -
0 0 - - -
0 0 - - -
0 0 46 46 -
92 200 36 2,280 1,095 1,185
0 0 600 116 484
3 100 3 200 66 134
0 0 - - -
0 0 255 255 -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 35 26 9
0 3 0 49 32 17
0 0 - - -
0 0 - - -
0 0 - - -
0 34 0 84 11 73
0 510 0 1,260 750 510
0 120 0 740 620 120
0 0 - - -
0 0 - - -
0 0 2,800 2,800 -
0 0 - - -
0 0 - - -
298 381 10,596 3,215 7,381
0 0 18,000 18,000 -
0 0 820 733 87
0 5 0 21 2 19
1 40 0 88 37 51
0 0 - - -
0 0 83 4 79
0 0 5,483 5,483 -
496 21,000 433 37,300 15,124 22,176
0 0 - - -
0 0 - - -
0 5 0 5 - 5
0 20 0 20 - 20
0 1 0 34 25 9
0 0 13 5 8
4535 10,000 4415 31,560 16,512 15,048
0 0 - - -
0 1,600 0 2,290 119 2,171
0 0 300 - 300
0 0 - - -
0 0 - - -
6897 10,000 6208 57,200 47,200 10,000
124 220 0 2,800 2,353 447
0 1,500 2,100 600 1,500
18 1,500 28 8,140 4,031 4,109
93 1,000 24 11,000 1,961 9,039
0 0 90 90 -
0 0 - - -
0 11 0 11 - 11
6 144 15 274 114 160
8 6 321 242 79
226 200 218 13,200 7,400 5,800
0 0 - - -
0 0 - - -
0 51 1 51 1 50
38 50 0 660 610 50
0 0 - - -
0 0 - - -
0 0 - - -
0 0 20 20 -
0 0 - - -
3047 2120 144,700 53,205 91,495
69 100 0 1,200 1,003 197
197 0 10,800 10,800 -
460 100 10 7,100 5,231 1,869
0 120 0 560 80 480
0 4,000 14 5,040 350 4,690
247 10,000 220 34,900 7,650 27,250
0 0 1,150 310 840
0 0 - - -
33 10 200 110 90
0 0 5 5 -
0 0 - - -
0 0 - - -
0 1,000 12 1,000 12 988
2861 0 5,600 5,600 -
0 0 - - -
20 1,000 10 3,100 920 2,180
0 500 0 1,700 570 1,130
0 0 - - -
1347 10,000 2176 40,000 20,550 19,450
0 0 - - -
1 0 70 70 -
0 0 - - -
0 15 0 15 - 15
2 5 0 8 2 6
0 0 - - -
0 0 74 74 -
953 9,400 160 39,400 30,160 9,240
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 8 0 49 37 12
0 2 0 3 1 2
0 1 0 5 2 3
0 1 0 6 - 6
0 0 - - -
0 0 2 1 1
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 1 0 1 - 1
0 1 0 1 - 1
0 0 - - -
0 0 - - -
144 52 2,600 391 2,209
0 0 - - -
0 0 - - -
0 0 - - -
0 0 8 8 -
0 0 300 300 -
0 0 - - -
110 70 1,780 603 1,177
60 100 0 1,200 191 1,009
0 0 500 60 440
0 0 - - -
5 10 2,367 292 2,075
0 0 - - -
66 50 500 192 308
0 0 - - -
0 0 - - -
0 0 240 240 -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 50 50 -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 200 - 200
0 0 100 100 -
0 0 - - -
0 0 - - -
0 0 - - -
0 500 10 7,500 7,010 490
0 0 - - -
0 0 - - -
0 100 0 100 - 100
290 1,400 185 11,700 5,552 6,148
0 0 - - -
0 0 - - -
0 0 - - -
0 0 23 23 -
0 0 2 2 -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 10 10 -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 4 4 -
0 0 - - -
0 0 9 - 9
0 0 - - -
0 0 1,400 400 1,000
0 0 5,000 2,000 3,000
0 0 - - -
0 0 - - -
0 0 - - -
0 0 1 1 -
0 0 - - -
0 0 - - -
0 0 - - -
0 130 0 520 120 400
0 0 220 20 200
0 0 - - -
0 2 0 135 133 2
0 0 - - -
0 0 - - -
0 0 - - -
0 24 0 43 5 38
0 0 - - -
0 0 - - -
0 14 0 62 48 14
0 24 0 24 - 24
0 100 0 330 40 290
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 100 0 150 50 100
0 0 - - -
0 50 0 55 - 55
0 0 - - -
0 0 - - -
0 300 0 1,511 11 1,500
0 100 0 788 88 700
34 300 0 2,488 1,325 1,163
34 300 0 3,588 2,320 1,268
0 100 0 1,500 1,000 500
0 200 0 740 120 620
0 32 0 83 13 70
0 100 0 150 - 150
0 0 192 96 96
0 0 216 52 164
0 0 5 5 -
0 0 47 2 45
0 0 - - -
0 0 - - -
150 50 0 2,450 1,750 700
0 0 400 400 -
200 50 0 2,350 2,152 198
0 0 200 130 70
24 0 950 833 117
0 0 125 20 105
0 50 0 375 205 170
0 0 - - -
25 50 0 860 722 138
0 50 0 460 363 97
0 0 50 2 48
0 1 0 34 16 18
1 10 0 71 20 51
0 0 71 10 61
1 0 19 11 8
0 10 0 40 10 30
0 20 0 79 1 78
0 30 0 111 31 80
0 0 50 50 -
0 50 0 3,600 1,617 1,983
0 50 0 364 234 130
10 30 0 84 23 61
115 1,500 0 4,550 2,530 2,020
0 0 29 - 29
8 0 18 18 -
0 7 0 17 10 7
0 0 52 52 -
7 12 0 240 183 57
0 0 20 2 18
0 0 - - -
0 5 0 29 6 23
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
1 20 0 50 1 49
0 0 - - -
0 0 2 2 -
4 18 0 42 20 22
5 18 0 51 33 18
1 13 0 43 8 35
0 0 150 150 -
0 0 1 1 -
0 0 - - -
0 0 8 8 -
0 0 - - -
0 0 - - -
0 0 800 800 -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 - - -
0 0 2 2 -
0 0 - - -
0 0 - - -
12 20 18 212 209 3
71 60 60
69 2 293 234 59
17 10 12 194 191 3
101 70 67
0 0 24 24 -
0 0 - - -
12 0 123 120 3
0 0 200 200 -
0 0 2,600 2,600 -
0 0 - - -
0 0 - - -
0 0 23 23 -
0 1 1 -
47,961 312,615 36,066 1,431,600 732,794 698,806

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LEMBAR PEMAKAIAN DAN PERMINTAAN OBAT

Ka, UPT Puskemas Rawat Inap Gisting Petugas Pengelola Obat

SAIFULLAH, SKM., M.Kes Hj.RETNONINGSIH, S.ST

JUMLAH PASIEN BULAN FEBRUARI

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN MARET

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN SEPTEMBER

JUMLAH PASIEN BULAN SEPTEMBER

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN SEPTEMBER

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN SEPTEMBER

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN AGUSTUS

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULANJULI

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN MARET

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN MARET

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

JUMLAH PASIEN BULAN MARET

RETNONINGSIH, S.ST DESI ARIYANTI, A.Md.Keb

PBI PUSAT PBI DAERAH PBI

Gisting, 31 Agustus 2017

SAIFULLAH,SKM.M.Kes NOVIYANTI, A.Md.F

Penerimaan Pengeluaran Penerimaan

OBAT PROGRAM JIWA

OBAT PROGRAM DIARE

321 Isoniazid 100 mg Tab 71.00

338 Alat HB Hemoglobin Starter Kit Mission Unit 762,000.00 1 1

Ka, UPT Puskemas Rawat Inap Gisting

Pengeluaran Penerimaan Pengeluaran Penerimaan Pengeluaran Pengeluaran Penerimaan Pengeluaran

63,615 169,192 116,351 5,801 48,297 12,826 55,703 32,074 29,946

Gisting, 31 Desember 2017

Penerimaan Pengeluaran Penerimaan Pengeluaran Penerimaan Pengeluaran Penerimaan Pengeluaran Penerimaan

Pengeluaran Penerimaan Pengeluaran

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