LAPORAN BULANAN OBAT TERBARU Ok

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LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC.

IKUR KOTO
BULAN JULI 2019

STOK PENERIM JUMLAH PEMAKAI STOK


NO NAMA OBAT
AWAL AAN AN AKHIR
1 Acetyl cystein 440 0 440 0 440
2 Alcohol swab 350 0 350 30 170
3 Alkohol 3 0 3 0 3
4 Alopurinol 0 0 0 0 0
5 Ambroxol syr 7 0 7 2 8
6 Ambroxol tab 180 0 180 33 270
7 Aminopilin ijeksi 0 0 0 0 0
8 Amlodipin 5 mg 150 0 150 30 120
9 Amoxicilin syrup 24 0 24 2 21
10 Amoxicilin tab 110 0 110 90 85
11 Antacid syrup 9 0 9 2 13
12 Antacid tab 600 0 600 20 480
13 Antifungi 2 0 2 0 2
14 Asam mefenamat 250 0 250 30 570
15 ATS 11 0 11 1 6
16 Berotec 0,1 % 2 0 2 1 1
17 Betadine 1 liter 0 0 0 0 0
18 Betadine 30 ml 35 0 35 0 35
19 Betahistine 180 0 180 80 100
20 Betametason zf klt 3 0 3 0 3
21 Bioplacenton tulle 0 0 0 0 0
22 Bufacetin zalf 3 0 3 2 0
23 Calci Gluconas 18 0 18 0 18
24 Captopril 12,5 mg 100 0 100 0 100
25 Catcut 3/0 3 24 27 25 2
26 Catcut 2/0 31 2886 31 6 11
27 Catcut 4/0 0 0 0 0 0
28 Cefixime 600 0 600 30 570
29 Ciprofloksasin 500 280 0 280 40 222
30 CTM 100 0 100 100 109
31 Dexametason inj 18 0 18 0 13
32 Dexametason tab 200 0 200 0 157
33 Dextrose 10 % 4 0 4 0 4
34 Dextrose 5 % 4 0 4 0 4
35 Diazepam inj 15 0 15 0 15
36 Diphenhidramine 14 0 14 0 14
37 Domperidon syrup 1 10 11 3 8
38 Domperidon tab 260 100 360 20 142
39 Dumin rectal tube 3 0 3 0 0
40 Epinefrin HCL 5 0 5 0 5
41 Furosemide 6 0 6 0 6
42 Hand schun gin 10 0 10 0 10
43 Hand schun on 400 0 400 33 67
44 Hydrocortison 2,5 15 0 15 0 9
45 Hypafix 0 0 0 0 0
46 Ibuprofen 200 mg 260 0 260 0 260
47 Ibuprofen 400 mg 0 0 0 0 0
48 Infus set anak 17 0 17 0 17
49 Infus set dewasa 70 0 70 33 37
50 IV Cath 20 8 0 8 0 6
51 IV Cath 24 5 0 5 0 0
52 Kalsium laktat 500 148 0 148 148 0
53 Kapas putih 2 0 2 0 2
54 Kasa 10cmx.. 0 0 0 0 0
56 Kasa steril 16x16 10 0 10 10 0
57 Kassa Gulung 0 0 0 0 0
58 Kertas Lakmus 1 0 1 0 1
59 Ketokonazole tab 150 0 150 0 150
60 Klor etil 6 0 6 0 6
Kloramphenicol
61 3 0 3 0 3
tetes mata
62 Kloramphenicol zk 0 0 0 0 0
63 Kloramphenicol zm 0 0 0 0 0
64 Kotrimoksazol syr 11 0 11 0 11
65 Kotrimoksazol tab 250 0 250 0 100
66 Levertran zk 11 0 11 0 4
67 Lidocain inj 40 99 139 6 10
68 Loperamide 150 0 150 25 125
69 Metil Ergomet inj 16 0 16 0 15
70 Metil Ergomet tab 200 0 200 0 200
71 Metronidazole tab 200 0 200 0 200
72 MGsO4 20 mg 12 0 12 0 12
73 MGsO4 40 mg 12 0 12 0 12
74 Mikonazol slf 0 0 0 0 0
75 Nacl 9% 40 0 40 0 40
76 Natrium Diklo 25 0 0 0 0 0
77 Natrium Diklo 50 40 0 40 0 20
78 Nedle (tindik) 38 0 38 0 38
79 Nistatin tab vaginal 0 0 0 0 0
80 O2 dan tabung gas 4 0 4 0 4
81 Oksitosin inj 10 IU 20 0 20 0 20
82 Omeprazol 45 0 45 0 45
83 Oralit 130 0 130 45 85
84 Oxytetra zalf kulit 20 0 20 0 20
85 Paracetamol drop 9 0 9 7 2
86 Paracetamol supp 0 6 6 6 0
87 Paracetamol syr 18 0 18 14 0
88 Paracetamol tab 60 500 560 150 102
89 Phenol Gliserol 14 0 14 0 11
90 Phytomenadion 100 0 100 22 78
91 Plaster besar 2 0 2 0 2
92 Plaster kecil 0 0 0 0 0
93 Plesterin 400 0 400 0 400
94 Polifix 2 0 2 0 2
95 Poly Kateter 4 0 4 0 4
96 Ranitidine 420 0 420 67 353
97 RL 24 0 24 0 23
98 Salbutamol 240 0 240 0 240
99 Salisil talk 26 0 26 1 25
100 Selang O2 Bayi 0 0 0 0 0
101 Selang O2 Dewasa 8 0 8 0 8
102 Sikl 4/0 0 0 0 0 0
103 Silk 3/0 100 0 100 10 90
104 Silk 2/0 108 0 108 0 108
105 Sofratulle 2 0 2 2 0
106 Spuit 1 ml 30 0 30 5 25
107 Spuit 3 ml 100 100 200 20 80
108 Spuit 5 ml 80 0 80 5 75
109 Spuit 10 ml 0 0 0 0 0
110 Spuit 20 ml 10 0 10 0 10
111 Stesolid 10 mg 0 0 0 0 0
112 Stesolid 5 mg 0 5 5 5 0
113 Sulfa Diazine zalf 5 3 8 0 5
114 Sungkup Nebu Anak 8 0 8 0 4

Sungkup Nebu
115 25 0 25 0 3
Dewasa
116 Surgical Blades 105 0 105 10 95
117 Surgical need 24 5 0 5 0 5
118 Surgical need 28 5 0 5 0 5
119 Tablet tambah darah 0 0 0 0 0
120 Tes Kehamilan 0 0 0 0 0
121 Trombopop gel 7 0 7 4 3
122 Umbilical Cord 4 0 4 0 4
123 Under pads 12 0 12 0 12
124 Urine bag 34 0 34 0 34
125 Vit B 6 80 0 80 0 80
126 Vit B Komplek 300 0 300 30 150
127 Vit B1 60 0 60 0 60
128 Vit C 40 0 40 76 200
129 Vit K inj 12 0 12 0 12
130 Zink 160 0 160 0 140
131 Novadium 100
132

Mengetahui Padang, 29 Juni 2019


Pimpinan Puskesmas Yang Melaporkan

drg. Riny Zulfianty Nofrita, Amd.Kep


Nip. 19800930 200801 2 002 Nip.
IKUR KOTO

PERMINT
AAN
0
0
0
0
0
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0
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0
10
0
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0
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0

29 Juni 2019
Melaporkan

ta, Amd.Kep
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN JULI 2019

STOK PENERIM PEMAK STOK PERMINT


NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
1 Acetyl cystein 440
2 Alcohol swab 350
3 Alkohol 3

4 Alopurinol 0

5 Ambroxol syr 7 10

6 Ambroxol tab 180

7 Aminopilin ijeksi 0

8 Amlodipin 5 mg 150

9 Amoxicilin syrup 24

10 Amoxicilin tab 110

11 Antacid syrup 9

12 Antacid tab 600

13 Antifungi 2

14 Asam mefenamat 250

15 ATS 11

16 Berotec 0,1 % 2

17 Betadine 1 liter 0

18 Betadine 30 ml 35

19 Betahistine 180

20 Betametason zf klt 3

21 Bioplacenton tulle 0

22 Bufacetin zalf 3 2

23 Calci Gluconas 18

24 Captopril 12,5 mg 100

25 Catcut 3/0 3

26 Catcut 2/0 31

27 Catcut 4/0 0

28 Cefixime 600

29 Ciprofloksasin 500 280

30 CTM 100 200

31 Dexametason inj 18

32 Dexametason tab 200


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
33 Dextrose 10 % 4

34 Dextrose 5 % 4

35 Diazepam inj 15

36 Diphenhidramine 14

37 Domperidon syrup 1

38 Domperidon tab 260

39 Dumin rectal tube 3

40 Epinefrin HCL 5

41 Furosemide 6

42 Hand schun gin 10

43 Hand schun on 400

44 Hydrocortison 2,5 15

45 Hypafix 0

46 Ibuprofen 200 mg 260

47 Ibuprofen 400 mg 0

48 Infus set anak 17

49 Infus set dewasa 70

50 IV Cath 20 8

51 IV Cath 24 5

52 Kalsium laktat 500 148

53 Kapas putih 2

54 Kasa 10cmx.. 0

56 Kasa steril 16x16 10

57 Kassa Gulung 0

58 Kertas Lakmus 1

59 Ketokonazole tab 150

60 Klor etil 6

61 Kloramphenicol tetes mata 3

62 Kloramphenicol zk 0

63 Kloramphenicol zm 0

64 Kotrimoksazol syr 11

65 Kotrimoksazol tab 250

66 Levertran zk 11
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
67 Lidocain inj 40 30

68 Loperamide 150

69 Metil Ergomet inj 16

70 Metil Ergomet tab 200

71 Metronidazole tab 200

72 MGsO4 20 mg 12

73 MGsO4 40 mg 12

74 Mikonazol slf 0

75 Nacl 9% 40

76 Natrium Diklo 25 0

77 Natrium Diklo 50 40

78 Nedle (tindik) 38

79 Nistatin tab vaginal 0

80 O2 dan tabung gas 4

81 Oksitosin inj 10 IU 20

82 Omeprazol 45

83 Oralit 130

84 Oxytetra zalf kulit 20

85 Paracetamol drop 9

86 Paracetamol supp 0

87 Paracetamol syr 18 20

88 Paracetamol tab 60 200

89 Phenol Gliserol 14

90 Phytomenadion 100

91 Plaster besar 2

92 Plaster kecil 0

93 Plesterin 400

94 Polifix 2

95 Poly Kateter 4

96 Ranitidine 420

97 RL 24

98 Salbutamol 240

99 Salisil talk 26

100 Selang O2 Bayi 0


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
101 Selang O2 Dewasa 8

102 Sikl 4/0 0

103 Silk 3/0 100

104 Silk 2/0 108

105 Sofratulle 2

106 Spuit 1 ml 30

107 Spuit 3 ml 100 100

108 Spuit 5 ml 80

109 Spuit 10 ml 0

110 Spuit 20 ml 10

111 Stesolid 10 mg 0

112 Stesolid 5 mg 0

113 Sulfa Diazine zalf 5

114 Sungkup Nebu Anak 8

115 Sungkup Nebu Dewasa 25

116 Surgical Blades 105

117 Surgical need 24 5

118 Surgical need 28 5

119 Tablet tambah darah ###

120 Tes Kehamilan 0

121 Trombopop gel 7

122 Umbilical Cord 4

123 Under pads 12

124 Urine bag 34

125 Vit B 6 80

126 Vit B Komplek 300


127 Vit B1 60
128 Vit C 40
129 Vit K inj 12
130 Zink 160
131
132

Mengetahui Padang, 30 MEI 2019


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
Pimpinan Puskesmas Yang Melaporkan

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN APRIL 2019

STOK PENERIM PEMAK STOK PERMINT


NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
1 Acetyl cystein 350 100 450 10 440 0
2 Alcohol swab 200 0 400 50 350 0
3 Alkohol 3 0 3 0 3 0

4 Alopurinol 0 0 0 0 0 0

5 Ambroxol syr 0 100 100 93 7 10

6 Ambroxol tab 170 100 270 90 180 200

7 Aminopilin ijeksi 0 0 0 0 0 0

8 Amlodipin 5 mg 70 90 160 10 150 0

9 Amoxicilin syrup 29 10 39 15 24 10

10 Amoxicilin tab 240 400 640 530 110 400

11 Antacid syrup 6 5 11 2 9 10

12 Antacid tab 640 0 640 40 600 0

13 Antifungi 2 0 2 0 2 0

14 Asam mefenamat 260 300 560 310 250 400

15 ATS 1 10 11 0 11 10

16 Berotec 0,1 % 3 0 3 1 2 0

17 Betadine 1 liter 0 0 0 0 0 0

18 Betadine 30 ml 40 0 40 5 35 0

19 Betahistine 180 100 280 100 180 0

20 Betametason zf klt 3 0 3 0 3 10

21 Bioplacenton tulle 0 0 0 0 0 5

22 Bufacetin zalf 4 0 4 1 3 10

23 Calci Gluconas 18 0 18 0 18 0

24 Captopril 12,5 mg 0 100 100 0 100 0

25 Catcut 3/0 10 0 10 7 3 5

26 Catcut 2/0 20 0 40 9 31 0

27 Catcut 4/0 0 0 0 0 0 0

28 Cefixime 430 200 630 30 600 0

29 Ciprofloksasin 500 150 200 350 70 280 0

30 CTM 80 200 280 180 100 400

31 Dexametason inj 3 0 18 3 18 0

32 Dexametason tab 24 0 176 24 200 0


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
33 Dextrose 10 % 5 0 5 1 4 0

34 Dextrose 5 % 0 4 4 0 4 0

35 Diazepam inj 10 0 5 0 15 0

36 Diphenhidramine 9 0 14 0 14 0

37 Domperidon syrup 3 0 3 2 1 10

38 Domperidon tab 170 100 270 10 260 0

39 Dumin rectal tube 0 0 5 2 3 10

40 Epinefrin HCL 5 0 5 0 5 0

41 Furosemide 6 0 6 0 6 0

42 Hand schun gin 11 0 11 1 10 0

43 Hand schun on 600 200 800 400 400 0

44 Hydrocortison 2,5 18 10 28 13 15 0

45 Hypafix 0 0 0 0 0 2

46 Ibuprofen 200 mg 240 100 340 80 260 0

47 Ibuprofen 400 mg 0 0 0 0 0 0

48 Infus set anak 19 0 19 2 17 0

49 Infus set dewasa 75 0 75 5 70 0

50 IV Cath 20 15 0 15 7 8 0

51 IV Cath 24 5 0 5 0 5 0

52 Kalsium laktat 500 148 0 148 0 148 0

53 Kapas putih 2 0 2 0 2 0

54 Kasa 10cmx.. 0 0 0 0 0 0

56 Kasa steril 16x16 18 25 43 33 10 0

57 Kassa Gulung 0 0 0 0 0 5

58 Kertas Lakmus 0 2 2 1 1 0

59 Ketokonazole tab 150 0 150 0 150 0

60 Klor etil 2 4 6 0 6 0

61 Kloramphenicol tetes mata 3 0 3 0 3 0

62 Kloramphenicol zk 0 0 0 0 0 0

63 Kloramphenicol zm 0 0 0 0 0 0

64 Kotrimoksazol syr 12 0 12 1 11 0

65 Kotrimoksazol tab 150 100 250 0 250 0

66 Levertran zk 11 0 11 0 11 0
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
67 Lidocain inj 38 30 68 28 40 30

68 Loperamide 170 100 270 120 150 0

69 Metil Ergomet inj 18 0 18 2 16 0

70 Metil Ergomet tab 200 0 200 0 200 0

71 Metronidazole tab 200 0 200 0 200 0

72 MGsO4 20 mg 6 6 12 0 12 0

73 MGsO4 40 mg 6 6 12 0 12 0

74 Mikonazol slf 0 0 0 0 0 10

75 Nacl 9% 8 40 48 8 40 0

76 Natrium Diklo 25 0 0 0 0 0 0

77 Natrium Diklo 50 40 0 40 0 40 0

78 Nedle (tindik) 40 0 40 2 38 0

79 Nistatin tab vaginal 0 0 0 0 0 0

80 O2 dan tabung gas 4 0 4 0 4 0

81 Oksitosin inj 10 IU 15 0 20 0 20 0

82 Omeprazol 45 0 45 0 45 0

83 Oralit 140 0 140 10 130 0

84 Oxytetra zalf kulit 4 16 20 0 20 0

85 Paracetamol drop 0 5 5 0 9 0

86 Paracetamol supp 0 0 0 0 0 10

87 Paracetamol syr 15 20 35 17 18 0

88 Paracetamol tab 120 400 520 460 60 500

89 Phenol Gliserol 15 0 15 1 14 0

90 Phytomenadion 100 0 100 0 100 0

91 Plaster besar 2 0 2 0 2 0

92 Plaster kecil 0 0 0 0 0 0

93 Plesterin 400 0 400 0 400 0

94 Polifix 2 2 4 2 2 0

95 Poly Kateter 6 0 6 2 4 10

96 Ranitidine 250 200 450 30 420 0

97 RL 9 20 29 5 24 0

98 Salbutamol 280 0 280 40 240 0

99 Salisil talk 14 24 38 12 26 0

100 Selang O2 Bayi 0 0 0 0 0 5


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
101 Selang O2 Dewasa 8 0 8 0 8 0

102 Sikl 4/0 0 0 0 0 0 40

103 Silk 3/0 75 36 111 11 100 0

104 Silk 2/0 120 0 120 12 108 0

105 Sofratulle 2 0 2 0 2 2

106 Spuit 1 ml 50 0 50 20 30 100

107 Spuit 3 ml 100 0 100 0 100 100

108 Spuit 5 ml 0 80 80 0 80 10

109 Spuit 10 ml 1 0 1 1 0 10

110 Spuit 20 ml 10 0 10 0 10 10

111 Stesolid 10 mg 0 0 0 0 0 10

112 Stesolid 5 mg 0 0 0 0 0 10

113 Sulfa Diazine zalf 2 3 5 0 5 0

114 Sungkup Nebu Anak 10 0 10 2 8 0

115 Sungkup Nebu Dewasa 30 0 30 5 25 0

116 Surgical Blades 10 95 105 0 105 0

117 Surgical need 24 5 0 5 0 5 0

118 Surgical need 28 5 0 5 0 5 0

119 Tablet tambah darah 0 720 720 60 660 0

120 Tes Kehamilan 0 0 0 0 0 20

121 Trombopop gel 4 4 8 1 7 0

122 Umbilical Cord 6 0 6 2 4 10

123 Under pads 15 0 15 3 12 10

124 Urine bag 35 0 35 1 34 0

125 Vit B 6 40 100 140 60 80 0

126 Vit B Komplek 240 60 300 0 300 0


127 Vit B1 398 0 398 338 60 0
128 Vit C 80 200 280 240 40 300
129 Vit K inj 2 10 12 0 12 0
130 Zink 90 100 190 30 160 0
131
132

Mengetahui Padang, 30 April 2019


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
Pimpinan Puskesmas Yang Melaporkan

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN MEI 2019

STOK PENERIM PEMAK STOK


NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR
1 Acetyl cystein 440 0 440 0 440
2 Alcohol swab 350 0 350 150 200
3 Alkohol 3 0 3 0 3

4 Alopurinol 0 0 0 0 0

5 Ambroxol syr 7 10 17 9 8

6 Ambroxol tab 180 200 380 77 303

7 Aminopilin ijeksi 0 0 0 0 0

8 Amlodipin 5 mg 150 0 150 30 120

9 Amoxicilin syrup 24 10 34 11 23

10 Amoxicilin tab 110 400 510 335 175

11 Antacid syrup 9 10 19 4 15

12 Antacid tab 600 0 600 100 500

13 Antifungi 2 0 2 0 2

14 Asam mefenamat 250 400 650 50 600

15 ATS 11 0 11 4 7

16 Berotec 0,1 % 2 0 2 1 1

17 Betadine 1 liter 0 0 0 0 0

18 Betadine 30 ml 35 0 35 0 35

19 Betahistine 180 0 180 60 120

20 Betametason zf klt 3 0 3 0 3

21 Bioplacenton tulle 0 0 0 0 0

22 Bufacetin zalf 3 0 3 2 1

23 Calci Gluconas 18 0 18 0 18

24 Captopril 12,5 mg 100 0 100 0 100

25 Catcut 3/0 3 0 3 0 3
STOK PENERIM PEMAK STOK
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR
26 Catcut 2/0 31 0 31 14 17

27 Catcut 4/0 0 0 0 0 0

28 Cefixime 600 0 600 0 600

29 Ciprofloksasin 500 280 400 680 418 262

30 CTM 100 400 500 291 209

31 Dexametason inj 18 0 18 5 13

32 Dexametason tab 200 0 200 43 157

33 Dextrose 10 % 4 0 4 0 4

34 Dextrose 5 % 4 0 4 0 4

35 Diazepam inj 15 0 15 0 15

36 Diphenhidramine 14 0 14 0 14

37 Domperidon syrup 1 10 11 3 8

38 Domperidon tab 260 100 360 138 162

39 Dumin rectal tube 3 0 3 3 0

40 Epinefrin HCL 5 0 5 0 5

41 Furosemide 6 0 6 0 6

42 Hand schun gin 10 0 10 0 10

43 Hand schun on 400 0 400 300 100

44 Hydrocortison 2,5 15 0 15 6 9

45 Hypafix 0 0 0 0 0

46 Ibuprofen 200 mg 260 0 260 0 260

47 Ibuprofen 400 mg 0 0 0 0 0

48 Infus set anak 17 0 17 0 17

49 Infus set dewasa 70 0 70 33 37

50 IV Cath 20 8 0 8 2 6

51 IV Cath 24 5 0 5 5 0

52 Kalsium laktat 500 148 0 148 0 148


STOK PENERIM PEMAK STOK
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR
53 Kapas putih 2 0 2 0 2

54 Kasa 10cmx.. 0 0 0 0 0

56 Kasa steril 16x16 10 0 10 0 10

57 Kassa Gulung 0 0 0 0 0

58 Kertas Lakmus 1 0 1 0 1

59 Ketokonazole tab 150 0 150 0 150

60 Klor etil 6 0 6 0 6

61 Kloramphenicol tetes mata 3 0 3 0 3

62 Kloramphenicol zk 0 0 0 0 0

63 Kloramphenicol zm 0 0 0 0 0

64 Kotrimoksazol syr 11 0 11 0 11

65 Kotrimoksazol tab 250 0 250 150 100

66 Levertran zk 11 0 11 7 4

67 Lidocain inj 40 0 40 17 23

68 Loperamide 150 0 150 29 121

69 Metil Ergomet inj 16 0 16 1 15

70 Metil Ergomet tab 200 0 200 0 200

71 Metronidazole tab 200 0 200 0 200

72 MGsO4 20 mg 12 0 12 0 12

73 MGsO4 40 mg 12 0 12 0 12

74 Mikonazol slf 0 0 0 0 0

75 Nacl 9% 40 0 40 0 40

76 Natrium Diklo 25 0 0 0 0 0

77 Natrium Diklo 50 40 0 40 20 20

78 Nedle (tindik) 38 0 38 0 38

79 Nistatin tab vaginal 0 0 0 0 0

80 O2 dan tabung gas 4 0 4 0 4


STOK PENERIM PEMAK STOK
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR
81 Oksitosin inj 10 IU 20 0 20 0 20

82 Omeprazol 45 0 45 0 45

83 Oralit 130 0 130 40 90

84 Oxytetra zalf kulit 20 0 20 0 20

85 Paracetamol drop 9 0 9 7 2

86 Paracetamol supp 0 0 0 0 0

87 Paracetamol syr 18 0 18 14 4

88 Paracetamol tab 60 500 560 308 252

89 Phenol Gliserol 14 0 14 3 11

90 Phytomenadion 100 0 100 22 78

91 Plaster besar 2 0 2 0 2

92 Plaster kecil 0 0 0 0 0

93 Plesterin 400 0 400 0 400

94 Polifix 2 2 4 2 2

95 Poly Kateter 4 0 4 0 4

96 Ranitidine 420 0 420 67 353

97 RL 24 20 44 21 23

98 Salbutamol 240 0 240 0 240

99 Salisil talk 26 0 26 1 25

100 Selang O2 Bayi 0 0 0 0 0

101 Selang O2 Dewasa 8 0 8 0 8

102 Sikl 4/0 0 0 0 0 0

103 Silk 3/0 100 36 136 36 100

104 Silk 2/0 108 0 108 0 108

105 Sofratulle 2 0 2 0 2

106 Spuit 1 ml 30 100 130 100 30

107 Spuit 3 ml 100 100 200 100 100


STOK PENERIM PEMAK STOK
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR
108 Spuit 5 ml 80 80 160 80 80

109 Spuit 10 ml 0 0 0 0 0

110 Spuit 20 ml 10 0 10 0 10

111 Stesolid 10 mg 0 0 0 0 0

112 Stesolid 5 mg 0 0 0 0 0

113 Sulfa Diazine zalf 5 3 8 3 5

114 Sungkup Nebu Anak 8 0 8 4 4

115 Sungkup Nebu Dewasa 25 0 25 22 3

116 Surgical Blades 105 95 200 95 105

117 Surgical need 24 5 0 5 0 5

118 Surgical need 28 5 0 5 0 5

119 Tablet tambah darah #VALUE! 720 ### 60 #VALUE!

120 Tes Kehamilan 0 0 0 0 0

121 Trombopop gel 7 0 7 4 3

122 Umbilical Cord 4 0 4 0 4

123 Under pads 12 0 12 0 12

124 Urine bag 34 0 34 0 34

125 Vit B 6 80 0 80 0 80

126 Vit B Komplek 300 0 300 120 180


127 Vit B1 60 0 60 0 60
128 Vit C 40 300 340 64 276
129 Vit K inj 12 0 12 0 12
130 Zink 160 0 160 20 140
131 Novadium 100
132

Mengetahui Padang, 31 Mei 2019


STOK PENERIM PEMAK STOK
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR
Pimpinan Puskesmas Yang Melaporkan

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
KUR KOTO

PERMINT
AAN
0
0
0

0
PERMINT
AAN
0

0
PERMINT
AAN
0

0
PERMINT
AAN
0

0
PERMINT
AAN
0

0
0
0
0
0
PERMINT
AAN

200803 2 001
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN APRIL 2019

STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 Acetil sistein
2 Alcohol swab
3 Alkohol

4 Alopurinol

5 Ambroxol syr

6 Ambroxol tab

7 Aminopilin ijeksi

8 Amlodipin 5 mg

9 Amoxicilin syrup

10 Amoxicilin tab

11 Antacid syrup

12 Antacid tab

13 Antifungi

14 Asam mefenamat

15 ATS

16 Berotec 0,1 %

17 Betadine 1 liter

18 Betadine 30 ml
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
19 Betahistine

20 Betametason zf klt

21 Bioplacenton tulle

22 Bufacetin zalf

23 Calci Gluconas

24 Captopril 12,5 mg

25 Catcut 3/0

26 Catcut 2/0

27 Catcut 4/0

28 Cefixime

29 Ciprofloksasin 500

30 CTM

31 Dexametason inj

32 Dexametason tab

33 Dextrose 10 %

34 Dextrose 5 %

35 Diazepam inj

36 Diphenhidramine

37 Domperidon syrup

38 Domperidon tab
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
39 Dumin rectal tube

40 Epinefrin HCL

41 Furosemide

42 Hand schun gin

43 Hand schun on

44 Hydrocortison 2,5

45 Hypafix

46 Ibuprofen 200 mg

47 Ibuprofen 400 mg

48 Infus set anak

49 Infus set dewasa

50 IV Cath 20

51 IV Cath 22

52 Kalsium laktat 500

53 Kapas putih

54 Kasa 10cmx..

55 Kasa 16x16 cm

56 Kasa steril

57 Kassa Gulung

58 Kertas Lakmus
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
59 Ketokonazole tab

60 Klor etil

61 Kloramphenicol tetes mata

62 Kloramphenicol zk

63 Kloramphenicol zm

64 Kotrimoksazol syr

65 Kotrimoksazol tab

66 Levertran zk

67 Lidocain inj

68 Loperamide

69 Metil Ergomet inj

70 Metil Ergomet tab

71 Metronidazole tab

72 MGsO4 20 mg

73 MGsO4 40 mg

74 Mikonazol slf

75 Nacl 9%

76 Natrium Diklo 25

77 Natrium Diklo 50

78 Nedle (tindik)
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
79 Nistatin tab vaginal

80 O2 dan tabung gas

81 Oksitosin inj 10 IU

82 Omeprazol

83 Oralit

84 Paracetamol drop

85 Paracetamol supp

86 Paracetamol syr

87 Paracetamol tab

88 Phenol Gliserol

89 Phytomenadion

90 Plaster besar

91 Plaster kecil

92 Plesterin

93 Polifix

94 Poly Kateter

95 Ranitidine

96 RL

97 Salbutamol

98 Salisil talk
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
99 Selang O2 Anak

100 Selang O2 Dewasa

101 Silk 4/0

102 Silk 3/0

103 Silk 2/0

104 Sofratulle

105 Spuit 1 ml

106 Spuit 10 ml

107 Spuit 3 ml

108 Spuit 5 ml

109 Stesolid 10 mg

110 Stesolid 5 mg

111 Sulfa Diazine zalf

112 Sungkup Nebu Anak

113 Sungkup Nebu Dewasa

114 Surgical Blades

115 Surgical need 24

116 Surgical need 28

117 Tes Kehamilan

118 Trombopop gel


STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
119 Umbilical Cord

121 Under pads

122 Uri bag

123 Vit B 6

124 Vit B Komplek


125 Vit B1
126 Vit C
127 Vit K inj
128 Zink
129
130
131
132
133
134
135
136
137
138
139
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
140
PERMINTAAN OBAT
BULAN juni 2019

STOK PENERIM PEMAK STOK PERMINT


NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
1 Acetyl cystein 260 100
2 Alcohol swab 30 200
3 Alkohol 3 0 0

4 Alopurinol 0 0 0

5 Ambroxol syr 0 10 10

6 Ambroxol tab 0 200

7 Aminopilin ijeksi 0 0 0

8 Amlodipin 5 mg 26 90

9 Amoxicilin syrup 17 20

10 Amoxicilin tab 260 400 400

11 Antacid syrup 2 5 5

12 Antacid tab 650 0 0

13 Antifungi 2 0 0

14 Asam mefenamat 260 300 300

15 ATS 8 0 20

16 Berotec 0,1 % 1 0 0

17 Betadine 1 liter 0 0 0

18 Betadine 30 ml 50 0 0

19 Betahistine 90 90 100

20 Betametason zf klt 3 0 10

21 Bioplacenton tulle 0 0 5

22 Bufacetin zalf 7 0 10

23 Calci Gluconas 18 0 18

24 Captopril 12,5 mg 0 0 100

25 Catcut 3/0 38 0 0

26 Catcut 2/0 25 0 0

27 Catcut 4/0 0 0 0

28 Cefixime 300 200 200

29 Ciprofloksasin 500 8 200 200

30 CTM 200 200 200

31 Dexametason inj 3 0 10

32 Dexametason tab 260 0 0


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
33 Dextrose 10 % 0 5 4

34 Dextrose 5 % 0 0 4

35 Diazepam inj 10 0 0

36 Diphenhidramine 9 0 0

37 Domperidon syrup 3 2 2

38 Domperidon tab 100 100 100

39 Dumin rectal tube 0 0 20

40 Epinefrin HCL 5 0 0

41 Furosemide 6 0 0

42 Hand schun gin 11 0 0

43 Hand schun on 60 200 200

44 Hydrocortison 2,5 8 10 10

45 Hypafix 0 0 2

46 Ibuprofen 200 mg 150 100 100

47 Ibuprofen 400 mg 0 0 0

48 Infus set anak 20 0 2

49 Infus set dewasa 77 0 0

50 IV Cath 20 15 0 0

51 IV Cath 22 10 0 0

52 Kalsium laktat 500 148 0 0

53 Kapas putih 2 0 0

54 Kasa 10cmx.. 0 0 0

56 Kasa steril 16x16 10 11 30

57 Kassa Gulung 0 0 3

58 Kertas Lakmus 0 0 2

59 Ketokonazole tab 150 0 0

60 Klor etil 0 2 4

61 Kloramphenicol tetes mata 3 0 0

62 Kloramphenicol zk 0 0 0

63 Kloramphenicol zm 1 0 0

64 Kotrimoksazol syr 4 10 10

65 Kotrimoksazol tab 100 100 100

66 Levertran zk 11 0 0
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
67 Lidocain inj 25 30 30

68 Loperamide 70 100 100

69 Metil Ergomet inj 18 0 0

70 Metil Ergomet tab 100 100 0

71 Metronidazole tab 200 0 0

72 MGsO4 20 mg 6 0 0

73 MGsO4 40 mg 6 0 0

74 Mikonazol slf 0 0 0

75 Nacl 9% 8 0 10

76 Natrium Diklo 25 0 0 0

77 Natrium Diklo 50 40 0 0

78 Nedle (tindik) 45 0 0

79 Nistatin tab vaginal 0 0 0

80 O2 dan tabung gas 4 0 0

81 Oksitosin inj 10 IU 15 0 0

82 Omeprazol 45 0 0

83 Oralit 0 200 100

84 Oxytetra zalf kulit 5 15 20

85 Paracetamol drop 3 5 5

86 Paracetamol supp 3 0 10

87 Paracetamol syr 8 20 20

88 Paracetamol tab 275 200 200

89 Phenol Gliserol 12 0 0

90 Phytomenadion 0 100 100

91 Plaster besar 2 0 2

92 Plaster kecil 0 0 2

93 Plesterin 50 2 2

94 Polifix 0 2 2

95 Poly Kateter 6 0 10

96 Ranitidine 245 200 200

97 RL 0 0 2

98 Salbutamol 283 0 0

99 Salisil talk 0 24 20

100 Selang O2 Anak 8 0 5


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
101 Selang O2 Dewasa 2 0 5

102 Sikl 4/0 0 0 10

103 Silk 3/0 15 0 10

104 Silk 2/0 15 0 0

105 Sofratulle 2 0 2

106 Spuit 1 ml 63 0 0

107 Spuit 10 ml 4 0 5

108 Spuit 3 ml 140 0 0

109 Spuit 5 ml 0 0 5

110 Stesolid 10 mg 0 0 10

111 Stesolid 5 mg 0 0 10

112 Sulfa Diazine zalf 0 2 2

113 Sungkup Nebu Anak 10 0 0

114 Sungkup Nebu Dewasa 30 0 0

115 Surgical Blades 15 0 100

116 Surgical need 24 10 0 0

117 Surgical need 28 10 0 0

118 Tes Kehamilan 0 0 10

119 Trombopop gel 0 4 4

120 Umbilical Cord 6 0 10

121 Under pads 15 0 0

122 Urine bag 35 0 0

123 Vit B 6 51 100 100

124 Vit B Komplek 310 0 0


125 Vit B1 398 0 0
126 Vit C 4 200 200
127 Vit K inj 4 0 5
128 Zink 0 100 100
129
130

Mengetahui Padang, 25 Februari 2019


Pimpinan Puskesmas Yang Melaporkan
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN MARET 2019

STOK PENERIM PEMAK STOK PERMINT


NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
1 Acetyl cystein 260 100 360 10 350 100
2 Alcohol swab 30 200 230 30 200 0
3 Alkohol 3 0 3 0 3 0

4 Alopurinol 0 0 0 0 0 0

5 Ambroxol syr 0 10 10 10 0 10

6 Ambroxol tab 0 200 200 30 170 100

7 Aminopilin ijeksi 0 0 0 0 0 0

8 Amlodipin 5 mg 26 90 116 46 70 100

9 Amoxicilin syrup 17 20 37 8 29 10

10 Amoxicilin tab 260 400 660 420 240 400

11 Antacid syrup 2 5 7 1 6 5

12 Antacid tab 650 0 650 10 640 0

13 Antifungi 2 0 2 0 2 0

14 Asam mefenamat 260 300 560 300 260 300

15 ATS 8 0 8 7 1 20

16 Berotec 0,1 % 3 0 3 0 3 0

17 Betadine 1 liter 0 0 0 0 0 0

18 Betadine 30 ml 50 0 50 10 40 0

19 Betahistine 90 90 180 0 180 100

20 Betametason zf klt 3 0 3 0 3 10

21 Bioplacenton tulle 0 0 0 0 0 5

22 Bufacetin zalf 7 0 7 3 4 10

23 Calci Gluconas 18 0 18 0 18 18

24 Captopril 12,5 mg 0 0 0 0 0 100

25 Catcut 3/0 38 0 38 28 10 0

26 Catcut 2/0 25 0 25 5 20 0

27 Catcut 4/0 0 0 0 0 0 0

28 Cefixime 300 200 500 70 430 200

29 Ciprofloksasin 500 8 200 208 58 150 200

30 CTM 200 200 400 320 80 200

31 Dexametason inj 3 0 3 0 3 10

32 Dexametason tab 260 0 260 236 24 0


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
33 Dextrose 10 % 0 5 5 0 5 4

34 Dextrose 5 % 0 0 0 0 0 4

35 Diazepam inj 10 0 10 0 10 0

36 Diphenhidramine 9 0 9 0 9 0

37 Domperidon syrup 3 2 5 2 3 5

38 Domperidon tab 100 100 200 30 170 100

39 Dumin rectal tube 0 0 0 0 0 20

40 Epinefrin HCL 5 0 5 0 5 0

41 Furosemide 6 0 6 0 6 0

42 Hand schun gin 11 0 11 0 11 0

43 Hand schun on 60 700 760 160 600 200

44 Hydrocortison 2,5 8 10 18 0 18 10

45 Hypafix 0 0 0 0 0 2

46 Ibuprofen 200 mg 150 100 250 10 240 100

47 Ibuprofen 400 mg 0 0 0 0 0 0

48 Infus set anak 20 0 20 1 19 2

49 Infus set dewasa 77 0 77 2 75 0

50 IV Cath 20 15 0 15 0 15 0

51 IV Cath 24 7 0 7 2 5 0

52 Kalsium laktat 500 148 0 148 0 148 0

53 Kapas putih 2 0 2 0 2 0

54 Kasa 10cmx.. 0 0 0 0 0 0

56 Kasa steril 16x16 10 11 21 3 18 30

57 Kassa Gulung 0 0 0 0 0 3

58 Kertas Lakmus 0 0 0 0 0 2

59 Ketokonazole tab 150 0 150 0 150 0

60 Klor etil 0 2 2 0 2 4

61 Kloramphenicol tetes mata 3 0 3 0 3 0

62 Kloramphenicol zk 0 0 0 0 0 0

63 Kloramphenicol zm 1 0 1 1 0 0

64 Kotrimoksazol syr 4 10 14 2 12 10

65 Kotrimoksazol tab 100 100 200 50 150 100

66 Levertran zk 11 0 11 0 11 0
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
67 Lidocain inj 25 30 55 17 38 30

68 Loperamide 70 100 170 0 170 100

69 Metil Ergomet inj 18 0 18 0 18 0

70 Metil Ergomet tab 100 100 200 0 200 0

71 Metronidazole tab 200 0 200 0 200 0

72 MGsO4 20 mg 6 0 6 0 6 0

73 MGsO4 40 mg 6 0 6 0 6 0

74 Mikonazol slf 0 0 0 0 0 0

75 Nacl 9% 8 20 28 20 8 20

76 Natrium Diklo 25 0 0 0 0 0 0

77 Natrium Diklo 50 40 0 40 0 40 0

78 Nedle (tindik) 45 0 45 5 40 0

79 Nistatin tab vaginal 0 0 0 0 0 0

80 O2 dan tabung gas 4 0 4 0 4 0

81 Oksitosin inj 10 IU 15 0 15 0 15 0

82 Omeprazol 45 0 45 0 45 0

83 Oralit 0 200 200 60 140 0

84 Oxytetra zalf kulit 5 15 20 16 4 20

85 Paracetamol drop 3 5 8 8 0 5

86 Paracetamol supp 3 0 3 3 0 10

87 Paracetamol syr 8 20 28 13 15 20

88 Paracetamol tab 275 200 475 355 120 200

89 Phenol Gliserol 12 0 12 -3 15 0

90 Phytomenadion 0 100 100 0 100 0

91 Plaster besar 2 0 2 0 2 0

92 Plaster kecil 0 0 0 0 0 0

93 Plesterin 50 2 400 0 400 0

94 Polifix 0 2 2 0 2 2

95 Poly Kateter 6 0 6 0 6 10

96 Ranitidine 245 200 445 195 250 200

97 RL 0 10 10 1 9 20

98 Salbutamol 283 0 283 3 280 0

99 Salisil talk 0 24 24 10 14 20

100 Selang O2 Bayi 8 0 8 8 0 5


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
101 Selang O2 Dewasa 2 0 2 -6 8 5

102 Sikl 4/0 0 0 0 -2 2 10

103 Silk 3/0 100 0 100 25 75 10

104 Silk 2/0 130 0 130 10 120 0

105 Sofratulle 2 0 2 2 0 2

106 Spuit 1 ml 63 0 63 13 50 0

107 Spuit 10 ml 4 0 4 3 1 5

108 Spuit 3 ml 140 0 140 40 100 0

109 Spuit 5 ml 0 0 0 0 0 5

110 Stesolid 10 mg 0 0 0 0 0 10

111 Stesolid 5 mg 0 0 0 0 0 10

112 Sulfa Diazine zalf 0 2 2 0 2 2

113 Sungkup Nebu Anak 10 0 10 0 10 0

114 Sungkup Nebu Dewasa 30 0 30 0 30 0

115 Surgical Blades 15 0 15 5 10 100

116 Surgical need 24 10 0 10 5 5 0

117 Surgical need 28 10 0 10 5 5 0

118 Tes Kehamilan 0 0 0 0 0 10

119 Trombopop gel 0 4 4 0 4 4

120 Umbilical Cord 6 0 6 0 6 10

121 Under pads 15 0 15 0 15 0

122 Urine bag 35 0 35 0 35 0

123 Vit B 6 51 100 151 111 40 100

124 Vit B Komplek 310 0 310 70 240 0


125 Vit B1 398 0 398 0 398 0
126 Vit C 4 200 204 124 80 200
127 Vit K inj 4 0 4 2 2 5
128 Zink 0 100 100 10 90 100
129
130

Mengetahui Padang, 28 Maret 2019


Pimpinan Puskesmas Yang Melaporkan
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN MARET 2019

STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 Acetil sistein 260
2 Alcohol swab 30
3 Alkohol 3

4 Alopurinol 0

5 Ambroxol syr 0

6 Ambroxol tab 0

7 Aminopilin ijeksi 0

8 Amlodipin 5 mg 26

9 Amoxicilin syrup 17

10 Amoxicilin tab 260

11 Antacid syrup 2

12 Antacid tab 650

13 Antifungi 2

14 Asam mefenamat 260

15 ATS 8

16 Berotec 0,1 % 1

17 Betadine 1 liter 0

18 Betadine 30 ml 50
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
19 Betahistine 90

20 Betametason zf klt 3

21 Bioplacenton tulle 0

22 Bufacetin zalf 7

23 Calci Gluconas 18

24 Captopril 12,5 mg 0

25 Catcut 3/0 38

26 Catcut 2/0 25

27 Catcut 4/0 0

28 Cefixime 300

29 Ciprofloksasin 500 8

30 CTM 200

31 Dexametason inj 3

32 Dexametason tab 260

33 Dextrose 10 % 0

34 Dextrose 5 % 0

35 Diazepam inj 10

36 Diphenhidramine 9

37 Domperidon syrup 3

38 Domperidon tab 100


STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
39 Dumin rectal tube 0

40 Epinefrin HCL 5

41 Furosemide 6

42 Hand schun gin 11

43 Hand schun on 60

44 Hydrocortison 2,5 8

45 Hypafix 0

46 Ibuprofen 200 mg 150

47 Ibuprofen 400 mg 0

48 Infus set anak 20

49 Infus set dewasa 77

50 IV Cath 20 15

51 IV Cath 22 10

52 Kalsium laktat 500 148

53 Kapas putih 2

54 Kasa 10cmx.. 0

55 Kasa 16x16 cm 0

56 Kasa steril 10

57 Kassa Gulung 0

58 Kertas Lakmus 0
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
59 Ketokonazole tab 150

60 Klor etil 0

61 Kloramphenicol tetes mata 3

62 Kloramphenicol zk 0

63 Kloramphenicol zm 1

64 Kotrimoksazol syr 4

65 Kotrimoksazol tab 100

66 Levertran zk 11

67 Lidocain inj 25

68 Loperamide 70

69 Metil Ergomet inj 18

70 Metil Ergomet tab 100

71 Metronidazole tab 200

72 MGsO4 20 mg 6

73 MGsO4 40 mg 6

74 Mikonazol slf 0

75 Nacl 9% 8

76 Natrium Diklo 25 0

77 Natrium Diklo 50 40

78 Nedle (tindik) 45
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
79 Nistatin tab vaginal 0

80 O2 dan tabung gas 4

81 Oksitosin inj 10 IU 15

82 Omeprazol 45

83 Oralit 0

84 Paracetamol drop 5

85 Paracetamol supp 3

86 Paracetamol syr 3

87 Paracetamol tab 8

88 Phenol Gliserol 275

89 Phytomenadion 12

90 Plaster besar 0

91 Plaster kecil 2

92 Plesterin 0

93 Polifix 50

94 Poly Kateter 0

95 Ranitidine 6

96 RL 245

97 Salbutamol 0

98 Salisil talk 283


STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
99 Selang O2 Anak 0

100 Selang O2 Dewasa 8

101 Silk 4/0 2

102 Silk 3/0 0

103 Silk 2/0 15

104 Sofratulle 15

105 Spuit 1 ml 2

106 Spuit 10 ml 63

107 Spuit 3 ml 4

108 Spuit 5 ml 140

109 Stesolid 10 mg 0

110 Stesolid 5 mg 0

111 Sulfa Diazine zalf 0

112 Sungkup Nebu Anak 0

113 Sungkup Nebu Dewasa 10

114 Surgical Blades 30

115 Surgical need 24 15

116 Surgical need 28 10

117 Tes Kehamilan 10

118 Trombopop gel 0


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

121 Under pads 15

122 Uri bag 35

123 Vit B 6 51

124 Vit B Komplek 310


125 Vit B1 398
126 Vit C 4
127 Vit K inj 4
128 Zink 0
129
130
131
132
133
134
135
136
137
138
139
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
140
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN FEBRUARI 2019

STOK PENERIM PEMAK STOK PERMINT


NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
1 Acetil sistein 458 0 458 198 260 100
2 Alcohol swab 150 0 150 120 30 100
3 Alkohol 3 0 3 0 3 0

4 Alopurinol 0 0 0 0 0 0

5 Ambroxol syr 0 0 0 0 0 10

6 Ambroxol tab 0 0 0 0 0 200

7 Aminopilin ijeksi 0 0 0 0 0 0

8 Amlodipin 5 mg 48 0 48 22 26 100

9 Amoxicilin syrup 16 20 36 19 17 10

10 Amoxicilin tab 469 400 869 609 260 400

11 Antacid syrup 5 0 5 3 2 5

12 Antacid tab 735 0 735 85 650 0

13 Antifungi 2 0 2 0 2 0

14 Asam mefenamat 632 0 632 372 260 300

15 ATS 5 10 15 7 8 20

16 Berotec 0,1 % 3 0 3 2 1 0

17 Betadine 1 liter 0 0 0 0 0 0

18 Betadine 30 ml 60 0 60 10 50 0

19 Betahistine 26 90 116 26 90 100

20 Betametason zf klt 4 0 4 1 3 10

21 Bioplacenton tulle 0 0 0 0 0 5

22 Bufacetin zalf 13 0 13 6 7 10

23 Calci Gluconas 18 0 18 0 18 18

24 Captopril 12,5 mg 0 0 0 0 0 100

25 Catcut 3/0 40 0 40 2 38 0

26 Catcut 2/0 25 0 25 0 25 0

27 Catcut 4/0 0 0 0 0 0 0

28 Cefixime 350 0 350 50 300 200

29 Ciprofloksasin 500 40 0 40 32 8 200

30 CTM 5 300 305 105 200 200

31 Dexametason inj 0 5 5 2 3 10

32 Dexametason tab 270 100 370 110 260 0


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
33 Dextrose 10 % 0 0 0 0 0 4

34 Dextrose 5 % 0 0 0 0 0 4

35 Diazepam inj 5 5 10 0 10 0

36 Diphenhidramine 9 0 9 0 9 0

37 Domperidon syrup 5 0 5 2 3 2

38 Domperidon tab 0 100 100 0 100 100

39 Dumin rectal tube 0 0 0 0 0 20

40 Epinefrin HCL 5 0 5 0 5 0

41 Furosemide 6 0 6 0 6 0

42 Hand schun gin 12 0 12 1 11 0

43 Hand schun on 160 0 160 100 60 200

44 Hydrocortison 2,5 9 0 9 1 8 10

45 Hypafix 0 0 0 0 0 2

46 Ibuprofen 200 mg 160 0 160 10 150 100

47 Ibuprofen 400 mg 0 0 0 0 0 0

48 Infus set anak 20 0 20 0 20 2

49 Infus set dewasa 80 0 80 3 77 0

50 IV Cath 20 18 0 18 3 15 0

51 IV Cath 22 10 0 10 0 10 0

52 Kalsium laktat 500 148 0 148 0 148 0

53 Kapas putih 2 0 2 0 2 0

54 Kasa 10cmx.. 0 0 0 0 0 0

55 Kasa 16x16 cm 0 0 0 0 0 0

56 Kasa steril 10 30 40 30 10 30

57 Kassa Gulung 0 0 0 0 0 3

58 Kertas Lakmus 0 0 0 0 0 2

59 Ketokonazole tab 150 0 150 0 150 0

60 Klor etil 0 0 0 0 0 4

61 Kloramphenicol tetes mata 3 0 3 0 3 0

62 Kloramphenicol zk 0 0 0 0 0 0

63 Kloramphenicol zm 1 0 1 0 1 0

64 Kotrimoksazol syr 4 0 4 0 4 10

65 Kotrimoksazol tab 100 0 100 0 100 100


STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
66 Levertran zk 11 0 11 0 11 0

67 Lidocain inj 12 30 42 17 25 30

68 Loperamide 32 50 82 12 70 100

69 Metil Ergomet inj 18 0 18 0 18 0

70 Metil Ergomet tab 100 0 100 0 100 0

71 Metronidazole tab 200 0 200 0 200 0

72 MGsO4 20 mg 6 0 6 0 6 0

73 MGsO4 40 mg 6 0 6 0 6 0

74 Mikonazol slf 0 0 0 0 0 0

75 Nacl 9% 20 0 20 12 8 10

76 Natrium Diklo 25 0 0 0 0 0 0

77 Natrium Diklo 50 40 0 40 0 40 0

78 Nedle (tindik) 45 0 45 0 45 0

79 Nistatin tab vaginal 0 0 0 0 0 0

80 O2 dan tabung gas 4 0 4 0 4 0

81 Oksitosin inj 10 IU 17 0 17 2 15 0

82 Omeprazol 45 0 45 0 45 0

83 Oralit 47 0 47 47 0 100

84 Oxytetra zalf kulit 0 10 10 5 5 20

85 Paracetamol drop 4 0 4 1 3 5

86 Paracetamol supp 8 0 8 5 3 10

87 Paracetamol syr 0 20 20 12 8 20

88 Paracetamol tab 145 500 645 370 275 200

89 Phenol Gliserol 12 0 12 0 12 0

90 Phytomenadion 0 0 0 0 0 100

91 Plaster besar 2 0 2 0 2 2

92 Plaster kecil 0 0 0 0 0 2

93 Plesterin 80 0 80 30 50 2

94 Polifix 0 0 0 0 0 2

95 Poly Kateter 7 0 7 1 6 10

96 Ranitidine 163 200 363 118 245 200

97 RL 0 0 0 0 0 2

98 Salbutamol 283 0 283 0 283 0

99 Salisil talk 0 0 0 0 0 20
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN
100 Selang O2 Anak 11 0 11 3 8 5

101 Selang O2 Dewasa 2 0 2 0 2 5

102 Sikl 4/0 0 0 0 0 0 10

103 Silk 3/0 20 0 20 5 15 10

104 Silk 2/0 20 0 20 5 15 0

105 Sofratulle 2 0 2 0 2 2

106 Spuit 1 ml 78 0 78 15 63 0

107 Spuit 10 ml 5 0 5 1 4 5

108 Spuit 3 ml 168 0 168 28 140 0

109 Spuit 5 ml 0 0 0 0 0 5

110 Stesolid 10 mg 5 0 5 5 0 10

111 Stesolid 5 mg 0 0 0 0 0 10

112 Sulfa Diazine zalf 0 0 0 0 0 2

113 Sungkup Nebu Anak 10 0 10 0 10 0

114 Sungkup Nebu Dewasa 30 0 30 0 30 0

115 Surgical Blades 25 0 25 10 15 100

116 Surgical need 24 10 0 10 0 10 0

117 Surgical need 28 10 0 10 0 10 0

118 Tes Kehamilan 4 0 4 4 0 10

119 Trombopop gel 0 0 0 0 0 4

120 Umbilical Cord 7 0 7 1 6 10

121 Under pads 16 0 16 1 15 0

122 Urine bag 35 0 35 0 35 0

123 Vit B 6 51 0 51 0 51 100

124 Vit B Komplek 438 0 438 128 310 0


125 Vit B1 398 0 398 0 398 0

126 Vit C 4 300 304 300 4 200


127 Vit K inj 0 5 5 1 4 5
128 Zink 0 0 0 0 0 100
129
130

Mengetahui Padang, 25 Februari 2019


Pimpinan Puskesmas Yang Melaporkan
STOK PENERIM PEMAK STOK PERMINT
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR AAN

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
BULAN AGUSTUSI 2019

STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 Acetil sistein 458
2 Alcohol swab 150
3 Alkohol 3

4 Alopurinol 0

5 Ambroxol syr 0

6 Ambroxol tab 0

7 Aminopilin ijeksi 0

8 Amlodipin 5 mg 48

9 Amoxicilin syrup 16

10 Amoxicilin tab 469

11 Antacid syrup 5

12 Antacid tab 735

13 Antifungi 2

14 Asam mefenamat 632

15 ATS 5

16 Berotec 0,1 % 3

17 Betadine 1 liter 0

18 Betadine 30 ml 60
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
19 Betahistine 26

20 Betametason zf klt 4

21 Bioplacenton tulle 0

22 Bufacetin zalf 13

23 Calci Gluconas 18

24 Captopril 12,5 mg 0

25 Catcut 3/0 40

26 Catcut 2/0 25

27 Catcut 4/0 0

28 Cefixime 350

29 Ciprofloksasin 500 40

30 CTM 5

31 Dexametason inj 0

32 Dexametason tab 270

33 Dextrose 10 % 0

34 Dextrose 5 % 0

35 Diazepam inj 5

36 Diphenhidramine 9

37 Domperidon syrup 5

38 Domperidon tab 0
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
39 Dumin rectal tube 0

40 Epinefrin HCL 5

41 Furosemide 6

42 Hand schun gin 12

43 Hand schun on 160

44 Hydrocortison 2,5 9

45 Hypafix 0

46 Ibuprofen 200 mg 160

47 Ibuprofen 400 mg 0

48 Infus set anak 20

49 Infus set dewasa 80

50 IV Cath 20 18

51 IV Cath 22 10

52 Kalsium laktat 500 148

53 Kapas putih 2

54 Kasa 10cmx.. 0

55 Kasa 16x16 cm 0

56 Kasa steril 10

57 Kassa Gulung 0

58 Kertas Lakmus 0
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
59 Ketokonazole tab 150

60 Klor etil 0

61 Kloramphenicol tetes mata 3

62 Kloramphenicol zk 0

63 Kloramphenicol zm 1

64 Kotrimoksazol syr 4

65 Kotrimoksazol tab 100

66 Levertran zk 11

67 Lidocain inj 12

68 Loperamide 32

69 Metil Ergomet inj 18

70 Metil Ergomet tab 100

71 Metronidazole tab 200

72 MGsO4 20 mg 6

73 MGsO4 40 mg 6

74 Mikonazol slf 0

75 Nacl 9% 20

76 Natrium Diklo 25 0

77 Natrium Diklo 50 40

78 Nedle (tindik) 45
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
79 Nistatin tab vaginal 0

80 O2 dan tabung gas 4

81 Oksitosin inj 10 IU 17

82 Omeprazol 45

83 Oralit 47

84 Oxytetra zalf kulit

85 Paracetamol drop 4

86 Paracetamol supp 8

87 Paracetamol syr 0

88 Paracetamol tab 145

89 Phenol Gliserol 12

90 Phytomenadion 0

91 Plaster besar 2

92 Plaster kecil 0

93 Plesterin 80

94 Polifix 0

95 Poly Kateter 7

96 Ranitidine 163

97 RL 0

98 Salbutamol 283
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
99 Salisil talk 0

100 Selang O2 Anak 11

101 Selang O2 Dewasa 2

102 Silk 4/0 0

103 Silk 3/0 20

104 Silk 2/0 20

105 Sofratulle 2

106 Spuit 1 ml 78

107 Spuit 10 ml 5

108 Spuit 3 ml 168

109 Spuit 5 ml 0

110 Stesolid 10 mg 5

111 Stesolid 5 mg 0

112 Sulfa Diazine zalf 0

113 Sungkup Nebu Anak 10

114 Sungkup Nebu Dewasa 30

115 Surgical Blades 25

116 Surgical need 24 10

117 Surgical need 28 10

118 Tes Kehamilan 4


STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
119 Trombopop gel 0

120 Umbilical Cord 7

121 Under pads 16

122 Uri bag 35

123 Vit B 6 51

124 Vit B Komplek 438


125 Vit B1 398
126 Vit C 4
127 Vit K inj 0
128 Zink 0

129
130
131
132
133
134
135
136
137
138
STOK
NO NAMA OBAT
AWAL 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
139
140
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN JANUARI 2019

STOK PENERIM PEMAK STOK PERMIN


NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR TAAN
1 Acetil sistein 460 0 460 2 458 0
2 Alcohol swab 180 0 180 30 150 0
3 Alkohol 3 0 3 0 3 0

4 Alopurinol 0 0 0 0 0 0

5 Ambroxol syr 0 0 0 0 0 0

6 Ambroxol tab 0 0 0 0 0 0

7 Aminopilin ijeksi 0 0 0 0 0 0

8 Amlodipin 5 mg 68 0 68 20 48 100

9 Amoxicilin syrup 25 0 25 9 16 20

10 Amoxicilin tab 783 0 783 314 469 200

11 Antacid syrup 6 0 6 1 5 0

12 Antacid tab 829 0 829 94 735 0

13 Antifungi 2 0 2 0 2 0

14 Asam mefenamat 824 0 824 192 632 0

15 ATS 16 0 16 11 5 20

16 Berotec 0,1 % 0 3 3 0 3 0

17 Betadine 1 liter 0 0 0 0 0 0

18 Betadine 30 ml 5 60 65 5 60 0

19 Betahistine 66 0 66 40 26 100

20 Betametason zf klt 6 0 6 2 4 0

21 Bioplacenton tulle 0 0 0 0 0 5

22 Bufacetin zalf 39 0 39 26 13 0

23 Calci Gluconas 18 0 18 0 18 0

24 Captopril 12,5 mg 0 0 0 0 0 0

25 Catcut 3/0 48 0 48 8 40 0

26 Catcut 2/0 30 0 30 5 25 0

27 Catcut 4/0 0 0 0 0 0 10

28 Cefixime 380 0 380 30 350 0

29 Ciprofloksasin 500 179 0 179 139 40 0

30 CTM 225 0 225 220 5 500

31 Dexametason inj 0 0 0 0 0 20

32 Dexametason tab 311 0 311 41 270 100


STOK PENERIM PEMAK STOK PERMIN
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR TAAN
33 Dextrose 10 % 0 0 0 0 0 2

34 Dextrose 5 % 0 0 0 0 0 2

35 Diazepam inj 5 0 5 0 5 0

36 Diphenhidramine 9 0 9 0 9 0

37 Domperidon syrup 6 0 6 1 5 0

38 Domperidon tab 163 0 163 163 0 0

39 Dumin rectal tube 0 0 0 0 0 10

40 Epinefrin HCL 5 0 5 0 5 0

41 Furosemide 6 0 6 0 6 0

42 Hand schun gin 12 0 12 0 12 0

43 Hand schun on 200 0 200 40 160 0

44 Hydrocortison 2,5 9 0 9 0 9 0

45 Hypafix 0 0 0 0 0 3

46 Ibuprofen 200 mg 201 0 201 41 160 0

47 Ibuprofen 400 mg 20 0 20 20 0 0

48 Infus set anak 20 0 20 0 20 0

49 Infus set dewasa 80 0 80 0 80 0

50 IV Cath 20 18 0 18 0 18 0

51 IV Cath 22 10 0 10 0 10 0

52 Kalsium laktat 500 152 0 152 4 148 0

53 Kapas putih 2 0 2 0 2 0

54 Kasa 10cmx.. 0 0 0 0 0 0

55 Kasa 16x16 cm 0 0 0 0 0 0

56 Kasa steril 30 0 30 20 10 0

57 Kassa Gulung 0 3 3 3 0 5

58 Kertas Lakmus 0 0 0 0 0 1

59 Ketokonazole tab 150 0 150 0 150 0

60 Klor etil 0 0 0 0 0 2

61 Kloramphenicol tetes mata 3 0 3 0 3 5

62 Kloramphenicol zk 0 0 0 0 0 0

63 Kloramphenicol zm 1 0 1 0 1 0

64 Kotrimoksazol syr 4 0 4 0 4 5

65 Kotrimoksazol tab 100 0 100 0 100 0


STOK PENERIM PEMAK STOK PERMIN
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR TAAN
66 Levertran zk 11 0 11 0 11 0

67 Lidocain inj 40 0 40 28 12 60

68 Loperamide 68 0 68 36 32 100

69 Metil Ergomet inj 18 0 18 0 18 0

70 Metil Ergomet tab 100 0 100 0 100 0

71 Metronidazole tab 200 0 200 0 200 0

72 MGsO4 20 mg 6 0 6 0 6 0

73 MGsO4 40 mg 6 0 6 0 6 0

74 Mikonazol slf 0 0 0 0 0 20

75 Nacl 9% 1 24 25 5 20 0

76 Natrium Diklo 25 6 0 6 6 0 0

77 Natrium Diklo 50 44 0 44 4 40 0

78 Nedle (tindik) 50 0 50 5 45 0

79 Nistatin tab vaginal 0 0 0 0 0 0

80 O2 dan tabung gas 4 0 4 0 4 0

81 Oksitosin inj 10 IU 17 0 17 0 17 0

82 Omeprazol 0 0 0 -45 45 0

83 Oralit 65 0 65 18 47 0

84 Paracetamol drop 5 0 5 1 4 0

85 Paracetamol supp 10 0 10 2 8 10

86 Paracetamol syr 9 0 9 9 0 20

87 Paracetamol tab 108 0 108 -37 145 400

88 Phenol Gliserol 19 0 19 7 12 0

89 Phytomenadion 0 0 0 0 0 0

90 Plaster besar 2 0 2 0 2 0

91 Plaster kecil 2 0 2 2 0 2

92 Plesterin 100 0 100 20 80 0

93 Polifix 5 0 5 5 0 0

94 Poly Kateter 8 0 8 1 7 0

95 Ranitidine 72 200 272 109 163 300

96 RL 2 0 2 2 0 2

97 Salbutamol 292 0 292 9 283 0

98 Salisil talk 0 0 0 0 0 10
STOK PENERIM PEMAK STOK PERMIN
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR TAAN
99 Selang O2 Anak 11 0 11 0 11 0

100 Selang O2 Dewasa 2 0 2 0 2 0

101 Sikl 4/0 0 0 0 0 0 0

102 Silk 3/0 24 0 24 4 20 0

103 Silk 2/0 24 0 24 4 20 0

104 Sofratulle 3 0 3 1 2 0

105 Spuit 1 ml 90 0 90 12 78 0

106 Spuit 10 ml 5 0 5 0 5 5

107 Spuit 3 ml 200 0 200 32 168 0

108 Spuit 5 ml 0 0 0 0 0 10

109 Stesolid 10 mg 10 0 10 5 5 0

110 Stesolid 5 mg 8 0 8 8 0 5

111 Sulfa Diazine zalf 1 0 1 1 0 2

112 Sungkup Nebu Anak 30 0 30 20 10 0

113 Sungkup Nebu Dewasa 50 0 50 20 30 0

114 Surgical Blades 40 0 40 15 25 0

115 Surgical need 24 10 0 10 0 10 0

116 Surgical need 28 10 0 10 0 10 0

117 Tes Kehamilan 4 0 4 0 4 0

118 Trombopop gel 1 0 1 1 0 2

119 Umbilical Cord 8 0 8 1 7 10

121 Under pads 18 0 18 2 16 10

122 Uri bag 37 0 37 2 35 0

123 Vit B 6 102 0 102 51 51 100

124 Vit B Komplek 476 0 476 38 438 0


125 Vit B1 416 0 416 18 398 0
126 Vit C 108 0 108 104 4 300
127 Vit K inj 0 0 0 0 0 10
128 Zink 0 0 0 0 0 200
129
130

Mengetahui Padang, 26 Januari 2019


Pimpinan Puskesmas Yang Melaporkan
STOK PENERIM PEMAK STOK PERMIN
NO NAMA OBAT JMLH
AWAL AAN AIAN AKHIR TAAN

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN JUNI 2019

STOK PENERIMA PEMAKAIA STOK


NO NAMA OBAT JMLH
AWAL AN N AKHIR
1 Acetyl cystein 440 0 440 0 0

2 Alcohol swab 350 0 350 130 220

3 Alkohol 3 0 3 Err:522 Err:522

4 Alopurinol 0 0 0 Err:522 Err:522

5 Ambroxol syr 7 10 17 6 9

6 Ambroxol tab 180 200 380 33 347


Aminopilin
7 0 0 0 Err:522 Err:522
ijeksi
8 Amlodipin 5 mg 150 0 150 30 31
Amoxicilin
9 24 10 34 3 420
syrup
10 Amoxicilin tab 110 400 510 90 17

11 Antacid syrup 9 10 19 2 590

12 Antacid tab 600 0 600 10 2

13 Antifungi 2 0 2 0 600
Asam
14 250 400 650 50 10
mefenamat
15 ATS 11 0 11 1 1

16 Berotec 0,1 % 2 0 2 1 0

17 Betadine 1 liter 0 0 0 0 35

18 Betadine 30 ml 35 0 35 0 120

19 Betahistine 180 0 180 60 3


Betametason zf
20 3 0 3 0 0
klt
Bioplacenton
21 0 0 0 0 2
tulle
22 Bufacetin zalf 3 0 3 1 18

23 Calci Gluconas 18 0 18 0 100


Captopril 12,5
24 100 0 100 0 3
mg
25 Catcut 3/0 3 0 3 0 25

26 Catcut 2/0 31 0 31 6 0

27 Catcut 4/0 0 0 0 0 600

28 Cefixime 600 0 600 0 262


Ciprofloksasin
29 280 400 680 418 209
500
30 CTM 100 400 500 291 13
Dexametason
31 18 0 18 5 157
inj
Dexametason
32 200 0 200 43 4
tab
33 Dextrose 10 % 4 0 4 0 4

34 Dextrose 5 % 4 0 4 0 15

35 Diazepam inj 15 0 15 0 14
Diphenhidramin
36 14 0 14 0 8
e
Domperidon
37 1 10 11 3 222
syrup
38 Domperidon tab 260 100 360 138 0
Dumin rectal
39 3 0 3 3 5
tube
40 Epinefrin HCL 5 0 5 0 6

41 Furosemide 6 0 6 0 10

42 Hand schun gin 10 0 10 0 100

43 Hand schun on 400 0 400 300 9


Hydrocortison
44 15 0 15 6 0
2,5
45 Hypafix 0 0 0 0 260
Ibuprofen 200
46 260 0 260 0 0
mg
Ibuprofen 400
47 0 0 0 0 17
mg
48 Infus set anak 17 0 17 0 37
Infus set
49 70 0 70 33 6
dewasa
50 IV Cath 20 8 0 8 2 0

51 IV Cath 24 5 0 5 5 Err:522
Kalsium laktat
52 148 0 148 148 Err:522
500
53 Kapas putih 2 0 2 Err:522 Err:522

54 Kasa 10cmx.. 0 0 0 Err:522 Err:522


Kasa steril
56 10 0 10 Err:522 Err:522
16x16
57 Kassa Gulung 0 0 0 Err:522 Err:522

58 Kertas Lakmus 1 0 1 Err:522 Err:522


Ketokonazole
59 150 0 150 Err:522 Err:522
tab
60 Klor etil 6 0 6 Err:522 Err:522
Kloramphenicol
61 3 0 3 Err:522 Err:522
tetes mata
Kloramphenicol
62 0 0 0 Err:522 Err:522
zk
Kloramphenicol
63 0 0 0 Err:522 Err:522
zm
Kotrimoksazol
64 11 0 11 Err:522 Err:522
syr
Kotrimoksazol
65 250 0 250 Err:522 Err:522
tab
66 Levertran zk 11 0 11 Err:522 Err:522

67 Lidocain inj 40 0 40 Err:522 Err:522

68 Loperamide 150 0 150 Err:522 Err:522


Metil Ergomet
69 16 0 16 Err:522 Err:522
inj
Metil Ergomet
70 200 0 200 Err:522 Err:522
tab
71 Metronidazole ta 200 0 200 Err:522 Err:522

72 MGsO4 20 mg 12 0 12 Err:522 Err:522

73 MGsO4 40 mg 12 0 12 Err:522 Err:522

74 Mikonazol slf 0 0 0 Err:522 Err:522

75 Nacl 9% 40 0 40 Err:522 Err:522


Natrium Diklo
76 0 0 0 Err:522 Err:522
25
Natrium Diklo
77 40 0 40 Err:522 Err:522
50
78 Nedle (tindik) 38 0 38 Err:522 Err:522
Nistatin tab
79 0 0 0 Err:522 Err:522
vaginal
O2 dan tabung
80 4 0 4 Err:522 Err:522
gas
Oksitosin inj 10
81 20 0 20 Err:522 Err:522
IU
82 Omeprazol 45 0 45 Err:522 Err:522

83 Oralit 130 0 130 Err:522 Err:522


Oxytetra zalf
84 20 0 20 Err:522 2
kulit
Paracetamol
85 9 0 9 7 Err:522
drop
Paracetamol
86 0 0 0 Err:522 Err:522
supp
87 Paracetamol syr 18 0 18 Err:522 Err:522

88 Paracetamol tab 60 500 560 Err:522 Err:522

89 Phenol Gliserol 14 0 14 Err:522 Err:522

90 Phytomenadion 100 0 100 Err:522 Err:522

91 Plaster besar 2 0 2 Err:522 Err:522

92 Plaster kecil 0 0 0 Err:522 Err:522

93 Plesterin 400 0 400 Err:522 Err:522

94 Polifix 2 2 4 Err:522 Err:522

95 Poly Kateter 4 0 4 Err:522 Err:522

96 Ranitidine 420 0 420 Err:522 Err:522

97 RL 24 20 44 Err:522 Err:522

98 Salbutamol 240 0 240 Err:522 Err:522

99 Salisil talk 26 0 26 Err:522 Err:522

100 Selang O2 Bayi 0 0 0 Err:522 Err:522


Selang O2
101 8 0 8 Err:522 Err:522
Dewasa
102 Sikl 4/0 0 0 0 Err:522 Err:522
103 Silk 3/0 100 36 136 Err:522 Err:522

104 Silk 2/0 108 0 108 Err:522 Err:522

105 Sofratulle 2 0 2 Err:522 Err:522

106 Spuit 1 ml 30 100 130 Err:522 Err:522

107 Spuit 3 ml 100 100 200 Err:522 Err:522

108 Spuit 5 ml 80 80 160 Err:522 Err:522

109 Spuit 10 ml 0 0 0 Err:522 Err:522

110 Spuit 20 ml 10 0 10 Err:522 Err:522

111 Stesolid 10 mg 0 0 0 Err:522 Err:522

112 Stesolid 5 mg 0 0 0 Err:522 Err:522


Sulfa Diazine
113 5 3 8 Err:522 Err:522
zalf
Sungkup Nebu
114 8 0 8 Err:522 Err:522
Anak
Sungkup Nebu
115 25 0 25 Err:522 Err:522
Dewasa
116 Surgical Blades 105 95 200 Err:522 Err:522
Surgical need
117 5 0 5 Err:522 Err:522
24
Surgical need
118 5 0 5 Err:522 #VALUE!
28
Tablet tambah
119 #VALUE! 720 #VALUE! 60 Err:522
darah
120 Tes Kehamilan 0 0 0 Err:522 Err:522

121 Trombopop gel 7 0 7 Err:522 Err:522

122 Umbilical Cord 4 0 4 Err:522 Err:522

123 Under pads 12 0 12 Err:522 Err:522

124 Urine bag 34 0 34 Err:522 Err:522

125 Vit B 6 80 0 80 Err:522 Err:522

126 Vit B Komplek 300 0 300 Err:522 Err:522

127 Vit B1 60 0 60 Err:522 Err:522

128 Vit C 40 300 340 Err:522 Err:522


129 Vit K inj 12 0 12 Err:522 Err:522

130 Zink 160 0 160 Err:522 0

131 Novadium 0

132

Mengetahui Padang, 31 Mei 2019


Pimpinan Puskesmas Yang Melaporkan

drg. Riny Zulfianty Yuliani, Amd. Kep


Nip. 19800930 200801 2 002 Nip. 19860731 200803 2 001
IKUR KOTO

PERMINTA
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0
0

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0
0

0
0

10

200

0
0

100

100
0

03 2 001
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN JULI 2019

STOK PENERIM PEMAKAI STOK PERMINT


NO NAMA OBAT JUMLAH
AWAL AAN AN AKHIR AAN
1 Acetyl cystein 440 0 440 0 440 0
2 Alcohol swab 350 0 350 30 170 0
3 Alkohol 3 0 3 0 3 0
4 Alopurinol 0 0 0 0 0 0
5 Ambroxol syr 7 0 7 2 8 0
6 Ambroxol tab 180 0 180 33 147 0
7 Aminopilin ijeksi 0 0 0 0 0 0
8 Amlodipin 5 mg 0 #VALUE! 30 120 200
9 Amoxicilin syrup 24 0 24 2 22 0
10 Amoxicilin tab 110 0 110 60 50 200
11 Antacid syrup 9 0 9 2 7 0
12 Antacid tab 600 0 600 20 580 0
13 Antifungi 2 0 2 0 2 0
14 Asam mefenamat 250 0 250 30 220 0
15 ATS 11 10 21 7 14 0
16 Berotec 0,1 % 2 0 2 1 1 0
17 Betadine 1 liter 0 0 0 0 0 0
18 Betadine 30 ml 35 0 35 0 35 0
19 Betahistine 180 0 180 80 100 200
20 Betametason zf klt 3 0 3 0 3 0
21 Bioplacenton tulle 0 0 0 0 0 0
22 Bufacetin zalf 3 0 3 2 1 5
23 Calci Gluconas 18 0 18 0 18 0
24 Captopril 12,5 mg 100 0 100 0 100 0
25 Catcut 3/0 3 24 27 6 21 0
26 Catcut 2/0 31 2886 2917 12 2905 0
27 Catcut 4/0 0 0 0 0 0 0
28 Cefixime 600 0 600 30 570 0
29 Ciprofloksasin 500 280 0 280 40 240 0
30 CTM 100 0 100 40 60 300
31 Dexametason inj 18 0 18 1 17 0
32 Dexametason tab 200 0 200 0 200 100
33 Dextrose 10 % 4 0 4 0 4 0
34 Dextrose 5 % 4 0 4 0 4 0
35 Diazepam inj 15 0 15 0 15 0
36 Diphenhidramine 14 0 14 0 14 0
37 Domperidon syrup 1 10 11 1 10 0
38 Domperidon tab 260 100 360 20 240 100
39 Dumin rectal tube 3 0 3 0 3 0
40 Epinefrin HCL 5 0 5 0 5 0
41 Furosemide 6 0 6 0 6 0
42 Hand schun gin 10 0 10 0 10 0
43 Hand schun on 400 0 400 50 350 200
44 Hydrocortison 2,5 15 0 15 0 15 0
45 Hypafix 0 0 0 0 0 0
46 Ibuprofen 200 mg 260 0 260 0 260 0
47 Ibuprofen 400 mg 0 0 0 0 0 100
48 Infus set anak 17 0 17 0 17 0
49 Infus set dewasa 70 0 70 1 69 10
50 IV Cath 20 8 0 8 1 7 0
51 IV Cath 24 5 0 5 0 5 0
52 Kalsium laktat 500 148 0 148 148 0 0
53 Kapas putih 2 0 2 0 2 0
54 Kasa 10cmx.. 0 0 0 0 0 0
56 Kasa steril 16x16 10 0 10 10 0 0
57 Kassa Gulung 0 0 0 0 0 0
58 Kertas Lakmus 1 0 1 0 1 0
59 Ketokonazole tab 150 0 150 0 150 0
60 Klor etil 6 0 6 0 6 0
Kloramphenicol
61 3 0 3 0 3 0
tetes mata
62 Kloramphenicol zk 0 0 0 0 0 0

63 Kloramphenicol zm 0 0 0 0 0 5
64 Kotrimoksazol syr 11 0 11 0 11 20
65 Kotrimoksazol tab 250 0 250 0 250 0
66 Levertran zk 11 0 11 0 11 0
67 Lidocain inj 40 99 139 30 109 0
68 Loperamide 150 0 150 25 125 0
69 Metil Ergomet inj 16 0 16 0 16 0
70 Metil Ergomet tab 200 0 200 0 200 0
71 Metronidazole tab 200 0 200 0 200 0
72 MGsO4 20 mg 12 0 12 0 12 0
73 MGsO4 40 mg 12 0 12 0 12 0
74 Mikonazol slf 0 0 0 0 0 0
75 Nacl 9% 40 0 40 0 40 0
76 Natrium Diklo 25 0 0 0 0 0 0
77 Natrium Diklo 50 40 0 40 0 40 0
78 Nedle (tindik) 38 0 38 3 35 0
79 Nistatin tab vaginal 0 0 0 0 0 0
80 O2 dan tabung gas 4 0 4 0 4 0
81 Oksitosin inj 10 IU 20 0 20 0 20 0
82 Omeprazol 45 0 45 0 45 0
83 Oralit 130 0 130 45 85 0
84 Oxytetra zalf kulit 20 0 20 0 20 0
85 Paracetamol drop 9 0 9 7 2 0
86 Paracetamol supp 0 6 6 6 0 0
87 Paracetamol syr 18 0 18 14 4 10
88 Paracetamol tab 60 500 560 95 465 300
89 Phenol Gliserol 14 0 14 0 14 0
90 Phytomenadion 100 0 100 6 94 0
91 Plaster besar 2 0 2 0 2 0
92 Plaster kecil 0 0 0 0 0 0
93 Plesterin 400 0 400 0 400 0
94 Polifix 2 0 2 0 2 0
95 Poly Kateter 4 0 4 3 1 0
96 Ranitidine 420 0 420 67 353 200
97 RL 24 0 24 0 24 0
98 Salbutamol 240 0 240 0 240 0
99 Salisil talk 26 0 26 1 25 0
100 Selang O2 Bayi 0 0 0 0 0 0
101 Selang O2 Dewasa 8 0 8 0 8 0
102 Sikl 4/0 0 0 0 0 0 0
103 Silk 3/0 100 0 100 2 98 0
104 Silk 2/0 108 0 108 0 108 0
105 Sofratulle 2 0 2 2 0 0
106 Spuit 1 ml 30 0 30 5 25 0
107 Spuit 3 ml 100 100 200 30 170 0
108 Spuit 5 ml 80 0 80 5 75 0
109 Spuit 10 ml 0 0 0 0 0 0
110 Spuit 20 ml 10 0 10 1 9 0
111 Stesolid 10 mg 0 0 0 0 0 0
112 Stesolid 5 mg 0 5 5 5 0 0
113 Sulfa Diazine zalf 5 3 8 3 5 0
114 Sungkup Nebu Anak 8 0 8 8 0

Sungkup Nebu
115 25 0 25 3 22 0
Dewasa
116 Surgical Blades 105 0 105 4 101 0
117 Surgical need 24 5 0 5 0 5 0
118 Surgical need 28 5 0 5 0 5 0
119 Tablet tambah darah 0 0 0 0 0 60
120 Tes Kehamilan 0 0 0 0 0 0
121 Trombopop gel 7 0 7 5 2 0
122 Umbilical Cord 4 0 4 0 4 0
123 Under pads 12 0 12 0 12 0
124 Urine bag 34 0 34 5 29 0
125 Vit B 6 80 0 80 0 80 0
126 Vit B Komplek 300 0 300 30 270 200
127 Vit B1 60 0 60 20 40 0
128 Vit C 40 0 40 40 0 0
129 Vit K inj 12 0 12 0 12 0
130 Zink 160 0 160 0 160 0
131 Novadium 0 0 0 0 0 100
132 GG 0 0 0 0 0 100

Mengetahui Padang, 25 Juli 2019


Pimpinan Puskesmas Yang Melaporkan

drg. Riny Zulfianty Nofrita, Amd.Kep


Nip. 19800930 200801 2 002 Nip. 19771113 201406 2 004
LAPORAN PEMAKAIAN OBAT UGD DAN KLINIK BERSALIN HC. IKUR KOTO
BULAN Agustus 2019
+
STOK PENERIM PEMAKAI STOK
NO NAMA OBAT JUMLAH
AWAL AAN AN AKHIR
1 Acetyl cystein 420 0 420 20 420
2 Alcohol swab 250 0 250 100 250
3 Alkohol 3 0 3 0 3
4 Alopurinol 0 0 0 0 0
5 Ambroxol syr 5 0 5 2 8
6 Ambroxol tab 180 0 180 0 147
7 Aminopilin ijeksi 0 0 0 0 0
8 Amlodipin 5 mg 150 150 300 0 270
9 Amoxicilin syrup 24 0 24 9 0
10 Amoxicilin tab 250 200 60 50
11 Antacid syrup 9 0 9 2 7
12 Antacid tab 600 0 600 20 580
13 Antifungi 2 0 2 0 2
14 Asam mefenamat 250 0 250 30 220
15 ATS 11 10 21 7 14
16 Berotec 0,1 % 2 0 2 1 1
17 Betadine 1 liter 0 0 0 0 0
18 Betadine 30 ml 35 0 35 0 35
19 Betahistine 180 0 180 80 100
20 Betametason zf klt 3 0 3 0 3
21 Bioplacenton tulle 0 0 0 0 0
22 Bufacetin zalf 3 0 3 2 1
23 Calci Gluconas 18 0 18 0 18
24 Captopril 12,5 mg 100 0 100 0 100
25 Catcut 3/0 3 24 27 6 21
26 Catcut 2/0 31 2886 2917 12 2905
27 Catcut 4/0 0 0 0 0 0
28 Cefixime 600 0 600 30 570
29 Ciprofloksasin 500 280 0 280 40 240
30 CTM 100 0 100 40 60
31 Dexametason inj 18 0 18 1 17
32 Dexametason tab 200 0 200 0 200
33 Dextrose 10 % 4 0 4 0 4
34 Dextrose 5 % 4 0 4 0 4
35 Diazepam inj 15 0 15 0 15
36 Diphenhidramine 14 0 14 0 14
37 Domperidon syrup 1 10 11 1 10
38 Domperidon tab 260 100 360 20 240
39 Dumin rectal tube 3 0 3 0 3
40 Epinefrin HCL 5 0 5 0 5
41 Furosemide 6 0 6 0 6
42 Hand schun gin 10 0 10 0 10
43 Hand schun on 400 0 400 50 350
44 Hydrocortison 2,5 15 0 15 0 15
45 Hypafix 5 0 5 5 0
46 Ibuprofen 200 mg 260 0 260 0 260
47 Ibuprofen 400 mg 0 0 0 0 0
48 Infus set anak 17 0 17 0 17
49 Infus set dewasa 70 0 70 1 69
50 IV Cath 20 8 0 8 1 7
51 IV Cath 24 5 0 5 0 5
52 Kalsium laktat 500 148 0 148 148 0
53 Kapas putih 2 0 2 0 2
54 Kasa 10cmx.. 0 0 0 0 0
56 Kasa steril 16x16 10 0 10 10 0
57 Kassa Gulung 0 0 0 0 0
58 Kertas Lakmus 1 0 1 0 1
59 Ketokonazole tab 150 0 150 0 150
60 Klor etil 6 0 6 0 6
Kloramphenicol
61 3 0 3 0 3
tetes mata
62 Kloramphenicol zk 0 0 0 0 0
63 Kloramphenicol zm 0 0 0 0 0
64 Kotrimoksazol syr 11 0 11 0 11
65 Kotrimoksazol tab 250 0 250 0 250
66 Levertran zk 11 0 11 0 11
67 Lidocain inj 40 99 139 30 109
68 Loperamide 150 0 150 25 125
69 Metil Ergomet inj 16 0 16 0 16
70 Metil Ergomet tab 200 0 200 0 200
71 Metronidazole tab 200 0 200 0 200
72 MGsO4 20 mg 12 0 12 0 12
73 MGsO4 40 mg 12 0 12 0 12
74 Mikonazol slf 0 0 0 0 0
75 Nacl 9% 40 0 40 0 40
76 Natrium Diklo 25 0 0 0 0 0
77 Natrium Diklo 50 40 0 40 0 40
78 Nedle (tindik) 38 0 38 3 35
79 Nistatin tab vaginal 0 0 0 0 0
80 O2 dan tabung gas 4 0 4 0 4
81 Oksitosin inj 10 IU 20 0 20 0 20
82 Omeprazol 45 0 45 0 45
83 Oralit 130 0 130 45 85
84 Oxytetra zalf kulit 20 0 20 0 20
85 Paracetamol drop 9 0 9 7 2
86 Paracetamol supp 0 6 6 6 0
87 Paracetamol syr 18 0 18 14 4
88 Paracetamol tab 60 500 560 95 465
89 Phenol Gliserol 14 0 14 0 14
90 Phytomenadion 100 0 100 6 94
91 Plaster besar 2 0 2 0 2
92 Plaster kecil 0 0 0 0 0
93 Plesterin 400 0 400 0 400
94 Polifix 2 0 2 0 2
95 Poly Kateter 4 0 4 3 1
96 Ranitidine 420 0 420 67 353
97 RL 24 0 24 0 24
98 Salbutamol 240 0 240 0 240
99 Salisil talk 26 0 26 1 25
100 Selang O2 Bayi 0 0 0 0 0
101 Selang O2 Dewasa 8 0 8 0 8
102 Sikl 4/0 0 0 0 0 0
103 Silk 3/0 100 0 100 2 98
104 Silk 2/0 108 0 108 0 108
105 Sofratulle 2 0 2 2 0
106 Spuit 1 ml 30 0 30 5 25
107 Spuit 3 ml 100 100 200 30 170
108 Spuit 5 ml 80 0 80 5 75
109 Spuit 10 ml 0 0 0 0 0
110 Spuit 20 ml 10 0 10 1 9
111 Stesolid 10 mg 0 0 0 0 0
112 Stesolid 5 mg 0 5 5 5 0
113 Sulfa Diazine zalf 5 3 8 3 5
114 Sungkup Nebu Anak 8 0 8 8

Sungkup Nebu
115 25 0 25 3 22
Dewasa
116 Surgical Blades 105 0 105 4 101
117 Surgical need 24 5 0 5 0 5
118 Surgical need 28 5 0 5 0 5
119 Tablet tambah darah 0 0 0 0 0
120 Tes Kehamilan 0 0 0 0 0
121 Trombopop gel 7 0 7 5 2
122 Umbilical Cord 4 0 4 0 4
123 Under pads 12 0 12 0 12
124 Urine bag 34 0 34 5 29
125 Vit B 6 80 0 80 0 80
126 Vit B Komplek 300 0 300 30 270
127 Vit B1 60 0 60 20 40
128 Vit C 40 0 40 40 0
129 Vit K inj 12 0 12 0 12
130 Zink 160 0 160 0 160
131 Novadium 0 0 0 0 0
132 GG 0 0 0 0 0

Mengetahui Padang, 25 Juli 2019


Pimpinan Puskesmas Yang Melaporkan

drg. Riny Zulfianty Nofrita, Amd.Kep


Nip. 19800930 200801 2 002 Nip. 19771113 201406 2 004
IKUR KOTO

PERMINT
AAN
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
5
0
0
0
0
0
0
0
300
0
100
0
0
0
0
0
100
0
0
0
0
200
0
0
0
100
0
10
0
0
0
0
0
0
0
0
0
0
0
0
5
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
300
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
60
0
0
0
0
0
0
200
0
0
0
0
100
100

Juli 2019

01406 2 004

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