LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(LPLPO)
KODE PUSKESMAS :
SUB UNIT : POLINDES SIMP Laporan bulan :
KECAMATAN : RAWAS ULU Permintaan Bulan :
KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

STOK
NO NAMA OBAT SAT AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET

a b c e f g=e+f h i=g-h l m
1 AMOXICILLIN 500 MG TAB 0 0 0 10 -10 100
2 ASAM FOLAT TAB 0 0 0 10 -10 200
3 ASAM TRANEXAMAT INJ AMP 0 0 0 8 -8 8
4 BETAHISTIN 24 MG TAB 0 0 0 60 -60 60
5 CAPTOPRIL 25 MG TAB 0 0 0 100 -100 100
6 CEFADROXIL SYR BTL 0 0 0 5 -5 5
7 CETRIZIN 10 MG TAB 0 0 0 10 -10 100
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 100 -100 100
9 CIPROFLOXACIN 500 MG TAB 0 0 0 100 -100 100
10 DEXAMETASON INJ AMP 0 0 0 5 -5 5
11 DOMPERIDON TAB 0 0 0 200 -200 200
12 HANDSCOON PROTOS M PCS 0 0 0 100 -100 100
13 HANDSCRUBE BTL 0 0 0 1 -1 1
14 HANDRUB BTL 0 0 0 1 -1 1
15 HERBAKOF TAB 0 0 0 150 -150 150
16 HYDROKORTISON CR TUBE 0 0 0 4 -4 4
17 IBUPROFEN SYR 100 MG BTL 0 0 0 3 -3 3
18 IBUPROFEN 400 MG TAB 0 0 0 300 -300 300
19 INFUSION SET ANAK PCS 0 0 0 20 -20 20
20 INFUSION SET DEWASA PCS 0 0 0 10 -10 10
21 IV CATHETER 18 PCS 0 0 0 3 -3 3
22 IV CATHETER 20 PCS 0 0 0 15 -15 15
23 IV CATHETER 22 PCS 0 0 0 5 -5 5
24 IV CATHETER 24 PCS 0 0 0 5 -5 5
25 KASSA HYDROFIL 80 CM PCS 0 0 0 1 -1 1
26 KASSA HYDROFIL 15 CM PCS 0 0 0 5 -5 5
27 KASSA STERIL 16X16 PCS 0 0 0 24 -24 24
28 KETOKONAZOLE TAB 0 0 0 100 -100 100
 STOK
NO NAMA OBAT SAT AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET

a b c e f g=e+f h i=g-h l m
29 LANSOPRAZOLE TAB 0 0 0 150 -150 150
30 METRONIDAZOLE 500 MG TAB 0 0 0 200 -200 200
31 MICONAZOLE CR TUBE 0 0 0 3 -3 3
32 NASSAL CANUL ANAK PCS 0 0 0 5 -5 5
33 NASSAL CANUL DEWASA PCS 0 0 0 5 -5 5
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 100 -100 100
35 OMEPRAZOLE TAB 0 0 0 200 -200 200
36 ONDANSENTRON INJ AMP 0 0 0 10 -10 10
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 5 -5 5
38 PARACETAMOL TAB 0 0 0 100 -100 100
39 PERMETRIN CR TUBE 0 0 0 5 -5 5
40 PHYTOMENADION TAB 0 0 0 100 -100 100
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 1 -1 1
42 RANITIDIN TAB 0 0 0 300 -300 300
43 RAMVIT C TAB 0 0 0 100 -100 100
44 RINGER LAKTAT KOLF 0 0 0 10 -10 10
45 SALEP 2-4 POT 0 0 0 0 0 3
46 SIMVASTATIN 10 MG TAB 0 0 0 0 0 100
47 SUCRALFATE 500 MG TAB 0 0 0 0 0 100
48 SPUIT 3 CC PCS 0 0 0 0 0 20
49 SPUIT 5 CC PCS 0 0 0 0 0 30
50 VITAMIN B1 TAB 0 0 0 0 0 100
51 0 0 0 0 0 0
52 0 0 0 0 0 0

Mengetahui Yang Menerima, Diketahui,

Ka.UPT Puskesmas Surulangun Ka. Instalasi Farmasi Puskesmas Surulangun

dr.Henny M.KM ................................................ apt. Sondang Nauli, S.Farm

NIP 19760610 200604 2 007 NIP....................................... NIP. 19920403 202321 2 003
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMAAN PERSEDIAAN PEMAKAIAN

AWAL
a b c e f g=e+f h
1 AMOXICILLIN 500 MG TAB -10 100 90 0
2 ASAM FOLAT TAB -10 200 190 0
3 ASAM TRANEXAMAT INJ AMP -8 8 0 0
4 BETAHISTIN 24 MG TAB -60 60 0 0
5 CAPTOPRIL 25 MG TAB -100 100 0 0
6 CEFADROXIL SYR BTL -5 5 0 0
7 CETRIZIN 10 MG TAB -10 100 90 0
8 CHLORFENIRAMIN MALEAT (CTM) TAB -100 100 0 0
9 CIPROFLOXACIN 500 MG TAB -100 100 0 0
10 DEXAMETASON INJ AMP -5 5 0 0
11 DOMPERIDON TAB -200 200 0 0
12 HANDSCOON PROTOS M PCS -100 100 0 0
13 HANDSCRUBE BTL -1 1 0 0
14 HANDRUB BTL -1 1 0 0
15 HERBAKOF TAB -150 150 0 0
16 HYDROKORTISON CR TUBE -4 4 0 0
17 IBUPROFEN SYR 100 MG BTL -3 3 0 0
18 IBUPROFEN 400 MG TAB -300 300 0 0
19 INFUSION SET ANAK PCS -20 20 0 0
20 INFUSION SET DEWASA PCS -10 10 0 0
21 IV CATHETER 18 PCS -3 3 0 0
22 IV CATHETER 20 PCS -15 15 0 0
23 IV CATHETER 22 PCS -5 5 0 0
24 IV CATHETER 24 PCS -5 5 0 0
25 KASSA HYDROFIL 80 CM PCS -1 1 0 0
26 KASSA HYDROFIL 15 CM PCS -5 5 0 0
27 KASSA STERIL 16X16 PCS -24 24 0 0
28 KETOKONAZOLE TAB -100 100 0 0
29 LANSOPRAZOLE TAB -150 150 0 0
30 METRONIDAZOLE 500 MG TAB -200 200 0 0
31 MICONAZOLE CR TUBE -3 3 0 0
32 NASSAL CANUL ANAK PCS -5 5 0 0
33 NASSAL CANUL DEWASA PCS -5 5 0 0
34 NATRIUM DICLOFENAK 25 MG TAB -100 100 0 0
35 OMEPRAZOLE TAB -200 200 0 0
36 ONDANSENTRON INJ AMP -10 10 0 0
37 OTSU WATER FOR INJ 25 ML FLESH -5 5 0 0
38 PARACETAMOL TAB -100 100 0 0
39 PERMETRIN CR TUBE -5 5 0 0
40 PHYTOMENADION TAB -100 100 0 0
41 PLESTER LEUKOPLAST 5 CM PCS -1 1 0 0
42 RANITIDIN TAB -300 300 0 0
43 RAMVIT C TAB -100 100 0 0
44 RINGER LAKTAT KOLF -10 10 0 0
45 SALEP 2-4 POT 0 3 3 0
46 SIMVASTATIN 10 MG TAB 0 100 100 0
47 SUCRALFATE 500 MG TAB 0 100 100 0
48 SPUIT 3 CC PCS 0 20 20 0
49 SPUIT 5 CC PCS 0 30 30 0
50 VITAMIN B1 TAB 0 100 100 0
51 0 0 0 0 0 0
52 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
TAAN OBAT

SISA STOK PERMINTAAN KET

i=g-h l m
90
190
0
0
0
0
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
3
100
100
20
30
100
0
0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMAAN PERSEDIAAN PEMAKAIAN

AWAL
a b c e f g=e+f h
1 AMOXICILLIN 500 MG TAB 90 0 90 0
2 ASAM FOLAT TAB 190 0 190 0
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0
14 HANDRUB BTL 0 0 0 0
15 HERBAKOF TAB 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0
42 RANITIDIN TAB 0 0 0 0
43 RAMVIT C TAB 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0
46 SIMVASTATIN 10 MG TAB 100 0 100 0
47 SUCRALFATE 500 MG TAB 100 0 100 0
48 SPUIT 3 CC PCS 20 0 20 0
49 SPUIT 5 CC PCS 30 0 30 0
50 VITAMIN B1 TAB 100 0 100 0
51 0 0 0 0 0 0
52 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
AN OBAT

SISA STOK PERMINTA KET

AN
i=g-h l m
90
190
0
0
0
0
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
3
100
100
20
30
100
0
0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan

KECAMATAN : RAWAS ULU Permintaan Bulan

KABUPATEN : MUSIRAWAS UTARA Nomor
PROVINSI : SUMATERA SELATAN Tanggal

NO NAMA OBAT SAT STOK PENERIMAAN PERSEDIAAN

AWAL
a b c e f g=e+f
1 AMOXICILLIN 500 MG TAB 90 0 90
2 ASAM FOLAT TAB 190 0 190
3 ASAM TRANEXAMAT INJ AMP 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0
6 CEFADROXIL SYR BTL 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0
10 DEXAMETASON INJ AMP 0 0 0
11 DOMPERIDON TAB 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0
13 HANDSCRUBE BTL 0 0 0
14 HANDRUB BTL 0 0 0
15 HERBAKOF TAB 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0
19 INFUSION SET ANAK PCS 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0
21 IV CATHETER 18 PCS 0 0 0
22 IV CATHETER 20 PCS 0 0 0
23 IV CATHETER 22 PCS 0 0 0
24 IV CATHETER 24 PCS 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0
28 KETOKONAZOLE TAB 0 0 0
29 LANSOPRAZOLE TAB 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0
31 MICONAZOLE CR TUBE 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0
35 OMEPRAZOLE TAB 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0
38 PARACETAMOL TAB 0 0 0
39 PERMETRIN CR TUBE 0 0 0
40 PHYTOMENADION TAB 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0
42 RANITIDIN TAB 0 0 0
43 RAMVIT C TAB 0 0 0
44 RINGER LAKTAT KOLF 0 0 0
45 SALEP 2-4 POT 3 0 3
46 SIMVASTATIN 10 MG TAB 100 0 100
47 SUCRALFATE 500 MG TAB 100 0 100
48 SPUIT 3 CC PCS 20 0 20
49 SPUIT 5 CC PCS 30 0 30
50 VITAMIN B1 TAB 100 0 100
51 0 0 0 0 0
52 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
R PERMINTAAN OBAT

:
:
:

PEMAKAIAN SISA STOK PERMINTAAN KET

h i=g-h l m
0 90
0 190
0 0
0 0
0 0
0 0
0 90
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3
0 100
0 100
0 20
0 30
0 100
0 0
0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMAAN PERSEDIAAN PEMAKAIAN

AWAL
a b c e f g=e+f h
1 AMOXICILLIN 500 MG TAB 90 0 90 0
2 ASAM FOLAT TAB 190 0 190 0
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0
14 HANDRUB BTL 0 0 0 0
15 HERBAKOF TAB 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0
42 RANITIDIN TAB 0 0 0 0
43 RAMVIT C TAB 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0
46 SIMVASTATIN 10 MG TAB 100 0 100 0
47 SUCRALFATE 500 MG TAB 100 0 100 0
48 SPUIT 3 CC PCS 20 0 20 0
49 SPUIT 5 CC PCS 30 0 30 0
50 VITAMIN B1 TAB 100 0 100 0
51 0 0 0 0 0 0
52 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
TAAN OBAT

SISA STOK PERMINTA KET

AN
i=g-h l m
90
190
0
0
0
0
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
3
100
100
20
30
100
0
0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMA PERSEDIA PEMAKAIA SISA STOK

AWAL AN AN N
a b c e f g=e+f h i=g-h
1 AMOXICILLIN 500 MG TAB 90 0 90 0 90
2 ASAM FOLAT TAB 190 0 190 0 190
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0 90
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0 0
14 HANDRUB BTL 0 0 0 0 0
15 HERBAKOF TAB 0 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0 0
42 RANITIDIN TAB 0 0 0 0 0
43 RAMVIT C TAB 0 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0 3
46 SIMVASTATIN 10 MG TAB 100 0 100 0 100
47 SUCRALFATE 500 MG TAB 100 0 100 0 100
48 SPUIT 3 CC PCS 20 0 20 0 20
49 SPUIT 5 CC PCS 30 0 30 0 30
50 VITAMIN B1 TAB 100 0 100 0 100
51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
OBAT

PERMINTA KET
AN
l m
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMA PERSEDIA PEMAKAIA SISA STOK

AWAL AN AN N
a b c e f g=e+f h i=g-h
1 AMOXICILLIN 500 MG TAB 90 0 90 0 90
2 ASAM FOLAT TAB 190 0 190 0 190
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0 90
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0 0
14 HANDRUB BTL 0 0 0 0 0
15 HERBAKOF TAB 0 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0 0
42 RANITIDIN TAB 0 0 0 0 0
43 RAMVIT C TAB 0 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0 3
46 SIMVASTATIN 10 MG TAB 100 0 100 0 100
47 SUCRALFATE 500 MG TAB 100 0 100 0 100
48 SPUIT 3 CC PCS 20 0 20 0 20
49 SPUIT 5 CC PCS 30 0 30 0 30
50 VITAMIN B1 TAB 100 0 100 0 100
51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
N OBAT

PERMINTA KET
AN
l m
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMA PERSEDIA PEMAKAIA SISA STOK

AWAL AN AN N
a b c e f g=e+f h i=g-h
1 AMOXICILLIN 500 MG TAB 90 0 90 0 90
2 ASAM FOLAT TAB 190 0 190 0 190
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0 90
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0 0
14 HANDRUB BTL 0 0 0 0 0
15 HERBAKOF TAB 0 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0 0
42 RANITIDIN TAB 0 0 0 0 0
43 RAMVIT C TAB 0 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0 3
46 SIMVASTATIN 10 MG TAB 100 0 100 0 100
47 SUCRALFATE 500 MG TAB 100 0 100 0 100
48 SPUIT 3 CC PCS 20 0 20 0 20
49 SPUIT 5 CC PCS 30 0 30 0 30
50 VITAMIN B1 TAB 100 0 100 0 100
51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
OBAT

PERMINTA KET
AN
l m
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMA PERSEDIA PEMAKAIA SISA STOK

AWAL AN AN N
a b c e f g=e+f h i=g-h
1 AMOXICILLIN 500 MG TAB 90 0 90 0 90
2 ASAM FOLAT TAB 190 0 190 0 190
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0 90
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0 0
14 HANDRUB BTL 0 0 0 0 0
15 HERBAKOF TAB 0 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0 0
42 RANITIDIN TAB 0 0 0 0 0
43 RAMVIT C TAB 0 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0 3
46 SIMVASTATIN 10 MG TAB 100 0 100 0 100
47 SUCRALFATE 500 MG TAB 100 0 100 0 100
48 SPUIT 3 CC PCS 20 0 20 0 20
49 SPUIT 5 CC PCS 30 0 30 0 30
50 VITAMIN B1 TAB 100 0 100 0 100
51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
OBAT

PERMINTA KET
AN
l m
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMA PERSEDIA PEMAKAIA SISA STOK

AWAL AN AN N
a b c e f g=e+f h i=g-h
1 AMOXICILLIN 500 MG TAB 90 0 90 0 90
2 ASAM FOLAT TAB 190 0 190 0 190
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0 90
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0 0
14 HANDRUB BTL 0 0 0 0 0
15 HERBAKOF TAB 0 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0 0
42 RANITIDIN TAB 0 0 0 0 0
43 RAMVIT C TAB 0 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0 3
46 SIMVASTATIN 10 MG TAB 100 0 100 0 100
47 SUCRALFATE 500 MG TAB 100 0 100 0 100
48 SPUIT 3 CC PCS 20 0 20 0 20
49 SPUIT 5 CC PCS 30 0 30 0 30
50 VITAMIN B1 TAB 100 0 100 0 100
51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
OBAT

PERMINTA KET
AN
l m
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMA PERSEDIA PEMAKAIA SISA STOK

AWAL AN AN N
a b c e f g=e+f h i=g-h
1 AMOXICILLIN 500 MG TAB 90 0 90 0 90
2 ASAM FOLAT TAB 190 0 190 0 190
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0 90
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0 0
14 HANDRUB BTL 0 0 0 0 0
15 HERBAKOF TAB 0 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0 0
42 RANITIDIN TAB 0 0 0 0 0
43 RAMVIT C TAB 0 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0 3
46 SIMVASTATIN 10 MG TAB 100 0 100 0 100
47 SUCRALFATE 500 MG TAB 100 0 100 0 100
48 SPUIT 3 CC PCS 20 0 20 0 20
49 SPUIT 5 CC PCS 30 0 30 0 30
50 VITAMIN B1 TAB 100 0 100 0 100
51 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
N OBAT

PERMINTA KET
AN
l m
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
KODE PUSKESMAS :

SUB UNIT : POLINDES ......... Laporan bulan :

KECAMATAN : RAWAS ULU Permintaan Bulan :

KABUPATEN : MUSIRAWAS UTARA Nomor :
PROVINSI : SUMATERA SELATAN Tanggal :

NO NAMA OBAT SAT STOK PENERIMA PERSEDIA PEMAKAIA

AWAL AN AN N
a b e f g=e+f h
1 AMOXICILLIN 500 MG TAB 90 0 90 0
2 ASAM FOLAT TAB 190 0 190 0
3 ASAM TRANEXAMAT INJ AMP 0 0 0 0
4 BETAHISTIN 24 MG TAB 0 0 0 0
5 CAPTOPRIL 25 MG TAB 0 0 0 0
6 CEFADROXIL SYR BTL 0 0 0 0
7 CETRIZIN 10 MG TAB 90 0 90 0
8 CHLORFENIRAMIN MALEAT (CTM) TAB 0 0 0 0
9 CIPROFLOXACIN 500 MG TAB 0 0 0 0
10 DEXAMETASON INJ AMP 0 0 0 0
11 DOMPERIDON TAB 0 0 0 0
12 HANDSCOON PROTOS M PCS 0 0 0 0
13 HANDSCRUBE BTL 0 0 0 0
14 HANDRUB BTL 0 0 0 0
15 HERBAKOF TAB 0 0 0 0
16 HYDROKORTISON CR TUBE 0 0 0 0
17 IBUPROFEN SYR 100 MG BTL 0 0 0 0
18 IBUPROFEN 400 MG TAB 0 0 0 0
19 INFUSION SET ANAK PCS 0 0 0 0
20 INFUSION SET DEWASA PCS 0 0 0 0
21 IV CATHETER 18 PCS 0 0 0 0
22 IV CATHETER 20 PCS 0 0 0 0
23 IV CATHETER 22 PCS 0 0 0 0
24 IV CATHETER 24 PCS 0 0 0 0
25 KASSA HYDROFIL 80 CM PCS 0 0 0 0
26 KASSA HYDROFIL 15 CM PCS 0 0 0 0
27 KASSA STERIL 16X16 PCS 0 0 0 0
28 KETOKONAZOLE TAB 0 0 0 0
29 LANSOPRAZOLE TAB 0 0 0 0
30 METRONIDAZOLE 500 MG TAB 0 0 0 0
31 MICONAZOLE CR TUBE 0 0 0 0
32 NASSAL CANUL ANAK PCS 0 0 0 0
33 NASSAL CANUL DEWASA PCS 0 0 0 0
34 NATRIUM DICLOFENAK 25 MG TAB 0 0 0 0
35 OMEPRAZOLE TAB 0 0 0 0
36 ONDANSENTRON INJ AMP 0 0 0 0
37 OTSU WATER FOR INJ 25 ML FLESH 0 0 0 0
38 PARACETAMOL TAB 0 0 0 0
39 PERMETRIN CR TUBE 0 0 0 0
40 PHYTOMENADION TAB 0 0 0 0
41 PLESTER LEUKOPLAST 5 CM PCS 0 0 0 0
42 RANITIDIN TAB 0 0 0 0
43 RAMVIT C TAB 0 0 0 0
44 RINGER LAKTAT KOLF 0 0 0 0
45 SALEP 2-4 POT 3 0 3 0
46 SIMVASTATIN 10 MG TAB 100 0 100 0
47 SUCRALFATE 500 MG TAB 100 0 100 0
48 SPUIT 3 CC PCS 20 0 20 0
49 SPUIT 5 CC PCS 30 0 30 0
50 VITAMIN B1 TAB 100 0 100 0
51 0 0 0 0 0 0
52 0 0 0 0 0 0

Mengetahui
Kepala UPT Puskesmas Surulangun

dr.Henny ,M.KM
NIP.19760610 200604 2 007
TAAN OBAT

SISA STOK PERMINTA KET

AN
i=g-h l m
90
190
0
0
0
0
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
3
100
100
20
30
100
0
0