STOK OPNAME PUSKESMAS BOJONG

SUB UNIT : PUSTU GEREDUG

BULAN : JUNI 2024
NO NAMA SATUAN JUMLAH
1 Amlodipin Besilate 5 mg Tablet 50
2 amoksilin 125 mg botol 5
3 Amoksisilin Tablet 500 mg Tablet 80
4 Antasida tablet 130
5 Asam mefenamat Tablet -
6 asetylistein kapsul -
7 Guaiafenesin 100 mg Tablet 70
8 hidrokortison tube -
9 klorpeniramin (CTM) 4 mg Tablet 90
10 Kotrimoksazol Dewasa Tablet 480 mg Tablet -
11 Kotrimoksazol Sirup / Suspensi Botol -
12 Metformin 500 mg Tablet Tablet -
13 Obat Batuk Flu ( Molexflu ) Tablet -
14 Obat anti diare /Akita Tablet -
15 deksametason Tablet 50
16 omeprazole kapsul -
17 Paracetamol Sirup 120 mg/5 ml Botol 5
18 parasetamol 500 mg Tablet 100
19 Piridoksin HCL (VIT B6) tablet 10mg tablet -
20 Prednison Tablet 5 mg Tablet -
21 Ranitidin tablet Tablet -
22 ringer laktat botol -
23 simvastatin 10 mg Tablet -
24 Salbutamol Tablet 2 mg Tablet -
25 Salep 2-4 Tube -
26 Tiamin Tablet 50 mg ( B1 ) Tablet -
27 Vitamin B komplek Tablet 100
28 Zink tablet 20 mg Tablet -
29 zink sirup botol 3
30 Tablet Penambah Darah ( FE ) Tablet -
31 Alat suntik 1 ml Pcs -
32 Alkohol swab Sachet -
33 Kapas Pembalut 250 gr Bungkus -
34 Kasa Steril 16 x 16 cm Kotak -
35 Plester 1" Rol -
36 sarung tangan s box -
37 Sarung tangan no 6,5 Steril Gloves Pasang -
38 Sarung tangan no 7,0 Steril Pasang -
39 cetirizine jkn Tablet -
40 gentamisin S. k tube -
41 kalk Tablet -
42 underpad ball -
43 Betametason tube -
44 Natrium diklopenak Tablet 60
45 Acyclovir Tablet 100
46 bioplasenton tube -
47 tetes mata tube -
48 salep mata tube -
49 vitamin sirup botol -
50 antasida botol -
51 oksitosin ampul -
52 lidocain ampul -
53 spuit 3 cc pcs -
54 infus set pcs -
55 paracetamol drops botol -
56 pcs
Penanggung jawab
Puskesmas Bojong Sub Unit…………………..

(Apt. Dede Mulyani, S.Far) (………………………………)

Nit.202103019
 ED

Penanggung jawab
Sub Unit…………………..

(………………………………)
 PEMERINTAH KABUPATEN PANDEGLANG
DINAS KESEHATAN
BLUD UPT PUSKESMAS KECAMATAN BOJONG
Alamat : Jl. Raya Saketi-Malimping Km 10 Bojong – Pandeglang 42274
E-mail : puskesmas.bojong @ gmail.com
SURAT BUKTI BARANG KELUAR (SBBK)

SUB UNIT : PUSTU GEREDUG

BULAN : juni 2024
NO NAMA SATUAN JUMLAH

1 Amlodipin Besilate 5 mg Tablet 100

2 amoksilin 125 mg botol 10
3 Amoksisilin Tablet 500 mg Tablet 100
4 Antasida tablet 200
5 Asam mefenamat Tablet 0
6 asetylistein kapsul 0
7 Guaiafenesin 100 mg Tablet 100
8 hidrokortison tube 0
9 klorpeniramin (CTM) 4 mg Tablet 100
10 Kotrimoksazol Dewasa Tablet 480 mg Tablet 0
11 Kotrimoksazol Sirup / Suspensi Botol 0
13 Metformin 500 mg Tablet Tablet 0
14 Obat Batuk Flu ( Molexflu ) Tablet 0
15 Obat anti diare /Akita Tablet 0
16 deksametason Tablet 100
17 omeprazole kapsul 0
18 Paracetamol Sirup 120 mg/5 ml Botol 10
19 parasetamol 500 mg Tablet 200
21 Piridoksin HCL (VIT B6) tablet 10mg tablet 0
22 Prednison Tablet 5 mg Tablet 0
23 Ranitidin tablet Tablet 0
24 ringer laktat botol 0
25 simvastatin 10 mg Tablet 0
27 Salbutamol Tablet 2 mg Tablet 0
28 Salep 2-4 Tube 0
29 Tiamin Tablet 50 mg ( B1 ) Tablet 0
30 Vitamin B komplek Tablet 200
31 Zink tablet 20 mg Tablet 0
32 zink sirup botol 3
33 Tablet Penambah Darah ( FE ) Tablet 0
34 Alat suntik 1 ml Pcs 0
35 Alkohol swab Sachet 0
36 Kapas Pembalut 250 gr Bungkus 0
37 Kasa Steril 16 x 16 cm Kotak 0
38 Plester 1" Rol 0
39 sarung tangan s box 0
40 Sarung tangan no 6,5 Steril Gloves Pasang 0
41 Sarung tangan no 7,0 Steril Pasang 0
42 cetirizine jkn Tablet 0
43 gentamisin S. k tube 0
44 kalk Tablet 0
45 underpad ball 0
46 Betametason tube 0
47 Natrium diklopenak Tablet 100
48 Acyclovir Tablet
49 bioplasenton tube 0
50 tetes mata tube 0
51 salep mata tube 0
52 vitamin sirup botol 0
53 antasida botol 0
54 oksitosin ampul 0
55 lidocain ampul 0
56 spuit 3 cc pcs 0
57 infus set pcs 0
58 paracetamol drops botol 0
59
Natrium diklopenak Penanggung Jawab sub unit
Acyclovir

(Apt. Dede Mulyani, S.Far) ( ……………………………………)

Nit.202103019
 LAPORAN PENERIMAAN DAN LAPORAN PENGELUARAN OBAT

PELAPORAN BULAN :JUNI 2024

PERMINTAAN BULAN / PERIODE : JULI 2024
SUB UNIT : PUSTU GEREDUG
PEMBERIAAN
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PERMINTAAN
JUMLAH
1 Amlodipin Besilate 5 mg Tablet - 100 100 50 50 100 100
2 amoksilin 125 mg botol 3 10 13 8 5 7
3 Amoksisilin Tablet 500 mg Tablet 40 100 140 60 80 100 100
4 Antasida tablet 30 200 230 100 130 100 100
5 Asam mefenamat Tablet - 0 - 0 - 100 100
6 asetylistein kapsul - 0 - 0 - 100
7 Guaiafenesin 100 mg Tablet 20 100 120 50 70 100 100
8 hidrokortison tube - 0 - 0 - 5 5
9 klorpeniramin (CTM) 4 mg Tablet 40 100 140 50 90 100 100
10 Kotrimoksazol Dewasa Tablet 480 mg Tablet - 0 - 0 - 0
11 Kotrimoksazol Sirup / Suspensi Botol - 0 - 0 - 0
12 Metformin 500 mg Tablet Tablet - 0 - 0 - 0
13 Obat Batuk Flu ( Molexflu ) Tablet - 0 - 0 - 100 100 40
14 Obat anti diare /Akita Tablet - 0 - 0 - 100 100
15 deksametason Tablet - 100 100 50 50 100 100
16 omeprazole kapsul 40 0 40 40 - 100 50
17 Paracetamol Sirup 120 mg/5 ml Botol - 10 10 5 5 10 10
18 parasetamol 500 mg Tablet 50 200 250 150 100 100 100
19 Piridoksin HCL (VIT B6) tablet 10mg tablet - 0 - 0 - 100
20 Prednison Tablet 5 mg Tablet - 0 - 0 - 100 100
21 Ranitidin tablet Tablet - 0 - 0 - 100 100
22 ringer laktat botol - 0 - 0 - 3 3
23 simvastatin 10 mg Tablet - 0 - 0 - 100 100
24 Salbutamol Tablet 2 mg Tablet - 0 - 0 - 100 100
25 Salep 2-4 Tube - 0 - 0 - 5 5
26 Tiamin Tablet 50 mg ( B1 ) Tablet - 0 - 0 - 100 100
27 Vitamin B komplek Tablet - 200 200 100 100 200 200
28 Zink tablet 20 mg Tablet - 0 - 0 - 100 100
29 zink sirup botol 2 3 5 2 3 5
30 Tablet Penambah Darah ( FE ) Tablet - 0 - 0 - 100 100
31 Alat suntik 1 ml Pcs - 0 - 0 - 10 10 jkn
32 Alkohol swab Sachet - 0 - 0 - 1 1
33 Kapas Pembalut 250 gr Bungkus - 0 - 0 - 1
34 Kasa Steril 16 x 16 cm Kotak - 0 - 0 - 5 5
35 Plester 1" Rol - 0 - 0 - 1 1
36 sarung tangan s box - 0 - 0 - 1 1
37 Sarung tangan no 6,5 Steril Gloves Pasang - 0 - 0 - 5 5
38 Sarung tangan no 7,0 Steril Pasang - 0 - 0 - 5 5
39 cetirizine jkn Tablet - 0 - 0 - 100
40 gentamisin S. k tube - 0 - 0 - 5
41 kalk Tablet - 0 - 0 - 100 100
42 underpad ball - 0 - 0 - 1
43 Betametason tube - 0 - 0 - 5
44 Natrium diklopenak Tablet - 100 100 40 60 100 100
45 Acyclovir Tablet 100 100 0 100 0
46 bioplasenton tube - 0 - 0 - 2 1
47 tetes mata tube - 0 - 0 - 2 2
48 salep mata tube - 0 - 0 - 2
49 vitamin sirup botol - 0 - 0 - 5 5
50 antasida botol - 0 - 0 - 4 4
51 oksitosin ampul - 0 - 0 - 3
52 lidocain ampul - 0 - 0 - 3
53 spuit 3 cc pcs - 0 - 0 - 10 10
54 infus set pcs - 0 - 0 - 3 3
55 paracetamol drops botol - 0 - 0 - 3
56 amoxiciliin 250 mg botol 7
Puskesmas Bojong Penanggung Jawab sub unit

(Apt. Dede Mulyani, S.Far)

Nit.202103019 ( ……………………………………)
hidrokortison