Lplpo Print

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )
KODE PUSKESMAS
: 282002
:
:
:
:
PUSTU
KECAMATAN
KAB/KODYA
PROPINSI
NO
NAMA OBAT
KEDUNG CALUK
KREJENGAN
PROBOLINGGO
JAWA TIMUR
SATUA
Kode
N
3
1 Amoksisilin 500 mg
Kaplet
AMOK5
2 Antasida DOEN tab Komb
Tablet
AND2
3 Asam Askorbat (Vit C) tab 50 mg
Tablet
VITC
4 Asam folat 1 mg
Tablet
AFOL
5 Asam mefenamat 500 mg
Tablet
ASMEF
6 Asetosal tab 100 mg
Tablet
AST
7 Asiklovir 400 mg
Tablet
ASK1
Betametason krim 0,1%
Tube
BTM
Deksametason tab 0.5 mg
Tablet
DEK2
Difenhidramin Hcl Inj 10 mg/ml-1ml
Ampul
DIF
11 Fitomenadion (VitK) tab 10 mg
Tablet
VITK2
12
Gentamsin Salep Kulit 0,1%
Tube
GEN1
13
Gentian Violet lart 1%
Botol
GV
14
Gliseril Guaiyakolat tab 100 mg
Tablet
GG
15
Hidrokortison krim 2.5 %
Tube
HDR
16
Ibuprofen 200 mg
Tablet
IBU1
17
Ibuprofen 400 mg
Tablet
IBU2
18
Kalsium Laktas (Kalk) tab 500 mg
Tablet
KALK
19
Kaptopril 25 mg
Tablet
KAP2
20
Kloramphenikol salep mata 1 %
Tube
KLOSM
21
Klorfeniramin maleat (CTM) tab 4 mg
Tablet
CTM
22
Kotrimoksazole Dewasa tab 480 mg
Tablet
KOT1
23
Lidokain 2% injeksi
Ampul
LIDO1
24
Metil Ergometrin Inj 0,200 mg-1 ml
Ampul
ME1
10
Stok Penerim Persed Pemak sisa

Awal
aan
iaan
aian akhir
[7]=(5 [8]= [9]=(7
5
6
+6)
-8)
113
300
413
103
310
240
200
440
160
280
203
0
203
110
93
130
100
230
120
110
80
200
280
180
100
40
0
40
20
20
0
100
100
8
92
5
10
15
0
15
40
200
240
30
210
30
0
30
8
22
60
0
60
10
50
3
10
13
3
10
2
0
2
0
2
530
0
530
190
340
5
0
5
2
3
32
200
232
162
70
150
100
250
110
140
150
300
450
220
230
0
100
100
100
0
4
0
4
0
4
79
300
379
202
177
180
0
180
0
180
3
0
3
1
2
0
10
10
0
10
PEMEKAIAN PERTANGGAL
10
1
10
11
12
13
14
15
10
20
4
0
10
0
0
0
0
0
0
0
0
3
0
0
0
10
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
40
0
0
40
20
5
0
10
0
0
0
0
28
0
36
0
90
50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
40
40
45
50
0
0
0
20
3
0
2
0
30
0
0
20
50
0
0
42
0
0
0
0
10
0
0
0
0
0
0
0
0
0
1
0
20
0
0
10
20
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
30
35
45
20
0
0
0
0
1
0
0
0
49
0
32
80
20
0
0
63
0
0
0
NO
NAMA OBAT
SATUA
Kode
N
3
25
Mikonazole Krim / salep 2%
Tube
MOK
26
Na. Diklofenac 50 mg
Tablet
NAD2
27
Oksitetrasiklin SK 3%
Tube
OKTSK
28
Oksitetrasiklin SM 1 %
Tube
OKTSM
29
Oksitosin inj 10 iu/1ml
Ampul
OTS
30
Parasetamol tab 500 mg
Tablet
PARA5
31
Piridoksin tab 10 mg
Tablet
B6
32
Ringer Laktate lart infus
Botol
RL
33
Salbutamol 2 mg tab
Tablet
SAL1
34
Tablet tambah darah komb
Tablet
FE
35
Thiamin ( Vit B1 ) 50 mg tab
Tablet
VB1
36
Vitamin B Kompleks tab
Tablet
VBC
37
Zink 20 mg Tablet dispersible
Tablet
ZNK1
1 Alat Suntik Sekali Pakai 1 ml
Set
ASS3
2 Alat Suntik Sekali Pakai 3 ml / 2,5 ml
Set
ASS4
Catgut/Benang bedah no 3/0 (p&c) dengan
Set
GUT1
Infusion Set Dewasa
Set
ISD
Kapas Pembalut/Absorben 250 gr
Bungkus
KPA
Kasa Pembalut 2 X 80 cm
Roll
KP1
Sarung Tangan Steril ( Handscoun)
Set
STS
IV. Catheter no. 18
Set
IV1
IV. Catheter no. 20
Set
IV2

Awal
aan
iaan
aian akhir
[7]=(5 [8]= [9]=(7
5
6
+6)
-8)
4
0
4
0
4
80
0
80
0
80
5
0
5
2
3
1
0
1
1
0
22
0
22
3
19
170
300
470
280
190
640
0
640
100
540
1
0
1
0
1
100
0
100
10
90
1945
0
1945
390
1555
162
300
462
292
170
122
300
422
294
128
174
0
174
30
144
10
1
10
11
12
13
14
15
0
0
0
0
0
11
0
0
0
15
0
0
0
0
0
0
0
0
10
0
0
0
0
26
72
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
19
0
0
0
135
46
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
76
20
0
0
60
10
56
10
0
0
0
0
0
29
0
0
0
105
104
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
65
30
0
10
45
16
66
0
0
0
0
1
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
5
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PERBEKALAN KESEHATAN
Obat Tambahan
1
2
3
4
5
6
7
8
0
59
4
5
1
2
12
2
8
0
0
0
0
0
0
0
0
0
10
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
69
4
5
1
2
12
2
8
0
0
0
0
0
0
0
0
0
1
19
1
1
0
0
11
0
0
0
0
0
0
0
0
0
0
0
9
50
3
4
1
2
1
2
8
0
0
0
0
0
0
0
0
0
NO
NAMA OBAT
SATUA
Kode
N
3
9
10

Awal
aan
iaan
aian akhir
[7]=(5 [8]= [9]=(7
5
6
+6)
-8)
0
0
0
0
0
0
0
0
0
0
UMUM
JUMLAH KUNJUNGAN KERJA
BAYAR
TIDAK BAYAR
MENGETAHUI/MENYETUJUI
ASKES
10
1
10
11
12
13
14
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH
YANG MEMINTA/MELAPOR
YANG MENERIMA
PETUGAS PUSKESMAS
KEPALA DINKES DT. II
YANG MENYERAHKAN
KEPALA PUSKESMAS
(..)
GESANG BUDI UTAMI
( )
( )
JKN
AN PERTANGGAL
10
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
10
30
10
0
0
0
0
1
0
0
0
20
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
42
0
0
0
0
76
0
0
0
0
20
0
0
10
0
0
0
0
2
10
0
0
0
1
0
0
10
0
0
0
0
0
0
10
0
21
0
40
0
3
0
0
1
0
0
0
22
1
36
0
10
0
0
17
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permi
ntaan
AN PERTANGGAL
10
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
60
0
0
0
0
36
60
0
0
0
0
0
0
0
0
0
0
15
0
0
10
0
0
0
0
0
10
40
0
0
15
54
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permi
ntaan
AN PERTANGGAL
10
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permi
ntaan

( LPLPO )
KODE PUSKESMAS
: 282002
:
:
:
:
PUSTU
KECAMATAN
KAB/KODYA
PROPINSI
KEDUNG CALUK
KREJENGAN
PROBOLINGGO
JAWA TIMUR
NO
NAMA OBAT
Satuan
Kode
Stok
Awal
5
Aminophilin tab 200 mg
Tablet
AMN2
68
Asiklovir 400 mg
Tablet
ASK1
Asiklovir 5 % krim
Tube
Tube
Garam Oralit untuk 200 ml air
Kalsium Gluconas Injeksi
Kotrimoksazole Susp
Penerim Persedi Pemak Sisa

aan
aan
aian Akhir
[7]=(5 [8]= [9]=(7
6
+6)
-8)
10
1
10
11
12
13
14
15
16
17
18
68
68
20
20
20
20
ASK2
BTM
Sachet
GLIT1
40
40
40
Tablet
KALK
Vial
KGI
Botol
KOTS
Ampul
ME1
10
Metronidazol 500 mg
Tablet
MTR3
51
51
51
11
Nifedipin tab 10 mg
Tablet
NIF
28
28
28
12
Obat Batuk hitam (OBH) sirup 100 ml
Botol
OBH
13
Parasetamol sirup 120 mg/5 ml
Botol
PARAS
10
10
14
Botol
RL
15
Salisil Bedak 2 %
Kotak
SB2
16
Sulfasetamid tts mata 15%
Botol
SULF
PERBEKALAN KESEHATAN
1
Alat Suntik Sekali Pakai 10 ml
Set
ASS10
Catgut/Benang bedah no 3/0 (p&c) de
Set
GUT1
Infusion Set Anak
Set
ISA
Infusion Set Dewasa
Set
ISD
IV. Catheter no. 22
Set
IV3
NO
NAMA OBAT
Satuan
Kode
Stok
Awal
5
Set
IV4
IV. Catheter no. 24
Penerim Persedi Pemak Sisa

aan
aan
aian Akhir
[7]=(5 [8]= [9]=(7
6
+6)
-8)
10
1
10
11
12
13
14
15
16
17
18
Obat Tambahan
10
11
12
13
14
15
UMUM
BAYAR
TIDAK BAYAR
YANG MENYERAHKAN
(..)
GESANG BUDI UTAMI
ASKES
JUMLAH
YANG MENERIMA
KEPALA PUSKESMAS
PETUGAS PUSKESMAS
( )
( )
DAU
AL
19
20
21
22
23
24
25
26
27
28
29
30
31
Permint
aan
AL
19
20
21
22
23
24
25
26
27
28
29
30
31
Permint
aan

( LPLPO )
KODE PUSKESMAS
: 282002
PUSTU
: KEDUNG CALUK
KECAMATAN
: KREJENGAN
KAB/KODYA
: PROBOLINGGO
PROPINSI
: JAWA TIMUR
NO
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
NAMA OBAT
SATUAN
Kode
Amoksisilin 500 mg
Kaplet AMOK5
Antasida DOEN tab Komb
Tablet AND2
Asam Askorbat (Vit C) tab 50 mg
Tablet
VITC
Asam folat 1 mg
Tablet
AFOL
Asam mefenamat 500 mg
Tablet ASMEF
Asetosal tab 100 mg
Tablet
AST
Asiklovir 400 mg
Tablet
ASK1
Asiklovir 5 % krim
Tube
ASK2
Tube
BTM
Tablet
DEK2
Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul
DIF
Fitomenadion (VitK) tab 10 mg
Tablet VITK2
Tube
GEN1
Botol
GV
Tablet
GG
Tube
HDR
Ibuprofen 200 mg
Tablet
IBU1
Ibuprofen 400 mg
Tablet
IBU2
Tablet
KALK
Kaptopril 12,5 mg
Tablet
KAP1
Kaptopril 25 mg
Tablet
KAP2
Tube KLOSM
JKN
PEMAKAIAN PERT
10
Stok Peneri Perse Pema sisa

Awal maan diaan kaian akhir
5
113
240
203
130
80
40
0
0
5
40
30
60
3
2
530
5
32
150
150
0
0
4
300
200
0
100
500
0
100
10
10
200
0
0
10
0
0
0
500
100
500
200
400
0
[7]=(5+6)
[8]=S(10)
[9]=(7-8)
413
440
203
230
580
40
100
10
15
240
30
60
13
2
530
5
532
250
650
200
400
4
163
302
194
230
250
20
8
0
0
50
12
20
3
0
369
2
314
244
530
100
230
0
250
138
9
0
330
20
92
10
15
190
18
40
10
2
161
3
218
6
120
100
170
4
10
11
12
13
14
15
10
46
10
0
10
0
0
0
0
0
1
10
0
0
46
0
10
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
10
0
60
0
10
0
0
40
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
10
0
0
0
0
10
0
0
0
0
6
0
32
0
80
10
0
0
20
0
20
15
0
0
0
0
0
0
0
0
0
0
24
0
30
0
20
10
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
10
0
0
10
10
0
10
0
0
0
0
0
0
0
0
0
20
0
8
0
20
0
0
0
30
80
0
0
40
20
5
0
0
20
1
0
0
0
58
0
76
56
160
40
86
0
0
6
6
0
0
0
0
0
0
0
0
0
0
0
12
0
12
0
0
40
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
40
40
45
50
0
0
0
0
20
3
0
2
0
30
0
0
20
50
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
1
0
20
0
0
10
20
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
30
35
80
30
0
0
0
0
0
1
0
0
0
49
0
32
80
40
0
0
0
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
Klorfeniramin maleat (CTM) tab 4 mg Tablet

CTM
79
600 679 449
Kotrimoksazole Dewasa tab 480 mg Tablet
KOT1
180
0
180
0
Lidokain 2% injeksi
Ampul LIDO1
3
0
3
2
Metil Ergometrin Inj 0,200 mg-1 ml Ampul
ME1
0
10
10
0
Metil Ergometrin tab 0.125 mg
Tablet
ME2
0
50
50
0
Tube
MOK
4
0
4
1
Tablet NAD2
80
0
80
0
Tube
OKTSK
5
0
5
2
Tube OKTSM
1
7
8
2
Ampul
OTS
22
0
22
7
Tablet PARA5 170 700 870 618
Tablet
B6
640
0
640 195
Prednison 5 mg tab
Tablet
PRED
0
300 300
56
Botol
RL
1
0
1
1
Salbutamol 2 mg tab
Tablet
SAL1
100
0
100
10
Tablet
FE
1945
0
1945 1210
Tablet
VB1
162 1000 1162 704
Tablet
VBC
122 300 422 422
Tablet
ZNK1
174
0
174
70
Set
ASS3
0
20
20
4
Alat Suntik Sekali Pakai 3 ml / 2,5 ml Set
ASS4
59
20
79
34
Set
ASS5
0
0
0
0
Catgut/Benang bedah no 3/0 (p&c)
Set
GUT1
4
0
4
3
Infusion Set Dewasa
Set
ISD
5
0
5
3
Kapas Pembalut/Absorben 250 gr
Bungkus KPA
1
0
1
0
Roll
KP1
2
0
2
0
Set
STS
12
0
12
12
IV. Catheter no. 18
Set
IV1
2
0
2
0
IV. Catheter no. 20
Set
IV2
8
0
8
1
FOLLEY CATETER
SET
FLY
0
5
5
0
URINE BAG
SET
UB
0
5
5
0
CATGUT/BENANG BEDAH NO.3/0 KR
BIJI CATCROM 3
0
3
0
Slem suiker
pcs
slem
0
1
1
0
230
180
1
10
50
3
80
3
6
15
252
445
244
0
90
735
458
0
104
16
45
0
1
2
1
2
0
2
7
5
5
3
1
28
0
0
0
0
0
0
0
0
0
71
0
0
0
0
45
10
0
0
0
1
0
0
1
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
10
0
0
60
34
72
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
15
0
0
0
60
0
0
0
1
3
0
0
0
0
0
0
0
0
0
0
0
0
10
0
1
0
0
1
0
0
0
1
22
20
10
0
0
105
50
0
0
1
5
0
2
0
0
0
1
0
0
0
0
0
0
46
0
0
0
0
0
0
0
0
0
48
15
10
0
0
25
96
16
20
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
90
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
34
0
0
0
0
0
0
0
0
1
73
15
6
0
0
195
154
84
0
1
6
0
0
0
0
0
2
0
0
0
0
0
0
32
0
0
0
0
0
0
0
0
0
34
0
20
0
0
0
82
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
1
2
76
20
0
0
0
60
10
56
10
0
3
0
0
0
0
0
6
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
29
0
0
0
0
105
104
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
63
0
0
0
0
0
0
0
0
0
65
45
0
1
10
175
16
82
0
0
2
0
0
1
0
0
0
0
1
0
0
0
0
56 Obh jeruk nipis
btl 100 ml
OBH Jeruk
UMUM
BAYAR
TIDAK BAYAR
YANG MENYERAHKAN
(..)
GESANG BUDI UTAMI
1
ASKES
JUMLAH
YANG MENERIMA
KEPALA PUSKESMAS
PETUGAS PUSKESMAS
( )
( )
TGL KUNJUTEMPAT PEKODE OBATJUMLAH 2

42381 PUSTU KE FE
15
42381 PUSTU KE KALK
10
42381 PUSKESMAGG
10
42381 PUSKESMACTM
10
42381 PUSKESMAVITC
10
42381 PUSTU KE FE
15
42381 PUSTU KE KALK
10
PERTANGGAL
10
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
40
52
30
30
0
0
0
0
0
1
0
0
0
58
0
20
78
60
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
42
0
0
0
0
0
0
30
0
0
20
0
0
0
0
0
4
10
0
0
6
1
0
0
30
0
0
0
10
0
21
0
40
0
3
0
0
0
1
0
0
0
22
1
36
0
10
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permi
31 ntaan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
42381 PUSKESMAKALK
42381 PUSTU KE PARA5
42381 PUSTU KE CTM
42381 PUSTU KE VITC
42381 PUSTU KE DIF
42381 PUSTU KE ASS4
42381 PUSTU KE GG
42381 PUSTU KE KALK
42381 PUSTU KE ZNK1
42382 PUSTU KE VB1
42382 PUSTU KE VB1
42382 PUSTU KE FE
42382 PUSTU KE FE
42382 PUSTU KE FE
42382 PUSTU KE KALK
42384 PUSTU KE VB1
42384 PUSTU KE AND2
42384 PUSTU KE VBC
10
5
10
10
10
1
1
10
10
10
10
8
8
8
6
15
15
15
10
8
10
8
12
12
12
12
12
12
12
TGL KUNJU
42381
42381
42381
42381
42381
42381
42381
12
12
12
12
12
12
12
12
12
12
12
13
13
13
13
13
13
13
13
15
15
15
42381
42381
42381
42381
42381
42381
42381
42381
42381
42381
42381
42382
42382
42382
42382
42382
42382
42382
42382
42384
42384
42384
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
92
0
0
0
0
0
0
0
0
2
88
10
0
0
0
170
50
30
0
1
4
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
76
0
0
0
0
0
0
2
0
0
60
0
0
0
0
0
36
60
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
6
0
0
0
0
45
0
0
20
0
4
0
0
0
0
0
0
0
0
0
0
0
0
17
0
1
0
0
0
0
0
0
0
10
40
0
0
0
15
54
22
0
0
6
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
42384 PUSTU
42384 PUSTU
42384 PUSTU
42384 PUSTU
42384 PUSTU
42384 PUSTU
42384 PUSTU
42389 PUSTU
42389 PUSTU
42389 PUSTU
42392 PUSTU
42392 PUSTU
42394
42394
42401 PUSTU
42402 PUSTU
42402 PUSTU
42402 PUSTU
42402 PUSTU
42408 PUSTU
42408 PUSTU
42408 PUSTU
42408 PUSTU
42415 PUSTU
42415 PUSTU
42415 PUSTU
42422 PUSTU
42422 PUSTU
42422 PUSTU
42424 PUSTU
42424 PUSTU
42433 PUSTU
42444 PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
VBC
CTM
VITC
VBC
VBC
AFOL
PARA5
DIF
ASS4
GG
VITK2
ASS4
ASK1
PARA5
AMOK5
VBC
VBC
KAP2
VB1
PARA5
IBU1
VB1
ASMEF
VITC
AFOL
ASMEF
VB1
PARA5
GG
ASS4
GUT1
GUT1
VBC
8
8
10
8
8
15
10
1
1
10
10
1
10
8
8
10
8
9
8
8
10
10
30
10
6
6
6
3
1
2
10
15
15
15
15
15
15
15
20
20
20
23
23
25
25
1
2
2
2
2
8
8
8
8
15
15
15
22
22
22
24
24
4
15
42384
42384
42384
42384
42384
42384
42384
42389
42389
42389
42392
42392
42394
42394
42401
42402
42402
42402
42402
42408
42408
42408
42408
42415
42415
42415
42422
42422
42422
42424
42424
42433
42444
42444 PUSKESMAFE
42461 PUSTU KE CTM
42461 PUSTU KE GG
42461 PUSTU KE CTM
42461 PUSTU KE DIF
42461 PUSTU KE ASS4
42461 PUSTU KE GG
42461 PUSTU KE FE
42461 PUSTU KE AND2
42461 PUSTU KE GG
42461 PUSTU KE CTM
42461 PUSTU KE AND2
42461 PUSTU KE GG
42461 PUSTU KE IBU1
42461 PUSTU KE VB1
42461 PUSTU KE CTM
42461 PUSTU KE AND2
42461 PUSTU KE VITC
42462 PUSTU KE FE
42462 PUSTU KE KALK
42462 PUSTU KE ZNK1
42462 PUSTU KE KAP2
42462 PUSTU KE PRED
42463 PUSTU KE OTS
42463 PUSTU KE OKTSM
42463 PUSTU KE AMOK5
42463 PUSTU KE ASMEF
42463 PUSTU KE ASS3
30
10
3
3
1
1
10
10
30
10
10
4
4
4
6
6
6
10
10
10
10
10
6
30
10
10
10
10
1
1
10
10
1
15
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
2
2
3
3
3
3
3
42444
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42461
42462
42462
42462
42462
42462
42463
42463
42463
42463
42463
42463 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42464 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
ASS4
KAP1
VB1
PARA5
B6
KALK
CTM
PRED
VB1
IBU1
VB1
IBU1
VB1
VB1
B6
KALK
KALK
VB1
KAP2
VB1
PARA5
KAP2
VB1
VB1
CTM
IBU1
VB1
IBU1
VB1
CTM
PRED
KAP1
CTM
3
10
6
10
10
10
10
10
6
6
6
6
6
6
10
10
10
6
6
6
6
6
6
6
6
6
6
6
6
10
10
10
6
3
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
42463
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42464
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42465 PUSTU
42466 PUSTU
42466 PUSTU
42466 PUSTU
42466 PUSTU
42466 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KAP2
VB1
KAP2
KAP2
VB1
PARA5
KAP2
CTM
GG
VB1
PARA5
VB1
KALK
FE
KALK
FE
KALK
FE
KALK
KAP2
B6
KALK
KAP1
KAP2
VB1
KAP2
KALK
FE
KALK
KALK
KALK
KALK
VB1
6
6
6
6
6
6
6
6
6
6
6
6
10
10
10
30
10
30
10
10
15
10
10
6
6
6
10
30
10
10
10
10
6
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
6
6
6
6
6
8
8
8
8
8
8
8
8
8
8
8
8
8
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42465
42466
42466
42466
42466
42466
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42468 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
IBU1
KAP2
IBU1
VB1
VB1
IBU1
VB1
PARA5
CTM
PRED
CTM
VB1
VB1
KAP1
KAP2
IBU1
VB1
IBU1
VB1
IBU1
VB1
KAP2
KAP2
KAP1
KAP1
FE
VB1
PARA5
AND2
KAP2
KAP2
VB1
VB1
6
6
6
6
6
6
6
6
6
6
6
6
6
10
6
6
6
6
6
6
6
6
6
10
10
30
6
6
6
6
6
6
6
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
9
9
9
9
9
9
9
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42468
42469
42469
42469
42469
42469
42469
42469
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42469 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KAP1
PRED
GG
PARA5
IBU1
VB1
PARA5
VB1
CTM
CTM
VB1
KAP1
CTM
VB1
IBU1
VB1
GG
KAP2
KAP1
PARA5
KAP1
VB1
PARA5
VB1
VB1
VB1
VB1
CTM
PRED
VITC
AMOK5
CTM
PARA5
10
10
6
6
6
6
6
6
6
6
6
10
10
6
6
6
6
6
10
10
10
10
6
6
6
6
6
10
10
6
10
10
10
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
20
20
20
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42469
42480
42480
42480
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42480 PUSTU
42481 PUSTU
42485 PUSTU
42485 PUSTU
42485 PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
AND2
OBH jeruk
PARA5
AND2
ASMEF
KAP2
FE
KALK
FE
KALK
FE
KALK
FE
AMOK5
ASMEF
OTS
ASS3
ASS4
ISD
PARA5
AND2
KAP2
10
1
10
10
10
10
30
10
30
10
30
10
10
10
10
2
1
3
1
10
10
10
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
21
25
25
25
0
0
0
0
0
0
0
0
0
0
0
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42480
42481
42485
42485
42485
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
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0
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0
0
0
0
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0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TEMPAT PEKODE OBATJUMLAH 1 RUANGAN

PUSTU KE FE
A
PUSTU KE KALK
A
PUSKESMAGG
A
PUSKESMACTM
A
PUSKESMAVITC
A
PUSTU KE FE
A
PUSTU KE KALK
A
KODE OBATSumOfJUMLSumOfJUMLSISA
AA6
0
ABU1
0
ACT
0
ADI
0
ADS
0
AFOL
410
280
AK1
0
PUSKESMAKALK
PUSTU KE PARA5
PUSTU KE CTM
PUSTU KE VITC
PUSTU KE PARA5
PUSTU KE DIF
PUSTU KE ASS4
PUSTU KE GG
PUSTU KE KALK
PUSTU KE ZNK1
PUSTU KE PARA5
PUSTU KE PARA5
PUSTU KE VB1
PUSTU KE PARA5
PUSTU KE VB1
PUSTU KE FE
PUSTU KE FE
PUSTU KE FE
PUSTU KE KALK
PUSTU KE VB1
PUSTU KE AND2
PUSTU KE VBC
AMP
APDHIV
Asammex
ASER
ASK1
ASK2
ASMEF
ASP
ASS5
ATG
ATS1
CHKM
CRES
CVG
DEK1
DGK2
DIAZ3
DIAZ4
DUL2
EAL
EB
ERI1
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
120
OBATKELUAR
0
0
0
0
0
0
0
0
0
0
130
280
0
0
0
0
0
0
0
0
80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
120
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
VBC
CTM
VITC
VBC
VBC
AFOL
PARA5
DIF
ASS4
GG
VITK2
ASS4
ASK1
PARA5
AMOK5
VBC
VBC
KAP2
VB1
PARA5
IBU1
VB1
ASMEF
VITC
AFOL
ASMEF
VB1
PARA5
GG
ASS4
GUT1
GUT1
VBC
A
A
A
A
A
A
A
A
A
A
A
A
100 A
300 A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
ETA1
ETN1
FE
FN3
FPT1
GEM
GLC
GV
H2O2
HAL1
HDR
HNB1
IBU2
KALK
KD
KLOTM
KOD
KP2
KS16
OAT1
OAT2
OATA
OED
OKTSM
OTS
PAP1
PIL
POLI
POT
THIA1
TKF
0
0
3000
0
0
0
0
2
0
0
5
0
280
500
0
0
0
0
0
0
0
0
0
6
28
0
0
0
0
0
0
1055
130
350
5
6
0
0
1945
0
0
0
0
2
0
0
5
0
150
150
0
0
0
0
0
0
0
0
0
1
22
0
0
0
0
0
0
0
0
1055
0
0
0
0
0
0
0
0
0
130
350
0
0
0
0
0
0
0
0
0
5
6
0
0
0
0
0
0
PUSKESMAFE
PUSTU KE CTM
PUSTU KE GG
PUSTU KE CTM
PUSTU KE DIF
PUSTU KE ASS4
PUSTU KE PARA5
PUSTU KE GG
PUSTU KE FE
PUSTU KE PARA5
PUSTU KE AND2
PUSTU KE PARA5
PUSTU KE GG
PUSTU KE CTM
PUSTU KE PARA5
PUSTU KE AND2
PUSTU KE GG
PUSTU KE IBU1
PUSTU KE VB1
PUSTU KE CTM
PUSTU KE PARA5
PUSTU KE AND2
PUSTU KE VITC
PUSTU KE FE
PUSTU KE KALK
PUSTU KE ZNK1
PUSTU KE KAP2
PUSTU KE PRED
PUSTU KE OTS
PUSTU KE OKTSM
PUSTU KE AMOK5
PUSTU KE ASMEF
PUSTU KE ASS3
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
ASS4
KAP1
VB1
PARA5
B6
KALK
CTM
PRED
VB1
IBU1
VB1
IBU1
VB1
VB1
B6
KALK
KALK
VB1
KAP2
VB1
PARA5
KAP2
VB1
VB1
CTM
IBU1
VB1
IBU1
VB1
CTM
PRED
KAP1
CTM
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KAP2
VB1
KAP2
KAP2
VB1
PARA5
KAP2
CTM
GG
VB1
PARA5
VB1
KALK
FE
KALK
FE
KALK
FE
KALK
KAP2
B6
KALK
KAP1
KAP2
VB1
KAP2
KALK
FE
KALK
KALK
KALK
KALK
VB1
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
IBU1
KAP2
IBU1
VB1
VB1
IBU1
VB1
PARA5
CTM
PRED
CTM
VB1
VB1
KAP1
KAP2
IBU1
VB1
IBU1
VB1
IBU1
VB1
KAP2
KAP2
KAP1
KAP1
FE
VB1
PARA5
AND2
KAP2
KAP2
VB1
VB1
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KAP1
PRED
GG
PARA5
IBU1
VB1
PARA5
VB1
CTM
CTM
VB1
KAP1
CTM
VB1
IBU1
VB1
GG
KAP2
KAP1
PARA5
KAP1
VB1
PARA5
VB1
VB1
VB1
VB1
CTM
PRED
VITC
AMOK5
CTM
PARA5
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
PUSTU
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
KE
AND2
OBH jeruk
PARA5
AND2
ASMEF
KAP2
FE
KALK
FE
KALK
FE
KALK
FE
AMOK5
ASMEF
OTS
ASS3
ASS4
ISD
PARA5
AND2
KAP2
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A

( LPLPO )
KODE PUSKESMAS
: 282002
PUSTU
: KEDUNG CALUK
KECAMATAN
: KREJENGAN
KAB/KODYA
: PROBOLINGGO
PROPINSI
: JAWA TIMUR
NO
NAMA OBAT
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
SATUAN
2

Tablet
Asam folat 1 mg
Tablet
Asiklovir 400 mg
Tablet
Asiklovir 5 % krim
Tube
Tube
Ephinefrin Hcl (Adrenalin) inj 0,1 Ampul
Fitomenadion (VitK) inj 10mg/ml- Ampul
Sachet
Kalsium Laktas (Kalk) tab 500 mgTablet
Vial
Kotrimoksazole Susp
Botol
Lidokain 2% injeksi
Ampul
Metil Ergometrin Inj 0,200 mg-1 Ampul
Metronidazol 500 mg
Tablet
Obat Batuk hitam (OBH) sirup 10Botol
Parasetamol sirup 120 mg/5 ml Botol
Botol
Salisil Bedak 2 %
Kotak
Botol
Set
Catgut/Benang bedah no 3/0 (p&Set
Infusion Set Anak
Set
AMN2
AFOL
ASK1
ASK2
BTM
EHP
VITK1
GLIT1
KALK
KGI
KOTS
LIDO1
ME1
MTR3
OBH
PARAS
RL
SB2
SULF
ASS10
GUT1
ISA
Pemakaian Per Tangga

10
Stok Peneri Persed Pemak sisa

Awal maan iaan
aian akhir
Kode
DAU
68
0
20
4
2
1
2
40
2
1
7
0
5
51
4
0
9
3
4
2
1
1
0
100
0
0
0
0
20
0
0
0
0
10
0
0
0
15
0
5
0
0
0
0
[7]=(5+6)[8]=S(10)[9]=(7-8)
68
100
20
4
2
1
22
40
2
1
7
10
5
51
4
15
9
8
4
2
1
1
0
70
20
2
0
0
6
10
0
0
1
0
0
0
4
9
2
1
0
0
0
0
68
30
0
2
2
1
16
30
2
1
6
10
5
51
0
6
7
7
4
2
1
1
10
11
12
13
14
15
16
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
1
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
10
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
1
0
0
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23
24
25
26
27
28
29
30
31
Infusion Set Dewasa

Set
IV. Catheter no. 22
Set
IV. Catheter no. 24
Set
AMOKSISILIN SYR 250 MG
FLS
SARUNG TANGAN PANJANG OBGYSET
RD 5 %
FLS
BIO E 200 IU
TAB
KASA STERIL 16X16
KOTAK
YODIUM POVIDONE 60 ML
FLS
ISD
IV3
IV4
AMOKSF
STO
RD5
BIOE
KASST
YOD6
2
1
1
3
2
2
30
12
31
0
0
0
0
0
0
0
0
0
2
1
1
3
2
2
30
12
31
0
0
0
3
1
0
30
12
12
2
1
1
0
1
2
0
0
19
0
0
0
1
1
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
5
1
0
0
0
0
0
0
0
4
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
30
0
2
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
UMUM
BAYAR
TIDAK BAYAR
ASKES
JUMLAH
YANG MENERIMA
YANG MENYERAHKAN
KEPALA PUSKESMAS
PETUGAS PUSKESMAS
(..)
GESANG BUDI UTAMI
( )
( )
ggal
18
19
20
21
22
23
24
25
26
27
28
29
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permi
31 ntaan
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TGL KUNJUTEMPAT PEKODE OBATJUMLAH 2

42381 PUSTU KE VITK1
1
42381 PUSTU KE YOD6
1
42381 PUSTU KE ASK1
20
42381 PUSTU KE ASK2
1
42381 PUSTU KE SB2
1
42381 PUSKESMAVITK1
1
42381 PUSKESMAYOD6
1
42384 PUSTU KE OBH
1
42394
PARAS
42394
VITK1
42408 PUSTU KE YOD6

42434 PUSTU KE KOTS
42373
AFOL
42373
LIDO1
12
12
12
12
12
12
12
15
25
25
1
1
8
5
4
4
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TGL KUNJUTEMPAT PEKODE OBATJUMLAH 1 RUANGAN

A
42381 PUSTU KE YOD6
A
42381 PUSTU KE ASK1
A
42381 PUSTU KE ASK2
A
42381 PUSTU KE SB2
A
42381 PUSKESMAVITK1
A
42381 PUSKESMAYOD6
A
42384 PUSTU KE OBH
A
42394
PARAS
10 A
42394
VITK1
42408 PUSTU KE YOD6

42434 PUSTU KE KOTS
42373
AFOL
42373
LIDO1
10 A
A
A
100 A
10 A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
KODE OBATSumOfJUMLSumOfJUMLSISA
AA6
0
ABU1
0
ACT
0
ADI
0
ADS
0
AFOL
0
AK1
0
ALB
0
ALIN
0
ALP1
AMN2
ASK1
ASP
ASS1
AST
BD1
CPZ1
DAP
EGC
EHP
FELB
FLUD2
FRO1
GG
GV
HCV
KASST
KLIN
KOD
OSE
PAP2
PARAD
0
0
0
0
0
0
0
0
0
68
30
0
0
0
0
0
0
0
1
0
0
0
0
0
0
12
0
0
0
0
0
68
20
0
0
0
0
0
0
0
1
0
0
0
0
0
0
12
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
PARAS
RAN1
RAN2
TTM
VITA2
WN
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
A
A
A
A
A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
OBATKELUAR
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

( LPLPO )
KODE PUSKESMAS
: 282002
PUSTU
: KEDUNG CALUK
KECAMATAN
: KREJENGAN
KAB/KODYA
: PROBOLINGGO
PROPINSI
: JAWA TIMUR
NO
NAMA OBAT
Satuan
Kode
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Amoksisilin 500 mg
Kaplet AMOK5
Antasida DOEN tab Komb
Tablet AND2
Asam Askorbat (Vit C) tab 50 mg
Tablet
VITC
Asam folat 1 mg
Tablet AFOL
Tablet ASMEF
Asetosal tab 100 mg
Tablet
AST
Asiklovir 400 mg
Tablet ASK1
Asiklovir 5 % krim
Tube
ASK2
Tube
BTM
Tablet DEK2
Difenhidramin Hcl Inj 10 mg/ml-1ml Ampul
DIF
Fitomenadion (VitK) inj 10mg/ml-1m Ampul VITK1
Fitomenadion (VitK) tab 10 mg
Tablet VITK2
Sachet GLIT1
Tube
GEN1
Gentamycin 80 mg/2 ml injeksi
Ampul GEN2
Botol
GV
Tablet
GG
Tube
HDR
Ibuprofen 200 mg
Tablet
IBU1
Ibuprofen 400 mg
Tablet
IBU2
Tablet
KALK
JKN
PEMAKAIAN

Awal maan iaan
aian akhir
5
113
240
203
130
380
40
0
10
5
40
30
0
60
0
3
0
2
530
5
332
150
350
300
200
0
100
200
0
100
0
10
200
0
0
0
0
10
0
0
0
0
200
100
300
[7]=(5+6)[8]=S(10) [9]=(7-8)
413
440
203
230
580
40
100
10
15
240
30
0
60
0
13
0
2
530
5
532
250
650
193
364
197
230
300
20
8
0
0
60
18
0
25
0
3
0
0
433
2
422
250
610
220
76
6
0
280
20
92
10
15
180
12
0
35
0
10
0
2
97
3
110
0
40
1
10
46
10
0
10
0
0
0
0
0
1
0
10
0
0
0
0
46
0
10
0
10
2
0
26
3
0
0
0
0
0
0
10
1
0
0
0
0
0
0
32
0
22
0
60
3
10
10
0
40
10
0
0
0
0
0
1
0
0
0
0
0
0
0
0
6
0
0
4
10
0
0
0
10
0
0
0
0
10
0
0
0
0
0
0
0
6
0
32
0
80
5
20
0
20
15
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
30
0
20
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
7
0
10
10
0
10
0
0
0
0
0
0
0
0
0
0
0
0
20
0
8
0
20
8
30
80
0
0
40
20
5
0
0
20
1
0
0
0
0
0
0
58
0
76
56
160
9
0
6
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
12
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
40
40
40
45
50
0
0
0
0
20
5
0
0
0
2
0
0
30
0
6
20
50
13
0
10
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
20
0
0
10
20
NO
NAMA OBAT
Satuan
Kode
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52

Kaptopril 12,5 mg
Kaptopril 25 mg
Klorfeniramin maleat (CTM) tab 4 m
Kotrimoksazole Dewasa tab 480 mg
Lidokain 2% injeksi
Magnesium sulf inj 20%-25 ml
Magnesium sulf inj 40%-25 ml
Metil Ergometrin tab 0.125 mg
Parasetamol sirup 120 mg/5 ml
Prednison 5 mg tab
Salbutamol 2 mg tab
Alat Suntik Sekali Pakai 3 ml / 2,5 m
PEMAKAIAN

Awal maan iaan
aian akhir
5
Vial
KGI
0
Tablet
KAP1
200
Tablet
KAP2
300
Tube KLOSM
4
Tablet
CTM
379
Tablet KOT1
180
Ampul LIDO1
3
Ampul MGS1
0
Ampul MGS2
0
Ampul
ME1
0
Tablet
ME2
50
Tube
MOK
4
Tablet NAD2
80
Tube OKTSK
5
Tube OKTSM
8
Ampul
OTS
22
Botol PARAS
0
Tablet PARA1
0
Tablet PARA5 570
Tablet
B6
640
Tablet PRED
300
Botol
RL
1
Tablet
SAL1
100
Botol
SULF
10
Tablet
FE
1945
Tablet
VB1
862
Tablet
VBC
122
Tablet ZNK1
174
Set
ASS3
10
Set
ASS4
69
0
0
100
0
300
0
0
0
0
10
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
300
300
0
10
10
[7]=(5+6)[8]=S(10) [9]=(7-8)
0
200
400
4
679
180
3
0
0
10
50
4
80
5
8
22
0
0
870
640
300
1
100
10
1945
1162
422
174
20
79
0
200
360
1
595
0
2
0
0
0
0
1
0
2
2
8
0
0
844
402
120
1
10
0
1582
818
422
80
5
45
0
0
40
3
84
180
1
0
0
10
50
3
80
3
6
14
0
0
26
238
180
0
90
10
363
344
0
94
15
34
1
0
0
0
0
28
0
0
0
0
0
0
0
0
0
0
0
0
0
71
0
0
0
0
0
45
10
0
0
0
1
2
0
30
60
1
13
0
0
0
0
0
0
0
0
0
0
0
0
0
88
68
23
0
0
0
230
40
72
20
0
1
3
0
10
10
0
10
0
0
0
0
0
0
0
0
0
1
1
0
0
16
37
10
0
0
0
60
6
0
0
1
4
4
0
10
0
0
10
0
1
0
0
0
0
1
0
0
0
1
0
0
22
20
10
0
0
0
105
50
0
0
1
5
5
0
10
36
0
46
0
0
0
0
0
0
0
0
0
0
0
0
0
48
15
10
0
0
0
25
96
16
20
0
0
6
0
0
10
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
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
90
8
0
0
0
0
8
0
40
86
0
34
0
0
0
0
0
0
0
0
0
0
1
0
0
73
15
6
0
0
0
195
154
84
0
1
6
9
0
40
18
0
32
0
0
0
0
0
0
0
0
0
0
0
0
0
34
0
20
0
0
0
0
82
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
10
0
72
0
0
0
0
0
0
0
0
0
1
2
0
0
96
50
10
0
0
0
150
22
56
10
0
5
13
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
29
0
0
0
0
0
105
104
0
10
0
0
NO
NAMA OBAT
Satuan
Kode
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
PEMAKAIAN

Awal maan iaan
aian akhir
5
Aqua Gel
Botol
AQG
0
Blood set
Set
BLD
0
Catgut/Benang bedah no 3/0 (p&c)
Set
GUT1
4
Catgut Cromic no. 3/0 100 m
Roll
GUT2
0
Etanol 70 % 1 L
Botol
ETN
0
Hidrogen Peroksida ( H2O2 ) 3% Botol 100 mlH2O2
0
Infusion Set Anak
Set
ISA
0
Infusion Set Dewasa
Set
ISD
5
Jarum Jahit (Bedah) No 9 s/d 14
Biji
JJB
0
Kapas Berlemak 500 gr
Bungkus KB5
0
Kapas Pembalut/Absorben 250 gr Bungkus KPA
1
Roll
KP1
2
Kasa Kompres 40/40 steril
Roll
KP2
0
Roll
KP3
0
Roll
KP4
0
Set
STS
12
Sarung Tangan Non Steril
Set
STN
0
Silk ( Benang Bedah Sutera) N0 3/0 Set
SILK1
0
Silk no. 3/0 100 m
Roll
SILK2
0
IV. Catheter no. 18
Set
IV1
2
IV. Catheter no. 20
Set
IV2
8
IV. Catheter no. 22
Set
IV3
0
IV. Catheter no. 24
Set
IV4
0
Wing nedle
Set
WN
0
FOLLEY CATETER
SET
FLY
0
URINE BAG
SET
UB
0
CATGUT/BENANG BEDAH NO.3/0 KR BIJI CATCROM 3
KASA STERIL 16X16
KOTAK KASST
0
CATGUTCROM 3/0 RAJAWALI
SET
GUTC3
4
Spatula kayu
biji
SPATEL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
5
0
0
0
0
[7]=(5+6)[8]=S(10) [9]=(7-8)
0
0
4
0
0
0
0
5
0
0
1
2
0
0
0
12
0
0
0
2
8
0
0
0
5
5
3
0
4
0
0
0
3
0
0
0
0
3
0
0
0
2
0
0
0
12
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
2
0
0
1
0
0
0
0
0
0
0
0
2
7
0
0
0
5
5
3
0
4
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
NAMA OBAT
Satuan
Kode
UMUM
BAYAR
PEMAKAIAN

Awal maan iaan
aian akhir
TIDAK BAYAR
YANG MENYERAHKAN
(..)
GESANG BUDI UTAMI
[7]=(5+6)[8]=S(10) [9]=(7-8)
ASKES
10
JUMLAH
YANG MENERIMA
KEPALA PUSKESMAS
PETUGAS PUSKESMAS
( )
( )
11
12
13
PEMAKAIAN PERTANGGAL
10
14
15
16
17
0
3
0
0
10
30
6
0
0
35
0
0
20
80
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
49
6
0
0
0
0
0
42
32
22
0
6
80
0
0
10
40
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
30
40
52
30
30
0
0
0
0
0
1
0
0
0
0
0
0
58
0
20
78
60
21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
42
0
0
23
30
40
0
0
70
0
0
0
0
0
6
0
15
0
0
0
0
32
1
26
0
50
24
10
0
21
0
40
0
3
0
0
0
1
0
0
0
0
0
0
22
1
36
0
10
25
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26 27 28 29 30 31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Perminta
an
10
14
15
16
17
0
0
0
0
20
0
30
0
30
0
20
0
0
0
0
0
10
63
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
42
65
16
0
35
45
0
0
10
0
10
0
0
1
0
0
0
10
0
0
0
0
0
0
67 175
0
0
38
16
18
0
0
82
0
0
0
0
0
0
0
0
0
0
0
2
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
10
0
92
0
0
0
0
0
0
0
0
0
0
2
0
0
88
10
0
0
0
0
170
50
30
0
1
4
21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
76
0
0
0
0
0
0
0
0
2
0
0
0
0
60
0
0
0
0
0
0
36
60
0
0
0
23
0
10
60
0
73
0
0
0
0
0
0
0
0
0
0
1
0
0
70
67
11
0
0
0
90
34
0
20
1
11
24
0
0
0
0
17
0
1
0
0
0
0
0
0
0
0
0
0
0
10
40
0
0
0
0
15
54
22
0
0
6
25
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
26 27 28 29 30 31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Perminta
an
10
14
15
16
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26 27 28 29 30 31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Perminta
an
10
14
15
16
17
18
19
20
21
22
23
24
25
26 27 28 29 30 31
Perminta
an

( LPLPO )
KODE PUSKESMAS
: 282002
PUSTU
: KEDUNG CALUK
KECAMATAN
: KREJENGAN
KAB/KODYA
: PROBOLINGGO
PROPINSI
: JAWA TIMUR
NO
NAMA OBAT
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Satuan
2

Tablet
Asam folat 1 mg
Tablet
Tablet
Asetosal tab 100 mg
Tablet
Asiklovir 400 mg
Tablet
Asiklovir 5 % krim
Tube
Tube
Ephinefrin Hcl (Adrenalin) inj 0, Ampul
Fitomenadion (VitK) inj 10mg/mlAmpul
Garam Oralit untuk 200 ml air Sachet
Kalsium Laktas (Kalk) tab 500 mTablet
Vial
Kaptopril 12,5 mg
Tablet
Kaptopril 25 mg
Tablet
Kotrimoksazole Susp
Botol
Kuinin Sulfat tab 222 mg
Tablet
Levofloksasin tab 500 mg
Tablet
Lidokain 2% injeksi
Ampul
Metil Ergometrin Inj 0,200 mg-1 Ampul
Metronidazol 500 mg
Tablet
Nifedipin tab 10 mg
Tablet
Obat Batuk hitam (OBH) sirup 1 Botol
AMN2
AFOL
ASMEF
AST
ASK1
ASK2
BTM
EHP
VITK1
GLIT1
KALK
KGI
KAP1
KAP2
KOTS
KST
LEV
LIDO1
ME1
MTR3
NIF
OBH
Pemakaian Per
10

Awal maan iaan
aian akhir
Kode
DAU
68
100
0
0
20
4
2
1
12
40
2
1
0
0
7
0
0
10
5
51
28
4
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
[7]=(5+6)[8]=S(10)[9]=(7-8)
68
100
0
0
20
4
2
1
22
40
2
1
0
0
7
0
0
10
5
51
28
4
0
100
0
0
20
3
1
0
7
10
0
0
0
0
1
0
0
1
0
0
0
4
68
0
0
0
0
1
1
1
15
30
2
1
0
0
6
0
0
9
5
51
28
0
10
11
12
13
14
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
1
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
NO
NAMA OBAT
1
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Satuan
2
Parasetamol sirup 120 mg/5 ml Botol

PARAS
Botol
RL
Salisil Bedak 2 %
Kotak
SB2
Botol
SULF
Alat Suntik Sekali Pakai 10 ml Set
ASS10
Aqua Gel
Botol
AQG
Blood set
Set
BLD
Catgut/Benang bedah no 3/0 (p Set
GUT1
Catgut Cromic no. 3/0 100 m
Roll
GUT2
Etanol 70 % 1 L
Botol
ETN
Hidrogen Peroksida ( H2O2 ) 3%Botol 100H2O2
Infusion Set Anak
Set
ISA
Infusion Set Dewasa
Set
ISD
IV. Catheter no. 22
Set
IV3
IV. Catheter no. 24
Set
IV4
AMOKSISILIN SYR 250 MG
FLS
AMOKSF
SARUNG TANGAN PANJANG OBGSET
STO
RD 5 %
FLS
RD5
BIO E 200 IU
TAB
BIOE
KASA STERIL 16X16
KOTAK KASST
ONDANSETRON INJ
AMPUL ONDAN
PIRANTEL PAMOAT SYR
FLS
PIRSY
YODIUM POVIDONE 60 ML
FLS
YOD6
5
9
8
4
2
0
0
1
0
0
0
1
2
1
1
3
2
2
30
12
0
0
31
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
UMUM
BAYAR
Pemakaian Per
10

Awal maan iaan
aian akhir
Kode
TIDAK BAYAR
[7]=(5+6)[8]=S(10)[9]=(7-8)
15
9
8
4
2
0
0
1
0
0
0
1
2
1
1
3
2
2
30
12
0
0
31
12
2
3
0
0
0
0
1
0
0
0
0
0
0
0
3
1
0
30
12
0
0
12
ASKES
3
7
5
4
2
0
0
0
0
0
0
1
2
1
1
0
1
2
0
0
0
0
19
10
11
12
13
14
15
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
30
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH
YANG MENERIMA
NO
NAMA OBAT
1
Satuan
2
Pemakaian Per
10

Awal maan iaan
aian akhir
Kode
4
[7]=(5+6)[8]=S(10)[9]=(7-8)
YANG MENYERAHKAN
KEPALA PUSKESMAS
(..)
GESANG BUDI UTAMI
( )
10
PETUGAS PUSKESMAS
( )
11
12
13
14
15
kaian Per Tanggal

10
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
1
0
0
1
5
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permint
aan
kaian Per Tanggal

10
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permint
aan
kaian Per Tanggal

10
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Permint
aan

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

2 Antasida DOEN tab Komb

3 Asam Askorbat (Vit C) tab 50 mg

5 Asam mefenamat 500 mg

6 Asetosal tab 100 mg

Betametason krim 0,1%

Deksametason tab 0.5 mg

Difenhidramin Hcl Inj 10 mg/ml-1ml

11 Fitomenadion (VitK) tab 10 mg

Gentamsin Salep Kulit 0,1%

Gentian Violet lart 1%

Gliseril Guaiyakolat tab 100 mg

Hidrokortison krim 2.5 %

Kalsium Laktas (Kalk) tab 500 mg

Kloramphenikol salep mata 1 %

Klorfeniramin maleat (CTM) tab 4 mg

Kotrimoksazole Dewasa tab 480 mg

Metil Ergometrin Inj 0,200 mg-1 ml

Stok Penerim Persed Pemak sisa

Mikonazole Krim / salep 2%

Oksitosin inj 10 iu/1ml

Parasetamol tab 500 mg

Ringer Laktate lart infus

Tablet tambah darah komb

Thiamin ( Vit B1 ) 50 mg tab

Vitamin B Kompleks tab

Zink 20 mg Tablet dispersible

1 Alat Suntik Sekali Pakai 1 ml

2 Alat Suntik Sekali Pakai 3 ml / 2,5 ml

Catgut/Benang bedah no 3/0 (p&c) dengan

Infusion Set Dewasa

Kapas Pembalut/Absorben 250 gr

Sarung Tangan Steril ( Handscoun)

IV. Catheter no. 18

IV. Catheter no. 20

Stok Penerim Persed Pemak sisa

Stok Penerim Persed Pemak sisa

KEPALA DINKES DT. II

GESANG BUDI UTAMI

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

Aminophilin tab 200 mg

Betametason krim 0,1%

Garam Oralit untuk 200 ml air

Kalsium Laktas (Kalk) tab 500 mg

Kalsium Gluconas Injeksi

Penerim Persedi Pemak Sisa

Metil Ergometrin Inj 0,200 mg-1 ml

Obat Batuk hitam (OBH) sirup 100 ml

Parasetamol sirup 120 mg/5 ml

Ringer Laktate lart infus

Sulfasetamid tts mata 15%

Alat Suntik Sekali Pakai 10 ml

Catgut/Benang bedah no 3/0 (p&c) de

Infusion Set Anak

Infusion Set Dewasa

IV. Catheter no. 22

IV. Catheter no. 24

Penerim Persedi Pemak Sisa

GESANG BUDI UTAMI

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

Stok Peneri Perse Pema sisa

Klorfeniramin maleat (CTM) tab 4 mg Tablet

56 Obh jeruk nipis