Induk 0116

BERITA ACARA PENYERAHAN OBAT DAN LAPORAN PENERIMAAN
DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN JANUARI TAHUN 2016

Kode
Obat
Satuan
Stok Awal
Penerimaan Pengeluaran Stok Akhir
Permintaan
Acyclovir Krem
Tube
20
14
Acyclovir Tablet 400 mg
Tablet
297
83
214
10
Albendazol Tablet 400 mg
Tablet
152
152
11
Allopurinol Tablet 100 mg
Tablet
1000
299
701
12
Ambroxol syr 60 ml
Btl
27
50
34
43
13
Ambroxol
Tablet
4000
2978
1022
15
Amoksisillin Kaplet 500 mg
Kaplet
160
3000
3160
16
Amoksilin Syrup
Botol
70
65
12
17
Amlodipin
Tablet
167
600
604
163
18
Antasida Doen / Novamag Syrup
Botol
180
180
19
Antasida Doen Tablet 500 mg
Tablet
4800
3262
1538
20
Anti Hemoroid Supp
Suppo
11
11
21
Asam Askorbat / Vit.C Tablet 50 mg
Tablet
199
500
342
357
23
Asam traneksamat
Kaplet
56
56
24
Asam folat
Tablet
105
105
25
Asfit
Kapsul
30
30
26
Attapulgit
Tablet
465
40
425
27
Besi II Sulfat / Tablet Tambah Darah
Tablet
2245
6000
7195
1050
28
Betametason
Tube
25
25
29
Betahistine Tablet 6 mg
Ktk 50 tab
50
300
200
150
31
Bromhexin Tablet 8 MG
set
1000
56
944
32
Captopril Tablet 25 mg
Tablet
238
180
58
35
Cefadroxil 500 mg Kapsul
Kapsul
275
500
444
331
36
Cetirisin
Tablet
573
500
738
335
Codein
Tablet
100
15
85
37
Cotrimoxazole Syrup
Botol
50
17
40
38
Cotrimoxazole Tablet 480 mg Dewasa
Tablet
690
348
342
39
Curcuma Tablet 200 mg
Tablet
242
20
222
40
Cyprofloxacin Kaplet 500 mg
Kaplet
32
500
320
212
43
Diazepam Injeksi 10 mg / 2 ml
Ampul
44
Diazepam Tablet 2 mg
Tablet
183
100
128
155
46
Digoxin Tablet 0,25 mg
Tablet
47
Dimenhidrinat Tablet
Tablet
141
56
85
48
Domperidon / Vesperum Tablet
Tablet
80
80
49
Domperidon / Vesperum Syrup
Botol
50
14
45
Efedrin
Tablet
122
122
53
Erythromycin Kapsul 500 mg
Kapsul
525
45
480
56
Ethambutol Tablet 500 mg
Tablet
90
90
Fenol gliserol tetes telinga
Botol
18
17
61
Fitomenadion Tablet salut 10 mg
Tablet
251
176
75
65
Furosemid Tablet 40 mg
Tablet
34
34
68
Gentamycin Krem
Tube
14
40
42
12
69
Gentian Violet
Botol
67
14
53
71
Glibenklamid Tablet 5 mg
Tablet
285
26
259
72
Glimepirid 2 mg Tablet
ktk
436
150
286
77
Griseovulfin Tablet 125 mcg
Tablet
689
65
624
78
H.C.T. Tablet 25 mg
Tablet
1427
26
1401
79
Ibuprofen Tablet 400 mg
Tablet
416
500
714
202
Kode
Obat
Satuan
Stok Awal
Permintaan
80
Ibuprofen syrup
Botol
50
48
81
Ichthyol Salep
Pot
13
83
INH 300 MG
Tablet
876
40
836
85
Kalium Diklofenak Tablet 50 mg
Tablet
397
48
349
86
Kalsium Laktat Tablet 500 mg
Tablet
2500
2013
487
91
Ketokonasol Tablet 200 mg
Tablet
93
Kloramphenikol Kapsul 250 mg
Kapsul
149
230
164
215
95
Kloramfenikol tetes telinga
Botol
16
24
33
96
Kloramfenikol tetes mata
Botol
50
10
41
97
Klorfeniramin Maleat / C.T.M. 4 mg
Tablet
1836
5000
6650
186
Kodein
Tablet
100
15
85
Tablet
98
Loratadin Tablet
100
Masker
500
159
341
110
110
101
Meloxicam Tablet 15 mg
Tablet
320
86
234
Metformin
Tablet
72
1000
378
694
104
Methyl Ergometrin Maleat Tablet
Tablet
25
25
105
Methyl Prednisolon
Tablet
492
340
152
108
Metronidazol Tabet 500 mg
Tablet
497
211
286
109
Miconazole Krem
Tube
110
Natrium Diklofenak / Voltadex Tablet 50 mg
Tablet
427
550
692
285
114
Neo Kaominal Syrup
Botol
Neo diaform
Tablet
1000
371
629
115
Nifedipin
Tablet
95
89
116
Nistatin
Tablet
42
37
117
Obat Anti Tuberkulosis Kategori 1 dan 111
Paket
16
16
Obat Anti Tuberkulosis Kategori Anak
Paket
119
Obat Batuk Hitam (OBH)
Botol
16
80
87
120
Oksitetrasiklin HCL Salep Kulit 3 %
Tube
30
25
71
16
121
Oksitetrasiklin Salep Mata 1 %
Tube
43
43
123
Omeneuron
Tablet
130
70
60
Omeprazol
Kapsul
150
49
101
125
Oralit 200 ml / Garam Oralit
Sase
90
90
126
Papaverin HCL Tablet 40 mg
Tablet
674
241
433
127
Paracetamol Syrup 120 mg / 5ml
Botol
115
115
128
Paracetamol Tablet 500 mg
Tablet
12300
12300
131
Piracetam Tablet
Tablet
82
82
132
Pirantel Pamoat Tablet 125 mg Basa
Tablet
116
22
94
133
Pirazinamid Tablet
Tablet
200
195
Piridoksin
Tablet
658
2000
1598
1060
Piroxicam 20 mg
Tablet
972
464
508
Prednison
Tablet
944
1000
1048
896
141
Propanolol Tablet 40 mg
Tablet
173
173
142
Propiltiourasil Tablet / PTU
Tablet
18
100
30
88
144
Ranitidin Tablet 150 mg
Tablet
550
1600
2297
147
146
Rifampicin 450 mg
Kapsul
83
40
43
Salbutamol 4 mg
Tablet
587
315
272
50
37
13
137
150
Salisil bedak
Set
156
Sianokobalamin Tablet ( Vit B12 )
Tablet
537
207
330
Simvastatin
Tablet
232
500
256
476
Thiamin
Tablet
1930
1930
Thiamfenikol
Kapsul
500
150
350
Kode
Obat
Satuan
Stok Awal
Permintaan
164
Vitamin B Komplek Tablet
Tablet
3600
3275
325
165
Vicalsin
Botol
10
166
Zink Tablet
Tablet
629
190
439
167
Vidabion
Kaplet
300
300
168
169
170
171
172
0
Jumlah kunjung Bayar
Umum
resep
UKS
Tidak bayar
Askes PNS
Askes Gakin
Umum
Jumlah semua
Pimpinan Kepala UPT Puskesmas

Majenang I
Pengelola Gudang obat
Yang meminta/melapor
Puskesmas Majenang I
.
Sri Wahyuni, SKM
NIP 19671209 199103 2 005
Tri Hartati AMK

NIP. 19751228 201406 2 007
AAN
N 2016
Pemberian
Pemberian
Pemberian

DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN FEBRUARI TAHUN 2016
Kode
Obat
Satuan
Stok Awal
Penerimaa Pengeluara
Stok Akhir Permintaan
n
n
Acyclovir Krem
Tube
25
16
15
Tablet
214
57
157
Tablet
152
144
Tablet
701
400
301
Ambroxol syr 60 ml
Btl
43
100
105
38
Ambroxol
Tablet
1022
1000
1174
848
Kaplet
1900
1900
Amoksilin Syrup
Botol
12
120
111
21
Amlodipin
Tablet
163
1980
2096
47
10
Botol
120
120
11
Tablet
1538
2000
764
2774
12
Anti Hemoroid Supp
Suppo
40
21
19
13
Tablet
357
353
14
Asam traneksamat
Kaplet
200
36
164
15
Asam folat
Tablet
105
101
16
Asfit
Kapsul
30
30
17
Attapulgit
Tablet
425
110
315
18
Balsem geliga
19
Tablet
1050
3910
4195
765
20
Betametason
Tube
100
84
16
21
Ktk 50 tab
150
180
240
90
22
set
944
1000
1509
435
23
Tablet
58
1000
474
584
24
Kapsul
331
300
623
25
Cetirisin
Tablet
335
500
567
268
26
Codein
Tablet
85
26
59
27
Cotrimoxazole Syrup
Botol
40
24
16
28
Tablet
342
500
294
548
29
Tablet
222
222
30
Kaplet
212
212
31
Dexamethason
Tablet
1000
1000
32
Tablet
155
73
79
33
Tablet
100
60
40
34
Tablet
85
300
84
301
35
Tablet
500
394
106
36
Botol
45
45
37
Efedrin
Tablet
122
122
38
Kapsul
480
36
444
39
Tablet
40
Botol
17
48
22
43
41
Tablet
75
100
175
42
Tablet
43
Gentamycin Krem
Tube
12
30
30
12
44
Gentian Violet
Botol
53
22
31
45
Tablet
259
68
191
46
ktk
286
228
58
47
Tablet
624
200
424
48
H.C.T. Tablet 25 mg
Tablet
1401
49
1352
Pot
49
Tablet
202
202
50
Ibuprofen syrup
Botol
48
12
36
51
Ichthyol Salep
Pot
24
28
52
INH 300 MG
Tablet
836
30
806
53
Isosorbid dinitrat
Tablet
100
10
90
54
Tablet
349
800
348
801
55
Tablet
487
1700
2175
12
56
Tablet
57
Kapsul
215
174
41
58
Kloramfenikol zalp mata
Tube
24
23
59
Botol
60
Botol
41
75
64
52
61
Tablet
186
4000
4186
62
Kodein
Tablet
85
26
59
63
Loratadin Tablet
Tablet
341
250
295
296
64
Masker
110
90
20
65
Tablet
234
65
169
66
Metformin
Tablet
694
488
206
67
Tablet
25
100
10
115
68
Methyl Prednisolon
Tablet
152
800
530
422
69
Tablet
286
227
59
70
Miconazole Krem
Tube
48
46
71
Tablet
285
1000
230
1055
72
Neo Kaominal Syrup
Botol
73
Neo diaform
Tablet
629
424
205
74
Nifedipin
Tablet
89
89
75
Nistatin
Tablet
37
18
19
76
Obat Anti Tuberkulosis Kategori 1 dan 111
Paket
16
16
77
Obat Anti Tuberkulosis Kategori Anak
Paket
78
Botol
160
79
Tube
16
75
60
31
80
Tube
81
Omeneuron
Tablet
60
200
187
73
82
Omeprazol
Kapsul
101
150
251
83
Sase
84
Tablet
433
3000
797
2636
85
Botol
199
137
62
86
Tablet
16300
16300
87
Piracetam Tablet
Tablet
82
20
62
88
Tablet
94
90
89
Pirazinamid Tablet
Tablet
100
30
79
90
Piridoksin
Tablet
1060
2000
1224
1836
91
Piroxicam 20 mg
Tablet
508
500
875
133
92
Prednison
Tablet
896
500
770
626
93
Tablet
94
Tablet
88
100
20
168
95
Tablet
147
1800
1947
96
Rifampicin 450 mg
Kapsul
43
30
13
97
Salbutamol 4 mg
Tablet
272
1000
426
846
98
Salisil bedak
Set
13
30
43
99
Tablet
330
1000
490
840
100
Simvastatin
Tablet
476
419
57
101
Thiamin
Tablet
3000
2836
164
28
102
Thiamfenikol
Kapsul
350
200
400
150
103
Tablet
325
3000
2493
832
104
Vicalsin
Botol
105
Zink Tablet
Tablet
439
119
320
106
Vidabion
Kaplet
300
300
107
108
109
110
111
0
Jumlah kunju Bayar
Umum
resep
UKS
Tidak bayar
Askes PNS
Askes Gakin
Umum
Jumlah semua

Majenang I
Sri Wahyuni, SKM
NIP 19671209 199103 2 005

Tri Hartati AMK

NIP. 19751228 201406 2 007
NERIMAAN
RI TAHUN 2016
Pemberian

DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN MARET TAHUN 2016
Kode
Obat
Satuan
Stok Awal
n
n
Acyclovir Krem
Tube
15
25
16
24
Tablet
157
55
102
Tablet
144
144
Tablet
301
1000
566
735
Ambroxol syr 60 ml
Btl
38
50
65
23
Ambroxol
Tablet
848
2000
2848
Kaplet
5100
5100
Amoksilin Syrup
Botol
21
137
154
Amlodipin
Tablet
47
2700
2068
679
10
Botol
190
106
84
11
Tablet
2774
4000
3963
2811
12
Anti Hemoroid Supp
Suppo
19
50
16
53
13
Tablet
200
182
22
14
Asam traneksamat
Kaplet
164
200
20
344
15
Asam folat
Tablet
101
101
16
Asfit
Kapsul
30
30
17
Attapulgit
Tablet
315
157
158
18
Balsem geliga
19
Tablet
765
3090
3855
20
Betametason
Tube
16
86
98
21
Ktk 50 tab
90
150
214
26
22
set
435
500
935
23
Tablet
584
1000
582
1002
24
Kapsul
300
300
25
Cetirisin
Tablet
268
3100
706
2662
26
Codein
Tablet
59
56
27
Cotrimoxazole Syrup
Botol
16
50
44
22
28
Tablet
548
337
211
29
Tablet
222
222
30
Kaplet
1000
230
770
31
Dexamethason
Tablet
3000
2949
51
32
Tablet
79
400
132
347
33
Tablet
40
22
18
34
Tablet
301
76
225
35
Tablet
106
106
36
Botol
45
37
37
Efedrin
Tablet
122
122
38
Kapsul
444
55
389
39
Tablet
40
Botol
43
18
25
41
Tablet
600
600
42
Tablet
43
Gentamycin Krem
Tube
12
50
25
37
44
Gentian Violet
Botol
31
21
10
45
Tablet
191
10
181
46
ktk
58
250
243
65
47
Tablet
424
125
299
48
H.C.T. Tablet 25 mg
Tablet
1352
494
858
49
Tablet
328
600
701
227
Pot
Kode
Obat
Satuan
Stok Awal
n
n
50
Ibuprofen syrup
Botol
36
35
51
Ichthyol Salep
Pot
28
25
52
INH 300 MG
Tablet
806
25
781
53
Isosorbid dinitrat
Tablet
90
10
80
54
Tablet
801
154
647
55
Tablet
12
2000
1945
67
56
Tablet
150
110
40
57
Kapsul
41
41
58
Tube
23
48
41
30
59
Botol
60
Botol
52
52
61
Tablet
5000
5000
62
Kodein
Tablet
59
59
63
Loratadin Tablet
Tablet
296
250
337
209
64
Masker
20
540
540
20
65
Tablet
169
45
124
66
Metformin
Tablet
206
500
406
300
67
Tablet
115
115
68
Methyl Prednisolon
Tablet
422
272
150
69
Tablet
59
500
206
353
70
Miconazole Krem
Tube
41
38
71
Tablet
1055
422
633
72
Neo Kaominal Syrup
Botol
73
Neo diaform
Tablet
205
128
77
74
Nifedipin
Tablet
89
89
75
Nistatin
Tablet
19
19
78
Botol
228
153
77
79
Tube
31
50
51
30
80
Tube
81
Omeneuron
Tablet
73
26
47
82
Omeprazol
Kapsul
83
Sase
200
135
65
84
Tablet
2636
466
2170
85
Botol
62
223
228
57
86
Tablet
15300
15300
87
Piracetam Tablet
Tablet
62
62
88
Tablet
90
86
89
Pirazinamid Tablet
Tablet
79
20
59
90
Piridoksin
Tablet
1836
1747
89
91
Piroxicam 20 mg
Tablet
133
1500
661
972
92
Prednison
Tablet
626
626
93
Tablet
94
Tablet
168
168
95
Tablet
2500
1950
550
96
Rifampicin 450 mg
Kapsul
13
13
97
Salbutamol 4 mg
Tablet
846
385
461
Salep 24
Pot
48
44
98
Salisil bedak
Set
45
43
99
Tablet
840
2000
338
2502
100
Simvastatin
Tablet
57
1000
257
800
101
Thiamin
Tablet
164
3250
2718
696
102
Thiamfenikol
Kapsul
150
150
Kode
Obat
Satuan
Stok Awal
n
n
Transifar
Kaplet
500
500
103
Tablet
832
2000
2675
157
104
Vicalsin
Botol
40
34
105
Zink Tablet
Tablet
320
1000
127
1193
106
Vidabion
Kaplet
300
1000
888
412
107
108
109
110
111
Jumlah kunju Bayar
Umum
resep
UKS
Tidak bayar
Askes PNS
Askes Gakin
Umum
Jumlah semua

Majenang I
Sri Wahyuni, SKM
NIP 19671209 199103 2 005

Tri Hartati AMK

NIP. 19751228 201406 2 007
RIMAAN
AHUN 2016
Pemberian
Pemberian
Pemberian

DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN APRIL TAHUN 2016
Kode
Obat
Satuan
Stok Awal
Permintaan
Acyclovir Krem
Tube
24
63
29
58
Tablet
102
102
Tablet
144
144
Tablet
735
1300
319
1716
Ambroxol syr 60 ml
Btl
23
50
64
Ambroxol
Tablet
1500
1500
Kaplet
3900
3900
Amoksilin Syrup
Botol
175
131
48
Amlodipin
Tablet
679
900
1310
269
10
Botol
84
60
72
72
11
Tablet
2811
1800
2984
1627
12
Anti Hemoroid Supp
Suppo
53
15
38
13
Tablet
22
1000
318
704
14
Asam traneksamat
Kaplet
344
30
314
15
Asam folat
Tablet
101
10
91
16
Asfit
Kapsul
30
30
17
Attapulgit
Tablet
158
90
68
18
Balsem geliga
Pot
19
Tablet
20
Betametason
Tube
74
78
21
Ktk 50 tab
26
270
296
22
set
74
74
23
Tablet
1002
155
847
24
Kapsul
1000
615
393
25
Cetirisin
Tablet
2662
1586
1076
26
Codein
Tablet
56
56
27
Cotrimoxazole Syrup
Botol
22
16
28
Tablet
211
119
196
29
Tablet
222
23
199
30
Kaplet
770
166
604
31
Dexamethason
Tablet
51
4000
2701
1350
32
Tablet
347
123
224
33
Tablet
18
18
34
Tablet
225
38
187
35
Tablet
1000
267
733
36
Botol
37
28
37
Efedrin
Tablet
122
122
38
Kapsul
389
45
344
40
Botol
25
19
41
Tablet
42
Tablet
43
Gentamycin Krem
Tube
37
33
44
Gentian Violet
Botol
10
50
24
36
45
Tablet
181
181
46
ktk
65
250
230
85
Gliseril guaiacolas
Tablet
5000
1645
3355
47
Tablet
299
20
279
48
H.C.T. Tablet 25 mg
Tablet
858
43
815
49
Tablet
227
500
727
50
Ibuprofen syrup
Botol
20
11
10
51
Ichthyol Salep
Pot
25
23
52
INH 300 MG
Tablet
781
781
Kode
Obat
Satuan
Stok Awal
Permintaan
53
Isosorbid dinitrat
Tablet
80
10
70
54
Tablet
647
164
483
55
Tablet
67
1500
1567
56
Tablet
40
30
10
57
Kapsul
58
Tube
30
115
98
47
59
Botol
24
18
60
Botol
61
Tablet
7000
6195
805
62
Kodein
Tablet
59
59
63
Loratadin Tablet
Tablet
209
209
64
Masker
20
20
65
Tablet
124
43
81
66
Metformin
Tablet
300
191
109
67
Tablet
115
115
68
Methyl Prednisolon
Tablet
150
1000
466
684
69
Tablet
353
62
291
70
Miconazole Krem
Tube
41
22
24
71
Tablet
633
550
83
72
Neo Kaominal Syrup
Botol
73
Neo diaform
Tablet
77
77
74
Nifedipin
Tablet
89
89
75
Nistatin
Tablet
19
19
78
Botol
77
70
77
70
79
Tube
30
25
55
80
Tube
81
Omeneuron
Tablet
47
20
27
82
Omeprazol
Kapsul
83
Sase
65
100
85
80
84
Tablet
2170
577
1593
85
Botol
92
84
146
30
86
Tablet
13200
13200
87
Piracetam Tablet
Tablet
62
10
52
88
Tablet
86
86
89
Pirazinamid Tablet
Tablet
59
55
90
Piridoksin
Tablet
89
89
91
Piroxicam 20 mg
Tablet
972
402
570
92
Prednison
Tablet
1000
1000
93
Tablet
94
Tablet
168
168
95
Tablet
550
2000
1772
778
96
Rifampicin 450 mg
Kapsul
97
Salbutamol 4 mg
Tablet
461
302
159
Salep 24
Pot
44
41
98
Salisil bedak
Set
60
57
99
Tablet
2502
531
1971
100
Simvastatin
Tablet
800
305
495
101
Thiamin
Tablet
696
8000
1624
7072
102
Thiamfenikol
Kapsul
500
100
400
Transifar
Kaplet
750
110
640
103
Tablet
157
4000
2738
4130
104
Vicalsin
Botol
34
22
12
105
Zink Tablet
Tablet
1193
190
1003
106
Vidabion
Kaplet
412
2500
2265
650
Kode
Obat
Satuan
Stok Awal
Permintaan
107
108
109
110
111
Umum
resep
UKS
Tidak bayar
Askes PNS
Askes Gakin
Umum
Jumlah semua
Majenang I
Sri Wahyuni, SKM
NIP 19671209 199103 2 005

Tri Hartati AMK

NIP. 19751228 201406 2 007
AN
2016
Pemberian
Pemberian
Pemberian

DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN MEI TAHUN 2016
Kode
Obat
Satuan
Stok Awal
Permintaan
Acyclovir Krem
Tube
58
44
14
Tablet
250
127
123
Tablet
144
144
Tablet
1716
356
1360
Ambroxol syr 60 ml
Btl
50
59
Ambroxol
Tablet
Kaplet
7000
7000
Amoksilin Syrup
Botol
38
90
91
47
Amlodipin
Tablet
269
1500
1700
69
10
Botol
72
60
86
46
11
Tablet
1627
800
2427
12
Anti Hemoroid Supp
Suppo
38
13
25
13
Tablet
704
339
365
14
Asam traneksamat
Kaplet
314
500
100
714
15
Asam folat
Tablet
91
20
71
16
Asfit
Kapsul
30
30
17
Attapulgit
Tablet
68
300
169
199
18
Balsem geliga
Pot
19
Tablet
20
Betametason
Tube
75
75
21
Ktk 50 tab
22
set
23
Bufacomp
Tube
24
Tablet
847
189
658
25
Kapsul
393
200
478
115
26
Cetirisin
Tablet
1076
982
94
27
Codein
Tablet
59
59
28
Cotrimoxazole Syrup
Botol
50
22
34
29
Tablet
196
600
164
528
30
Tablet
199
199
31
Kaplet
604
248
356
32
Dexamethason
Tablet
1350
1000
2350
33
Tablet
224
106
118
34
Tablet
18
18
35
Tablet
187
187
36
Tablet
733
110
623
37
Botol
28
15
13
38
Efedrin
Tablet
122
122
39
Kapsul
344
40
304
40
Botol
48
17
37
41
Tablet
42
Tablet
43
Gentamycin Krem
Tube
50
38
16
44
Gentian Violet
Botol
36
11
25
45
Tablet
181
10
171
46
ktk
85
85
47
Gliseril guaiacolas
Tablet
3355
2595
760
48
Tablet
279
30
249
49
H.C.T. Tablet 25 mg
Tablet
815
38
777
50
Tablet
51
Ibuprofen syrup
Botol
10
52
Ichthyol Salep
Pot
23
18
Kode
Obat
Satuan
Stok Awal
Permintaan
53
INH 300 MG
Tablet
781
776
54
Isosorbid dinitrat
Tablet
70
70
55
Tablet
483
483
56
Tablet
1000
1000
57
Tablet
10
10
58
Kapsul
59
Tube
47
50
97
60
Botol
18
12
61
Botol
62
Tablet
805
63
Kodein
Tablet
59
64
Loratadin Tablet
Tablet
65
Masker
20
20
66
Tablet
81
76
67
Metformin
Tablet
109
600
244
465
68
Tablet
115
30
85
69
Methyl Prednisolon
Tablet
684
461
223
70
Tablet
291
113
178
71
Miconazole Krem
Tube
24
19
72
Tablet
83
1000
586
497
73
Neo Kaominal Syrup
Botol
74
Neo diaform
Tablet
75
Nifedipin
Tablet
89
84
76
Nistatin
Tablet
19
19
77
Botol
70
24
92
78
Tube
50
48
79
Tube
80
Omeneuron
Tablet
27
20
81
Omeprazol
Kapsul
82
Sase
80
80
83
Tablet
1593
472
1121
84
Botol
30
110
108
32
85
Tablet
12200
12200
86
Piracetam Tablet
Tablet
52
52
87
Tablet
86
86
88
Pirazinamid Tablet
Tablet
55
55
89
Piridoksin
Tablet
89
1500
1259
330
90
Piroxicam 20 mg
Tablet
570
440
130
91
Prednison
Tablet
1100
808
292
92
Tablet
93
Tablet
168
168
94
Tablet
778
1000
1778
95
Rifampicin 450 mg
Kapsul
96
Salbutamol 4 mg
Tablet
159
500
429
230
97
Salep 24
Pot
41
35
98
Salisil bedak
Set
45
32
18
99
Tablet
1971
809
1162
100
Simvastatin
Tablet
495
214
281
101
Thiamin
Tablet
7072
1290
5782
102
Thiamfenikol
Kapsul
400
60
340
103
Transifar
Kaplet
640
245
395
104
Tablet
4157
2362
1795
105
Vicalsin
Botol
12
50
36
26
106
Zink Tablet
Tablet
1003
250
753
Kode
107
Obat
Vidabion
Satuan
Stok Awal
Kaplet
650
1800
2450
Permintaan
0
107
108
109
110
111
Umum
resep
UKS
Tidak bayar
Askes PNS
Askes Gakin
Umum
Jumlah semua
Majenang I
Sri Wahyuni, SKM
NIP 19671209 199103 2 005

Tri Hartati AMK

NIP. 19751228 201406 2 007
AN
016
Pemberian
Pemberian
Pemberian

DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN JUNI TAHUN 2016
Kode
Obat
Satuan
Stok Awal
Permintaan
Acyclovir Krem
Tube
14
Tablet
123
56
67
Tablet
144
144
Tablet
1360
198
1162
Ambroxol syr 60 ml
Btl
100
27
73
Ambroxol
Tablet
1000
420
580
Kaplet
4000
4000
Amoksilin Syrup
Botol
47
60
72
35
Amlodipin
Tablet
69
1200
1107
169
10
Botol
46
60
60
46
11
Tablet
4000
2681
1319
12
Anti Hemoroid Supp
Suppo
25
16
13
Tablet
365
292
73
14
Asam traneksamat
Kaplet
714
150
564
15
Asam folat
Tablet
71
1000
630
441
16
Asfit
Kapsul
30
30
17
Attapulgit
Tablet
199
200
268
131
18
Balsem geliga
Pot
19
Tablet
20
Betametason
Tube
100
81
19
21
Ktk 50 tab
22
set
23
Bufacomp
Tube
24
Tablet
658
163
495
25
Kapsul
115
400
472
43
26
Cetirisin
Tablet
94
2100
1432
762
27
Codein
Tablet
59
59
28
Cotrimoxazole Syrup
Botol
34
19
15
29
Tablet
528
84
444
30
Tablet
199
22
177
31
Kaplet
356
268
88
32
Dexamethason
Tablet
3000
2152
848
33
Tablet
118
80
38
34
Tablet
18
18
35
Tablet
300
300
36
Tablet
623
222
401
37
Botol
13
38
Efedrin
Tablet
122
122
39
Kapsul
304
50
254
40
Botol
37
28
41
Tablet
42
Tablet
43
Gentamycin Krem
Tube
16
30
43
44
Gentian Violet
Botol
25
18
45
Tablet
171
500
10
661
46
60
47
Gliseril guaiacolas
760
2000
1870
890
ktk
Tablet
Kode
Obat
Satuan
Stok Awal
Permintaan
48
Tablet
249
500
160
589
49
H.C.T. Tablet 25 mg
Tablet
777
39
738
50
Tablet
51
Ibuprofen syrup
Botol
30
29
52
Ichthyol Salep
Pot
18
13
28
53
INH 300 MG
Tablet
776
10
766
54
Isosorbid dinitrat
Tablet
70
70
55
Tablet
56
Tablet
1000
1000
57
Tablet
58
Kapsul
59
Tube
60
Botol
48
12
42
61
Botol
62
Tablet
1750
1750
63
Kodein
Tablet
64
Loratadin Tablet
Tablet
65
Masker
40
40
66
Tablet
76
16
60
67
Metformin
Tablet
465
216
239
68
Tablet
85
30
55
69
Methyl Prednisolon
Tablet
223
500
469
264
70
Tablet
178
90
88
71
Miconazole Krem
Tube
26
28
72
Tablet
497
500
626
371
73
Neo Kaominal Syrup
Botol
74
Neo diaform
Tablet
75
Nifedipin
Tablet
84
84
76
Nistatin
Tablet
19
14
77
Botol
100
61
41
78
Tube
50
38
14
79
Tube
59
59
80
Omeneuron
Tablet
81
Omeprazol
Kapsul
82
Sase
100
100
83
Tablet
1121
558
563
84
Botol
180
119
63
85
Tablet
13900
11830
2070
86
Piracetam Tablet
Tablet
87
Tablet
86
12
74
88
Pirazinamid Tablet
Tablet
55
55
89
Piridoksin
Tablet
330
859
90
Piroxicam 20 mg
Tablet
130
184
91
Prednison
Tablet
292
1000
577
715
92
Tablet
93
Tablet
168
168
94
Tablet
2000
1919
81
95
Rifampicin 450 mg
Kapsul
96
Salbutamol 4 mg
Tablet
230
1000
374
856
97
Salep 24
Pot
35
31
Kode
Obat
98
Salisil bedak
99
100
Satuan
Stok Awal
Set
Permintaan
18
50
35
33
Tablet
1162
494
668
Simvastatin
Tablet
281
137
144
101
Thiamin
Tablet
5782
1091
4691
102
Thiamfenikol
Kapsul
340
80
260
103
Transifar
Kaplet
395
750
805
340
104
Tablet
1795
1000
2579
216
105
Vicalsin
Botol
26
106
Zink Tablet
Tablet
953
170
783
107
Vidabion
Kaplet
2000
2000
107
108
109
110
111
Umum
resep
UKS
Tidak bayar
Askes PNS
Askes Gakin
Umum
Jumlah semua
Majenang I
Sri Wahyuni, SKM
NIP 19671209 199103 2 005

Tri Hartati AMK

NIP. 19751228 201406 2 007
AN
2016
Pemberian
Pemberian
Pemberian

DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN JULI TAHUN 2016
Kode
Obat
Satuan
Stok Awal
Permintaan
Acyclovir Krem
Tube
25
30
Tablet
67
64
Tablet
144
144
Tablet
1162
248
914
Ambroxol syr 60 ml
Btl
73
46
27
Ambroxol
Tablet
580
500
587
493
Kaplet
3000
3000
Amoksilin Syrup
Botol
35
60
52
43
Amlodipin
Tablet
169
900
748
321
10
Botol
46
100
58
88
11
Tablet
1319
2000
2001
1318
12
Anti Hemoroid Supp
Suppo
50
11
48
13
Tablet
73
73
14
Asam traneksamat
Kaplet
564
85
479
15
Asam folat
Tablet
441
500
16
Asfit
Kapsul
30
17
Attapulgit
Tablet
131
200
18
Balsem geliga
Pot
19
Tablet
20
Betametason
Tube
19
50
21
Ktk 50 tab
150
22
set
23
Bufacomp
Tube
24
Tablet
495
25
Kapsul
43
500
26
Cetirisin
Tablet
762
600
27
Codein
Tablet
59
28
Cotrimoxazole Syrup
Botol
15
45
29
Tablet
444
30
Tablet
177
100
31
Kaplet
88
1000
32
Dexamethason
Tablet
848
4000
33
Tablet
38
34
Tablet
18
35
Tablet
300
36
Tablet
401
37
Botol
50
38
Efedrin
Tablet
122
39
Kapsul
254
40
Botol
41
Tablet
42
Tablet
43
Gentamycin Krem
Tube
30
44
Gentian Violet
Botol
10
45
Tablet
661
46
47
Gliseril guaiacolas
890
ktk
Tablet
Kode
Obat
Satuan
Stok Awal
48
Tablet
589
49
H.C.T. Tablet 25 mg
Tablet
738
50
Tablet
51
Ibuprofen syrup
Botol
29
52
Ichthyol Salep
Pot
28
53
INH 300 MG
Tablet
766
54
Isosorbid dinitrat
Tablet
70
55
Tablet
56
Tablet
2000
57
Tablet
58
Kapsul
59
Tube
60
Botol
42
21
61
Botol
62
Tablet
63
Kodein
Tablet
64
Loratadin Tablet
Tablet
65
Masker
40
66
Tablet
60
67
Metformin
Tablet
239
500
68
Tablet
55
69
Methyl Prednisolon
Tablet
264
500
70
Tablet
88
71
Miconazole Krem
Tube
46
72
Tablet
371
500
73
Neo Kaominal Syrup
Botol
74
Neo diaform
Tablet
75
Nifedipin
Tablet
84
76
Nistatin
Tablet
14
77
Botol
41
20
78
Tube
14
79
Tube
80
Omeneuron
Tablet
500
81
Omeprazol
Kapsul
82
Sase
100
83
Tablet
563
1000
84
Botol
63
30
85
Tablet
2070
8900
86
Piracetam Tablet
Tablet
87
Tablet
74
88
Pirazinamid Tablet
Tablet
55
89
Piridoksin
Tablet
90
Piroxicam 20 mg
Tablet
500
91
Prednison
Tablet
715
92
Tablet
93
Tablet
168
94
Tablet
81
1000
95
Rifampicin 450 mg
Kapsul
96
Salbutamol 4 mg
Tablet
856
97
Salep 24
Pot
31
Permintaan
Kode
Obat
98
Salisil bedak
99
Satuan
Stok Awal
Set
33
50
Tablet
668
100
Simvastatin
Tablet
144
200
101
Thiamin
Tablet
4691
102
Thiamfenikol
Kapsul
260
103
Transifar
Kaplet
340
1500
104
Tablet
216
2000
105
Vicalsin
Botol
106
Zink Tablet
Tablet
783
107
Vidabion
Kaplet
500
Permintaan
107
108
109
110
111
Umum
resep
UKS
Tidak bayar
Askes PNS
Askes Gakin
Umum
Jumlah semua
Majenang I
Sri Wahyuni, SKM
NIP 19671209 199103 2 005

Tri Hartati AMK

NIP. 19751228 201406 2 007
AN
016
Pemberian
Pemberian
Pemberian

Induk 0116

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BERITA ACARA PENYERAHAN OBAT DAN LAPORAN PENERIMAAN

DAN LAPORAN PEMAKAIAN OBAT INDUK BULAN JANUARI TAHUN 2016

Penerimaan Pengeluaran Stok Akhir

Acyclovir Tablet 400 mg

Albendazol Tablet 400 mg

Allopurinol Tablet 100 mg

Amoksisillin Kaplet 500 mg

Antasida Doen / Novamag Syrup

Antasida Doen Tablet 500 mg

Anti Hemoroid Supp

Asam Askorbat / Vit.C Tablet 50 mg

Besi II Sulfat / Tablet Tambah Darah

Cefadroxil 500 mg Kapsul

Cotrimoxazole Tablet 480 mg Dewasa

Curcuma Tablet 200 mg

Cyprofloxacin Kaplet 500 mg

Digoxin Tablet 0,25 mg

Domperidon / Vesperum Tablet

Domperidon / Vesperum Syrup

Erythromycin Kapsul 500 mg

Ethambutol Tablet 500 mg

Fenol gliserol tetes telinga

Fitomenadion Tablet salut 10 mg

Griseovulfin Tablet 125 mcg

Ibuprofen Tablet 400 mg

Penerimaan Pengeluaran Stok Akhir

Kalium Diklofenak Tablet 50 mg

Kalsium Laktat Tablet 500 mg

Ketokonasol Tablet 200 mg

Kloramphenikol Kapsul 250 mg

Kloramfenikol tetes telinga

Kloramfenikol tetes mata

Klorfeniramin Maleat / C.T.M. 4 mg

Methyl Ergometrin Maleat Tablet

Metronidazol Tabet 500 mg

Natrium Diklofenak / Voltadex Tablet 50 mg

Neo Kaominal Syrup

Obat Anti Tuberkulosis Kategori 1 dan 111

Obat Anti Tuberkulosis Kategori Anak

Obat Batuk Hitam (OBH)

Oksitetrasiklin HCL Salep Kulit 3 %

Oksitetrasiklin Salep Mata 1 %

Oralit 200 ml / Garam Oralit

Papaverin HCL Tablet 40 mg

Paracetamol Syrup 120 mg / 5ml

Paracetamol Tablet 500 mg

Pirantel Pamoat Tablet 125 mg Basa

Propiltiourasil Tablet / PTU

Ranitidin Tablet 150 mg

Sianokobalamin Tablet ( Vit B12 )

Penerimaan Pengeluaran Stok Akhir

Vitamin B Komplek Tablet

Pimpinan Kepala UPT Puskesmas

Pengelola Gudang obat

NIP 19671209 199103 2 005

Tri Hartati AMK

BERITA ACARA PENYERAHAN OBAT DAN LAPORAN PENERIMAAN

Acyclovir Tablet 400 mg

Albendazol Tablet 400 mg

Allopurinol Tablet 100 mg

Amoksisillin Kaplet 500 mg

Antasida Doen / Novamag Syrup