LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(LPLPO)

Unit Penerima DUM DUM Bulan December

Kecamatan Kao Teluk Tahun 2017
Kabupaten HALMAHERA UTARA
Provinsi MALUKU UTARA

Kode Obat Nama Obat Sediaan Stok Awal Penerimaa PersediaanPemakaianRusak/Ed Sisa Stok Stok Opt Permintaa Pemberian Keterangan
119 ACYCLOVIR TABLET 200 MG TABLET 5050 0 5050 0 0 5050 0 0 0-
120 ACYCLOVIR TABLET 400 MG TABLET 2700 0 2700 0 0 2700 0 0 0-
175 ALBENDAZOLE TABLET 400 MG TABLET 4192 0 4192 0 0 4192 0 0 0-
238 ALKOHOL LIQUID 70 % LARUTAN / CAI 0 18 18 1 0 17 1 0 0
247 ALLOPURINOL TABLET 100 MG Tablet 8900 0 8900 0 0 8900 0 0 0-
261 ALPRAZOLAM TABLET 1 MG TABLET 336 0 336 2 0 334 2 0 0-
349 ALUMINIUM HYDROXIDE|MAGNESIUM CATABLET KUNYA 9500 0 9500 500 0 9000 500 0 0-
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 52 0 52 3 0 49 3 0 0-
379 AMBROXOL TABLET 30 MG TABLET 300 0 300 300 0 0 300 0 0-
415 AMINOPHYLLINE INJEKSI 25 MG/ML CAIRAN INJEKSI 55 0 55 0 0 55 0 0 0-
444 AMITRIPTYLINE TABLET 25 MG TABLET SALUT 1400 0 1400 0 0 1400 0 0 0-
446 AMLODIPINE TABLET 5 MG TABLET 10470 0 10470 180 0 10290 180 0 0-
886 ARTESUNATE INJEKSI 60 MG CAIRAN INJEKSI 80 0 80 0 0 80 0 0 0-
926 ASCORBIC ACID (VITAMIN C) TABLET 50 TABLET 13300 0 13300 100 0 13200 100 0 0-
37 ASPIRIN (ASETOSAL) TABLET 100 MG Tablet 500 0 500 0 0 500 0 0 0-
1277 ATROPINE SULPHATE TABLET 0.5 MG TABLET 500 0 500 0 0 500 0 0 0-
1560 BETAHISTINE TABLET 6 MG Tablet 0 600 600 120 0 480 120 0 0
1599 BETAMETHASONE SALEP 0.1% CREAM 375 0 375 25 0 350 25 0 0-
1759 BROMHEXINE TABLET 8 MG TABLET
CAIRAN INJEKSI 0 4000 4000 200 0 3800 200 0 0
1866 CALCIUM GLUCONATE INJEKSI 10 ML 24 0 24 4 0 20 4 0 0-
2005 CALCIUM LACTATE TABLET 500 MG TABLET 600 0 600 100 0 500 100 0 0-
2073 CAPTOPRIL TABLET 12.5 MG TABLET 3300 0 3300 0 0 3300 0 0 0-
 2075 CAPTOPRIL TABLET 25 MG TABLET 600 0 600 100 0 500 100 0 0 -
2084 CARBAMAZEPINE TABLET 200 MG TABLET 300 0 300 0 0 300 0 0 0 -
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP KERING 180 0 180 3 0 177 3 0 0 -
2176 CEFADROXIL TABLET 500 MG CAPSUL 5500 0 5500 200 0 5300 200 0 0 -
2246 CEFIXIME SIRUP 100 MG/30 ML SIRUP KERING 183 0 183 5 0 178 5 0 0 -
2309 CEFOTAXIME INJEKSI 0.5 G/VIAL SERBUK INJEKS 44 0 44 0 0 44 0 0 0 -
2518 CETIRIZINE SIRUP 1 MG/ML DROPS 0 100 100 0 0 100 0 0 0
2601 CHLORAMPHENICOL SALEP 2% SALEP 149 0 149 21 0 128 21 0 0 -
2601 CHLORAMPHENICOL SALEP 2% SALEP 0 24 24 2 0 22 2 0 0
2698 CHLORPHENIRAMINE TABLET 40 MG TABLET 0 0 0 0 0 0 0 0 0 -
2762 CHLORPROMAZINE TABLET 100 MG TABLET SALUT 2100 0 2100 0 0 2100 0 0 0 -
2763 CHLORPROMAZINE TABLET 25 MG TABLET SALUT 500 0 500 0 0 500 0 0 0 -
10499 CIPROFLOXACIN TABLET 500 MG /50 CAP TABLET SALUT 13600 0 13600 200 0 13400 200 0 0 -
2964 CLAVULANIC ACID|AMOXICILLIN SIRUP SIRUP KERING 131 0 131 2 0 129 2 0 0 -
2966 CLAVULANIC ACID|AMOXICILLIN TABLET CAPTABS 3200 0 3200 200 0 3000 200 0 0 -
6644 COTRIMOXAZOLE SIRUP SUSPENSI 137 0 137 5 0 132 5 0 0 -
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 2500 0 2500 200 0 2300 200 0 0 -
11956 CYANOCOBALAMIN TABLET 50 MCG TABLET 6500 0 6500 100 0 6400 100 0 0 -
3394 DESOXIMETASONE SALEP 0.25 % CREAM 10 0 10 0 0 10 0 0 0 -
3416 DEXAMETHASONE INJEKSI 5 MG/ML CAIRAN INJEKSI 104 0 104 9 0 95 9 0 0 -
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 11200 0 11200 0 0 11200 0 0 0 -
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 19 0 19 0 0 19 0 0 0 -
3629 DIAZEPAM INJEKSI 10 MG/2 ML CAIRAN INJEKSI 0 5 5 0 0 5 0 0 0
3641 DIAZEPAM TABLET 2 MG TABLET 364 0 364 2 0 362 2 0 0 -
3688 DICLOFENAC SODIUM TABLET 25 MG TABLET SALUT 2700 0 2700 0 0 2700 0 0 0 -
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET SALUT 2500 2850 5350 0 0 5350 0 0 0
3728 DIETHYLCARBAMAZINE TABLET 100 MG TABLET 10500 0 10500 0 0 10500 0 0 0 -
3759 DIHYDROARTEMISININ|PIPERAQUINE PHOTABLET 1269 0 1269 0 0 1269 0 0 0 -
3787 DILTIAZEM TABLET 30 MG TABLET 500 0 500 0 0 500 0 0 0 -
4030 DOXYCYCLINE TABLET 100 MG Capsul 6800 0 6800 0 0 6800 0 0 0 -
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP KERING 120 0 120 0 0 120 0 0 0 -
4458 ERYTHROMYCIN TABLET 250 MG CAPSUL 7500 0 7500 0 0 7500 0 0 0 -
1547 FERROUS SULPHATE TABLET 100 MG TABLET SALUT 14900 0 14900 0 0 14900 0 0 0 -
 938 FOLIC ACID TABLET 1 MG TABLET 700 0 700 0 0 700 0 0 0 -
5071 FUROSEMIDE INJEKSI 10 MG/ML CAIRAN INJEKSI 45 0 45 0 0 45 0 0 0 -
5074 FUROSEMIDE TABLET 40 MG TABLET 7300 0 7300 0 0 7300 0 0 0 -
5126 GARAM ORALIT SERBUK SERBUK 1760 0 1760 0 0 1760 0 0 0 -
5252 GLIBENCLAMIDE TABLET 5 MG CAPTABS 200 0 200 0 0 200 0 0 0 -
5264 GLIMEPIRIDE TABLET 1 MG TABLET 5500 0 5500 0 0 5500 0 0 0 -
5265 GLIMEPIRIDE TABLET 2 MG TABLET 5450 0 5450 0 0 5450 0 0 0 -
5280 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 7000 0 7000 0 0 7000 0 0 0 -
5291 GLUCOSE INFUS 10 % INFUS 0 40 40 0 0 40 0 0 0
5300 GLUCOSE INFUS 5 % INFUS 217 0 217 0 0 217 0 0 0 -
5323 GLUCOSE|POTASSIUM LACTAT INFUS INFUS 0 40 40 8 0 32 8 0 0
5521 GRISEOFULVIN TABLET TABLET 5200 0 5200 0 0 5200 0 0 0 -
5636 HALOPERIDOL TABLET 0.5 MG TABLET 1600 0 1600 0 0 1600 0 0 0 -
5638 HALOPERIDOL TABLET 1.5 MG TABLET 1000 0 1000 0 0 1000 0 0 0 -
5642 HALOPERIDOL TABLET 5 MG TABLET 1000 0 1000 0 0 1000 0 0 0 -
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG Tablet 900 0 900 0 0 900 0 0 0 -
5843 HYDROCORTISONE SALEP 2.5 % CREAM 168 0 168 0 0 168 0 0 0 -
5966 IBUPROFEN TABLET 400 MG TABLET 5600 0 5600 0 0 5600 0 0 0 -
AK9005570INFUS SET 0 182 182 0 0 182 0 0 0
6322 ISONIAZID TABLET 100 MG TABLET 1200 0 1200 0 0 1200 0 0 0 -
6386 ISOSORBIDE DINITRATE TABLET 5 MG Tablet 1000 0 1000 0 0 1000 0 0 0 -
6535 KETOCONAZOLE SALEP 2% CREAM 467 0 467 25 0 442 25 0 0 -
6546 KETOCONAZOLE TABLET 200 MG Tablet 1000 0 1000 0 0 1000 0 0 0 -
6906 LIDOCAINE INJEKSI 2% CAIRAN INJEKSI 605 0 605 0 0 605 0 0 0 -
6897 LIDOCAINE|EPINEPHRINE INJEKSI 2% CAIRAN INJEKSI 314 0 314 0 0 314 0 0 0 -
6998 LOPERAMIDE TABLET 2 MG TABLET 2400 0 2400 600 0 1800 600 0 0 -
7013 LORATADINE TABLET 10 MG TABLET 350 1200 350 650 0 900 650 0 0 -
7153 MAGNESIUM SULPHATE INJEKSI 20 % CAIRAN INJEKSI 0 10 10 8 0 2 8 0 0
7290 MELOXICAM TABLET 15 MG TABLET 2100 0 2100 0 0 2100 0 0 0 -
7291 MELOXICAM TABLET 7.5 MG TABLET 1700 0 1700 100 0 1600 100 0 0 -
7491 METFORMIN TABLET 500 MG TABLET 4400 0 4400 0 0 4400 0 0 0 -
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ CAIRAN INJEKSI 0 20 20 0 0 20 0 0 0
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 1200 0 1200 100 0 1100 100 0 0 -
 7651 METOCLOPRAMIDE TABLET 10 MG TABLET 9000 0 9000 0 0 9000 0 0 0 -
7697 METRONIDAZOLE TABLET 500 MG TABLET 600 0 600 0 0 600 0 0 0 -
7713 MICONAZOLE SALEP CREAM 216 0 216 0 0 216 0 0 0 -
7747 MINERAL MIX SERBUK 8 G SERBUK 200 0 200 0 0 200 0 0 0 -
7898 MULTIVITAMIN SIRUP 60 ML Sirop/Sirop Ker 105 0 105 43 0 62 43 0 0 -
7945 MULTIVITAMIN, MULTIMINERAL TABLET CAPTABS SALUT 0 1000 1000 200 0 800 200 0 0
8160 NIFEDIPINE TABLET 10 MG TABLET SALUT 1100 0 1100 0 0 1100 0 0 0 -
8267 NYSTATIN TABLET TABLET SALUT 300 0 300 0 0 300 0 0 0 -
8268 NYSTATIN TABLET 10000 IU TABLET
SIRUP VAGINA 386 0 386 0 0 386 0 0 0 -
8294 OBH SIRUP 24 0 24 0 0 24 0 0 0 -
8320 OFLOXACIN DROPS 3 MG/ML SUSPENSI 0 20 20 2 0 18 2 0 0
8481 OXYTOCIN INJEKSI 10 IU/ML CAIRAN INJEKSI 80 0 80 0 0 80 0 0 0 -
8573 PARACETAMOL DROPS 100 MG/ML DROPS 60 0 60 30 0 30 30 0 0 -
9120 PHENOBARBITAL INJEKSI 50 MG/ML CAIRAN INJEKSI 90 0 90 0 0 90 0 0 0 -
9260 PHYTOMENADIONE (VITAMIN K) INJEKSI CAIRAN INJEKSI 83 0 83 1 0 82 1 0 0 -
9261 PHYTOMENADIONE (VITAMIN K) TABLET TABLET 1600 0 1600 0 0 1600 0 0 0 -
9392 PIROXICAM TABLET 20 MG TABLET 100 0 100 0 0 100 0 0 0 -
9490 POVIDONE IODINE 30 ML ML CAIRAN OBAT 0 47 47 0 0 47 0 0 0
9494 POVIDONE IODINE 60 ML CAIRAN OBAT 0 52 52 0 0 52 0 0 0
9509 POVIDONE IODINE LIQUID SOLUTION, LIQ 0 24 24 1 0 23 1 0 0
9509 POVIDONE IODINE LIQUID CAIRAN OBAT 0 9 9 2 0 7 2 0 0
9583 PREDNISONE TABLET 5 MG TABLET 4900 0 4900 0 0 4900 0 0 0 -
9597 PRIMAQUINE TABLET 15 MG TABLET 2100 0 2100 0 0 2100 0 0 0 -
9689 PROPRANOLOL TABLET 10 MG TABLET 10000 0 10000 0 0 10000 0 0 0 -
9789 PYRANTEL PAMOATE SIRUP SUSPENSI 54 0 54 0 0 54 0 0 0 -
9915 PYRIDOXINE TABLET 25 MG TABLET 10200 0 10200 0 0 10200 0 0 0 -
9958 QUININE TABLET 222 MG TABLET SALUT 1140 0 1140 0 0 1140 0 0 0 -
10014 RANITIDINE TABLET 150 MG TABLET SALUT -300 0 -300 0 0 -300 0 0 0 -
11896 RETINOL PALMITATE TABLET 100000 IU CAPSUL LUNAK 1950 0 1950 0 0 1950 0 0 0 -
10115 RIFAMPICIN TABLET 300 MG CAPSUL 1000 0 1000 0 0 1000 0 0 0 -
10138 RIFAMPICIN|ISONIAZID|PYRAZINAMIDE| KOMBINASI BE 16 0 16 0 0 16 0 0 0 -
10185 RIVANOL LIQUID 1 % CAIRAN OBAT 0 5 5 0 0 5 0 0 0
10307 SALBUTAMOL TABLET 4 MG TABLET 11800 0 11800 0 0 11800 0 0 0 -
10316 SALICYCLIC ACID|SULPHUR COMPOUND SSALEP 48 0 48 0 0 48 0 0 0 -
10482 SIMVASTATIN TABLET 10 MG TABLET SALUT 0 900 900 90 0 810 90 0 0
10526 SODIUM CHLORIDE INFUS INFUS 217 0 217 20 0 197 20 0 0 -
11116 TETRACYCLINE TABLET 500 MG CAPSUL 10000 0 10000 0 0 10000 0 0 0 -
10444 THIAMINE TABLET 50 MG TABLET 100 0 100 0 0 100 0 0 0 -
11327 THIAMINE (VITAMIN B1) INJEKSI 1 ML INJEKSI 26 0 26 0 0 26 0 0 0 -
11898 VITAMIN A TABLET 20000 IU TABLET SALUT 900 0 900 0 0 900 0 0 0 -
11922 VITAMIN B COMPOUND TABLET TABLET 1800 0 1800 900 0 900 900 0 0 -
12119 WATER FOR INJECTION INJEKSI CAIRAN STERIL 0 12 12 10 0 2 10 0 0
12192 ZINC SULPHATE TABLET 20 MG 0 1000 1000 300 0 700 300 0 0

BPJS BPJS
JUMLAH KUNJUNGAN UMUM PBI NON PBI JAMKESDA JUMLAH
PASIEN 97 13 87 0 197
JUMLAH R/ 392 46 324 0 762
JUMLAH GENERIK 385 44 320 0 749

mengetahui, Tobelo, 30 Desember 2017

kepala puskesmas dumdum pengelola obat

Christan A. Mailoa A.Md.Kep Raimon allyanda S.Farm.,Apt

Nip. 198104102003121005 NRPK. 28.7.0500571