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  • Upt Puskesmas Sidomulyo: Pemerintah Kota Samarinda Dinas Kesehatan Kota Samarinda

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    1. The report summarizes drug usage for multi-drug resistant tuberculosis (MDR-TB) patients at Sidomulyo Community Health Center in June 2018 and requests for July 2018. 2. It shows the beginning and ending stock levels of 8 drugs after accounting for intake and usage during the month. All drugs except masks had their stock levels depleted. 3. A request is made to replenish the stock levels of the drugs to continue treatment for MDR-TB patients in July 2018.

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    formulir

    Original Title

    Form-TB-02

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    1. The report summarizes drug usage for multi-drug resistant tuberculosis (MDR-TB) patients at Sidomulyo Community Health Center in June 2018 and requests for July 2018. 2. It shows the beginning and ending stock levels of 8 drugs after accounting for intake and usage during the month. All drugs except masks had their stock levels depleted. 3. A request is made to replenish the stock levels of the drugs to continue treatment for MDR-TB patients in July 2018.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    11 views4 pages

    Upt Puskesmas Sidomulyo: Pemerintah Kota Samarinda Dinas Kesehatan Kota Samarinda

    Uploaded by

    Ranistiaaa
    1. The report summarizes drug usage for multi-drug resistant tuberculosis (MDR-TB) patients at Sidomulyo Community Health Center in June 2018 and requests for July 2018. 2. It shows the beginning and ending stock levels of 8 drugs after accounting for intake and usage during the month. All drugs except masks had their stock levels depleted. 3. A request is made to replenish the stock levels of the drugs to continue treatment for MDR-TB patients in July 2018.

    Copyright:

    © All Rights Reserved
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    of 4

    PEMERINTAH KOTA SAMARINDA

    DINAS KESEHATAN KOTA SAMARINDA


    UPT PUSKESMAS SIDOMULYO
    Jalan Jelawat Gang 06 - Kel. Sidodamai Kec. Samarinda Ilir
    Samarinda

    LAPORAN PENGGUNA OBAT TB MDR PUSKESMAS SIDOMULYO


    Bulan Juni 2018 dan Permintaan Bulan Juli 2018

    NO NAMA Merek Dagang Stok Awal Masuk Keluar Stok Akhir

    1 2 3 4 5 6 7

    1 Ethambutol (E) 400mg 150 150 300 0

    2 Kanamycin (KM) 1gr 44 44 88 0

    3 Pyrazinamide (Z) 500mg 150 150 300 0

    4 Levofloxacin (Lfx) 250mg 168 168 336 0

    5 Ethionamide (Eto) 400mg 112 112 224 2

    6 Cycloserine (Cs) 250mg 112 112 224 2

    7 Pxridoxine (B6) 50mg 28 28 56 0

    8 Masker N95 20 20 40 10

    Mengetahui, Dokter Konsulan MDR Koordinator Farmasi


    Kepala UPT Puskesmas Sidomulyo

    dr. Solihin Wijaya dr. Desika Pujikireni Viviana Idris. S.Si,Apt


    Nip. 19660414 199903 1002 Nip. 19861229 200604 2005 Nip. 19870518 201001 2013 Nip. 19820701 20
    MERINTAH KOTA SAMARINDA
    KESEHATAN KOTA SAMARINDA
    PUSKESMAS SIDOMULYO
    Gang 06 - Kel. Sidodamai Kec. Samarinda Ilir
    Samarinda

    UNA OBAT TB MDR PUSKESMAS SIDOMULYO


    2018 dan Permintaan Bulan Juli 2018

    Permintaan Keterangan

    8 9

    300

    88

    300

    336

    224

    224

    56

    40

    Samarinda, 25 Juni 2018


    Petugas Pelaksana

    Soleha Murniansih
    Nip. 19820701 201408 2002

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