Professional Documents
Culture Documents
PUSKESMAS : UGD
KAB / KOTA : LOMBOK BARAT
LAPORAN PERIODE / BULAN : APRIL
PERMINTAAN PERIODE / BULAN : MEI
ALAT KESEHATAN
SYRUP
INJEKSI
OBAT KHUSUS
CAIRAN
OBAT LUAR
215 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g Polimiksi Tube
216 ANTI FUNGI DOEN KOMB Pot
217 ASIKLOVIR CREAM 5% Tube
218 BETAMETASON CREAM 0,1 % Tube
219 FENOL GLISEROL TT 10% TUBE
220 GENTAMICIN SK 0,1% Botol
221 GENTAMICIN SALEP MATA 0,3% Tube
222 GENTAMISIN SULFAT TETES MATA Tube
223 GENTIAN VIOLET LART 1% Botol
224 HEXACHLOROCYLOHEXANE 0,5% (Peditox) Botol
225 HIDROGEN PEROKSIDA LARUTAN 3% Botol
226 HIDROKORTISON CREAM 2,5 % Tube
227 ICHTIOL SALEP HITAM Pot
228 KALIUM PERMANGANAT SERBUK Pot
229 KETOKONAZOL KRIM 2% Tube
230 Kloramfenikol salep mata 1 % Tube
231 Kloramfenikol teter telinnga 3 % Botol
232 MICONAZOLE CREAM 2% Tube
233 OKSITETRASIKLIN SK 3% Tube
234 OKSITETRASIKLIN SM 1% Tube
235 Povidon Iodida larutan 10% 30 ml Botol
236 Povidon Iodida larutan 10% 300 ml Botol
237 Salep 2-4 , Kombinasi : Asam Salisilat 2% + Belerang endap 4% Botol
238 SALEP LUKA BAKAR (bioplacenton) Pot
239 Bedak salisil serbuk 2% Tube
240 SULFASETAMID NATRIUM TM 15 % Kotak
OBAT GIGI
BAHAN LABORATORIUM
REAGEN
TAMBAHAN
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/IV/2018
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KET
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN O
NAMA PUSKESMAS : ugd eyat mayang
KAB/KOTA :LOMBOK BARAT
LAPORAN PERIODE/BULAN : April
PERMINTAAN PERIODE/BULAN : Mei
ALAT KESEHATAN
BAHAN LABORATORIUM
REAGEN
TAMBAHAN
UMUM
TIDAK BAYAR
JUMLAH KUNJUNGAN RESEP BAYAR
GAKIN UKS
Drs. H Rachman Sahnan Putra M. Kes Hj. Bq. Endang Suprihartini, Msi.,Apt. NS.Akhmad jua
NIP :19610512 198203 1 009 NIP. 19680916200112 2 003 NIP :19721231 19
KETERANGAN :
LEMBAR PERTAMA (ASLI) : IFK
LEMBAR KEDUA : DIKES LOBAR
LEMBAR KETIGA : ARSIP / PUSKESMAS
MINTAAN OBAT ( L P L P O )
NO DOC :
TAHUN : 2018
TANGGAL :24 April 2018
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