You are on page 1of 83

PUSKESMAS ....................

DINAS KESEHATAN KAB ENREKANG


PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

JUMLAH PENERIMAAN
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
1 Albendazol 400 mg Tablet - - - - - - - 200 - - - - - 200
2 Albutyl Botol - - - - - - - 800 - - 5,000 - - 5,800
3 Allopurinol 100 mg Tablet 30 - - - - - - - 1,000 - - - - 1,000
4 Allopurinol 100 mg Tablet 472 - - - - - - - - 1,500 - - - 1,500
5 Ambroxol 30 mg Tablet - - - - - - - - 50 - - - - 50
6 Ambroxol sirup Botol - - - - - - - - - - - - - -
7 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 4,000 - - - - - - - - - - - - -
8 Aminofilin Tablet 200 mg Tablet 10 - - - - - - 300 - - - - - 300
9 Amitriptilin HCl 25 mg Tablet 4 - - - - - - - 150 - - - - 150
10 Amitriptilin HCl 25 mg Tablet - - - - - - - - - 1,500 - 3,000 - 4,500
11 Amoxicilin 500 mg Tablet Err:509 Err:509 Err:509 - - - - 300 150 - - - - Err:509
12 Amoxicilin 500 mg Tablet - - - - - - - - - - - - - -
13 Amoxicilin 500 mg Tablet 2,790 - - - - - - - - - - - - -
14 Amoxicilin Sirup Kering 125 mg/5 ml Botol 11 - - - - - - - - - - - - -
15 Ampicilin kaplet 500 mg Tablet - - - - - - - - - - - - - -
16 Ampicilin sirup kering 125 mg/5 ml Botol - - - - - 4 - - - - - - - 4
17 Ampicilline injeksi Vial Err:509 Err:509 Err:509 - - 100 - - - - - - - Err:509
18 Amlodipine 5 mg Tablet Err:509 Err:509 Err:509 - - - - - - - - - - Err:509
19 Amlodipine 5 mg Tablet - - - - - - - - - - - - - -
20 Antalgin 500 mg Tablet - - - - - - - - - - - 50 - 50
21 Antasida doen tablet kombinasi Tablet - - - - - - - 60 - - - - - 60
22 Antasida suspensi Botol - - - - - - - 10 - - - - - 10
23 Antasida suspensi Botol - - - - - - - - 500 - - - - 500
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
24 Anti bakteri doen salep kombinasi (Bacitracin) Tube - - - - - - - 12 50 - - - - 62
25 Anti hemoroid doen kombinasi Suppo Err:509 Err:509 Err:509 - - - - - - - - - - Err:509
26 Antifungi doen kombinasi Pot - - - - - - - 4,000 - - - - 6,000 10,000
27 Alkohol 70% 1000 ml Botol Err:509 Err:509 Err:509 - - - - 80 - - - - - Err:509
28 Alkohol 70% 100 ml Botol - - - - - - - - - - 10 - - 10
29 Aqua pro injeksi Vial 6 - - - - - - - 10 - - - - 10
30 Asam askorbat (Vit.C) 50 mg Tablet 40 - - - - - - - - - - - - -
31 Asam Mefenamat Tablet - - - - - - - - - 5 - - - 5
32 Asam Mefenamat Tablet - - - - - - - - - - - - - -
33 Asetosal 100 mg Tablet Err:509 Err:509 Err:509 - - - 10 - - - - - - Err:509
34 Asetosal 500 mg Tablet - - - - - - - - - 30 - - - 30
35 Asiklovir 400 mg (Ktk100) Tablet 20 - - - - - - 200 - - - - - 200
36 Asiklovir 400 mg (Ktk100) Tablet - - - - - - - - 200 - - - - 200
37 Asiklovir 400 mg (Ktk50) Tablet Err:509 Err:509 Err:509 - - - - - - 3,000 5,000 - - Err:509
38 Asiklovir krim 5 % Tube Err:509 Err:509 Err:509 - - - - - - - - - - Err:509
39 Asmasolon tablet Tablet 1,480 - - - - 30 - - - - - - - 30
40 Atropin sulfat injeksi Ampul - - - - - - - - - - 15 - - 15
41 Atropin sulfat tablet Tablet - - - - - - - - - - - - - -
42 Atropin sulfat tetes mata Botol - - - - - - - 200 - - - - - 200
43 ACT (Artesunate 50 mg + Amodiaquine 20 mg) Tablet - - - - - - - 100 - - - - - 100
44 Betametason krim 0,1% Tube - - - - - 200 - - - - - - - 200
45 Betafort syrup Botol 1,150 - - - - - - 1,000 - - - - - 1,000
46 Becefort syrup Botol - - - - - - - 30 - - - - - 30
47 Bonding Botol 5 ml 200 - - - - - - - 55 - - - - 55
48 Captopril 25 mg Tablet - - - - - - - - - 50 - - - 50
49 Captopril 25 mg Tablet - - - - - - - - - - - 30 - 30
50 Captopril 50 mg Tablet - - - - - - - - 200 - - - - 200
51 Captopril 50 mg Tablet - - - - - - - - - - - - - -
52 Cetrizine Tablet - - - - - - 30 30 60 50 - - - 170
53 Cefadroxil 500 mg Tablet 30,000 - - - - - - - - - - 50 - 50
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
54 Cefadroxil 500 mg Tablet Err:509 Err:509 Err:509 - - - - - - - - - - Err:509
55 Cimetidin 200 mg Tablet 12 - - - - - - 25 - - - - - 25
56 Ciprofloxacin 500 mg (ktk@100 tab) Tablet - - - - - - - - 25 100 - - - 125
57 Ciprofloxacin 500 mg (ktk@100 tab) Tablet Err:509 Err:509 Err:509 - - 50 - 50 - 100 100 - - Err:509
58 Chloramfenicol 250 mg Tablet Err:509 Err:509 Err:509 - - - - - 50 - - - - Err:509
59 Chloramfenicol salep mata 1% Tube 7 - - - - - - 100 400 1,000 - 1,000 - 2,500
60 Chloramfenicol suspensi Botol - - - - - - 20 - - - - - - 20
61 Chloramfenicol tetes telinga Botol - - - - - - - - - - - - - -
62 Chlorfeniramin maleat (CTM) 4 mg Tablet - - - - - - - - - - - 8,000 - 8,000
63 Chlorpromazin HCl injeksi 5 mg/ml-2 ml Ampul 2 - - - - - - - - - - - - -
64 Chlorpromazin HCl 25 mg Tablet Err:509 Err:509 Err:509 - - - 30 - - - - - - Err:509
65 Codein fosfat 10 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
66 Cotrimoksazol suspensi Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
67 Cotrimoksazol 480 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
68 Cotrimoksazol 120 mg (pediatrik) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
69 Cotrimoksazol Forte Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
70 Deksametason inj. 5 mg/ml-1 ml Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
71 Dexametason 0,5 mg (Ktk 100 tab) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
72 Dexametason 0,5 mg (Ktk 200 tab) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
73 Diazepam injeksi 5 mg/ml-2 ml Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
74 Diazepam 2 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
75 Diazepam 2 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
76 Diazepam 5 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
77 Difenhidramin Hcl injeksi 10 mg/ml-1 ml Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
78 Digoksin 0,25 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
79 Dulcolax Suppo Suppo Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
80 Domperidon 10 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
81 Efedrin 25 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
82 Ekstrak Belladon Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
83 Epinefrin injeksi Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
84 Erytromicin syrup kering Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
85 Erytromicin 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
86 Erytromicin 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
87 Etil klorida semprot Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
88 Eugenol cairan Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
89 Ergotamin Caffein Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
90 Etsa (Acid Etchand Liquid) 10 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
91 Fenilbutason 200 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
92 Fenobarbital injeksi 50 mg/ml-2ml Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
93 Fenobarbital 30 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
94 Fenol gliserol tetes telinga 10% Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
95 Fitomenadion (vit.k) 10 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
96 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
97 Fitomenadion (vit.k1) Infant injeksi Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
98 Forumen tetes telinga Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
99 Furosemid 40 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
100 Gentamicin salep kulit Tube Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
101 Gentian violet larutan 1% 10 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
102 Glass lonomer cement / Fuji 9 Set Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
103 Glass Ionomer No.7 (Radiopaque) Set Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
104 Glibenklamid 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
105 Glibenklamid 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
106 Gliseril guayakolat 100 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
107 Glukosa lart. Infus 5% 500 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
108 Glukosa lart. Infus 5% 500 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
109 Griseofulvin 125 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
110 Haloperidol Injeksi Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
111 Haloperidol 0,5 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
112 Haloperidol 0,5 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
113 Haloperidol 1,5 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
114 Haloperidol 1,5 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
115 Haloperidol 5 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
116 Hidroklorotiazid (HCT) 25 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
117 Hidrokortison krim 2,5% Tube Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
118 Hyoscine-N-Butilbromide 10 mg ktk 100 Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
119 Hemorogard Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
120 Ibuprofen 200 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
121 Ibuprofen 400 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
122 Ibuprofen 400 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
123 Isosorbit Dinitrat Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
124 Kalium permanganat serbuk Pot Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
125 Kalsium hidroksida pasta Kotak Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
126 Kalsium laktat (kalk) 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
127 Karbamazepin Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
128 Ketokonazole krim Tube Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
129 Komposite A 3,5 Pieces Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
130 Komposite A3 Pieces Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
131 Komposite A2 Pieces Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
132 Lidokain injeksi (Pehacain) Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
133 Lisol Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
134 Lisol Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
135 Loperamide Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
136 Lysmin Syrup Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
137 Metilergometrin maleat injeksi 0,200 mg-1 ml (myomergin) Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
138 Metilergometrin maleat 0,25 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
139 Metilprednisolon 16 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
140 Metilprednisolon 8 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
141 Metilprednisolon 4 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
142 Metoclopramida syrup Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
143 Metoklopramida 10mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
144 Metronidazol 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
145 Metronidazol 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
146 Metronidazol 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
147 Metformin 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
148 Metformin 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
149 Metformin 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
150 MgSO4 20% Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
151 MgSO4 40% Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
152 Natrium diklofenak 25 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
153 Natrium diklofenak 50 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
154 Natrium klorida lart. Infus 0,9 steril Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
155 Nistatin vaginal 100.000 iu Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
156 Obat batuk hitam (OBH) syrup Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
157 Oksitetrasiklin Hcl salep kulit 3% Tube Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
158 Oksitetrasiklin Hcl salep mata 1% Tube Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
159 Oksitosin injeksi 10 iu/ml-1 ml (pytogin) Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
160 Oksitosin injeksi 10 iu/ml-1 ml Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
161 OAT Kategori I Paket Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
162 Oralit 200 mg Sachet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
163 Omeprazol 20mg Kapsul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
164 Papaverin Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
165 Paracetamol 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
166 Paracetamol 500 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
167 Parasetamol sirup 120 mg mg/5 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
168 Parasetamol sirup 120 mg mg/5 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
169 Paraformadehida Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
170 Piracetam 400 mg Kaplet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
171 Pirantel Pamoat 125 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
172 Pirantel Pamoat 125 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
173 Piridoksin HCl (Vit B6) 10 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
174 Piroksikam 20 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
175 Piroksikam 20 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
176 Prednison 5 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
177 Propanolol HCl 40 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
178 Propiltiurasil (PTU) 100 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
179 Quinine Sulfat 222 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
180 Ranitidin injeksi. Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
181 Ranitidin Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
182 Ranitidin Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
183 Reserpin Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
184 Retinol (Vitamin A) 100.000 UI Kapsul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
185 Retinol (Vitamin A) 100.000 UI Kapsul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
186 Retinol (Vitamin A) 200.000 UI Kapsul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
187 Ringer Laktat larutan infus 500 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
188 Rivanol Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
189 Salbutamol 2 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
190 Salbutamol 4 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
191 Salep 2-4 kombinasi Pot Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
192 Salicil bedak 2% Kotak Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
193 Semen Seng Fosfat serbuk dan cairan Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
194 Sianokobalamin (Vit B12) Injeksi 500 mg Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
195 Sianokobalamin (Vit B12) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
196 Silver Amalgam cair 65-75% Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
197 Silver Amalgam Serbuk 65-75% Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
198 Simvastatin 10 mg (ktk@30 tab) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
199 Simvastatin 10 mg (ktk@30 tab) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
200 Spironolactone 25 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
201 Tablet tambah darah kombinasi Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
202 Tablet tambah darah kombinasi (Hemafort/Etabion) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
203 Tablet tambah darah kombinasi (Neo ktk@100tab) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
PERSEDIAAN
NO NAMA OBAT SATUAN AWAL BULAN TAHUN 2017
(31/12/2016) JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12

A OBAT
204 Temporary stopping (Flecter/Caviton) Ktk Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
205 Test Kit Formalin Set Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
206 Tetrakain Tetes Mata 0,5% Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
207 Tetracyclin 500 mg Kapsul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
208 Tetracyclin 500 mg Kapsul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
209 Tetracyclin 500 mg Kapsul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
210 Thiamin HCl (Vit B1) injeksi 100 mg/ml - 1 ml Ampul Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
211 Thiamin HCl (Vit B1) 50 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
212 Trihexyphenidyl 2 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
213 Trikresol Formalin (TFK) cairan Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
214 Vitamin B Compleks Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
215 Vitamin B Compleks Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
216 Neurodex (B komp) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
217 Neurophyron (Sianokobalmin) Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
218 Yodium Povidon 10 % 30 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
219 Yodium Povidon 10 % 30 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
220 Yodium Povidon 10 % 60 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
221 Yodium Povidon 10 % 300 ml Botol Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
222 Zinc 20 mg Tablet Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509

B ALAT KESEHATAN / BHP


1 Abbocath no. 18 pieces Err:509 Err:509 Err:509 - - 130 - - - - - - - Err:509
2 Abbocath no. 20 pieces - - - - - 100 - - - - - - - 100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

PENERIMA
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - -
2 Ambroxol 30 mg (@160) Tablet -
3 Ambroxol 30 mg (@300) Tablet -
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol - - -
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
8 Amlodipine 5 mg (@333.33) Tablet -
9 Amlodipine 5 mg (@340) Tablet -
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet -
12 Antasida doen tablet kombinasi Tablet 4,000 -
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol -
17 Atropin sulfat injeksi Ampul -
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube -
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
23 Chloramfenicol suspensi Botol -
24 Chlorfeniramin maleat (CTM) 4 mg Tablet -
25 Cotrimoksazol suspensi Botol -
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
28 Dulcolax Tablet Tablet -
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol -
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol -
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet -
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul -
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet -
44 Loperamide (@120) Tablet -
45 Mediamer Tablet Tablet -
46 Metilprednisolon 4 mg Tablet -
47 Metoclopramida Injeksi (@6600) Ampul -
48 Metoclopramida Injeksi (@7000) Ampul -
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet -
SISA STOK
NO NAMA OBAT SATUAN 31 DESEMBER BULAN JANUARI 2017
2016
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul -
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube -
57 Oksitetrasiklin Hcl salep mata 1% Tube -
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul -
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
60 Omeprazol 20mg Kapsul -
61 Ondansetron Injeksi Ampul -
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul -
66 Ranitidin injeksi (@4000) Ampul -
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet -
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol -
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial -
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces -
NREKANG

P E N E R I MAAN

AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - - -
-
-
-
- - - - -
- -
- -
-
- -
-
-
- -
- -
-
-
-
-
-
-
-
-
-
-
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
AN JANUARI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

PERSEDIAAN P E N E R I MAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet -
2 Ambroxol 30 mg (@160) Tablet - -
3 Ambroxol 30 mg (@300) Tablet -
4 Ambroxol 30 mg (@220) Tablet - -
5 Ambroxol sirup Botol -
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
8 Amlodipine 5 mg (@333.33) Tablet -
9 Amlodipine 5 mg (@340) Tablet -
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet -
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol -
17 Atropin sulfat injeksi Ampul -
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube -
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
23 Chloramfenicol suspensi Botol -
24 Chlorfeniramin maleat (CTM) 4 mg Tablet -
25 Cotrimoksazol suspensi Botol -
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
28 Dulcolax Tablet Tablet -
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol -
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol -
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet -
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul -
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet -
44 Loperamide (@120) Tablet -
45 Mediamer Tablet Tablet -
46 Metilprednisolon 4 mg Tablet -
47 Metoclopramida Injeksi (@6600) Ampul -
48 Metoclopramida Injeksi (@7000) Ampul -
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet -
PERSEDIAAN
PENERIMAAN
NO NAMA OBAT SATUAN S/D BULAN FEBRUARI 2017
31 JANUARI
2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul -
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube -
57 Oksitetrasiklin Hcl salep mata 1% Tube -
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul -
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
60 Omeprazol 20mg Kapsul -
61 Ondansetron Injeksi Ampul -
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul -
66 Ranitidin injeksi (@4000) Ampul -
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet -
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol -
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial -
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces -
EKANG

N E R I MAAN

RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

- - -
- - - -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RUARI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet -
2 Ambroxol 30 mg (@160) Tablet - -
3 Ambroxol 30 mg (@300) Tablet -
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol -
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
8 Amlodipine 5 mg (@333.33) Tablet -
9 Amlodipine 5 mg (@340) Tablet -
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet -
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol -
17 Atropin sulfat injeksi Ampul -
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube -
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
23 Chloramfenicol suspensi Botol -
24 Chlorfeniramin maleat (CTM) 4 mg Tablet -
25 Cotrimoksazol suspensi Botol -
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
28 Dulcolax Tablet Tablet -
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol -
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol -
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet -
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul -
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet -
44 Loperamide (@120) Tablet -
45 Mediamer Tablet Tablet -
46 Metilprednisolon 4 mg Tablet -
47 Metoclopramida Injeksi (@6600) Ampul -
48 Metoclopramida Injeksi (@7000) Ampul -
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MARET 2017
28/02/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul -
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube -
57 Oksitetrasiklin Hcl salep mata 1% Tube -
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul -
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
60 Omeprazol 20mg Kapsul -
61 Ondansetron Injeksi Ampul -
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul -
66 Ranitidin injeksi (@4000) Ampul -
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet -
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol -
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial -
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces -
2 Abbocath no. 24 pieces -
EKANG

N E R I MAAN

RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RET 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN APRIL 2017
31/03/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet -
2 Ambroxol 30 mg (@160) Tablet - -
3 Ambroxol 30 mg (@300) Tablet -
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol -
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
8 Amlodipine 5 mg (@333.33) Tablet -
9 Amlodipine 5 mg (@340) Tablet -
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet -
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol -
17 Atropin sulfat injeksi Ampul -
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube -
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN APRIL 2017
31/03/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
23 Chloramfenicol suspensi Botol -
24 Chlorfeniramin maleat (CTM) 4 mg Tablet -
25 Cotrimoksazol suspensi Botol -
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
28 Dulcolax Tablet Tablet -
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol -
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol -
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet -
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul -
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet -
44 Loperamide (@120) Tablet -
45 Mediamer Tablet Tablet -
46 Metilprednisolon 4 mg Tablet -
47 Metoclopramida Injeksi (@6600) Ampul -
48 Metoclopramida Injeksi (@7000) Ampul -
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN APRIL 2017
31/03/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul -
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube -
57 Oksitetrasiklin Hcl salep mata 1% Tube -
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul -
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
60 Omeprazol 20mg Kapsul -
61 Ondansetron Injeksi Ampul -
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul -
66 Ranitidin injeksi (@4000) Ampul -
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet -
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol -
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial -
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces -
2 Abbocath no. 24 pieces -
EKANG

N E R I MAAN

RIL 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

- - -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RIL 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
RIL 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet -
2 Ambroxol 30 mg (@160) Tablet - -
3 Ambroxol 30 mg (@300) Tablet -
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol -
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
8 Amlodipine 5 mg (@333.33) Tablet -
9 Amlodipine 5 mg (@340) Tablet -
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet -
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol - 4
17 Atropin sulfat injeksi Ampul - 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube -
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
23 Chloramfenicol suspensi Botol -
24 Chlorfeniramin maleat (CTM) 4 mg Tablet -
25 Cotrimoksazol suspensi Botol -
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
28 Dulcolax Tablet Tablet -
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol -
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol -
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet -
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul - 30
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet -
44 Loperamide (@120) Tablet -
45 Mediamer Tablet Tablet - 200
46 Metilprednisolon 4 mg Tablet -
47 Metoclopramida Injeksi (@6600) Ampul -
48 Metoclopramida Injeksi (@7000) Ampul -
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN MEI 2017
30/04/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul -
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube -
57 Oksitetrasiklin Hcl salep mata 1% Tube -
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul - 50
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
60 Omeprazol 20mg Kapsul -
61 Ondansetron Injeksi Ampul -
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul -
66 Ranitidin injeksi (@4000) Ampul -
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet -
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol -
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial -
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces - 130
2 Abbocath no. 24 pieces - 100
EKANG

N E R I MAAN

EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4
100
-
-
-
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
30
-
-
-
-
200
-
-
-
-
-
-
EI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
50
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

130
100
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet -
2 Ambroxol 30 mg (@160) Tablet - -
3 Ambroxol 30 mg (@300) Tablet -
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol -
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
8 Amlodipine 5 mg (@333.33) Tablet -
9 Amlodipine 5 mg (@340) Tablet -
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet -
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol 4
17 Atropin sulfat injeksi Ampul 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube - 100
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
23 Chloramfenicol suspensi Botol -
24 Chlorfeniramin maleat (CTM) 4 mg Tablet -
25 Cotrimoksazol suspensi Botol -
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet -
28 Dulcolax Tablet Tablet -
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol -
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol - 10
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet -
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul 30
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet -
44 Loperamide (@120) Tablet -
45 Mediamer Tablet Tablet 200
46 Metilprednisolon 4 mg Tablet -
47 Metoclopramida Injeksi (@6600) Ampul -
48 Metoclopramida Injeksi (@7000) Ampul -
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JUNI 2017
31/05/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul - 30
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube -
57 Oksitetrasiklin Hcl salep mata 1% Tube -
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 50
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
60 Omeprazol 20mg Kapsul -
61 Ondansetron Injeksi Ampul - 20
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul - 30
66 Ranitidin injeksi (@4000) Ampul -
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet -
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol -
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial - 20
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces 130
2 Abbocath no. 24 pieces 100
EKANG

N E R I MAAN

UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
100
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
5 5
-
-
10
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
UNI 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
30
-
-
-
-
-
-
-
20
-
-
-
30
-
-
-
-
1 1
-
20
-
-

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
1 Ambroxol 30 mg (@1030) Tablet - 200
2 Ambroxol 30 mg (@160) Tablet - - 800
3 Ambroxol 30 mg (@300) Tablet -
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol -
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol -
8 Amlodipine 5 mg (@333.33) Tablet - 300
9 Amlodipine 5 mg (@340) Tablet -
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet - 300
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol 4
17 Atropin sulfat injeksi Ampul 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube 100 50
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet - 60
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
23 Chloramfenicol suspensi Botol - 10
24 Chlorfeniramin maleat (CTM) 4 mg Tablet -
25 Cotrimoksazol suspensi Botol - 12
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet - 4,000
28 Dulcolax Tablet Tablet - 80
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul -
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol 5
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol 10
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet - 200
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet -
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul 30
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet - 200
44 Loperamide (@120) Tablet - 100
45 Mediamer Tablet Tablet 200
46 Metilprednisolon 4 mg Tablet - 1,000
47 Metoclopramida Injeksi (@6600) Ampul - 30
48 Metoclopramida Injeksi (@7000) Ampul -
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet -
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN JULI 2017
30/06/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul 30 30
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube - 25
57 Oksitetrasiklin Hcl salep mata 1% Tube -
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 50 50
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul -
60 Omeprazol 20mg Kapsul - 100
61 Ondansetron Injeksi Ampul 20
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul 30
66 Ranitidin injeksi (@4000) Ampul - 70
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet -
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol 1
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial 20
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial -

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces 130
2 Abbocath no. 24 pieces 100
ENREKANG

P E N E R I MAAN

LAN JULI 2017


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

- - 200
- 800
-
-
-
-
-
-
300
-
-
300
-
-
-
-
-
-
-
-
50
-
60
LAN JULI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

10
-
12
-
4,000
80
-
-
-
-
-
-
-
-
200
-
-
-
-
-
-
200
100
-
1,000
30
-
-
-
-
LAN JULI 2017
JUMLAH
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
30
-
-
25
-
50
-
100
-
-
-
-
-
70
-
-
-
-
-
-
-
-

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet 200
2 Ambroxol 30 mg (@160) Tablet 800 -
3 Ambroxol 30 mg (@300) Tablet - 1,000
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol - 50
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) - 120
8 Amlodipine 5 mg (@333.33) Tablet 300
9 Amlodipine 5 mg (@340) Tablet - 150
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet 300 150
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol 4
17 Atropin sulfat injeksi Ampul 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube 150
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet 60
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
23 Chloramfenicol suspensi Botol 10
24 Chlorfeniramin maleat (CTM) 4 mg Tablet - 500
25 Cotrimoksazol suspensi Botol 12 50
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet 4,000
28 Dulcolax Tablet Tablet 80
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul - 10
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol 5
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol 10
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet 200
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet - 200
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul 30
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet 200
44 Loperamide (@120) Tablet 100
45 Mediamer Tablet Tablet 200
46 Metilprednisolon 4 mg Tablet 1,000
47 Metoclopramida Injeksi (@6600) Ampul 30
48 Metoclopramida Injeksi (@7000) Ampul - 55
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet - 200
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN AGUSTUS 2017
31/07/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul 60 60
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube 25
57 Oksitetrasiklin Hcl salep mata 1% Tube - 25
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 100
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul - 50
60 Omeprazol 20mg Kapsul 100 400
61 Ondansetron Injeksi Ampul 20
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul 30
66 Ranitidin injeksi (@4000) Ampul 70 60
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet - 3,000
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol 1
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial 20
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial - 100

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces 130
2 Abbocath no. 24 pieces 100
KANG

N E R I MAAN

STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
1,000
-
50
-
-
120
-
150
-
150
-
-
-
-
-
-
-
-
-
-
-
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
500
50
-
-
-
-
10
-
-
-
-
-
-
-
200
-
-
-
-
-
-
-
-
-
-
55
-
-
200
STUS 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
60
-
-
-
25
-
50
400
-
-
-
-
-
60
-
3,000
-
-
-
-
-
100

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet 200
2 Ambroxol 30 mg (@160) Tablet 800 -
3 Ambroxol 30 mg (@300) Tablet 1,000
4 Ambroxol 30 mg (@220) Tablet -
5 Ambroxol sirup Botol 50
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol 120
8 Amlodipine 5 mg (@333.33) Tablet 300
9 Amlodipine 5 mg (@340) Tablet 150
10 Amlodipine 5 mg (@300) Tablet -
11 Amlodipine 10 mg Tablet 450
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol 4
17 Atropin sulfat injeksi Ampul 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
20 Betametason krim 0,1% (@4000) Tube 150
21 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
22 Cetrizine Tablet 60
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
23 Chloramfenicol suspensi Botol 10
24 Chlorfeniramin maleat (CTM) 4 mg Tablet 500
25 Cotrimoksazol suspensi Botol 62
26 Deksametason inj. 5 mg/ml-1 ml Ampul -
27 Dexametason 0,5 mg (Ktk 200 tab) Tablet 4,000
28 Dulcolax Tablet Tablet 80
29 Epinefrin injeksi Ampul -
30 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 10
31 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol 5
32 Forumen tetes telinga (@32000) Botol -
33 Gentamicin salep kulit Tube 40
34 Guanistrep Suspensi (@5500) Botol 10
35 Guanistrep Suspensi (@6000) Botol -
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet 200
37 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet 200
38 Kalsium laktat (kalk) 500 mg Tablet -
39 Ketorolac Injeksi 10 mg Ampul 20
40 Ketorolac Injeksi 30 mg (@4400) Ampul 30
41 Ketorolac Injeksi 30 mg (@12000) Ampul -
42 Lidokain injeksi (Pehacain) Ampul 1,480
43 Loperamide (@750) Tablet 200
44 Loperamide (@120) Tablet 100
45 Mediamer Tablet Tablet 200
46 Metilprednisolon 4 mg Tablet 1,000
47 Metoclopramida Injeksi (@6600) Ampul 30
48 Metoclopramida Injeksi (@7000) Ampul 55
49 Metoclopramida Injeksi (@5000) Ampul -
50 Metoclopramida Injeksi (@6500) Ampul -
51 Metformin 500 mg Tablet 200
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN SEPTEMBER 2017
31/08/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
52 Natrium diklofenak 50 mg Tablet 1,150
53 Neurosanbe Injeksi (@6500) Ampul 120
54 Neurosanbe Injeksi (@7000) Ampul -
55 Nifedipin 10 mg Tablet 200
56 Oksitetrasiklin Hcl salep kulit 3% Tube 25
57 Oksitetrasiklin Hcl salep mata 1% Tube 25
58 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 100
59 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul 50
60 Omeprazol 20mg Kapsul 500
61 Ondansetron Injeksi Ampul 20
62 Paracetamol 500 mg (@175) Tablet 30,000
63 Paracetamol 500 mg (@190) Tablet -
64 Ranitidin injeksi (@2100.56) Ampul 12
65 Ranitidin injeksi (@3300) Ampul 30
66 Ranitidin injeksi (@4000) Ampul 130
67 Ranitidin injeksi (@3500) Ampul -
68 Tablet tambah darah kombinasi (Ramabion) Tablet 3,000
69 Ultrasonic Gel Botol 7
70 Ultrasonic Gel 5 Liter Botol 1
71 Vaseline Alba Botol -
72 Ventolin Nebules Vial 20
73 Xylestesin (@600000) Ktk/50 vial 2
74 Xylestesin (@9900) Ktk/50 vial 100

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces 130
2 Abbocath no. 24 pieces 100
EKANG

N E R I MAAN

EMBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

- - -
- -
-
1,500 1,500
-
-
-
70 70
-
-
1,500 1,500
-
-
-
-
-
-
-
-
-
-
-
-
EMBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
5 5
-
-
30 30
-
-
3,000 3,000
-
-
-
-
-
-
-
-
-
-
50 50
-
-
EMBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
50 50
-
-
-
100 100
100 100
-
1,000 1,000
-
-
-
-
-
-
50 50
-
-
-
2 2
-
-
-

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet 200
2 Ambroxol 30 mg (@160) Tablet 800 -
3 Ambroxol 30 mg (@300) Tablet 1,000
4 Ambroxol 30 mg (@220) Tablet 1,500
5 Ambroxol sirup Botol 50
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol 190
8 Amlodipine 5 mg (@333.33) Tablet 300
9 Amlodipine 5 mg (@340) Tablet 150
10 Amlodipine 5 mg (@300) Tablet 1,500
11 Amlodipine 10 mg Tablet 450
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol 4
17 Atropin sulfat injeksi Ampul 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
Betametason krim 0,1% (@4000) Tube 150
20 Cefadroxil Siirup Kering 125 mg/5 ml Botol -
21 Cetrizine Tablet 60
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
22 Chloramfenicol suspensi Botol 10
23 Chlorfeniramin maleat (CTM) 4 mg Tablet 500
24 Cotrimoksazol suspensi Botol 62
25 Deksametason inj. 5 mg/ml-1 ml Ampul -
26 Dexametason 0,5 mg (Ktk 200 tab) Tablet 4,000
27 Dulcolax Tablet Tablet 80
28 Epinefrin injeksi Ampul -
29 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 10
30 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol 5
31 Forumen tetes telinga (@32000) Botol 5
32 Gentamicin salep kulit Tube 40
33 Guanistrep Suspensi (@5500) Botol 10
34 Guanistrep Suspensi (@6000) Botol 30
35 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet 200
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet 200
37 Kalsium laktat (kalk) 500 mg Tablet 3,000
38 Ketorolac Injeksi 10 mg Ampul 20
39 Ketorolac Injeksi 30 mg (@4400) Ampul 30
40 Ketorolac Injeksi 30 mg (@12000) Ampul -
41 Lidokain injeksi (Pehacain) Ampul 1,480
42 Loperamide (@750) Tablet 200
43 Loperamide (@120) Tablet 100
44 Mediamer Tablet Tablet 200
45 Metilprednisolon 4 mg Tablet 1,000
46 Metoclopramida Injeksi (@6600) Ampul 30
47 Metoclopramida Injeksi (@7000) Ampul 55
48 Metoclopramida Injeksi (@5000) Ampul 50
49 Metoclopramida Injeksi (@6500) Ampul -
50 Metformin 500 mg Tablet 200
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN OKTOBER 2017
30/09/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
51 Natrium diklofenak 50 mg Tablet 1,150
52 Neurosanbe Injeksi (@6500) Ampul 170
53 Neurosanbe Injeksi (@7000) Ampul -
54 Nifedipin 10 mg Tablet 200
55 Oksitetrasiklin Hcl salep kulit 3% Tube 25
56 Oksitetrasiklin Hcl salep mata 1% Tube 125
57 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 200
58 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul 50
59 Omeprazol 20mg Kapsul 1,500
60 Ondansetron Injeksi Ampul 20
61 Paracetamol 500 mg (@175) Tablet 30,000
62 Paracetamol 500 mg (@190) Tablet -
63 Ranitidin injeksi (@2100.56) Ampul 12
64 Ranitidin injeksi (@3300) Ampul 30
65 Ranitidin injeksi (@4000) Ampul 130
66 Ranitidin injeksi (@3500) Ampul 50
67 Tablet tambah darah kombinasi (Ramabion) Tablet 3,000
68 Ultrasonic Gel Botol 7
69 Ultrasonic Gel 5 Liter Botol 1
70 Vaseline Alba Botol 2
71 Ventolin Nebules Vial 20
72 Xylestesin (@600000) Ktk/50 vial 2
73 Xylestesin (@9900) Ktk/50 vial 100

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces 130
2 Abbocath no. 24 pieces 100
EKANG

N E R I MAAN

OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
5,000 - 5,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
10 10
-
-
-
-
-
-
-
-
-
5,000 5,000
-
-
15 15
-
-
-
-
-
-
-
-
-
-
OBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
100 100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet 200
2 Ambroxol 30 mg (@160) Tablet 5,800 -
3 Ambroxol 30 mg (@300) Tablet 1,000
4 Ambroxol 30 mg (@220) Tablet 1,500
5 Ambroxol sirup Botol 50
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol 190
8 Amlodipine 5 mg (@333.33) Tablet 300
9 Amlodipine 5 mg (@340) Tablet 150
10 Amlodipine 5 mg (@300) Tablet 1,500 3,000
11 Amlodipine 10 mg Tablet 450
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol 4
17 Atropin sulfat injeksi Ampul 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
Betametason krim 0,1% (@4000) Tube 150
20 Cefadroxil Siirup Kering 125 mg/5 ml Botol - 50
21 Cetrizine Tablet 60
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
22 Chloramfenicol suspensi Botol 10
23 Chlorfeniramin maleat (CTM) 4 mg Tablet 500
24 Cotrimoksazol suspensi Botol 62
25 Deksametason inj. 5 mg/ml-1 ml Ampul -
26 Dexametason 0,5 mg (Ktk 200 tab) Tablet 4,000
27 Dulcolax Tablet Tablet 80
28 Epinefrin injeksi Ampul 10
29 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 10
30 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol 5
31 Forumen tetes telinga (@32000) Botol 5
32 Gentamicin salep kulit Tube 40
33 Guanistrep Suspensi (@5500) Botol 10
34 Guanistrep Suspensi (@6000) Botol 30
35 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet 200
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet 200
37 Kalsium laktat (kalk) 500 mg Tablet 8,000
38 Ketorolac Injeksi 10 mg Ampul 20
39 Ketorolac Injeksi 30 mg (@4400) Ampul 30
40 Ketorolac Injeksi 30 mg (@12000) Ampul 15
41 Lidokain injeksi (Pehacain) Ampul 1,480
42 Loperamide (@750) Tablet 200
43 Loperamide (@120) Tablet 100
44 Mediamer Tablet Tablet 200
45 Metilprednisolon 4 mg Tablet 1,000
46 Metoclopramida Injeksi (@6600) Ampul 30
47 Metoclopramida Injeksi (@7000) Ampul 55
48 Metoclopramida Injeksi (@5000) Ampul 50
49 Metoclopramida Injeksi (@6500) Ampul - 30
50 Metformin 500 mg Tablet 200
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN NOVEMBER 2017
31/10/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
51 Natrium diklofenak 50 mg Tablet 1,150
52 Neurosanbe Injeksi (@6500) Ampul 170
53 Neurosanbe Injeksi (@7000) Ampul - 50
54 Nifedipin 10 mg Tablet 200
55 Oksitetrasiklin Hcl salep kulit 3% Tube 25
56 Oksitetrasiklin Hcl salep mata 1% Tube 125
57 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 300
58 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul 50
59 Omeprazol 20mg Kapsul 1,500 1,000
60 Ondansetron Injeksi Ampul 20
61 Paracetamol 500 mg (@175) Tablet 30,000
62 Paracetamol 500 mg (@190) Tablet - 8,000
63 Ranitidin injeksi (@2100.56) Ampul 12
64 Ranitidin injeksi (@3300) Ampul 30
65 Ranitidin injeksi (@4000) Ampul 130
66 Ranitidin injeksi (@3500) Ampul 50 50
67 Tablet tambah darah kombinasi (Ramabion) Tablet 3,000
68 Ultrasonic Gel Botol 7
69 Ultrasonic Gel 5 Liter Botol 1
70 Vaseline Alba Botol 2
71 Ventolin Nebules Vial 20
72 Xylestesin (@600000) Ktk/50 vial 2
73 Xylestesin (@9900) Ktk/50 vial 100

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces 130
2 Abbocath no. 24 pieces 100
KANG

N E R I MAAN

MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

- - -
- -
-
-
-
-
-
-
-
-
3,000
-
-
-
-
-
-
-
-
-
-
50
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
30
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30

-
-
50
-
-
-
-
-
1,000
-
-
8,000
-
-
-
50
-
-
-
-
-
-
-

-
-
PUSKESMAS .................... DINAS KESEHATAN KAB ENREKANG
PUSKESMAS : ..........................
KEPALA PKM : ..........................
PENANGGUNG JAWAB OBAT DI PKM....... : ...........................

P E N E R I MAAN
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
1 Ambroxol 30 mg (@1030) Tablet 200
2 Ambroxol 30 mg (@160) Tablet 5,800 -
3 Ambroxol 30 mg (@300) Tablet 1,000 -
4 Ambroxol 30 mg (@220) Tablet 1,500
5 Ambroxol sirup Botol 50
6 Aminofilin Injeksi 24 mg/ml-10 ml Ampul 30
7 Amoxicilin Sirup Kering 125 mg/5 ml (5900) Botol 472
Amoxicilin Sirup Kering 125 mg/5 ml (5000) Botol 190 240
8 Amlodipine 5 mg (@333.33) Tablet 300
9 Amlodipine 5 mg (@340) Tablet 150
10 Amlodipine 5 mg (@300) Tablet 4,500
11 Amlodipine 10 mg Tablet 450
12 Antasida doen tablet kombinasi Tablet 4,000
13 Asam Traneksamat Injeksi (@1100) Ampul 10
14 Asam Traneksamat Injeksi (@33000) Ampul 30
15 Aseptic Gel 500 ml Botol 4
16 Aseptic Gel 5 Liter Botol 4
17 Atropin sulfat injeksi Ampul 100
18 Betahistin Mesilat 6 mg Tablet 2,790
19 Betametason krim 0,1% (@7000) Tube 11
Betametason krim 0,1% (@4000) Tube 150
20 Cefadroxil Siirup Kering 125 mg/5 ml Botol 50
21 Cetrizine Tablet 60
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
22 Chloramfenicol suspensi Botol 10
23 Chlorfeniramin maleat (CTM) 4 mg Tablet 500
24 Cotrimoksazol suspensi Botol 62
25 Deksametason inj. 5 mg/ml-1 ml Ampul -
26 Dexametason 0,5 mg (Ktk 200 tab) Tablet 4,000 6,000
27 Dulcolax Tablet Tablet 80
28 Epinefrin injeksi Ampul 10
29 Fitomenadion (vit.k1) injeksi 10 mg/ml-1 ml Ampul 10
30 Forumen tetes telinga (@35497) Botol 6
Forumen tetes telinga (@31000) Botol 5
31 Forumen tetes telinga (@32000) Botol 5
32 Gentamicin salep kulit Tube 40
33 Guanistrep Suspensi (@5500) Botol 10
34 Guanistrep Suspensi (@6000) Botol 30
35 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1370) Tablet 200
36 Hyoscine-N-Butilbromide 10 mg ktk 100 (@1380) Tablet 200
37 Kalsium laktat (kalk) 500 mg Tablet 8,000
38 Ketorolac Injeksi 10 mg Ampul 20
39 Ketorolac Injeksi 30 mg (@4400) Ampul 30
40 Ketorolac Injeksi 30 mg (@12000) Ampul 15
41 Lidokain injeksi (Pehacain) Ampul 1,480
42 Loperamide (@750) Tablet 200
43 Loperamide (@120) Tablet 100
44 Mediamer Tablet Tablet 200
45 Metilprednisolon 4 mg Tablet 1,000
46 Metoclopramida Injeksi (@6600) Ampul 30
47 Metoclopramida Injeksi (@7000) Ampul 55
48 Metoclopramida Injeksi (@5000) Ampul 50
49 Metoclopramida Injeksi (@6500) Ampul 30
50 Metformin 500 mg Tablet 200
STOK AWAL
NO NAMA OBAT SATUAN (Per BULAN DESEMBER 2017
30/11/2017)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

A OBAT
51 Natrium diklofenak 50 mg Tablet 1,150
52 Neurosanbe Injeksi (@6500) Ampul 170
53 Neurosanbe Injeksi (@7000) Ampul 50
54 Nifedipin 10 mg Tablet 200
55 Oksitetrasiklin Hcl salep kulit 3% Tube 25
56 Oksitetrasiklin Hcl salep mata 1% Tube 125
57 Oksitosin injeksi 10 iu/ml-1 ml (@4000) Ampul 300
58 Oksitosin injeksi 10 iu/ml-1 ml (@3500) Ampul 50
59 Omeprazol 20mg Kapsul 2,500
60 Ondansetron Injeksi Ampul 20
61 Paracetamol 500 mg (@175) Tablet 30,000
62 Paracetamol 500 mg (@190) Tablet 8,000
63 Ranitidin injeksi (@2100.56) Ampul 12
64 Ranitidin injeksi (@3300) Ampul 30
65 Ranitidin injeksi (@4000) Ampul 130
66 Ranitidin injeksi (@3500) Ampul 100
67 Tablet tambah darah kombinasi (Ramabion) Tablet 3,000
68 Ultrasonic Gel Botol 7
69 Ultrasonic Gel 5 Liter Botol 1
70 Vaseline Alba Botol 2
71 Ventolin Nebules Vial 20
72 Xylestesin (@600000) Ktk/50 vial 2
73 Xylestesin (@9900) Ktk/50 vial 100

B ALAT KESEHATAN / BHP


1 Abbocath no. 20 pieces 130
2 Abbocath no. 24 pieces 100
EKANG

N E R I MAAN

MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

- - -
- -
-
-
-
-
-
240
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
6,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
MBER 2017
JUMLAH
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
Abbocath no. 18
Abbocath no. 20
Abbocath no. 24
Abbocath no. 24
Abbocath no. 26
Abbocath no. 26
Alat Pengukur Lingkar Lengan
Alat Suntik Sekali Pakai 1 ml
Alat Suntik Sekali Pakai 3 ml
Alat Suntik Sekali Pakai 5 ml
Alat Suntik Sekali Pakai 10 ml
Bein
Bisturi No. 11
Bisturi No. 15
Bowl
Carpule No. 12
Carpule No. 12
Carpule No. 14
Catgut/benang bedah 3/0
Catheter Nelanton No. 16
Catheter Nelanton No. 18
Celluloid Strip
Composite Polishing Bur
Doopler
Doopler
Excafator
Excafator
Folleycatheter No. 8
Folley catheter No. 10
Folley catheter No. 16
Folley catheter No.18
Gunting Aff Hecting
Handscoen Non Steril (single use)
Handscoen Ginekologi (Obgin)
Head Lamp (Senter Kepala)
Head Lamp (Senter Kepala)
Hypafix 20 cm x 5 m
Hypafix 15 cm x 5 m
Hypafix 10 cm x 5 m
Hypafix 5 cm x 5 m
Hypafix 5 cm x 1 m
Kaca Mulut (Mirror)
Kaca Mulut (Mirror)
Kapas absorben 500 gram
Kasa pembalut 40 yard x 80cm
Kasa pembalut hidrofil 4 m x 15 cm
Klem Bengkok Kecil
Klem Hecting
Knabel Tang
Kom Besar
Kom Kecil
Manset Tensimeter
Manset Tensimeter Anak
Manset Tensimeter Bayi
Masker
Masker
Masker Oksigen Anak
Masker Oksigen Dewasa
Microtoise
Mortir Stamper
Nebulizer
Neirbeken
Penghisap Lendir
Penghisap Lendir
Penlight
Pengangga Leher
Perlak
Pinset Anatomi
Pinset Gigi
Pinset Gigi
Pispot Plastik
Plester 5 yard x 2 inch
Regulator
Sendok Obat
Sendok Cetak Protesa No. 1
Sendok Cetak Protesa No. 2
Sendok Cetak Protesa No. 3
Serumen Kit
Silk (Benang bedah sutera) No. 3/0
Slang Oksigen Anak
Slang Oksigen dewasa
Slim Seher
Sonde
Sonde
Spatele Besi
Stetoskop
Suction Catheter No. 8
Suction Catheter No. 10
Suction Catheter No. 14
Suction Catheter No. 18
Suction Gigi
Tensimeter Air Raksa
Tensimeter Air Raksa
Tensimeter Digital
Thermometer Air Raksa
Thermometer Digital
Timbangan BB
Tip Scaler
Under Pad 60x90