Laporan Tahunan dan RKO (Rencana Kebutuhan Obat) - Puskesmas PAJARAKAN

Alokasi Dana : JKN

Laporan Tahun : 2018

No Kode Obat Nama Obat Satuan

1 7 Aminophilin tab 200 mg tablet
2 8 Amitriptilin Hcl tab 25 mg tablet
3 8 Amitriptilin Hcl tab 25 mg tablet
4 9 Amlodipin tab 10 mg tablet
5 9 Amlodipin tab 10 mg tablet
6 9 Amlodipin tab 10 mg tablet
7 10 Amlodipin tab 5 mg tablet
8 11 Amoksisilin 500 mg kaplet
9 11 Amoksisilin 500 mg kaplet
10 11 Amoksisilin 500 mg kaplet
11 17 Antasida DOEN Syrup botol
12 17 Antasida DOEN Syrup botol
13 18 Antasida DOEN tab Komb tablet
14 18 Antasida DOEN tab Komb tablet
15 18 Antasida DOEN tab Komb tablet
16 20 Antifungi DOEN salep Komb botol
17 20 Antifungi DOEN salep Komb botol
18 21 Antihemoroid DOEN Komb suppositoria
19 21 Antihemoroid DOEN Komb suppositoria
20 21 Antihemoroid DOEN Komb suppositoria
21 24 Aqua proinjeksi steril bebas pirogen vial
22 24 Aqua proinjeksi steril bebas pirogen vial
23 24 Aqua proinjeksi steril bebas pirogen vial
24 25 Asam Askorbat (Vit C) tab 50 mg tablet
25 26 Asam folat 1 mg tablet
26 26 Asam folat 1 mg tablet
27 27 Asam mefenamat 500 mg tablet
28 28 Asetosal tab 100 mg tablet
29 29 Asiklovir 400 mg tablet
30 029a Asiklovir Tab 200 mg tablet
31 30 Asiklovir 5 % krim botol
32 35 Betahistin Mesilat tablet 6 mg tablet
33 35 Betahistin Mesilat tablet 6 mg tablet
34 36 Betametason krim 0,1% botol
35 39 Deksametason inj 5 mg/ml-ml amp
36 39 Deksametason inj 5 mg/ml-ml amp
37 39 Deksametason inj 5 mg/ml-ml amp
38 40 Deksametason tab 0.5 mg tablet
39 40 Deksametason tab 0.5 mg tablet
40 40 Deksametason tab 0.5 mg tablet
41 44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp / stesolid ) botol
42 45 Diazepam tab 2 mg tablet
43 48 Difenhidramin Hcl Inj 10 mg/ml-1ml amp
44 48 Difenhidramin Hcl Inj 10 mg/ml-1ml amp
45 49 Digoksin tab 0.25 mg tablet
46 51 Dimenhidrinat tablet 50 mg tablet
47 51 Dimenhidrinat tablet 50 mg tablet
48 54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml amp
49 55 Erithromisin 500 mg tab tablet
50 55 Erithromisin 500 mg tab tablet
51 57 Erithromisin sirup 200 mg/5 ml botol
52 68 Fenol gliserol tetes Telinga 10 % botol
53 70 Fitomenadion (VitK) tab 10 mg tablet
54 70 Fitomenadion (VitK) tab 10 mg tablet
55 70 Fitomenadion (VitK) tab 10 mg tablet
56 71 Furosemid tab 40 mg tablet
57 71 Furosemid tab 40 mg tablet
58 74 Garam Oralit untuk 200 ml air sachet
59 74 Garam Oralit untuk 200 ml air sachet
60 75 Gemfibrozil 300 mg tablet
61 76 Gentamsin Salep Kulit 0,1% botol
62 78 Gentian Violet lart 1% botol
63 79 Glibenklamid 5 mg tablet
64 79 Glibenklamid 5 mg tablet
65 80 Gliseril Guaiyakolat tab 100 mg tablet
66 89 Hidrokortison krim 2.5 % botol
67 89 Hidrokortison krim 2.5 % botol
68 89 Hidrokortison krim 2.5 % botol
69 93 Ibuprofen 400 mg tablet
70 93 Ibuprofen 400 mg tablet
71 94 Ichtyol salp pot
72 96 Isoniazid tab 300 mg tablet
73 100 Kalsium Laktas (Kalk) tab 500 mg tablet
74 100 Kalsium Laktas (Kalk) tab 500 mg tablet
75 103 Kaptropil 25 mg tablet
76 103 Kaptropil 25 mg tablet
77 107 Klindamycin 150 mg tablet
78 108 Kloramphenikol 250 mg tablet
79 108 Kloramphenikol 250 mg tablet
80 109 Kloramphenikol salep mata 1 % botol
81 109 Kloramphenikol salep mata 1 % botol
82 109 Kloramphenikol salep mata 1 % botol
83 109 Kloramphenikol salep mata 1 % botol
84 110 Kloramphenikol tetes telinga 3 % botol
85 111 Kloramfenikol Suspensi 125 mg/5 ml botol
 86 112 Kloramfenikol Tetes mata 0,5% botol
87 113 Klorfeniramin maleat (CTM) tab 4 mg tablet
88 117 Kotrimoksazole Dewasa tab 480 mg tablet
89 119 Kotrimoksazole Susp botol
90 119 Kotrimoksazole Susp botol
91 123 Lidokain Komp Inj amp
92 123 Lidokain Komp Inj amp
93 125 Magnesium sulf inj 20%-25 ml amp
94 126 Magnesium sulf inj 40%-25 ml amp
95 129 Metformin HCl Tab 500 mg tablet
96 131 Metil Ergometrin Inj 0,200 mg-1 ml amp
97 131 Metil Ergometrin Inj 0,200 mg-1 ml amp
98 132 Metil Ergometrin tab 0.125 mg tablet
99 132 Metil Ergometrin tab 0.125 mg tablet
100 138 Metronidazol 500 mg tablet
101 138 Metronidazol 500 mg tablet
102 138 Metronidazol 500 mg tablet
103 139 Mikonazole Krim / salep 2% botol
104 139 Mikonazole Krim / salep 2% botol
105 139 Mikonazole Krim / salep 2% botol
106 139 Mikonazole Krim / salep 2% botol
107 144 Na. Diklofenac 50 mg tablet
108 144 Na. Diklofenac 50 mg tablet
109 148 Nifedipin tab 10 mg tablet
110 149 Nistatin 100.000 iu tab vag tablet
111 149 Nistatin 100.000 iu tab vag tablet
112 153 Obat Batuk hitam (OBH) sirup 100 ml botol
113 157 Oksitetrasiklin SK 3% botol
114 157 Oksitetrasiklin SK 3% botol
115 158 Oksitetrasiklin SM 1 % botol
116 158 Oksitetrasiklin SM 1 % botol
117 159 Oksitosin inj 10 iu/1ml amp
118 159 Oksitosin inj 10 iu/1ml amp
119 159 Oksitosin inj 10 iu/1ml amp
120 159 Oksitosin inj 10 iu/1ml amp
121 165 Parasetamol sirup 120 mg/5 ml botol
122 167a Paracetamol 500 mg tablet
123 172 Piridoksin tab 10 mg tablet
124 174 Piroksicam 20 mg tablet
125 176 Prednison 5 mg tab tablet
126 181 Ranitidin Inj 25 mg/ 2 ml amp
127 181 Ranitidin Inj 25 mg/ 2 ml amp
128 182 Ranitidin tab 150 mg tablet
129 182 Ranitidin tab 150 mg tablet
130 190 Ringer Laktate lart infus botol
131 190 Ringer Laktate lart infus botol
132 190 Ringer Laktate lart infus botol
133 196 Salbutamol 4 mg tab tablet
134 197 Salep 2-4 komb pot
135 197 Salep 2-4 komb pot
136 197 Salep 2-4 komb pot
137 198 Salisil Bedak 2 % kotak
138 198 Salisil Bedak 2 % kotak
139 198 Salisil Bedak 2 % kotak
140 200 Sefadroxil 500 mg kapsul tablet
141 201 Sefotaxim Injeksi 1 gram amp
142 202 Seftriaxon Inj 1 gram amp
143 203 Sianokobalamin (Vit B12) inj amp
144 203 Sianokobalamin (Vit B12) inj amp
145 205 Simvastatin 20 mg tab tablet
146 205 Simvastatin 20 mg tab tablet
147 205 Simvastatin 20 mg tab tablet
148 206 Siprofloksasin 500 mg tab tablet
149 206 Siprofloksasin 500 mg tab tablet
150 206 Siprofloksasin 500 mg tab tablet
151 212 Tetrasiklin 500 mg tablet
152 213 Thiamin ( Vit B1 ) 50 mg tab tablet
153 213 Thiamin ( Vit B1 ) 50 mg tab tablet
154 219 Triheksipenidil Hcl 2 mg tab tablet
155 220 Vitamin B Kompleks tab tablet
156 220 Vitamin B Kompleks tab tablet
157 222 Yodium Povidon 10 % 300 ml botol
158 224 Zink 20 mg Tablet dispersible tablet
159 224 Zink 20 mg Tablet dispersible tablet
160 224 Zink 20 mg Tablet dispersible tablet
161 225 Zink Syrup botol
162 225 Zink Syrup botol
163 229 Asering Larutan Infus botol
164 233 Dulcolax supp 5 mg suppositoria
165 240 Ka-En 3 A botol
166 241 Ka-En 3 B botol
167 242 Kombivent Inhalasi amp
168 255 Bonding botol
169 255 Bonding botol
170 257 Dentorit pasta ( Cavit G ) set
171 259 Devitalisasi pasta (arsen) botol
172 260 Etching botol
173 262 Eugenol cairan botol
174 263 Glass Ionomer cement ART / Fuji IX ART Besar set
175 264 Kalsium Hidroksida pasta set
176 265 Komposit A2 Anterior set
177 266 Komposit A2 Posterior set
178 275 Trikresolformalin (TKF) cair botol
179 278 Alat Suntik Sekali Pakai 1 ml set
180 278 Alat Suntik Sekali Pakai 1 ml set
181 278 Alat Suntik Sekali Pakai 1 ml set
182 278 Alat Suntik Sekali Pakai 1 ml set
183 279 Alat Suntik Sekali Pakai 3 ml / 2,5 ml pcs
184 279 Alat Suntik Sekali Pakai 3 ml / 2,5 ml pcs
185 279 Alat Suntik Sekali Pakai 3 ml / 2,5 ml pcs
186 280 Alat Suntik Sekali Pakai 5 ml set
187 280 Alat Suntik Sekali Pakai 5 ml set
188 281 Alat Suntik Sekali Pakai 10 ml set
189 284 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah set
190 284 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah set
191 284 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah set
192 284 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah set
193 288 Infusion Set Anak set
194 288 Infusion Set Anak set
195 288 Infusion Set Anak set
196 289 Infusion Set Dewasa set
197 289 Infusion Set Dewasa set
198 289 Infusion Set Dewasa set
199 289 Infusion Set Dewasa set
200 292 Kapas Pembalut/Absorben 250 gr buah
201 292 Kapas Pembalut/Absorben 250 gr buah
202 293 Kasa Pembalut 2 X 80 cm rol
203 293 Kasa Pembalut 2 X 80 cm rol
204 293 Kasa Pembalut 2 X 80 cm rol
205 294 Kasa Kompres 40/40 steril rol
206 294 Kasa Kompres 40/40 steril rol
207 295 Kasa Pembalut 4 X 15 cm rol
208 295 Kasa Pembalut 4 X 15 cm rol
209 296 Kasa Pembalut 4 X 3 cm rol
210 296 Kasa Pembalut 4 X 3 cm rol
211 297 Lisol (Kresol tersaponifikasi 50%) 1 liter botol
212 298 Masker set
213 298 Masker set
214 298 Masker set
215 304 Sarung Tangan Non Steril set
216 304 Sarung Tangan Non Steril set
217 304 Sarung Tangan Non Steril set
218 305 Silk ( Benang Bedah Sutera) N0 3/0 set
219 305 Silk ( Benang Bedah Sutera) N0 3/0 set
220 307 IV. Catheter no. 18 set
221 307 IV. Catheter no. 18 set
222 308 IV. Catheter no. 20 set
223 308 IV. Catheter no. 20 set
224 308 IV. Catheter no. 20 set
225 308 IV. Catheter no. 20 set
226 309 IV. Catheter no. 22 set
227 309 IV. Catheter no. 22 set
228 310 IV. Catheter no. 24 set
229 310 IV. Catheter no. 24 set
230 310 IV. Catheter no. 24 set
231 314 Aquadest steril 1 liter botol
232 315 Asam asetat 6 % ( 100 ml ) botol
233 316 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) botol
234 316 Asam Klorida 0,1 N ( HCl 0,1 N ) ( 100 ml ) botol
235 321 EDTA ( 100 ml ) botol
236 321 EDTA ( 100 ml ) botol
237 328 Giemsa stain botol
238 335 Metanol botol
239 337 NACL 0,9% ( 100 ml ) botol
240 338 Oil Imerson ( 100 ml ) botol
241 339 Reesecher ( 100 ml ) botol
242 339 Reesecher ( 100 ml ) botol
243 341 Spiritus Bakar ( 1 liter ) botol
244 342 Turk ( 100 ml ) botol
245 342 Turk ( 100 ml ) botol
246 345 Zeil nelson set ( ZN set ) kit
247 372 Slides frosted (hijau ) pcs
248 376 Amoksillin Forte DS 250 botol
249 392 HCG /PP test (Tes Kehamilan ) pcs
250 392 HCG /PP test (Tes Kehamilan ) pcs
251 393 Folley Catheter no 16 pcs
252 393 Folley Catheter no 16 pcs
253 393 Folley Catheter no 16 pcs
254 393 Folley Catheter no 16 pcs
255 393 Folley Catheter no 16 pcs
256 394 Urine Bag pcs
257 394 Urine Bag pcs
258 394 Urine Bag pcs
259 397 Sarung Tangan Obgyn pcs
260 400 Aseptan botol
261 403 Kasa Steril 16 X 16 kotak
262 403 Kasa Steril 16 X 16 kotak
263 407 Ondansetron inj amp
264 415 Obyek glass non frosted ( merah ) pcs
265 418 Blood Lancet pcs
266 418 Blood Lancet pcs
267 433 Sikzonoat injeksi amp
268 436 Metoklopramid tab 10 mg ( Tomit tab ) tablet
269 436 Metoklopramid tab 10 mg ( Tomit tab ) tablet
270 436 Metoklopramid tab 10 mg ( Tomit tab ) tablet
271 442 Safety box pcs
272 442 Safety box pcs
273 443 Apd hiv set
274 449 Slem suiker pcs
275 453 Usg gel botol
276 463 Leukoplast 5x5 rol
277 482 Under pad pcs
278 483 Stik gda easytouch pcs
279 483 Stik gda easytouch pcs
280 483 Stik gda easytouch pcs
281 483 Stik gda easytouch pcs
282 484 Stik asam urat easytouch pcs
283 484 Stik asam urat easytouch pcs
284 484 Stik asam urat easytouch pcs
285 484 Stik asam urat easytouch pcs
286 484 Stik asam urat easytouch pcs
287 485 Stik kolesterol easytouch pcs
288 485 Stik kolesterol easytouch pcs
289 485 Stik kolesterol easytouch pcs
290 486a Domperidon 10 mg tablet
291 487 Vitamin E 200 ui kapsul
292 490 NASAL CANUL DEWASA pcs
293 490 NASAL CANUL DEWASA pcs
294 491 NASAL CANUL ANAK pcs
295 493b ONE SCRUB 5 L botol
296 494 SLIDE (OBJEK GLAS NON FROSTED) buah
297 496b TES HIV VIKIA strip
298 496c MISION TES HB stik
299 514 TABUNG CENTRIFUGE pcs
300 524 MASKER N95 buah
301 524 MASKER N95 buah
302 525 MASKER OKSIGEN ANAK buah
303 525 MASKER OKSIGEN ANAK buah
304 526 MASKER OKSIGEN DEWASA buah
305 526 MASKER OKSIGEN DEWASA buah
306 529 ALKOHOL SWAB pcs
307 533 ASETOSAL 80 MG tablet
308 537a KLINDAMISIN 300 MG kapsul
309 539b PLESTERIN pcs
310 541b IV Catheter 26 G pcs
311 541b IV Catheter 26 G pcs
312 541b IV Catheter 26 G pcs
313 543 EVITA kapsul
314 544 ASAM FOLAT 0,4 MG tablet
315 546a HUSTAB P tablet
316 546c LEXADIUM tablet
317 547b NEO TAMBAH DARAH tablet
318 547b NEO TAMBAH DARAH tablet
319 547b NEO TAMBAH DARAH tablet
320 547b NEO TAMBAH DARAH tablet
321 547b NEO TAMBAH DARAH tablet
322 549 FolLey Catheter No. 18 pcs
323 549 FolLey Catheter No. 18 pcs
324 562b Komposit A3 buah
325 572 MESS # 11 set
326 582 Dulcolax 10 mg supp suppositoria
327 594 REAGEN HIV SD strip
328 616b SALMONELLA TYHPI O 5 ML botol
329 617b SALMONELLA THYPI H 5 ml botol
330 695 One Clean 1 liter botol
331 702 LEUKOPLAST 7,5x4,5 buah
332 703 Aseptik Gel botol
333 772 Masker 3 ply plus pcs
334 775 Zinc F + Dinpro pcs
335 964 SALMONELA PARATHYPI AH botol
336 965 SALMONELA PARATHYPI BH botol
Stok Awal Penerimaan Persediaan Pemakaian Kepada PX Obat ED Total Pemakaian
351 0 351 151 200 351
112 0 112 108 0 108
500 0 500 100 0 100
0 3,000 3,000 287 0 287
154 0 154 154 0 154
1,642 0 1,642 1,642 0 1,642
0 3,000 3,000 21 0 21
67 0 67 67 0 67
895 0 895 895 0 895
17,665 0 17,665 17,076 0 17,076
0 100 100 13 0 13
95 0 95 85 0 85
0 20,000 20,000 230 0 230
2,392 0 2,392 2,392 0 2,392
17,084 0 17,084 13,901 0 13,901
125 0 125 54 0 54
227 0 227 64 0 64
0 100 100 0 0 0
38 0 38 36 0 36
100 0 100 48 0 48
0 300 300 2 0 2
14 0 14 14 0 14
30 0 30 30 0 30
21,871 0 21,871 18,671 0 18,671
0 10,000 10,000 110 0 110
93 0 93 93 0 93
16,804 0 16,804 16,804 0 16,804
200 0 200 81 0 81
20 0 20 20 0 20
955 0 955 875 0 875
37 0 37 16 0 16
0 1,200 1,200 500 0 500
645 0 645 645 0 645
0 200 200 3 0 3
0 300 300 10 0 10
26 0 26 11 15 26
205 0 205 202 0 202
0 10,000 10,000 4,238 0 4,238
34 0 34 31 0 31
 3,131 0 3,131 3,126 0 3,126
116 0 116 29 87 116
1,335 0 1,335 1,335 0 1,335
31 0 31 31 0 31
446 0 446 446 0 446
88 0 88 84 0 84
7 0 7 0 0 0
32 0 32 30 0 30
150 0 150 14 0 14
11 0 11 11 0 11
700 0 700 700 0 700
80 0 80 80 0 80
72 0 72 68 4 72
0 1,000 1,000 100 0 100
720 0 720 720 0 720
784 0 784 631 0 631
100 0 100 98 0 98
200 0 200 200 0 200
13 0 13 13 0 13
1,538 0 1,538 1,388 0 1,388
1,000 0 1,000 157 0 157
9 0 9 4 0 4
4 0 4 4 0 4
0 2,000 2,000 0 0 0
3 0 3 3 0 3
355 0 355 355 0 355
0 192 192 0 0 0
49 0 49 49 0 49
170 0 170 136 0 136
202 0 202 202 0 202
6,442 0 6,442 6,362 0 6,362
10 0 10 6 0 6
500 0 500 41 0 41
116 0 116 116 0 116
15,222 0 15,222 15,222 0 15,222
36 0 36 36 0 36
14,361 0 14,361 9,373 0 9,373
640 0 640 81 550 631
0 3,000 3,000 754 0 754
751 0 751 193 0 193
0 192 192 3 0 3
1 0 1 1 0 1
7 0 7 7 0 7
211 0 211 136 0 136
21 0 21 21 0 21
85 0 85 41 0 41
 2 0 2 2 0 2
0 30,000 30,000 7,109 0 7,109
4 0 4 3 0 3
105 0 105 91 0 91
475 0 475 179 0 179
283 0 283 277 0 277
2,098 0 2,098 198 0 198
23 0 23 7 0 7
23 0 23 13 0 13
14,509 0 14,509 7,703 0 7,703
23 0 23 23 0 23
40 0 40 40 0 40
613 0 613 613 0 613
1,925 0 1,925 568 1357 1,925
169 0 169 129 0 129
314 0 314 314 0 314
1,587 0 1,587 1,587 0 1,587
33 0 33 21 0 21
64 0 64 64 0 64
66 0 66 66 0 66
105 0 105 94 0 94
3 0 3 3 0 3
95 0 95 95 0 95
1,000 0 1,000 1,000 0 1,000
3 0 3 3 0 3
150 0 150 136 0 136
4 0 4 3 0 3
15 0 15 15 0 15
23 0 23 23 0 23
0 200 200 0 0 0
8 0 8 8 0 8
0 200 200 47 0 47
42 0 42 42 0 42
97 0 97 95 0 95
282 0 282 262 0 262
45 0 45 45 0 45
34,629 0 34,629 34,625 0 34,625
4,125 0 4,125 4,125 0 4,125
244 0 244 244 0 244
31 0 31 31 0 31
0 1,500 1,500 937 0 937
53 0 53 53 0 53
1,427 0 1,427 1,427 0 1,427
19,741 0 19,741 12,905 0 12,905
0 1,500 1,500 613 0 613
27 0 27 27 0 27
 1,193 0 1,193 1,150 0 1,150
2,460 0 2,460 2,450 0 2,450
5 0 5 5 0 5
219 0 219 25 0 25
268 0 268 82 0 82
2 0 2 2 0 2
183 0 183 96 0 96
292 0 292 257 0 257
103 0 103 103 0 103
0 300 300 50 0 50
9 0 9 9 0 9
223 0 223 220 0 220
910 0 910 720 0 720
0 1,000 1,000 0 0 0
1,000 0 1,000 0 0 0
3,001 0 3,001 1,866 0 1,866
0 2,000 2,000 300 0 300
20 0 20 20 0 20
238 0 238 178 0 178
363 0 363 230 133 363
0 10,000 10,000 7,352 0 7,352
1,927 0 1,927 1,927 0 1,927
335 0 335 180 155 335
1 0 1 1 0 1
28,835 0 28,835 28,789 0 28,789
1 0 1 1 0 1
0 3,000 3,000 1,098 0 1,098
62 0 62 62 0 62
283 0 283 283 0 283
0 100 100 0 0 0
10 0 10 10 0 10
860 0 860 627 0 627
0 90 90 0 0 0
500 0 500 29 0 29
485 0 485 445 0 445
0 300 300 163 0 163
0 1 1 0 0 0
1 0 1 1 0 1
0 2 2 0 0 0
2 0 2 1 0 1
0 1 1 0 0 0
1 0 1 1 0 1
0 2 2 0 0 0
1 0 1 0 0 0
0 1 1 0 0 0
0 1 1 0 0 0
 1 0 1 0 0 0
0 1,000 1,000 17 0 17
1 0 1 1 0 1
162 0 162 84 0 84
385 0 385 381 0 381
0 1,000 1,000 79 0 79
126 0 126 126 0 126
405 0 405 375 0 375
79 0 79 79 0 79
613 0 613 517 96 613
455 0 455 179 0 179
0 120 120 0 0 0
3 0 3 0 0 0
12 0 12 4 0 4
13 0 13 12 0 12
84 0 84 55 0 55
200 0 200 0 0 0
300 0 300 82 0 82
0 500 500 96 0 96
1 0 1 1 0 1
65 0 65 62 0 62
500 0 500 484 0 484
1 0 1 1 0 1
2 0 2 2 0 2
2 0 2 2 0 2
2 0 2 2 0 2
100 0 100 86 0 86
0 200 200 129 0 129
5 0 5 5 0 5
1 0 1 1 0 1
118 0 118 118 0 118
0 200 200 200 0 200
11 0 11 7 0 7
25 0 25 25 0 25
56 0 56 38 0 38
156 0 156 123 0 123
257 0 257 257 0 257
0 50 50 38 0 38
92 0 92 92 0 92
298 0 298 298 0 298
0 120 120 8 0 8
73 0 73 73 0 73
167 0 167 111 12 123
181 0 181 152 0 152
0 200 200 4 0 4
19 0 19 19 0 19
 247 0 247 244 0 244
250 0 250 202 0 202
0 200 200 107 0 107
172 0 172 172 0 172
0 200 200 20 0 20
38 0 38 30 0 30
149 0 149 149 0 149
3 0 3 1 0 1
1 0 1 1 0 1
0 5 5 2 0 2
4 0 4 4 0 4
0 2 2 1 0 1
2 0 2 2 0 2
0 4 4 1 0 1
2 0 2 2 0 2
1 0 1 1 0 1
0 2 2 1 0 1
0 1 1 0 0 0
1 0 1 1 0 1
4 0 4 4 0 4
0 5 5 0 0 0
2 0 2 2 0 2
0 3 3 0 0 0
0 5 5 0 0 0
41 0 41 41 0 41
0 200 200 0 0 0
83 0 83 62 0 62
0 2 2 0 0 0
1 0 1 1 0 1
2 0 2 2 0 2
8 0 8 8 0 8
9 0 9 9 0 9
0 100 100 1 0 1
1 0 1 1 0 1
27 0 27 26 0 26
28 0 28 13 0 13
8 0 8 8 0 8
46 0 46 46 0 46
95 0 95 86 0 86
0 1,000 1,000 128 0 128
0 10 10 0 0 0
0 1,000 1,000 0 0 0
1,000 0 1,000 400 0 400
15 0 15 0 0 15
218 0 218 218 0 218
1,500 0 1,500 0 0 0
2,000 0 2,000 1,311 0 1,311
2 0 2 2 0 2
48 0 48 18 0 18
8 0 8 0 0 0
7 0 7 3 0 3
0 10 10 0 0 0
15 0 15 9 0 9
0 500 500 0 0 0
0 250 250 250 0 250
0 500 500 259 0 259
0 1,250 1,250 0 0 0
148 0 148 148 0 148
0 150 150 0 0 0
0 250 250 250 0 250
0 1,000 1,000 0 0 0
9 0 9 9 0 9
100 0 100 100 0 100
0 100 100 69 0 69
0 100 100 100 0 100
0 500 500 0 0 0
1 0 1 0 0 0
12 0 12 12 0 12
10 0 10 10 0 10
20 0 20 11 0 11
19 0 19 14 0 14
0 5 5 2 0 2
1 0 1 1 0 1
1 0 1 1 0 1
2 0 2 2 0 2
18 0 18 0 0 0
0 3 3 0 0 0
78 0 78 48 0 48
0 100 100 0 0 0
40 0 40 27 0 27
0 100 100 1 0 1
56 0 56 38 0 38
49 0 49 4 0 4
200 0 200 137 0 137
800 0 800 0 800 800
976 0 976 576 0 576
0 200 200 0 0 0
92 0 92 77 0 77
104 0 104 97 0 97
748 0 748 748 0 748
155 0 155 155 0 155
172 0 172 172 0 172
 3,003 0 3,003 1,421 0 1,421
2,953 0 2,953 2,953 0 2,953
4,658 0 4,658 4,658 0 4,658
5,000 0 5,000 5,000 0 5,000
11,491 0 11,491 7,979 3512 11,491
14,800 0 14,800 14,800 0 14,800
0 2 2 0 0 0
2 0 2 2 0 2
0 1 1 0 0 0
0 300 300 125 0 125
0 100 100 0 0 0
25 0 25 25 0 25
0 5 5 2 0 2
0 5 5 2 0 2
0 30 30 0 0 0
30 0 30 17 0 17
0 30 30 2 0 2
0 50 50 0 0 0
0 1 1 0 0 0
0 5 5 2 0 2
0 5 5 2 0 2
Rata Rata Pemakaian Perbulan Kebutuhan Obat Selama 18 Bulan Sisa Akhir
29 527 0
9 162 4
8 150 400
24 431 2,713
13 231 0
137 2,463 0
2 32 2,979
6 101 0
75 1,343 0
1,423 25,614 589
1 20 87
7 128 10
19 345 19,770
199 3,588 0
1,158 20,852 3,183
5 81 71
5 96 163
0 0 100
3 54 2
4 72 52
0 3 298
1 21 0
3 45 0
1,556 28,007 3,200
9 165 9,890
8 140 0
1,400 25,206 0
7 122 119
2 30 0
73 1,313 80
1 24 21
42 750 700
54 968 0
0 5 197
1 15 290
2 39 0
17 303 3
353 6,357 5,762
3 47 3
 261 4,689 5
10 174 0
111 2,003 0
3 47 0
37 669 0
7 126 4
0 0 7
3 45 2
1 21 136
1 17 0
58 1,050 0
7 120 0
6 108 0
8 150 900
60 1,080 0
53 947 153
8 147 2
17 300 0
1 20 0
116 2,082 150
13 236 843
0 6 5
0 6 0
0 0 2,000
0 5 0
30 533 0
0 0 192
4 74 0
11 204 34
17 303 0
530 9,543 80
1 9 4
3 62 459
10 174 0
1,269 22,833 0
3 54 0
781 14,060 4,988
53 947 9
63 1,131 2,246
16 290 558
0 5 189
0 2 0
1 11 0
11 204 75
2 32 0
3 62 44
 0 3 0
592 10,664 22,891
0 5 1
8 137 14
15 269 296
23 416 6
17 297 1,900
1 11 16
1 20 10
642 11,555 6,806
2 35 0
3 60 0
51 920 0
160 2,888 0
11 194 40
26 471 0
132 2,381 0
2 32 12
5 96 0
6 99 0
8 141 11
0 5 0
8 143 0
83 1,500 0
0 5 0
11 204 14
0 5 1
1 23 0
2 35 0
0 0 200
1 12 0
4 71 153
4 63 0
8 143 2
22 393 20
4 68 0
2,885 51,938 4
344 6,188 0
20 366 0
3 47 0
78 1,406 563
4 80 0
119 2,141 0
1,075 19,358 6,836
51 920 887
2 41 0
 96 1,725 43
204 3,675 10
0 8 0
2 38 194
7 123 186
0 3 0
8 144 87
21 386 35
9 155 0
4 75 250
1 14 0
18 330 3
60 1,080 190
0 0 1,000
0 0 1,000
156 2,799 1,135
25 450 1,700
2 30 0
15 267 60
30 545 0
613 11,028 2,648
161 2,891 0
28 503 0
0 2 0
2,399 43,184 46
0 2 0
92 1,647 1,902
5 93 0
24 425 0
0 0 100
1 15 0
52 941 233
0 0 90
2 44 471
37 668 40
14 245 137
0 0 1
0 2 0
0 0 2
0 2 1
0 0 1
0 2 0
0 0 2
0 0 1
0 0 1
0 0 1
 0 0 1
1 26 983
0 2 0
7 126 78
32 572 4
7 119 921
11 189 0
31 563 30
7 119 0
51 920 0
15 269 276
0 0 120
0 0 3
0 6 8
1 18 1
5 83 29
0 0 200
7 123 218
8 144 404
0 2 0
5 93 3
40 726 16
0 2 0
0 3 0
0 3 0
0 3 0
7 129 14
11 194 71
0 8 0
0 2 0
10 177 0
17 300 0
1 11 4
2 38 0
3 57 18
10 185 33
21 386 0
3 57 12
8 138 0
25 447 0
1 12 112
6 110 0
10 185 44
13 228 29
0 6 196
2 29 0
20 366 3
17 303 48
9 161 93
14 258 0
2 30 180
3 45 8
12 224 0
0 2 2
0 2 0
0 3 3
0 6 0
0 2 1
0 3 0
0 2 3
0 3 0
0 2 0
0 2 1
0 0 1
0 2 0
0 6 0
0 0 5
0 3 0
0 0 3
0 0 5
3 62 0
0 0 200
5 93 21
0 0 2
0 2 0
0 3 0
1 12 0
1 14 0
0 2 99
0 2 0
2 39 1
1 20 15
1 12 0
4 69 0
7 129 9
11 192 872
0 0 10
0 0 1,000
33 600 600
0 0 15
18 327 0
0 0 1,500
109 1,967 689
0 3 0
2 27 30
0 0 8
0 5 4
0 0 10
1 14 6
0 0 500
21 375 0
22 389 241
0 0 1,250
12 222 0
0 0 150
21 375 0
0 0 1,000
1 14 0
8 150 0
6 104 31
8 150 0
0 0 500
0 0 1
1 18 0
1 15 0
1 17 9
1 21 5
0 3 3
0 2 0
0 2 0
0 3 0
0 0 18
0 0 3
4 72 30
0 0 100
2 41 13
0 2 99
3 57 18
0 6 45
11 206 63
67 1,200 0
48 864 400
0 0 200
6 116 15
8 146 7
62 1,122 0
13 233 0
14 258 0
 118 2,132 1,582
246 4,430 0
388 6,987 0
417 7,500 0
958 17,237 0
1,233 22,200 0
0 0 2
0 3 0
0 0 1
10 188 175
0 0 100
2 38 0
0 3 3
0 3 3
0 0 30
1 26 13
0 3 28
0 0 50
0 0 1
0 3 3
0 3 3
Rencana Pengadaan Usulan PKeterangan
527
158
-250
-2,283
231
2,463
-2,948
101
1,343
25,025
-68
118
-19,425
3,588
17,669
10
-67
-100
52
20
-295
21
45
24,807
-9,725
140
25,206
3
30
1,233
3
50
968
-193
-275
39
300
595
44
 4,684
174
2,003
47
669
122
-7
43
-115
17
1,050
120
108
-750
1,080
794
145
300
20
1,932
-608
1
6
-2,000
5
533
-192
74
170
303
9,463
5
-398
174
22,833
54
9,072
938
-1,115
-269
-185
2
11
129
32
18
 3
-12,228
4
123
-28
410
-1,603
-6
10
4,749
35
60
920
2,888
154
471
2,381
20
96
99
130
5
143
1,500
5
190
4
23
35
-200
12
-83
63
141
373
68
51,934
6,188
366
47
843
80
2,141
12,522
33
41
 1,682
3,665
8
-157
-63
3
57
351
155
-175
14
327
890
-1,000
-1,000
1,664
-1,250
30
207
545
8,380
2,891
503
2
43,138
2
-255
93
425
-100
15
708
-90
-428
628
108
-1
2
-2
1
-1
2
-2
-1
-1
-1
 -1
-958
2
48
568
-803
189
533
119
920
-8
-120
-3
-2
17
54
-200
-95
-260
2
90
710
2
3
3
3
115
123
8
2
177
300
7
38
39
152
386
45
138
447
-100
110
141
199
-190
29
 363
255
68
258
-150
37
224
-1
2
0
6
1
3
-2
3
2
1
-1
2
6
-5
3
-3
-5
62
-200
72
-2
2
3
12
14
-98
2
38
5
12
69
120
-680
-10
-1,000
0
-15
327
-1,500
 1,278
3
-3
-8
1
-10
8
-500
375
148
-1,250
222
-150
375
-1,000
14
150
73
150
-500
-1
18
15
8
16
0
2
2
3
-18
-3
42
-100
28
-98
39
-39
143
1,200
464
-200
101
139
1,122
233
258
 550
4,430
6,987
7,500
17,237
22,200
-2
3
-1
13
-100
38
0
0
-30
13
-25
-50
-1
0
0
Laporan Tahunan dan RKO (Rencana Kebutuhan Obat) - Puskesmas PAJARAKAN
Alokasi Dana : TK 1
Laporan Tahun : 2018

No Kode Obat Nama Obat Satuan Stok Awal Penerimaan

1 2 Albendazol tab 400 mg tablet 0 6,990
2 55 Erithromisin 500 mg tab tablet 0 500
3 65 Fenobarbital tab 30 mg tablet 0 300
4 69 Fitomenadion (VitK) inj 10mg/ml-1ml amp 0 150
5 74 Garam Oralit untuk 200 ml air sachet 0 200
6 74 Garam Oralit untuk 200 ml air sachet 0 800
7 74 Garam Oralit untuk 200 ml air sachet 0 4,200
8 140 Mineral Mix sachet 8gr sachet 0 80
9 140 Mineral Mix sachet 8gr sachet 0 3,600
10 151 OAT-FDC Kategori 1 paket 0 3
11 151 OAT-FDC Kategori 1 paket 0 10
12 151 OAT-FDC Kategori 1 paket 0 17
13 151 OAT-FDC Kategori 1 paket 5 10
14 152 OAT-FDC Kategori 2 paket 0 1
15 165 Parasetamol sirup 120 mg/5 ml botol 0 10
16 176 Prednison 5 mg tab tablet 0 1,000
17 185 Retinol ( Vit A ) 200.000 iu Kap kapsul 0 2,500
18 277 Alat Suntik Sekali Pakai 0,5 ml set 0 2,200
19 277 Alat Suntik Sekali Pakai 0,5 ml set 0 2,800
20 277 Alat Suntik Sekali Pakai 0,5 ml set 0 3,000
21 277 Alat Suntik Sekali Pakai 0,5 ml set 0 4,700
22 277 Alat Suntik Sekali Pakai 0,5 ml set 0 9,000
23 277 Alat Suntik Sekali Pakai 0,5 ml set 0 12,600
24 277 Alat Suntik Sekali Pakai 0,5 ml set 782 0
25 280 Alat Suntik Sekali Pakai 5 ml set 0 200
26 280 Alat Suntik Sekali Pakai 5 ml set 17 0
27 298 Masker set 394 2,100
28 302 Pot Sputum diameter 7 cm pcs 0 300
29 303a Sarung Tangan Steril 7,5 buah 0 100
30 303b Sarung Tangan Steril No. 8 buah 0 50
31 304 Sarung Tangan Non Steril set 0 2,500
32 329 Golongan Darah A,B,O set 3 0
33 345 Zeil nelson set ( ZN set ) kit 0 5
34 345 Zeil nelson set ( ZN set ) kit 0 7
35 345 Zeil nelson set ( ZN set ) kit 6 0
36 366 Reagen TPHA stik 0 200
37 434 Trifluoperazine 5 mg tablet 426 0
38 442 Safety box pcs 0 150
39 442 Safety box pcs 0 400
40 464 BCG vial 0 5
41 464 BCG vial 0 6
42 464 BCG vial 0 10
43 464 BCG vial 0 10
44 464 BCG vial 0 10
45 464 BCG vial 0 14
46 464 BCG vial 0 15
47 464 BCG vial 0 20
48 464 BCG vial 0 25
49 464 BCG vial 0 30
50 464 BCG vial 13 0
51 465 Campak vial 1 0
52 466 DPT HB Hib vial 0 30
53 466 DPT HB Hib vial 0 35
54 466 DPT HB Hib vial 0 45
55 466 DPT HB Hib vial 0 70
56 466 DPT HB Hib vial 0 121
57 466 DPT HB Hib vial 0 130
58 466 DPT HB Hib vial 0 150
59 466 DPT HB Hib vial 0 155
60 466 DPT HB Hib vial 0 203
61 466 DPT HB Hib vial 0 221
62 466 DPT HB Hib vial 0 236
63 466 DPT HB Hib vial 0 400
64 468 HB UNIJECT vial 0 20
65 468 HB UNIJECT vial 0 20
66 468 HB UNIJECT vial 0 25
67 468 HB UNIJECT vial 0 35
68 468 HB UNIJECT vial 0 40
69 468 HB UNIJECT vial 0 45
70 468 HB UNIJECT vial 0 70
71 468 HB UNIJECT vial 0 115
72 470 MDT MB Dws strip 0 12
73 470 MDT MB Dws strip 0 24
74 470 MDT MB Dws strip 10 0
75 474 Polio IPV vial 0 10
76 474 Polio IPV vial 0 12
77 474 Polio IPV vial 0 15
78 474 Polio IPV vial 0 17
79 474 Polio IPV vial 0 20
 80 474 Polio IPV vial 0 25
81 474 Polio IPV vial 0 54
82 476 vaksin TD vial 0 30
83 476 vaksin TD vial 0 135
84 476 vaksin TD vial 0 165
85 476 vaksin TD vial 0 200
86 476 vaksin TD vial 0 232
87 476 vaksin TD vial 0 261
88 476 vaksin TD vial 0 443
89 476 vaksin TD vial 0 450
90 476 vaksin TD vial 0 457
91 476 vaksin TD vial 0 460
92 476 vaksin TD vial 0 500
93 476 vaksin TD vial 8 0
94 496b TES HIV VIKIA strip 23 0
95 547b NEO TAMBAH DARAH tablet 0 80,800
96 591 POLIO BO PV vial 0 20
97 591 POLIO BO PV vial 0 30
98 591 POLIO BO PV vial 0 30
99 591 POLIO BO PV vial 0 35
100 591 POLIO BO PV vial 0 40
101 591 POLIO BO PV vial 0 50
102 591 POLIO BO PV vial 0 60
103 591 POLIO BO PV vial 0 70
104 591 POLIO BO PV vial 8 13
105 591 POLIO BO PV vial 9 0
106 592 DT vial 0 10
107 592 DT vial 0 20
108 592 DT vial 0 22
109 592 DT vial 0 30
110 592 DT vial 0 40
111 592 DT vial 0 45
112 592 DT vial 0 60
113 592 DT vial 0 63
114 592 DT vial 0 63
115 592 DT vial 0 64
116 592 DT vial 0 110
117 592 DT vial 2 0
118 594 REAGEN HIV SD strip 0 100
119 594 REAGEN HIV SD strip 400 0
120 602 SOUND TIMER pcs 2 0
121 624 Vaksin MR vial 0 10
122 624 Vaksin MR vial 0 15
123 624 Vaksin MR vial 0 15
124 624 Vaksin MR vial 0 20
125 624 Vaksin MR vial 0 25
126 624 Vaksin MR vial 0 55
127 624 Vaksin MR vial 6 0
128 624 Vaksin MR vial 8 6
129 677 Reagen HIV.Fokus Anti HIV 1/2 cassette strip 25 0
130 686 HB SAHLI kit 2 0
131 766 Vaksin miningitis FORMENING paket 0 15
132 769 HBs Ag set 0 150
133 769 HBs Ag set 0 430
134 776 HB Ig vial 0 1
135 776 HB Ig vial 0 1
136 776 HB Ig vial 0 2
137 777 Ice Gell pcs 0 1
138 779 Stereofoam pcs 0 7
139 920 Golongan Darah ADRK paket 0 2
Persediaan Pemakaian Kepada PX Obat ED Total Pemakaian
6,990 0 0 0
500 73 0 73
300 0 0 0
150 150 0 150
200 200 0 200
800 400 400 800
4,200 333 3000 3,333
80 0 0 0
3,600 3,600 0 3,600
3 2 0 2
10 1 0 1
17 17 0 17
15 15 0 15
1 1 0 1
10 10 0 10
1,000 1,000 0 1,000
2,500 0 0 0
2,200 2,200 0 2,200
2,800 2,800 0 2,800
3,000 3,000 0 3,000
4,700 4,700 0 4,700
9,000 9,000 0 9,000
12,600 8,005 0 8,005
782 782 0 782
200 4 0 4
17 17 0 17
2,494 2,360 0 2,360
300 100 0 100
100 100 0 100
50 30 0 30
2,500 2,500 0 2,500
3 3 0 3
5 5 0 5
7 1 0 1
6 1 0 1
200 0 0 0
426 80 0 80
150 150 0 150
400 127 0 127
5 5 0 5
6 6 0 6
10 10 0 10
10 10 0 10
10 10 0 10
14 14 0 14
15 15 0 15
20 20 0 20
25 24 0 24
30 30 0 30
13 13 0 13
1 1 0 1
30 0 0 0
35 35 0 35
45 45 0 45
70 70 0 70
121 63 0 63
130 130 0 130
150 150 0 150
155 155 0 155
203 203 0 203
221 221 0 221
236 236 0 236
400 400 0 400
20 20 0 20
20 20 0 20
25 25 0 25
35 35 0 35
40 40 0 40
45 45 0 45
70 36 0 36
115 115 0 115
12 12 0 12
24 3 0 3
10 10 0 10
10 10 0 10
12 12 0 12
15 15 0 15
17 17 0 17
20 20 0 20
 25 25 0 25
54 45 0 45
30 30 0 30
135 135 0 135
165 165 0 165
200 200 0 200
232 232 0 232
261 202 0 202
443 443 0 443
450 450 0 450
457 457 0 457
460 460 0 460
500 500 0 500
8 8 0 8
23 13 0 13
80,800 0 0 0
20 0 0 0
30 30 0 30
30 30 0 30
35 35 0 35
40 40 0 40
50 50 0 50
60 60 0 60
70 70 0 70
21 21 0 21
9 9 0 9
10 10 0 10
20 20 0 20
22 22 0 22
30 30 0 30
40 40 0 40
45 45 0 45
60 60 0 60
63 63 0 63
63 63 0 63
64 64 0 64
110 83 0 83
2 2 0 2
100 100 0 100
400 400 0 400
2 0 0 0
10 10 0 10
15 15 0 15
 15 15 0 15
20 20 0 20
25 18 0 18
55 55 0 55
6 6 0 6
14 14 0 14
25 8 0 8
2 2 0 2
15 15 0 15
150 28 0 28
430 282 0 282
1 0 0 0
1 0 0 0
2 0 0 0
1 0 0 0
7 0 0 0
2 0 0 0
Rata Rata Pemakaian Perbulan Kebutuhan Obat Selama 18 Bulan Sisa Akhir
0 0 6,990
6 110 427
0 0 300
13 225 0
17 300 0
67 1,200 0
278 5,000 867
0 0 80
300 5,400 0
0 3 1
0 2 9
1 26 0
1 23 0
0 2 0
1 15 0
83 1,500 0
0 0 2,500
183 3,300 0
233 4,200 0
250 4,500 0
392 7,050 0
750 13,500 0
667 12,008 4,595
65 1,173 0
0 6 196
1 26 0
197 3,540 134
8 150 200
8 150 0
3 45 20
208 3,750 0
0 5 0
0 8 0
0 2 6
0 2 5
0 0 200
 7 120 346
13 225 0
11 191 273
0 8 0
1 9 0
1 15 0
1 15 0
1 15 0
1 21 0
1 23 0
2 30 0
2 36 1
3 45 0
1 20 0
0 2 0
0 0 30
3 53 0
4 68 0
6 105 0
5 95 58
11 195 0
13 225 0
13 233 0
17 305 0
18 332 0
20 354 0
33 600 0
2 30 0
2 30 0
2 38 0
3 53 0
3 60 0
4 68 0
3 54 34
10 173 0
1 18 0
0 5 21
1 15 0
1 15 0
1 18 0
1 23 0
1 26 0
2 30 0
 2 38 0
4 68 9
3 45 0
11 203 0
14 248 0
17 300 0
19 348 0
17 303 59
37 665 0
38 675 0
38 686 0
38 690 0
42 750 0
1 12 0
1 20 10
0 0 80,800
0 0 20
3 45 0
3 45 0
3 53 0
3 60 0
4 75 0
5 90 0
6 105 0
2 32 0
1 14 0
1 15 0
2 30 0
2 33 0
3 45 0
3 60 0
4 68 0
5 90 0
5 95 0
5 95 0
5 96 0
7 125 27
0 3 0
8 150 0
33 600 0
0 0 2
1 15 0
1 23 0
 1 23 0
2 30 0
2 27 7
5 83 0
1 9 0
1 21 0
1 12 17
0 3 0
1 23 0
2 42 122
24 423 148
0 0 1
0 0 1
0 0 2
0 0 1
0 0 7
0 0 2
Rencana Pengadaan Usulan PKeterangan
-6,990
-318
-300
225
300
1,200
4,133
-80
5,400
2
-8
26
23
2
15
1,500
-2,500
3,300
4,200
4,500
7,050
13,500
7,413
1,173
-190
26
3,406
-50
150
25
3,750
5
8
-5
-4
-200
-226
225
-83
8
9
15
15
15
21
23
30
35
45
20
2
-30
53
68
105
37
195
225
233
305
332
354
600
30
30
38
53
60
68
20
173
18
-17
15
15
18
23
26
30
 38
59
45
203
248
300
348
244
665
675
686
690
750
12
10
-80,800
-20
45
45
53
60
75
90
105
32
14
15
30
33
45
60
68
90
95
95
96
98
3
150
600
-2
15
23
 23
30
20
83
9
21
-5
3
23
-80
275
-1
-1
-2
-1
-7
-2
Laporan Tahunan dan RKO (Rencana Kebutuhan Obat) - Puskesmas PAJARAKAN
Alokasi Dana : DAK
Laporan Tahun : 2018

No Kode Obat Nama Obat Satuan

1 2 Albendazol tab 400 mg tablet
2 3 Alopurinol 100 mg tablet
3 3 Alopurinol 100 mg tablet
4 4 Alupurinol 300 mg tablet
5 4 Alupurinol 300 mg tablet
6 5 Ambroxol tablet 30 mg tablet
7 6 Aminophilin inj 24 mg/ml-10 ml amp
8 6 Aminophilin inj 24 mg/ml-10 ml amp
9 6 Aminophilin inj 24 mg/ml-10 ml amp
10 7 Aminophilin tab 200 mg tablet
11 9 Amlodipin tab 10 mg tablet
12 9 Amlodipin tab 10 mg tablet
13 10 Amlodipin tab 5 mg tablet
14 10 Amlodipin tab 5 mg tablet
15 11 Amoksisilin 500 mg kaplet
16 11 Amoksisilin 500 mg kaplet
17 13 Amoksisilin SK 125mg/5ml botol
18 13 Amoksisilin SK 125mg/5ml botol
19 17 Antasida DOEN Syrup botol
20 17 Antasida DOEN Syrup botol
21 18 Antasida DOEN tab Komb tablet
22 18 Antasida DOEN tab Komb tablet
23 20 Antifungi DOEN salep Komb botol
24 22 Antimigren DOEN tab Komb tablet
25 24 Aqua proinjeksi steril bebas pirogen vial
26 25 Asam Askorbat (Vit C) tab 50 mg tablet
27 25 Asam Askorbat (Vit C) tab 50 mg tablet
28 26 Asam folat 1 mg tablet
29 27 Asam mefenamat 500 mg tablet
30 27 Asam mefenamat 500 mg tablet
31 27 Asam mefenamat 500 mg tablet
32 28 Asetosal tab 100 mg tablet
33 29 Asiklovir 400 mg tablet
34 29 Asiklovir 400 mg tablet
35 30 Asiklovir 5 % krim botol
36 35 Betahistin Mesilat tablet 6 mg tablet
37 36 Betametason krim 0,1% botol
38 37 Bromheksin tablet 8 mg tablet
39 39 Deksametason inj 5 mg/ml-ml amp
40 40 Deksametason tab 0.5 mg tablet
41 44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp / stesolid ) botol
42 45 Diazepam tab 2 mg tablet
43 48 Difenhidramin Hcl Inj 10 mg/ml-1ml amp
44 51 Dimenhidrinat tablet 50 mg tablet
45 54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml amp
46 54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml amp
47 57 Erithromisin sirup 200 mg/5 ml botol
48 61 Fenitoin Natrium kaps 100 mg kapsul
49 69 Fitomenadion (VitK) inj 10mg/ml-1ml amp
50 69 Fitomenadion (VitK) inj 10mg/ml-1ml amp
51 69 Fitomenadion (VitK) inj 10mg/ml-1ml amp
52 70 Fitomenadion (VitK) tab 10 mg tablet
53 70 Fitomenadion (VitK) tab 10 mg tablet
54 71 Furosemid tab 40 mg tablet
55 72 Furosemid Inj 10 mg/ml amp
56 72 Furosemid Inj 10 mg/ml amp
57 75 Gemfibrozil 300 mg tablet
58 76 Gentamsin Salep Kulit 0,1% botol
59 77 Gentamycin 80 mg/2 ml injeksi amp
60 78 Gentian Violet lart 1% botol
61 79 Glibenklamid 5 mg tablet
62 80 Gliseril Guaiyakolat tab 100 mg tablet
63 83 Glukosa Lart Inf 40 % steril vial
64 83 Glukosa Lart Inf 40 % steril vial
65 84 Glukosa Lart Inf 5 % steril botol
66 85 Grisiofulvin tab 125 mg tablet
67 85 Grisiofulvin tab 125 mg tablet
68 86 Haloperidol tab 0.5 mg tablet
69 86 Haloperidol tab 0.5 mg tablet
70 87 Haloperidol tab 1.5 mg tablet
71 88 Hidroklortiazid (HCT) tab 25 mg tablet
72 89 Hidrokortison krim 2.5 % botol
73 90 Hiosin N- Butilbromida Tab 10 mg tablet
74 90 Hiosin N- Butilbromida Tab 10 mg tablet
75 91 Hiosin N- Butilbromida Inj 20 mg/ml amp
76 91 Hiosin N- Butilbromida Inj 20 mg/ml amp
77 93 Ibuprofen 400 mg tablet
78 96 Isoniazid tab 300 mg tablet
79 97 Isosorbid dinitrat tab 5 mg tablet
 80 100 Kalsium Laktas (Kalk) tab 500 mg tablet
81 100 Kalsium Laktas (Kalk) tab 500 mg tablet
82 102 Kaptopril 12,5 mg tablet
83 103 Kaptropil 25 mg tablet
84 103 Kaptropil 25 mg tablet
85 109 Kloramphenikol salep mata 1 % botol
86 109 Kloramphenikol salep mata 1 % botol
87 109 Kloramphenikol salep mata 1 % botol
88 110 Kloramphenikol tetes telinga 3 % botol
89 110 Kloramphenikol tetes telinga 3 % botol
90 111 Kloramfenikol Suspensi 125 mg/5 ml botol
91 112 Kloramfenikol Tetes mata 0,5% botol
92 112 Kloramfenikol Tetes mata 0,5% botol
93 112 Kloramfenikol Tetes mata 0,5% botol
94 113 Klorfeniramin maleat (CTM) tab 4 mg tablet
95 113 Klorfeniramin maleat (CTM) tab 4 mg tablet
96 113 Klorfeniramin maleat (CTM) tab 4 mg tablet
97 113 Klorfeniramin maleat (CTM) tab 4 mg tablet
98 114 Klorpromazin Hcl inj 25 mg/I ml amp
99 115 Klorpromazin Hcl tab 100 mg tablet
100 115 Klorpromazin Hcl tab 100 mg tablet
101 115 Klorpromazin Hcl tab 100 mg tablet
102 117 Kotrimoksazole Dewasa tab 480 mg tablet
103 123 Lidokain Komp Inj amp
104 125 Magnesium sulf inj 20%-25 ml amp
105 125 Magnesium sulf inj 20%-25 ml amp
106 126 Magnesium sulf inj 40%-25 ml amp
107 126 Magnesium sulf inj 40%-25 ml amp
108 130 Metil Dopa tab 250 mg tablet
109 130 Metil Dopa tab 250 mg tablet
110 131 Metil Ergometrin Inj 0,200 mg-1 ml amp
111 132 Metil Ergometrin tab 0.125 mg tablet
112 132 Metil Ergometrin tab 0.125 mg tablet
113 133 Metil Prednisolon tab 4 mg tablet
114 133 Metil Prednisolon tab 4 mg tablet
115 134 Metoklopramid injeksi 5 mg/ml @2 ml ( tomit inj ) amp
116 138 Metronidazol 500 mg tablet
117 139 Mikonazole Krim / salep 2% botol
118 143 Na. Diklofenac 25 mg tablet
119 148 Nifedipin tab 10 mg tablet
120 148 Nifedipin tab 10 mg tablet
121 149 Nistatin 100.000 iu tab vag tablet
122 150 Nistatin 500.000 iu tab tablet
123 151 OAT-FDC Kategori 1 paket
124 153 Obat Batuk hitam (OBH) sirup 100 ml botol
125 153 Obat Batuk hitam (OBH) sirup 100 ml botol
126 154 Obat Kategori Anak (kombipak anak) paket
127 165 Parasetamol sirup 120 mg/5 ml botol
128 165 Parasetamol sirup 120 mg/5 ml botol
129 167a Paracetamol 500 mg tablet
130 167a Paracetamol 500 mg tablet
131 167a Paracetamol 500 mg tablet
132 172 Piridoksin tab 10 mg tablet
133 172 Piridoksin tab 10 mg tablet
134 173 Piroksicam 10 mg tablet
135 176 Prednison 5 mg tab tablet
136 179 Propanolol 40 mg tab tablet
137 181 Ranitidin Inj 25 mg/ 2 ml amp
138 181 Ranitidin Inj 25 mg/ 2 ml amp
139 181 Ranitidin Inj 25 mg/ 2 ml amp
140 181 Ranitidin Inj 25 mg/ 2 ml amp
141 181 Ranitidin Inj 25 mg/ 2 ml amp
142 182 Ranitidin tab 150 mg tablet
143 182 Ranitidin tab 150 mg tablet
144 186 Retinol ( Vit.A) 100.000 UI kapsul
145 186 Retinol ( Vit.A) 100.000 UI kapsul
146 190 Ringer Laktate lart infus botol
147 191 S. Anti Bisa Ular poli inj 5 ml(ABU I) vial
148 193 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) amp
149 193 S. Anti Tetanus inj 1.500 iu/Amp ( ATS ) amp
150 196 Salbutamol 4 mg tab tablet
151 196 Salbutamol 4 mg tab tablet
152 197 Salep 2-4 komb pot
153 199 Salisil Spiritus 10 % botol
154 200 Sefadroxil 500 mg kapsul tablet
155 201 Sefotaxim Injeksi 1 gram amp
156 201 Sefotaxim Injeksi 1 gram amp
157 201 Sefotaxim Injeksi 1 gram amp
158 201 Sefotaxim Injeksi 1 gram amp
159 201 Sefotaxim Injeksi 1 gram amp
160 202 Seftriaxon Inj 1 gram amp
161 202 Seftriaxon Inj 1 gram amp
162 203 Sianokobalamin (Vit B12) inj amp
163 204 Simetidin tab 200 mg tablet
164 205 Simvastatin 20 mg tab tablet
165 205 Simvastatin 20 mg tab tablet
166 206 Siprofloksasin 500 mg tab tablet
167 206 Siprofloksasin 500 mg tab tablet
168 209 Tablet tambah darah komb tablet
169 213 Thiamin ( Vit B1 ) 50 mg tab tablet
170 213 Thiamin ( Vit B1 ) 50 mg tab tablet
171 214 Thiamin ( Vit B1 ) inj 100 mg/Amp amp
172 215 Thiamphenkol 500 mg cap kapsul
173 216 Tiamfenikol Suspensi ( Conucol Dry Sirup ) botol
174 219 Triheksipenidil Hcl 2 mg tab tablet
175 220 Vitamin B Kompleks tab tablet
176 220 Vitamin B Kompleks tab tablet
177 221 Yodium povidon 10 % 30 ml botol
178 222 Yodium Povidon 10 % 300 ml botol
179 222 Yodium Povidon 10 % 300 ml botol
180 224 Zink 20 mg Tablet dispersible tablet
181 225 Zink Syrup botol
182 225 Zink Syrup botol
183 226 Adona injeksi amp
184 228 Antrain inj amp
185 228 Antrain inj amp
186 230 Attapulgite tablet komb (Diaform/Neo Diaform) tablet
187 230 Attapulgite tablet komb (Diaform/Neo Diaform) tablet
188 230 Attapulgite tablet komb (Diaform/Neo Diaform) tablet
189 231 Bismecon / Burnazin/Bioplasenton botol
190 231 Bismecon / Burnazin/Bioplasenton botol
191 232 Bufacom (Triamsinolon in oral base) botol
192 233 Dulcolax supp 5 mg suppositoria
193 233 Dulcolax supp 5 mg suppositoria
194 234 Dulcolax tab tablet
195 236 Fludane / Molex flu Syrup botol
196 237 Fludane / NOZA Tablet tablet
197 242 Kombivent Inhalasi amp
198 242 Kombivent Inhalasi amp
199 243 Lakto B sachet
200 246 Multivitamin (Ultravita tab / Kurkumex tab / Lanovit tab) tablet
201 251 Pamol 125 mg Supp suppositoria
202 252 Scabicid krim tube
203 252 Scabicid krim tube
204 252 Scabicid krim tube
205 252 Scabicid krim tube
206 261 Etil Klorida semprot botol
207 261 Etil Klorida semprot botol
208 277 Alat Suntik Sekali Pakai 0,5 ml set
209 277 Alat Suntik Sekali Pakai 0,5 ml set
210 277 Alat Suntik Sekali Pakai 0,5 ml set
211 278 Alat Suntik Sekali Pakai 1 ml set
212 278 Alat Suntik Sekali Pakai 1 ml set
213 279 Alat Suntik Sekali Pakai 3 ml / 2,5 ml pcs
214 280 Alat Suntik Sekali Pakai 5 ml set
215 282 Aqua Gel botol
216 283 Blood set set
217 284 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah set
218 286 Etanol 70 % 1 L botol
219 289 Infusion Set Dewasa set
220 293 Kasa Pembalut 2 X 80 cm rol
221 294 Kasa Kompres 40/40 steril rol
222 295 Kasa Pembalut 4 X 15 cm rol
223 295 Kasa Pembalut 4 X 15 cm rol
224 297 Lisol (Kresol tersaponifikasi 50%) 1 liter botol
225 301 Gentamycin TM 0,3% botol
226 301 Plester 5 yard X 2 inch rol
227 302 Pot Sputum diameter 7 cm pcs
228 303a Sarung Tangan Steril 7,5 buah
229 304 Sarung Tangan Non Steril set
230 304 Sarung Tangan Non Steril set
231 305 Silk ( Benang Bedah Sutera) N0 3/0 set
232 305 Silk ( Benang Bedah Sutera) N0 3/0 set
233 308 IV. Catheter no. 20 set
234 309 IV. Catheter no. 22 set
235 309 IV. Catheter no. 22 set
236 310 IV. Catheter no. 24 set
237 310 IV. Catheter no. 24 set
238 369 Haloperidol 5 mg tablet
239 369 Haloperidol 5 mg tablet
240 372 Slides frosted (hijau ) pcs
241 376 Amoksillin Forte DS 250 botol
242 376 Amoksillin Forte DS 250 botol
243 392 HCG /PP test (Tes Kehamilan ) pcs
244 392 HCG /PP test (Tes Kehamilan ) pcs
245 393 Folley Catheter no 16 pcs
246 394 Urine Bag pcs
247 396 Muccus Extractor pcs
248 397 Sarung Tangan Obgyn pcs
249 400 Aseptan botol
250 403 Kasa Steril 16 X 16 kotak
251 407 Ondansetron inj amp
252 407 Ondansetron inj amp
253 407 Ondansetron inj amp
254 410 Donexan botol
255 410 Donexan botol
256 415 Obyek glass non frosted ( merah ) pcs
257 418 Blood Lancet pcs
258 429 Clobazam 10 mg tab tablet
259 430 Haloperidol 50 mg injeksi amp
260 430 Haloperidol 50 mg injeksi amp
261 436 Metoklopramid tab 10 mg ( Tomit tab ) tablet
262 437 Simvastatin 10 mg tablet
263 438 Alat suntik 20 ml pcs
264 442 Safety box pcs
265 461 Lytacur Syr botol
266 482 Under pad pcs
267 486b Stik glucose protein urin pcs
268 486b Stik glucose protein urin pcs
269 496b TES HIV VIKIA strip
270 517a ASAM TRANEKSAMAT INJ amp
271 532 GLIMEPIRIDE tablet
272 532 GLIMEPIRIDE tablet
273 536b CATGUT PLAIN 3/0 buah
274 537c NEO KOMINAL / KAOMETA botol
275 544 ASAM FOLAT 0,4 MG tablet
276 548 Masker 3 play pcs
277 557 VENTOLIN NEBULESER amp
278 562a Hemorograd kapsul
279 572 MESS # 11 set
280 579 Resperidone 2 mg tablet
281 579 Resperidone 2 mg tablet
282 582 Dulcolax 10 mg supp suppositoria
283 583 Clozapine 100 mg tab tablet
284 584 Sefixim 100 mg kapsul
285 585 SENDOK OBAT buah
286 594 REAGEN HIV SD strip
287 611 Omeprazole kapsul
288 612 Fenoksimethyl penicillin 125 mg kapsul
289 642 Plester Policrepe elastis rol
290 677 Reagen HIV.Fokus Anti HIV 1/2 cassette strip
291 684 Umbilikal Card Clamb buah
292 689 Prontosan wound irigation solotio 350 ml botol
293 690 Prontosan wound Gel 50 gr tube
294 691 Askina Calgitrol Pasta 15 gr tube
295 692 Askina Gel 15 gr tube
296 693 Askina Calgitrol 10 x 10 pcs
297 694 Stabimed 1 Liter botol
298 695 One Clean 1 liter botol
299 784 METOKLOPRAMIDE SYR 5MG/ML botol
300 809 Nistatin Drop botol
301 816 Bioplacenton Tulle 10 x 10 lembar
302 942 Kloramfenikol Salep Kulit 2 % tube
Stok Awal Penerimaan Persediaan Pemakaian Kepada PX Obat ED Total Pemakaian
90 4,530 4,620 4,620 0 4,620
243 0 243 234 0 234
1,500 0 1,500 487 0 487
0 300 300 0 0 0
470 800 1,270 1,042 0 1,042
0 400 400 200 0 200
0 30 30 26 0 26
0 60 60 36 0 36
0 90 90 0 0 0
0 2,500 2,500 925 0 925
0 1,800 1,800 1,800 0 1,800
1,193 900 2,093 1,072 1021 2,093
0 1,500 1,500 1,433 0 1,433
473 1,800 2,273 1,722 551 2,273
0 5,000 5,000 3,905 0 3,905
0 7,000 7,000 4,479 4,479
0 250 250 130 0 130
47 0 47 47 0 47
0 50 50 50 0 50
0 100 100 88 0 88
0 5,000 5,000 2,130 0 2,130
321 10,000 10,321 10,123 0 10,123
62 0 62 6 0 6
0 100 100 0 100 100
0 250 250 196 0 196
0 5,000 5,000 0 0 0
4,498 7,000 11,498 5,764 0 5,764
822 10,000 10,822 9,577 0 9,577
0 15,500 15,500 14,223 0 14,223
697 5,100 5,797 5,687 0 5,687
2,558 2,000 4,558 2,749 0 2,749
0 100 100 0 0 0
0 500 500 0 0 0
72 1,000 1,072 596 0 596
0 150 150 43 0 43
0 1,350 1,350 861 0 861
 0 50 50 10 0 10
0 400 400 400 0 400
0 600 600 237 0 237
0 14,000 14,000 12,284 0 12,284
0 20 20 0 20 20
0 1,100 1,100 950 0 950
0 360 360 239 0 239
0 300 300 0 0 0
18 0 18 9 0 9
30 0 30 30 0 30
0 60 60 30 0 30
640 300 940 520 0 520
0 90 90 22 0 22
0 150 150 2 0 2
89 0 89 77 0 77
0 1,500 1,500 429 0 429
1,083 0 1,083 762 0 762
0 800 800 16 0 16
0 10 10 0 0 0
0 60 60 47 0 47
45 0 45 45 0 45
241 160 401 353 0 353
0 10 10 0 0 0
72 192 264 207 0 207
0 3,000 3,000 1,841 0 1,841
6,574 38,000 44,574 37,639 0 37,639
0 50 50 18 0 18
46 4 50 50 0 50
100 100 200 40 0 40
0 500 500 0 0 0
1,000 0 1,000 274 500 774
0 100 100 0 0 0
632 900 1,532 1,524 0 1,524
0 300 300 0 0 0
0 2,000 2,000 41 0 41
0 192 192 116 0 116
0 900 900 703 0 703
740 1,000 1,740 1,734 0 1,734
0 300 300 300 0 300
118 450 568 568 0 568
271 900 1,171 1,171 0 1,171
200 0 200 0 0 0
0 200 200 29 0 29
 0 3,000 3,000 875 0 875
0 10,000 10,000 7,700 2300 10,000
774 0 774 774 0 774
0 2,000 2,000 584 0 584
1,221 2,000 3,221 1,762 0 1,762
0 24 24 10 0 10
0 96 96 25 0 25
53 0 53 52 0 52
0 175 175 120 0 120
29 0 29 29 0 29
24 50 74 49 0 49
0 155 155 141 0 141
5 0 5 5 0 5
48 0 48 48 0 48
282 0 282 282 0 282
450 18,000 18,450 17,920 0 17,920
2,100 0 2,100 2,100 0 2,100
2,858 3,000 5,858 5,858 0 5,858
0 5 5 0 0 0
0 300 300 100 200 300
0 1,000 1,000 636 0 636
778 500 1,278 1,278 0 1,278
2,548 5,000 7,548 4,322 0 4,322
1,050 0 1,050 717 0 717
0 24 24 1 0 1
29 30 59 3 52 55
0 24 24 1 0 1
0 25 25 2 19 21
0 100 100 100 0 100
100 0 100 100 0 100
99 200 299 67 0 67
0 500 500 167 0 167
0 1,500 1,500 239 0 239
0 200 200 33 0 33
0 200 200 200 0 200
0 100 100 27 0 27
0 1,500 1,500 1,000 0 1,000
0 15 15 0 0 0
0 2,500 2,500 2,255 0 2,255
0 1,300 1,300 305 0 305
554 0 554 554 0 554
0 400 400 82 0 82
100 0 100 36 0 36
 5 0 5 5 0 5
0 100 100 5 0 5
57 100 157 136 0 136
2 0 2 0 0 0
0 50 50 25 0 25
0 50 50 50 0 50
0 7,000 7,000 6,807 0 6,807
44 15,000 15,044 10,139 0 10,139
2,861 10,000 12,861 12,742 0 12,742
0 2,000 2,000 1,996 0 1,996
0 3,000 3,000 1,716 0 1,716
990 7,500 8,490 8,483 0 8,483
0 1,000 1,000 508 0 508
0 400 400 100 300 400
0 90 90 90 0 90
0 100 100 100 0 100
0 200 200 200 0 200
0 600 600 600 0 600
0 1,110 1,110 910 0 910
0 1,500 1,500 1,500 0 1,500
1,000 0 1,000 1,000 0 1,000
0 350 350 0 0 0
0 350 350 350 0 350
208 1,000 1,208 1,179 0 1,179
2 2 4 0 0 0
0 25 25 15 0 15
8 0 8 8 0 8
654 500 1,154 916 0 916
970 0 970 970 0 970
64 0 64 23 0 23
0 5 5 0 0 0
0 1,000 1,000 912 0 912
0 30 30 23 0 23
0 100 100 48 0 48
0 100 100 93 0 93
0 300 300 211 88 299
0 700 700 50 470 520
0 50 50 0 0 0
50 340 390 277 60 337
0 200 200 39 0 39
0 500 500 193 0 193
500 0 500 0 0 0
600 0 600 0 0 0
 0 4,000 4,000 2,719 0 2,719
1,615 2,000 3,615 3,515 0 3,515
107,880 0 107,880 18,562 0 18,562
0 11,000 11,000 11,000 0 11,000
1,655 3,000 4,655 4,655 0 4,655
272 600 872 604 0 604
478 1,000 1,478 1,073 0 1,073
23 0 23 5 0 5
0 500 500 305 0 305
0 200 200 187 0 187
920 5,000 5,920 5,619 0 5,619
0 150 150 98 0 98
0 10 10 1 0 1
0 25 25 23 0 23
0 3,500 3,500 655 0 655
0 10 10 3 0 3
0 70 70 53 17 70
20 0 20 10 0 10
0 780 780 780 0 780
199 100 299 299 0 299
0 300 300 300 0 300
0 900 900 900 0 900
443 0 443 443 0 443
0 10 10 7 0 7
0 50 50 3 47 50
0 48 48 9 35 44
0 6 6 6 0 6
0 12 12 0 0 0
0 144 144 80 0 80
50 80 130 98 0 98
0 900 900 832 0 832
0 60 60 60 0 60
81 0 81 81 0 81
0 150 150 149 0 149
535 500 1,035 935 0 935
12 0 12 12 0 12
0 20 20 0 0 0
0 20 20 0 0 0
0 20 20 10 0 10
13 50 63 61 0 61
0 2 2 2 0 2
7 8 15 14 0 14
0 600 600 600 0 600
 0 1,700 1,700 1,700 0 1,700
0 3,900 3,900 3,900 0 3,900
0 1,000 1,000 781 0 781
492 1,200 1,692 1,605 0 1,605
0 4,500 4,500 3,863 0 3,863
0 800 800 297 0 297
2 0 2 2 0 2
0 10 10 3 0 3
24 0 24 20 0 20
16 20 36 14 0 14
0 700 700 200 0 200
0 200 200 100 0 100
75 450 525 331 0 331
0 100 100 100 0 100
104 350 454 316 0 316
0 3 3 0 0 0
0 24 24 0 0 0
32 80 112 72 0 72
0 200 200 54 0 54
0 100 100 94 0 94
0 4,800 4,800 4,695 0 4,695
151 1,300 1,451 1,451 0 1,451
0 108 108 88 0 88
23 144 167 161 0 161
0 300 300 28 0 28
0 100 100 0 0 0
96 300 396 264 0 264
0 200 200 2 0 2
100 50 150 102 0 102
0 700 700 621 0 621
232 700 932 450 482 932
0 504 504 256 0 256
0 150 150 46 0 46
83 400 483 259 224 483
0 50 50 0 0 0
300 0 300 0 0 0
80 0 80 52 0 52
0 110 110 36 0 36
100 0 100 7 0 7
100 0 100 29 0 29
44 39 83 30 0 30
0 60 60 48 0 48
0 100 100 100 0 100
 0 150 150 50 0 50
0 550 550 550 0 550
0 60 60 60 0 60
45 60 105 105 0 105
0 504 504 338 0 338
300 500 800 650 0 650
500 0 500 30 0 30
0 10 10 4 0 4
6 0 6 6 0 6
200 0 200 0 0 0
0 900 900 0 900 900
0 100 100 1 0 1
1 0 1 0 0 0
43 48 91 91 0 91
100 0 100 96 0 96
0 10 10 0 0 0
73 0 73 60 0 60
0 25 25 0 0 0
0 100 100 62 0 62
0 300 300 0 0 0
0 300 300 95 0 95
235 288 523 373 0 373
0 60 60 40 0 40
0 1,000 1,000 20 0 20
0 300 300 109 0 109
0 40 40 40 0 40
120 300 420 120 0 120
0 50 50 25 0 25
0 1,000 1,000 615 99 714
0 1,000 1,000 1,000 0 1,000
0 5 5 5 0 5
0 300 300 73 0 73
16 400 416 384 0 384
0 100 100 10 0 10
0 200 200 20 0 20
0 1,200 1,200 906 0 906
0 48 48 0 0 0
0 8 8 3 0 3
0 25 25 0 0 0
100 0 100 60 0 60
0 2 2 0 0 0
0 2 2 0 0 0
0 2 2 0 0 0
0 2 2 0 0 0
0 2 2 0 0 0
0 2 2 0 0 0
0 40 40 1 0 1
0 5 5 0 0 0
0 5 5 3 0 3
0 10 10 10 0 10
0 48 48 4 0 4
Rata Rata Pemakaian Perbulan Kebutuhan Obat Selama 18 Bulan Sisa Akhir
385 6,930 0
20 351 9
41 731 1,013
0 0 300
87 1,563 228
17 300 200
2 39 4
3 54 24
0 0 90
77 1,388 1,575
150 2,700 0
174 3,140 0
119 2,150 67
189 3,410 0
325 5,858 1,095
373 6,719 2,521
11 195 120
4 71 0
4 75 0
7 132 12
178 3,195 2,870
844 15,185 198
1 9 56
8 150 0
16 294 54
0 0 5,000
480 8,646 5,734
798 14,366 1,245
1,185 21,335 1,277
474 8,531 110
229 4,124 1,809
0 0 100
0 0 500
50 894 476
4 65 107
72 1,292 489
 1 15 40
33 600 0
20 356 363
1,024 18,426 1,716
2 30 0
79 1,425 150
20 359 121
0 0 300
1 14 9
3 45 0
3 45 30
43 780 420
2 33 68
0 3 148
6 116 12
36 644 1,071
64 1,143 321
1 24 784
0 0 10
4 71 13
4 68 0
29 530 48
0 0 10
17 311 57
153 2,762 1,159
3,137 56,459 6,935
2 27 32
4 75 0
3 60 160
0 0 500
65 1,161 226
0 0 100
127 2,286 8
0 0 300
3 62 1,959
10 174 76
59 1,055 197
145 2,601 6
25 450 0
47 852 0
98 1,757 0
0 0 200
2 44 171
 73 1,313 2,125
833 15,000 0
65 1,161 0
49 876 1,416
147 2,643 1,459
1 15 14
2 38 71
4 78 1
10 180 55
2 44 0
4 74 25
12 212 14
0 8 0
4 72 0
24 423 0
1,493 26,880 530
175 3,150 0
488 8,787 0
0 0 5
25 450 0
53 954 364
107 1,917 0
360 6,483 3,226
60 1,076 333
0 2 23
5 83 4
0 2 23
2 32 4
8 150 0
8 150 0
6 101 232
14 251 333
20 359 1,261
3 50 167
17 300 0
2 41 73
83 1,500 500
0 0 15
188 3,383 245
25 458 995
46 831 0
7 123 318
3 54 64
 0 8 0
0 8 95
11 204 21
0 0 2
2 38 25
4 75 0
567 10,211 193
845 15,209 4,905
1,062 19,113 119
166 2,994 4
143 2,574 1,284
707 12,725 7
42 762 492
33 600 0
8 135 0
8 150 0
17 300 0
50 900 0
76 1,365 200
125 2,250 0
83 1,500 0
0 0 350
29 525 0
98 1,769 29
0 0 4
1 23 10
1 12 0
76 1,374 238
81 1,455 0
2 35 41
0 0 5
76 1,368 88
2 35 7
4 72 52
8 140 7
25 449 1
43 780 180
0 0 50
28 506 53
3 59 161
16 290 307
0 0 500
0 0 600
 227 4,079 1,281
293 5,273 100
1,547 27,843 89,318
917 16,500 0
388 6,983 0
50 906 268
89 1,610 405
0 8 18
25 458 195
16 281 13
468 8,429 301
8 147 52
0 2 9
2 35 2
55 983 2,845
0 5 7
6 105 0
1 15 10
65 1,170 0
25 449 0
25 450 0
75 1,350 0
37 665 0
1 11 3
4 75 0
4 66 4
1 9 0
0 0 12
7 120 64
8 147 32
69 1,248 68
5 90 0
7 122 0
12 224 1
78 1,403 100
1 18 0
0 0 20
0 0 20
1 15 10
5 92 2
0 3 0
1 21 1
50 900 0
142 2,550 0
325 5,850 0
65 1,172 219
134 2,408 87
322 5,795 637
25 446 503
0 3 0
0 5 7
2 30 4
1 21 22
17 300 500
8 150 100
28 497 194
8 150 0
26 474 138
0 0 3
0 0 24
6 108 40
5 81 146
8 141 6
391 7,043 105
121 2,177 0
7 132 20
13 242 6
2 42 272
0 0 100
22 396 132
0 3 198
9 153 48
52 932 79
78 1,398 0
21 384 248
4 69 104
40 725 0
0 0 50
0 0 300
4 78 28
3 54 74
1 11 93
2 44 71
3 45 53
4 72 12
8 150 0
 4 75 100
46 825 0
5 90 0
9 158 0
28 507 166
54 975 150
3 45 470
0 6 6
1 9 0
0 0 200
75 1,350 0
0 2 99
0 0 1
8 137 0
8 144 4
0 0 10
5 90 13
0 0 25
5 93 38
0 0 300
8 143 205
31 560 150
3 60 20
2 30 980
9 164 191
3 60 0
10 180 300
2 38 25
60 1,071 286
83 1,500 0
0 8 0
6 110 227
32 576 32
1 15 90
2 30 180
76 1,359 294
0 0 48
0 5 5
0 0 25
5 90 40
0 0 2
0 0 2
0 0 2
0 0 2
0 0 2
0 0 2
0 2 39
0 0 5
0 5 2
1 15 0
0 6 44
Rencana Pengadaan Usulan PKeterangan
6,930
342
-283
-300
1,335
100
35
30
-90
-188
2,700
3,140
2,083
3,410
4,763
4,198
75
71
75
120
325
14,987
-47
150
240
-5,000
2,912
13,121
20,058
8,421
2,315
-100
-500
418
-43
803
 -25
600
-8
16,710
30
1,275
238
-300
5
45
15
360
-35
-145
104
-428
822
-760
-10
58
68
482
-10
254
1,603
49,524
-5
75
-100
-500
935
-100
2,278
-300
-1,898
98
858
2,595
450
852
1,757
-200
-128
 -813
15,000
1,161
-540
1,184
1
-34
77
125
44
49
198
8
72
423
26,350
3,150
8,787
-5
450
590
1,917
3,257
743
-22
79
-22
28
150
150
-132
-83
-903
-118
300
-33
1,000
-15
3,138
-538
831
-195
-10
 8
-88
183
-2
13
75
10,018
10,304
18,994
2,990
1,290
12,718
270
600
135
150
300
900
1,165
2,250
1,500
-350
525
1,740
-4
13
12
1,136
1,455
-7
-5
1,280
28
20
133
448
600
-50
453
-103
-18
-500
-600
 2,798
5,173
-61,475
16,500
6,983
638
1,205
-11
263
268
8,128
95
-8
33
-1,863
-3
105
5
1,170
449
450
1,350
665
8
75
62
9
-12
56
115
1,180
90
122
223
1,303
18
-20
-20
5
90
3
20
900
2,550
5,850
953
2,321
5,158
-58
3
-3
26
-1
-200
50
303
150
336
-3
-24
68
-65
135
6,938
2,177
112
236
-230
-100
264
-195
105
853
1,398
136
-35
725
-50
-300
50
-20
-83
-28
-8
60
150
 -25
825
90
158
341
825
-425
0
9
-200
1,350
-98
-1
137
140
-10
77
-25
55
-300
-63
410
40
-950
-28
60
-120
13
785
1,500
8
-118
544
-75
-150
1,065
-48
-1
-25
50
-2
-2
-2
 -2
-2
-2
-38
-5
3
15
-38
Laporan Tahunan dan RKO (Rencana Kebutuhan Obat) - Puskesmas PAJARAKAN
Alokasi Dana : PAD
Laporan Tahun : 2018

No Kode Obat Nama Obat Satuan Stok Awal

1 2 Albendazol tab 400 mg tablet 0
2 3 Alopurinol 100 mg tablet 2
3 3 Alopurinol 100 mg tablet 19
4 6 Aminophilin inj 24 mg/ml-10 ml amp 60
5 8 Amitriptilin Hcl tab 25 mg tablet 100
6 8 Amitriptilin Hcl tab 25 mg tablet 463
7 11 Amoksisilin 500 mg kaplet 0
8 11 Amoksisilin 500 mg kaplet 6
9 11 Amoksisilin 500 mg kaplet 2,608
10 11 Amoksisilin 500 mg kaplet 5,607
11 17 Antasida DOEN Syrup botol 3
12 19 Antibakteri DOEN salep Komb botol 29
13 20 Antifungi DOEN salep Komb botol 14
14 24 Aqua proinjeksi steril bebas pirogen vial 29
15 25 Asam Askorbat (Vit C) tab 50 mg tablet 1
16 26 Asam folat 1 mg tablet 1
17 27 Asam mefenamat 500 mg tablet 168
18 27 Asam mefenamat 500 mg tablet 200
19 28 Asetosal tab 100 mg tablet 40
20 30 Asiklovir 5 % krim botol 40
21 31 Atropin Sulfat inj 0,25mg/ml-1 ml amp 95
22 39 Deksametason inj 5 mg/ml-ml amp 15
23 39 Deksametason inj 5 mg/ml-ml amp 100
24 40 Deksametason tab 0.5 mg tablet 7
25 40 Deksametason tab 0.5 mg tablet 2,777
26 43 Diazepam inj 5 mg/ml-2ml amp 0
27 43 Diazepam inj 5 mg/ml-2ml amp 25
28 44 Diazepam larutan rektal 4 mg/2 ml ( Trazepp / stesolid ) botol 5
29 48 Difenhidramin Hcl Inj 10 mg/ml-1ml amp 53
30 48 Difenhidramin Hcl Inj 10 mg/ml-1ml amp 116
31 51 Dimenhidrinat tablet 50 mg tablet 290
32 54 Ephinefrin Hcl (Adrenalin) inj 0,1%/ml amp 12
33 55 Erithromisin 500 mg tab tablet 56
34 57 Erithromisin sirup 200 mg/5 ml botol 1
35 68 Fenol gliserol tetes Telinga 10 % botol 3
36 68 Fenol gliserol tetes Telinga 10 % botol 13
37 68 Fenol gliserol tetes Telinga 10 % botol 18
38 69 Fitomenadion (VitK) inj 10mg/ml-1ml amp 14
39 71 Furosemid tab 40 mg tablet 464
40 74 Garam Oralit untuk 200 ml air sachet 180
41 76 Gentamsin Salep Kulit 0,1% botol 2
42 77 Gentamycin 80 mg/2 ml injeksi amp 65
43 78 Gentian Violet lart 1% botol 4
44 79 Glibenklamid 5 mg tablet 9
45 79 Glibenklamid 5 mg tablet 104
46 79 Glibenklamid 5 mg tablet 1,652
47 80 Gliseril Guaiyakolat tab 100 mg tablet 1
48 80 Gliseril Guaiyakolat tab 100 mg tablet 9
49 82 Glukosa Lart Inf 10 % steril botol 0
50 84 Glukosa Lart Inf 5 % steril botol 6
51 89 Hidrokortison krim 2.5 % botol 3
52 89 Hidrokortison krim 2.5 % botol 30
53 91 Hiosin N- Butilbromida Inj 20 mg/ml amp 1
54 93 Ibuprofen 400 mg tablet 1
55 97 Isosorbid dinitrat tab 5 mg tablet 195
56 100 Kalsium Laktas (Kalk) tab 500 mg tablet 1
57 100 Kalsium Laktas (Kalk) tab 500 mg tablet 683
58 101 Kalsium Gluconas Injeksi vial 34
59 103 Kaptropil 25 mg tablet 1
60 107 Klindamycin 150 mg tablet 100
61 107 Klindamycin 150 mg tablet 300
62 110 Kloramphenikol tetes telinga 3 % botol 3
63 117 Kotrimoksazole Dewasa tab 480 mg tablet 1
64 118 Kotrimoksazole ped tab 120 mg tablet 96
65 119 Kotrimoksazole Susp botol 162
66 122 Lidokain 2% injeksi amp 12
67 124 Loperamid HCl tablet 2 mg tablet 1,000
68 125 Magnesium sulf inj 20%-25 ml amp 3
69 125 Magnesium sulf inj 20%-25 ml amp 21
70 126 Magnesium sulf inj 40%-25 ml amp 11
71 126 Magnesium sulf inj 40%-25 ml amp 24
72 129 Metformin HCl Tab 500 mg tablet 843
73 132 Metil Ergometrin tab 0.125 mg tablet 30
74 135 Metoklopramid tab 5 mg ( Tomit tab ) tablet 1
75 138 Metronidazol 500 mg tablet 60
76 138 Metronidazol 500 mg tablet 134
77 139 Mikonazole Krim / salep 2% botol 7
78 139 Mikonazole Krim / salep 2% botol 12
79 147 Natrium Klorida lart inf 0.9% botol 116
 80 148 Nifedipin tab 10 mg tablet 89
81 158 Oksitetrasiklin SM 1 % botol 1
82 165 Parasetamol sirup 120 mg/5 ml botol 1
83 165 Parasetamol sirup 120 mg/5 ml botol 24
84 167a Paracetamol 500 mg tablet 6
85 167a Paracetamol 500 mg tablet 17
86 172 Piridoksin tab 10 mg tablet 562
87 172 Piridoksin tab 10 mg tablet 1,552
88 172 Piridoksin tab 10 mg tablet 3,518
89 176 Prednison 5 mg tab tablet 1,618
90 180 Propiltiourasil 100 mg tab tablet 500
91 185 Retinol ( Vit A ) 200.000 iu Kap kapsul 0
92 190 Ringer Laktate lart infus botol 1
93 191 S. Anti Bisa Ular poli inj 5 ml(ABU I) vial 1
94 198 Salisil Bedak 2 % kotak 3
95 202 Seftriaxon Inj 1 gram amp 72
96 206 Siprofloksasin 500 mg tab tablet 170
97 208 Sulfasetamid tts mata 15% botol 7
98 209 Tablet tambah darah komb tablet 138
99 212 Tetrasiklin 500 mg tablet 50
100 212 Tetrasiklin 500 mg tablet 134
101 213 Thiamin ( Vit B1 ) 50 mg tab tablet 1,698
102 215 Thiamphenkol 500 mg cap kapsul 24
103 220 Vitamin B Kompleks tab tablet 335
104 221 Yodium povidon 10 % 30 ml botol 177
105 224 Zink 20 mg Tablet dispersible tablet 70
106 224 Zink 20 mg Tablet dispersible tablet 1,877
107 226 Adona injeksi amp 11
108 229 Asering Larutan Infus botol 80
109 231 Bismecon / Burnazin/Bioplasenton botol 1
110 231 Bismecon / Burnazin/Bioplasenton botol 16
111 236 Fludane / Molex flu Syrup botol 8
112 240 Ka-En 3 A botol 40
113 241 Ka-En 3 B botol 0
114 241 Ka-En 3 B botol 117
115 242 Kombivent Inhalasi amp 33
116 269 Polikresulen (Albothyl) botol 4
117 270 Semen seng fosfat serbuk & cair set 1
118 278 Alat Suntik Sekali Pakai 1 ml set 249
119 279 Alat Suntik Sekali Pakai 3 ml / 2,5 ml pcs 109
120 279 Alat Suntik Sekali Pakai 3 ml / 2,5 ml pcs 422
121 280 Alat Suntik Sekali Pakai 5 ml set 307
122 281 Alat Suntik Sekali Pakai 10 ml set 108
123 282 Aqua Gel botol 12
124 283 Blood set set 20
125 284 Catgut/Benang bedah no 3/0 (p&c) dengan jarum bedah set 9
126 286 Etanol 70 % 1 L botol 3
127 286 Etanol 70 % 1 L botol 18
128 288 Infusion Set Anak set 75
129 289 Infusion Set Dewasa set 65
130 289 Infusion Set Dewasa set 258
131 290 Jarum Jahit (Bedah) No 9 s/d 14 pcs 0
132 290 Jarum Jahit (Bedah) No 9 s/d 14 pcs 0
133 292 Kapas Pembalut/Absorben 250 gr buah 0
134 292 Kapas Pembalut/Absorben 250 gr buah 8
135 292 Kapas Pembalut/Absorben 250 gr buah 34
136 293 Kasa Pembalut 2 X 80 cm rol 60
137 295 Kasa Pembalut 4 X 15 cm rol 2
138 295 Kasa Pembalut 4 X 15 cm rol 30
139 296 Kasa Pembalut 4 X 3 cm rol 0
140 296 Kasa Pembalut 4 X 3 cm rol 2
141 297 Lisol (Kresol tersaponifikasi 50%) 1 liter botol 1
142 298 Masker set 30
143 299 Mess pcs 189
144 301 Plester 5 yard X 2 inch rol 2
145 302 Pot Sputum diameter 7 cm pcs 430
146 303 Sarung Tangan Steril ( Handscoun) set 49
147 303 Sarung Tangan Steril ( Handscoun) set 300
148 305 Silk ( Benang Bedah Sutera) N0 3/0 set 1
149 307 IV. Catheter no. 18 set 24
150 308 IV. Catheter no. 20 set 19
151 308 IV. Catheter no. 20 set 51
152 341 Spiritus Bakar ( 1 liter ) botol 1
153 369 Haloperidol 5 mg tablet 1
154 393 Folley Catheter no 16 pcs 2
155 394 Urine Bag pcs 8
156 395 Kertas Lakmus pak 3
157 396 Muccus Extractor pcs 31
158 397 Sarung Tangan Obgyn pcs 11
159 397 Sarung Tangan Obgyn pcs 13
160 398 Sarung Tangan Industri pcs 3
161 399 Klorin 5,25 % botol 2
162 401 Reagen Protein Urine Glucotest pcs 2
163 402 RD 5% botol 91
164 402 RD 5% botol 230
165 403 Kasa Steril 16 X 16 kotak 181
166 404 Yodium Povidone 60 ml botol 47
167 405 Etanol 95% botol 1
168 409 Frimania ( Lithium ) tablet 398
169 410 Donexan botol 7
170 428 Alkohol 70 % 100 ml botol 298
171 438 Alat suntik 20 ml pcs 14
172 477 Mas hospitas feeding tube F6 pcs 5
173 478 Mas hospital feeding tube F 8 pcs 11
174 479 Mas Noc Infant pcs 15
175 480 Mas Noc Neonatus Premium pcs 5
176 481 Spatel Kayu pcs 25
177 578 Isonizid 100 mg tablet 246
178 579 Resperidone 2 mg tablet 15
179 579 Resperidone 2 mg tablet 500
Penerimaan Persediaan Pemakaian Kepada PX Obat ED Total Pemakaian
2,400 2,400 2,081 0 2,081
0 2 0 0 0
0 19 17 0 17
0 60 0 60 60
0 100 0 0 0
0 463 0 63 63
5,000 5,000 5,000 0 5,000
0 6 6 0 6
0 2,608 515 2093 2,608
5,000 10,607 6,429 4175 10,604
0 3 3 0 3
0 29 0 24 24
0 14 8 0 8
0 29 29 0 29
0 1 0 0 0
0 1 0 0 0
0 168 168 0 168
0 200 200 0 200
0 40 37 0 37
0 40 31 0 31
0 95 1 0 1
0 15 12 0 12
0 100 100 0 100
0 7 4 0 4
0 2,777 2,768 0 2,768
60 60 23 0 23
0 25 25 0 25
0 5 0 0 0
0 53 53 0 53
0 116 78 0 78
0 290 90 0 90
0 12 0 0 0
0 56 56 0 56
0 1 1 0 1
0 3 3 0 3
0 13 13 0 13
 0 18 18 0 18
0 14 6 0 6
0 464 178 286 464
0 180 165 0 165
0 2 0 0 0
0 65 5 60 65
0 4 0 0 0
0 9 9 0 9
0 104 104 0 104
0 1,652 1,446 206 1,652
0 1 1 0 1
0 9 9 0 9
60 60 0 0 0
0 6 0 0 0
0 3 3 0 3
96 126 126 0 126
0 1 1 0 1
0 1 1 0 1
0 195 195 0 195
0 1 1 0 1
0 683 683 0 683
0 34 3 0 3
0 1 1 0 1
0 100 0 100 100
0 300 0 300 300
0 3 2 0 2
0 1 1 0 1
0 96 6 0 6
100 262 82 180 262
0 12 11 0 11
0 1,000 0 0 0
0 3 1 0 1
0 21 14 0 14
0 11 7 0 7
0 24 22 0 22
7,500 8,343 6,443 1900 8,343
0 30 20 0 20
0 1 1 0 1
0 60 60 0 60
0 134 74 0 74
0 7 7 0 7
0 12 12 0 12
300 416 222 0 222
 0 89 89 0 89
0 1 1 0 1
0 1 1 0 1
0 24 24 0 24
0 6 6 0 6
0 17 17 0 17
0 562 562 0 562
0 1,552 1,552 0 1,552
0 3,518 3,518 0 3,518
500 2,118 2,118 0 2,118
0 500 0 0 0
2,700 2,700 2,700 0 2,700
0 1 1 0 1
0 1 0 1 1
0 3 3 0 3
0 72 72 0 72
0 170 139 0 139
0 7 6 0 6
0 138 138 0 138
0 50 50 0 50
0 134 134 0 134
0 1,698 1,698 0 1,698
0 24 24 0 24
0 335 335 0 335
0 177 136 0 136
0 70 40 0 40
1,000 2,877 2,243 518 2,761
0 11 3 0 3
0 80 0 0 0
0 1 1 0 1
0 16 8 8 16
0 8 8 0 8
0 40 0 0 0
100 100 0 0 0
0 117 0 0 0
0 33 33 0 33
0 4 0 4 4
0 1 0 0 0
0 249 120 0 120
0 109 88 0 88
0 422 398 0 398
0 307 119 179 298
0 108 12 90 102
 0 12 10 2 12
0 20 5 0 5
0 9 6 0 6
0 3 1 0 1
0 18 17 0 17
0 75 0 0 0
0 65 61 0 61
0 258 258 0 258
60 60 12 0 12
132 132 36 0 36
50 50 38 0 38
50 58 11 0 11
0 34 33 0 33
130 190 188 0 188
0 2 2 0 2
0 30 28 0 28
200 200 200 0 200
0 2 2 0 2
0 1 0 0 0
0 30 30 0 30
0 189 177 0 177
0 2 1 0 1
0 430 430 0 430
150 199 161 0 161
0 300 278 0 278
0 1 1 0 1
0 24 19 0 19
0 19 12 0 12
0 51 7 0 7
0 1 1 0 1
0 1 1 0 1
0 2 0 0 0
0 8 3 0 3
0 3 0 0 0
0 31 14 0 14
0 11 6 0 6
0 13 10 0 10
0 3 2 0 2
0 2 1 0 1
0 2 1 0 1
0 91 0 0 0
0 230 35 0 35
0 181 116 0 116
0 47 16 0 16
0 1 0 0 0
0 398 398 0 398
0 7 7 0 7
0 298 221 0 221
0 14 14 0 14
0 5 0 0 0
0 11 0 0 0
0 15 0 0 0
0 5 0 0 0
0 25 0 0 0
0 246 246 0 246
0 15 15 0 15
0 500 500 0 500
Rata Rata Pemakaian Perbulan Kebutuhan Obat Selama 18 Bulan Sisa Akhir
173 3,122 319
0 0 2
1 26 2
5 90 0
0 0 100
5 95 400
417 7,500 0
1 9 0
217 3,912 0
884 15,906 3
0 5 0
2 36 5
1 12 6
2 44 0
0 0 1
0 0 1
14 252 0
17 300 0
3 56 3
3 47 9
0 2 94
1 18 3
8 150 0
0 6 3
231 4,152 9
2 35 37
2 38 0
0 0 5
4 80 0
7 117 38
8 135 200
0 0 12
5 84 0
0 2 0
0 5 0
1 20 0
 2 27 0
1 9 8
39 696 0
14 248 15
0 0 2
5 98 0
0 0 4
1 14 0
9 156 0
138 2,478 0
0 2 0
1 14 0
0 0 60
0 0 6
0 5 0
11 189 0
0 2 0
0 2 0
16 293 0
0 2 0
57 1,025 0
0 5 31
0 2 0
8 150 0
25 450 0
0 3 1
0 2 0
1 9 90
22 393 0
1 17 1
0 0 1,000
0 2 2
1 21 7
1 11 4
2 33 2
695 12,515 0
2 30 10
0 2 0
5 90 0
6 111 60
1 11 0
1 18 0
19 333 194
 7 134 0
0 2 0
0 2 0
2 36 0
1 9 0
1 26 0
47 843 0
129 2,328 0
293 5,277 0
177 3,177 0
0 0 500
225 4,050 0
0 2 0
0 2 0
0 5 0
6 108 0
12 209 31
1 9 1
12 207 0
4 75 0
11 201 0
142 2,547 0
2 36 0
28 503 0
11 204 41
3 60 30
230 4,142 116
0 5 8
0 0 80
0 2 0
1 24 0
1 12 0
0 0 40
0 0 100
0 0 117
3 50 0
0 6 0
0 0 1
10 180 129
7 132 21
33 597 24
25 447 9
9 153 6
 1 18 0
0 8 15
1 9 3
0 2 2
1 26 1
0 0 75
5 92 4
22 387 0
1 18 48
3 54 96
3 57 12
1 17 47
3 50 1
16 282 2
0 3 0
2 42 2
17 300 0
0 3 0
0 0 1
3 45 0
15 266 12
0 2 1
36 645 0
13 242 38
23 417 22
0 2 0
2 29 5
1 18 7
1 11 44
0 2 0
0 2 0
0 0 2
0 5 5
0 0 3
1 21 17
1 9 5
1 15 3
0 3 1
0 2 1
0 2 1
0 0 91
3 53 195
10 174 65
 1 24 31
0 0 1
33 597 0
1 11 0
18 332 77
1 21 0
0 0 5
0 0 11
0 0 15
0 0 5
0 0 25
21 369 0
1 23 0
42 750 0
Rencana Pengadaan Usulan PKeterangan
2,803
-2
24
90
-100
-306
7,500
9
3,912
15,903
5
31
6
44
-1
-1
252
300
53
38
-93
15
150
3
4,143
-3
38
-5
80
79
-65
-12
84
2
5
20
 27
1
696
233
-2
98
-4
14
156
2,478
2
14
-60
-6
5
189
2
2
293
2
1,025
-27
2
150
450
2
2
-81
393
16
-1,000
-1
14
7
31
12,515
20
2
90
51
11
18
139
 134
2
2
36
9
26
843
2,328
5,277
3,177
-500
4,050
2
2
5
108
178
8
207
75
201
2,547
36
503
163
30
4,026
-4
-80
2
24
12
-40
-100
-117
50
6
-1
51
111
573
438
147
 18
-8
6
-1
25
-75
88
387
-30
-42
45
-31
49
280
3
40
300
3
-1
45
254
1
645
204
395
2
24
11
-34
2
2
-2
-1
-3
4
4
12
2
1
1
-91
-143
109
 -7
-1
597
11
255
21
-5
-11
-15
-5
-25
369
23
750
 DAFTAR OBAT DAN PERBEKALAN KESEHATAN KADALUARS
ALOKASI DANA JKN
PUSKESMAS PAJARAKAN

NO NAMA OBAT DAN PERBEKALAN KESEHATAN TANGGAL KADALUARSA

1 Amitriptilin Hcl tab 25 mg 9/1/2018
2 Sikzonoat injeksi 12/1/2018
3 Deksametason inj 5 mg/ml-ml 9/1/2018
4 Diazepam larutan rektal 4 mg/2 ml ( Trazepp / stesolid ) 5/1/2018
5 Klindamycin 150 mg 3/1/2018
6 Metil Ergometrin tab 0.125 mg 2/1/2018
7 Tetrasiklin 500 mg 9/1/2018
8 Triheksipenidil Hcl 2 mg tab 9/1/2017
9 KLINDAMISIN 300 MG 8/1/2018
10 NEO TAMBAH DARAH 6/1/2018
11 NEO TAMBAH DARAH 8/1/2018
12 NEO TAMBAH DARAH 6/1/2018
13 NEO TAMBAH DARAH 8/1/2018
14 FENOL GLISEROL TTS TELINGA 11/7/2017
15 IV. CATETER NO.18 8/1/2018
16 ALAT SUNTIK 5 CC 9/1/2018

Mengetahui,
Kepala Puskesmas Pajarakan

dr. SYAIFUL BAHRI, M.Si

NIP. 19660415 200212 1 003
AN KADALUARSA/ RUSAK 2018
JKN
RAKAN

TAHUN JUMLAH OBAT ED HARGA JUMLAH (Rp)

2014 200 110 22,000
2016 14 57,500 805,000 blm dikel di simpus
2016 15 7,150 107,250
2016 87 11,517 1,001,979
2015 550 361 198,550
2015 1,357 154 208,978
2014 133 385 51,205
2015 155 396 61,380
2016 800 603 482,400
2016 200 440 88,000
2016 41 440 18,040
2016 3,108 440 1,367,520
2016 163 440 71,720
2015 4 9680 38,720
2015 12 7700 92,400
2015 96 750 72,000

4,687,142

Probolinggo, 09-10-2018
Yang melaporkan,
Pengelola Obat Puskesmas Pajarakan

ULFIE FITRI NOR ISLAMI

NIP. 19840626 200604 2 017